scholarly journals Can a Simple Dietary Screening in Early Pregnancy Identify Dietary Habits Associated with Gestational Diabetes?

Nutrients ◽  
2019 ◽  
Vol 11 (8) ◽  
pp. 1868
Author(s):  
Laufey Hrolfsdottir ◽  
Ingibjorg Gunnarsdottir ◽  
Bryndis Eva Birgisdottir ◽  
Ingibjorg Th Hreidarsdottir ◽  
Alexander Kr. Smarason ◽  
...  

Gestational diabetes mellitus (GDM) is predominantly a lifestyle disease, with diet being an important modifiable risk factor. A major obstacle for the prevention in clinical practice is the complexity of assessing diet. In a cohort of 1651 Icelandic women, this study examined whether a short 40-item dietary screening questionnaire administered in the 1st trimester could identify dietary habits associated with GDM. The dietary variables were aggregated into predefined binary factors reflecting inadequate or optimal intake and stepwise backward elimination was used to identify a reduced set of factors that best predicted GDM. Those binary factors were then aggregated into a risk score (range: 0–7), that was mostly characterised by frequent consumption of soft drinks, sweets, cookies, ice creams and processed meat. The women with poor dietary habits (score ≥ 5, n = 302), had a higher risk of GDM (RR = 1.38; 95%CI = 3, 85) compared with women with a more optimal diet (score ≤ 2, n = 407). In parallel, a pilot (n = 100) intervention was conducted among overweight and obese women examining the effect of internet-based personalized feedback on diet quality. Simple feedback was given in accordance with the answers provided in the screening questionnaire in 1st trimester. At the endpoint, the improvements in diet quality were observed by, as an example, soft drink consumption being reduced by ~1 L/week on average in the intervention group compared to the controls. Our results suggest that a simple dietary screening tool administered in the 1st trimester could identify dietary habits associated with GMD. This tool should be easy to use in a clinical setting, and with simple individualized feedback, improvements in diet may be achieved.

2019 ◽  
Vol 11 (2) ◽  
pp. 80
Author(s):  
Ribka Wowor

Abstract: Prehypertension is a warning sign, early in age which denotes the risk of hypertension later on in life. Clinical and academic challenges of medical students may have adverse effect on their lifestyle, predisposing vulnerable subjects to elevated blood pressure. This study was aimed to determine the association between dietary habits and prehypertension among Indonesian young adults in Manado. This was an analytical study with a cross-sectional study. Subjects were 111 medical students (undergraduate and postgraduate) aged between 20-30 years, of either sex. A pre-tested questionnaire was used to elicit the details on physical activity, family history of hypertension, tobacco use, and dietary habits. According to JNC-7 guidelines, a systolic blood pressure (SBP) of 120 to 139 mmHg and/or diastolic blood pressure (DBP) of 80 to 89 mmHg is considered as prehypertension. Of the 111 subjects, 22.5% showed blood pressure levels within the range of prehypertension. Chi-square analysis revealed that junk food consumption (OR=3,152; 95% CI=1,253-7,925; P=0,023), and soft drink consumption (OR=4,747; 95% CI=1,797-12,539; P=0,002) were the risk factors of prehypertension. Conclusion: Dietary habits were associated with the prehypertension among young adults in Manado.Keywords: dietary habits, prehypertension, young adultsAbstrak: Prehipertensi merupakan tanda peringatan dini akan resiko terjadinya hipertensi di kemudian hari. Mahasiswa kedokteran memiliki kesibukan studi terutama pada masa kepaniteraan klinik di Rumah Sakit. Tuntutan dalam pendidikan dan pelayanan sekaligus di RS berdampak terhadap pola aktivitas mereka sehari-hari sehingga dapat memengaruhi tekanan darah. Penelitian ini bertujuan untuk mengetahui hubungan antara diet (konsumsi makanan dan minuman) dengan kejadian prehipertensi pada mahasiswa kedokteran Univrsitas Sam Ratulangi. Jenis penelitian ialah analitik dengan desain potong lintang. Hasil penelitian mendapatkan 111 mahasiswa kedokteran peserta P3D dan PPDS (calon spesialis) berusia antara 20-30 tahun sebagai subyek penelitian. Dilakukan pemeriksaan tekanan darah dan berat badan. Penentuan kebiasaan makan ditetapkan berdasarkan hasil pengisian kuesioner. Definisi prehipertensi berdasarkan kriteria JNC 7 yaitu tekanan darah sistolik lebih dari 120 mmHg tapi kurang dari 140 mmHg, dan atau tekanan darah diastolik lebih dari 80 mmHg tapi kurang dari 90 mmHg. Uji Chi-square dilakukan untuk melihat hubungan antara konsumsi junk food dan soft drink dengan kejadian prehipertensi dan didapatkan adanya hubungan antara konsumsi junk food (OR=3,152; 95% CI=1,253-7,925; P=0,023), dan soft drink (OR=4,747; 95% CI=1,797-12,539; P=0,002) dengan kejadian prehipertensi pada subyek dewasa muda. Simpulan: Diet (konsumsi junk food dan soft drink) berhubungan dengan kejadian prehipertensi pada subyek dewasa muda di Manado.Kata kunci: diet, prehipertensi, dewasa muda


