Association between eating habits during adolescence and gestational diabetes: data from the Japan environment and children's study

被引:0
|
作者
Minami, Marina [1 ,2 ]
Watanabe, Takafumi [3 ]
Eitoku, Masamitsu [1 ]
Maeda, Nagamasa [2 ]
Fujieda, Mikiya [4 ]
Suganuma, Narufumi [1 ]
机构
[1] Kochi Univ, Kochi Med Sch, Dept Environm Med, Nankoku, Kochi, Japan
[2] Kochi Med Sch, Integrated Ctr Adv Med Technol ICAM Tech, Nankoku, Kochi, Japan
[3] Kochi Univ, Kochi Med Sch, Dept Obstet & Gynecol, Nankoku, Kochi, Japan
[4] Kochi Univ, Kochi Med Sch, Dept Pediat, Nankoku, Kochi, Japan
关键词
Diabetes; Gestational; Snacks; Teenagers; Japan Environment and Children's study; MELLITUS; CONSUMPTION; BIRTH; FOODS; WOMEN; RISK;
D O I
10.1007/s40200-023-01294-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
PurposeIt is difficult to change pre-pregnancy eating habits, yet establishing healthy eating habits before pregnancy is important for preventing gestational diabetes mellitus (GDM). This study aimed to examine whether the weight-loss behavior of avoiding between-meal and midnight snacking in teenagers is associated with a reduction in the risk of subsequent GDM.MethodsWe used a dataset (jecs-an-20,180,131) from a nationwide, prospective birth cohort study, the Japan Environment and Children's Study (JECS). We included 89,227 (85.7% of the total) mother-infant pairs with live births. Participants in their second or third trimester were asked to report their weight-loss behavior during their teenage years. The prevalence of GDM was investigated. Differences in maternal characteristics were examined using chi-square tests. Crude and adjusted logistic regression models were constructed to assess the associations of various maternal characteristics with the weight-loss behavior of avoiding between-meal and midnight snacking during teenage years.ResultsA total of 2,066 (2.3%) participants had GDM. Weight-loss behavior in teenagers was associated with a decreased risk of GDM. Among participants with normal weight or overweight prior to pregnancy, the adjusted odds ratios were 0.79 (95% confidence interval, 0.70-0.89) and 0.82 (95% confidence interval, 0.69-0.98), respectively.ConclusionsThe results suggest that teenage weight-loss behaviors, such as avoiding between-meal and midnight snacking, are associated with a decreased risk of developing GDM.
引用
收藏
页码:1625 / 1633
页数:9
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