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Excessive fruit consumption during the second trimester is associated with increased likelihood of gestational diabetes mellitus: a prospective study
- Source :
- Scientific Reports
- Publication Year :
- 2017
- Publisher :
- Nature Publishing Group, 2017.
-
Abstract
- This study aimed to investigate the association between fruit consumption during the second trimester and the occurrence of gestational diabetes mellitus (GDM). A prospective study with 772 female participants was conducted in China from April 2013 to August 2014. Dietary intake was assessed in face-to-face and telephone interviews using a 3-day food record. GDM was ascertained using a standard 75 g 2 hour oral glucose tolerance test. Multivariable logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) after adjustment for various confounders. Of the 772 participants, 169 were diagnosed with GDM during the period under study. Greater total fruit consumption during the second trimester was associated with a higher likelihood of GDM (highest vs. lowest quartile: adjusted OR4.82, 95% CI 2.38 to 9.76). Fruits with a moderate or high glycaemic index (GI) were positively associated with the occurrence of GDM. Fruit subgroups were also categorised by polyphenol content, and tropical-fruit and citrus-fruit consumption was found to be positively related to the occurrence of GDM. These findings suggest that the excessive consumption of fruit, especially fruit with moderate or high GI values, tropical-fruit and citrus-fruit, increases the likelihood of GDM.
- Subjects :
- Adult
medicine.medical_specialty
endocrine system diseases
030209 endocrinology & metabolism
Logistic regression
Risk Assessment
Article
03 medical and health sciences
Young Adult
0302 clinical medicine
Pregnancy
Risk Factors
Diabetes mellitus
Internal medicine
medicine
Odds Ratio
Humans
030212 general & internal medicine
Prospective Studies
Prospective cohort study
Multidisciplinary
Obstetrics
business.industry
nutritional and metabolic diseases
food and beverages
Polyphenols
Odds ratio
Feeding Behavior
medicine.disease
Confidence interval
Gestational diabetes
Diabetes, Gestational
Endocrinology
Quartile
Fruit
Pregnancy Trimester, Second
Female
business
Subjects
Details
- Language :
- English
- ISSN :
- 20452322
- Volume :
- 7
- Database :
- OpenAIRE
- Journal :
- Scientific Reports
- Accession number :
- edsair.doi.dedup.....a48e09b63f38c9cf8b8ac2c5c5655273