Associations of body composition and physical fitness with gestational diabetes and cardiovascular health in pregnancy: Results from the HealthyMoms trial

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Henriksson , P , Sandborg , J , Soderstrom , E , Leppanen , MH , Snekkenes , V , Blomberg , M , Ortega , FB & Lof , M 2021 , ' Associations of body composition and physical fitness with gestational diabetes and cardiovascular health in pregnancy: Results from the HealthyMoms trial ' , Nutrition & Diabetes , vol. 11 , no. 1 , 16 . https://doi.org/10.1038/s41387-021-00158-z

Title: Associations of body composition and physical fitness with gestational diabetes and cardiovascular health in pregnancy: Results from the HealthyMoms trial
Author: Henriksson, P; Sandborg, J; Soderstrom, E; Leppanen, MH; Snekkenes, V; Blomberg, M; Ortega, FB; Lof, M
Contributor organization: Clinicum
Date: 2021-06-07
Language: eng
Number of pages: 9
Belongs to series: Nutrition & Diabetes
ISSN: 2044-4052
DOI: https://doi.org/10.1038/s41387-021-00158-z
URI: http://hdl.handle.net/10138/335633
Abstract: The aim of this study was to examine associations of body composition (fat mass index, % fat mass, fat-free mass index, body mass index) and physical fitness (cardiorespiratory fitness and handgrip strength) with gestational diabetes and cardiovascular health in early pregnancy. This cross-sectional study utilized baseline data (n = 303) collected in early pregnancy from the HealthyMoms trial. Body composition was measured using air-displacement plethysmography, cardiorespiratory fitness was assessed by means of the 6-min walk test and handgrip strength using a dynamometer. Logistic regression was used to estimate odds ratios (ORs) for gestational diabetes as well as high (defined as 1 SD above the mean) blood pressure, homeostatic model assessment for insulin resistance (HOMA-IR), and metabolic syndrome score (MetS score) per 1 SD increase in body composition and fitness variables. Fat mass index, % fat mass and body mass index were all strongly associated with gestational diabetes (ORs: 1.72-2.14, P = 0.61). In conclusion, accurately measured fat mass index or % fat mass were strongly associated with gestational diabetes risk and markers of cardiovascular health although associations were not stronger than the corresponding ones for body mass index. Fat-free mass index had only weak associations with gestational diabetes and cardiovascular health which support that the focus during clinical care would be on excess fat mass and not fat-free mass.
Subject: FAT-FREE MASS
INSULIN-RESISTANCE
CARDIORESPIRATORY FITNESS
HYPERTENSIVE DISORDERS
OBESITY
RISK
GLUCOSE
WOMEN
INDEX
DENSITY
3121 General medicine, internal medicine and other clinical medicine
3123 Gynaecology and paediatrics
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


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