Is improvement in the Healthy Food Intake Index (HFII) related to a lower risk for gestational diabetes?

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Meinilä , J , Valkama , A , Koivusalo , S B , Stach-Lempinen , B , Rono , K , Lindstrom , J , Kautiainen , H , Eriksson , J G & Erkkola , M 2017 , ' Is improvement in the Healthy Food Intake Index (HFII) related to a lower risk for gestational diabetes? ' , British Journal of Nutrition , vol. 117 , no. 8 , pp. 1103-1109 . https://doi.org/10.1017/S0007114517001015

Title: Is improvement in the Healthy Food Intake Index (HFII) related to a lower risk for gestational diabetes?
Author: Meinilä, Jelena; Valkama, Anita; Koivusalo, Saila B.; Stach-Lempinen, Beata; Rono, Kristiina; Lindstrom, Jaana; Kautiainen, Hannu; Eriksson, Johan G.; Erkkola, Maijaliisa
Contributor: University of Helsinki, Department of General Practice and Primary Health Care
University of Helsinki, Department of General Practice and Primary Health Care
University of Helsinki, Department of Obstetrics and Gynecology
University of Helsinki, HYKS erva
University of Helsinki, Clinicum
University of Helsinki, Department of Public Health
University of Helsinki, Department of General Practice and Primary Health Care
University of Helsinki, Research Programs Unit
University of Helsinki, Department of Food and Nutrition
Date: 2017-04
Language: eng
Number of pages: 7
Belongs to series: British Journal of Nutrition
ISSN: 0007-1145
URI: http://hdl.handle.net/10138/231829
Abstract: The aim was to analyse whether changes in the Healthy Food Intake Index (HFII) during pregnancy are related to gestational diabetes (GDM) risk. The 251 pregnant women participating had a pre-pregnancy BMI >= 30 kg/m(2) and/or a history of GDM. A 75 g oral glucose tolerance test (OGTT) was performed during the first and second trimesters of pregnancy for assessment of GDM. A normal OGTT result at first trimester was an inclusion criterion for the study. FFQ collected at first and second trimesters served for calculating the HFII. A higher HFII score reflects higher adherence to the Nordic Nutrition Recommendations (NNR) (score range 0-17). Statistical methods included Student's t test, Mann-Whitney U test, Fisher's exact test and linear and logistic regression analyses. The mean HFII at first trimester was 10.1 (95 % CI 9.7, 10.4) points, and the mean change from the first to the second trimester was 0.35 (95 % CI 0.09, 0.62) points. The range of the HFII changes varied from -7 to 7. The odds for GDM decreased with higher HFII change (adjusted OR 0.83 per one unit increase in HFII; 95 % CI 0.69, 0.99; P=0.043). In the analysis of the association between HFII-sub-indices and GDM, odds for GDM decreased with higher HFII-Fat change (fat percentage of milk and cheese, type of spread and cooking fats) but it was not significant in a fully adjusted model (P=0.058). Dietary changes towards the NNR during pregnancy seem to be related to a lower risk for GDM.
Subject: Dietary assessment
Lifestyle changes
Dietary changes
Nutrition and diabetes
RANDOMIZED CONTROLLED-TRIAL
LIFE-STYLE INTERVENTION
DIETARY PATTERNS
PROSPECTIVE COHORT
PHYSICAL-ACTIVITY
PREGNANT-WOMEN
MELLITUS
POPULATION
PREVALENCE
VALIDITY
3141 Health care science
416 Food Science
3142 Public health care science, environmental and occupational health
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