Dietary patterns associated with the risk of type 2 diabetes in women with and without a history of gestational diabetes mellitus: A pilot study
https://doi.org/10.31246/mjn-2022-0056
- Author:
Farah Yasmin Hasbullah
1
;
Barakatun Nisak Mohd Yusof
1
,
2
,
3
;
Rohana Abdul Ghani
4
;
Geeta Appannah
5
;
Zulfitri ’Azuan Mat Daud
1
;
Faridah Abas
6
Author Information
1. Department of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia&
2. Diabetes Research Unit, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia&
3. Institute for Social Science Studies, Universiti Putra Malaysia, Selangor, Malaysia
4. Department of Internal Medicine, Faculty of Medicine, Universiti Teknologi MARA, Selangor, Malaysia
5. Department of Nutrition, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia
6. Department of Food Science, Faculty of Food Science and Technology, Universiti Putra Malaysia, Selangor, Malaysia
- Publication Type:Journal Article
- Keywords:
dietary patterns, gestational diabetes mellitus, type 2 diabetes
- From:
Malaysian Journal of Nutrition
2023;29(No.1):89-102
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: There is limited evidence on dietary patterns and the risk of type
2 diabetes (T2D) in women with a history of gestational diabetes mellitus (GDM)
compared to their non-GDM counterparts, especially in the Asian population. The
pilot study investigated dietary patterns in women with a history of GDM (HGDM)
and without a history of GDM (non-HGDM), and the association with T2D risk.
Methods: This comparative cross-sectional study involved 64 women (32 HGDM,
32 non-HGDM). Food intake was assessed using a validated food frequency
questionnaire. Principal component analysis derived the dietary patterns. T2D
risk score was determined using the Finnish Diabetes Risk Score tool. Results:
HGDM group had significantly higher proportion of first-degree family history of
diabetes; higher risk of T2D and better diabetes knowledge; lower gestational weight
gain and postpartum weight retention; and consumed more fast food than nonHGDM. ‘Rice-noodle-pasta-meat’ dietary pattern was significantly associated with
increased T2D risk after adjusting for age (β=0.272, p=0.032). ‘Bread-cereals-fast
food-meat’ dietary pattern was positively and significantly associated with T2D risk
after adjusting for confounders, including age, education level, family history of
diabetes, diabetes knowledge score, gestational weight gain, and postpartum weight
retention (β=0.251, p=0.012). Conclusion: Dietary patterns high in bread, cereals
and cereal products, fast food and meat, as well as rice, noodle, pasta and meat
were associated with an elevated T2D risk. A more extensive study is warranted
to establish the association between dietary patterns and risk of T2D, focusing on
women with a history of GDM.
- Full text:4.2023my0606.pdf
