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A Vegetable Dietary Pattern Is Associated with Lowered Risk of Gestational Diabetes Mellitus in Chinese Women

Diabetes & Metabolism Journal 2020년 44권 6호 p.887 ~ 896
Chen Qiong, Wu Weiwei, Yang Hailan, Zhang Ping, Feng Yongliang, Wang Keke, Wang Ying, Wang Suping, Zhang Yawei,
소속 상세정보
 ( Chen Qiong ) - Shanxi Medical University School of Public Health Department of Epidemiology
 ( Wu Weiwei ) - Shanxi Medical University School of Public Health Department of Epidemiology
 ( Yang Hailan ) - Shanxi Medical University First Affiliated Hospital Department of Obstetrics
 ( Zhang Ping ) - Shanxi Medical University School of Public Health Department of Epidemiology
 ( Feng Yongliang ) - Shanxi Medical University School of Public Health Department of Epidemiology
 ( Wang Keke ) - Shanxi Medical University School of Public Health Department of Epidemiology
 ( Wang Ying ) - Shanxi Medical University School of Public Health Department of Epidemiology
 ( Wang Suping ) - Shanxi Medical University School of Public Health Department of Epidemiology
 ( Zhang Yawei ) - Shanxi Medical University School of Public Health Department of Epidemiology

Abstract


Background: Identification of modifiable dietary factors, which are involved in the development of gestational diabetes mellitus (GDM), could inform strategies to prevent GDM.

Methods: We examined the dietary patterns in a Chinese population and evaluated their relationship with GDM risk using a case-control study including 1,464 cases and 8,092 control subjects. Propensity score matching was used to reduce the imbalance of covariates between cases and controls. Dietary patterns were identified using factor analysis while their associations with GDM risk were evaluated using logistic regression models.

Results: A “vegetable” dietary pattern was characterized as the consumption of green leafy vegetables (Chinese little greens and bean seedling), other vegetables (cabbages, carrots, tomatoes, eggplants, potatoes, mushrooms, peppers, bamboo shoots, agarics, and garlic), and bean products (soybean milk, tofu, kidney beans, and cowpea). For every quartile increase in the vegetables factor score during 1 year prior to conception, the first trimester, and the second trimester of pregnancy, the GDM risk lowered by 6% (odds ratio [OR], 0.94; 95% confidence interval [CI], 0.89 to 0.99), 7% (OR, 0.94; 95% CI, 0.88 to 0.99), and 9% (OR, 0.91; 95% CI, 0.86 to 0.96).

Conclusion: In conclusion, our study suggests that the vegetable dietary pattern is associated with lower GDM risk; however, the interpretation of the result should with caution due to the limitations in our study, and additional studies are necessary to explore the underlying mechanism of this relationship.

키워드

Case-control studies; Diabetes, gestational; Diet; Vegetables

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