Abstract
Diet quality is critical for postpartum type 2 diabetes mellitus (T2DM) progression among women with a history of gestational diabetes mellitus (GDM). The Chinese Healthy Eating Index (CHEI) is a dietary index developed according to the latest Chinese Dietary Guidelines (CDG-2016). Our study aimed to assess the diet quality of women with previous GDM in rural areas of Hunan Province by applying the CHEI. Women with previous GDM in two counties of Hunan were enrolled. Their food intake data, which were used to calculate their CHEI scores, were collected by a 24-h dietary recall. The association of CHEI with sociodemographic and anthropometric variables was evaluated via linear regression models. 404 women were included in the final analysis. The mean score of the total CHEI was 54.9 (SD 7.9). The components of whole grains and mixed beans, seeds and nuts, tubers, dairy, and poultry scored extremely low. Ethnic minority groups and women younger than 30 years had lower CHEI scores. Our study observed an unsatisfactory diet quality among women with previous GDM in rural areas of Hunan Province. Future dietary education focusing on the CDG is needed to improve their diet quality and help in T2DM prevention among this population, especially young and ethnic minority women.
Highlights
Women with previous gestational diabetes mellitus (GDM) have a sevenfold higher risk of type 2 diabetes mellitus (T2DM) progression [1,2]
This work is part of a randomized clinical trial (ChiCTR1800015023) that aims to examine the effect of intensive lifestyle modifications on physiological health outcomes (e.g., T2DM development, insulin resistance, and weight-related variables) for women with previous GDM in rural areas [18]
A total of 461 women were enrolled in this study, and 57 were excluded from the final analysis due to the current diagnosis of T2DM or incomplete dietary information
Summary
Women with previous gestational diabetes mellitus (GDM) have a sevenfold higher risk of type 2 diabetes mellitus (T2DM) progression [1,2]. To postpone/prevent postpartum T2DM, they should follow healthful dietary behaviors [3,4]. The 10-year Diabetes Prevention Program demonstrated that intensive lifestyle intervention (diet and physical activity) reduces progression to T2DM by 35%. Among women with a history of GDM [5]. There is no universal dietary pattern recommended for this population; based on guidelines and major randomized controlled trials (RCTs), the key elements of a proper diet include limiting calories, fats, alcohol, monosaccharides, and red meat and increasing vegetables, whole grains, soybeans, dairy, and nuts [6,7,8,9]. Public Health 2020, 17, 5942; doi:10.3390/ijerph17165942 www.mdpi.com/journal/ijerph
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: International Journal of Environmental Research and Public Health
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