2012 ◽  
Vol 15 (11) ◽  
pp. 2131-2139 ◽  
Author(s):  
Carlos Moreno-Gómez ◽  
Dora Romaguera-Bosch ◽  
Pedro Tauler-Riera ◽  
Miquel Bennasar-Veny ◽  
Jordi Pericas-Beltran ◽  
...  

AbstractObjectiveTo ascertain the prevalence of and association between main lifestyle factors (diet, physical activity, alcohol consumption and smoking) in students from the Balearic Islands University.DesignA cross-sectional, descriptive study. A questionnaire including questions on lifestyle, dietary habits and physical activity habits was administered to the students. Four different diet quality scores were calculated (Diet Diversity Score, Mediterranean Diet Score, Dietary Guidelines Score and Global Dietary Guidelines Score).SettingA sample of students from the Balearic Islands University.SubjectsNine hundred and eighty-seven students (45·5 % males; mean age 21·5 (sd 3·3) years).ResultsThe dietary pattern of the student population was characterized by a low consumption of cereals and tubers, fruits, vegetables, olive oil, legumes and nuts, and a high consumption of processed meat, sweets, snacks, soft drinks and pastries. Linear, positive and statistically significant correlations were found between the number of meals consumed daily and all of the diet quality scores determined. Determinants of diet quality, both in the univariate and multivariate analyses, were physical activity practice, sex, age and number of meals consumed daily.ConclusionsRisk factors such as smoking, diet and physical inactivity had a tendency of clustering among Spanish university students. Overall diet quality was low, due to important departures from dietary recommendations and loss of the traditional Mediterranean dietary pattern. Nutritional education campaigns that include promotion of physical activity practice are needed to improve the overall health status of this population.


Nutrients ◽  
2020 ◽  
Vol 12 (3) ◽  
pp. 860 ◽  
Author(s):  
Alice J. Owen ◽  
Michael J. Abramson ◽  
Jill F. Ikin ◽  
Tracy A. McCaffrey ◽  
Sylvia Pomeroy ◽  
...  

This study examined the relationship between diet quality scores and cardiometabolic risk factors in regionally-dwelling older Australian adults with increased cardiovascular risk. This study was a cross-sectional analysis of demographic, anthropometric, and cardiometabolic risk factor data from 458 participants of the Cardiovascular Stream of the Hazelwood Health Study. Participants completed a 120 item semi-quantitative food frequency questionnaire. Multivariable linear regression adjusting for age, sex, smoking, physical activity, education, diabetes, and body mass index was used to examine the relationship between diet and cardiometabolic risk factors. Mean (SD) age of participants was 71 (8) years, and 55% were male. More than half of men and women did not meet recommended intakes of fibre, while 60% of men and 42% of women exceeded recommended dietary sodium intakes. Higher diet quality in terms of intake of vegetables, grains, and non-processed meat, as well as intake of non-fried fish, was associated with more favourable cardiometabolic risk profiles, while sugar-sweetened soft drink intake was strongly associated with adverse cardiometabolic risk factor levels. In older, regionally-dwelling adults, dietary public health strategies that address whole grain products, vegetable and fish consumption, and sugar-sweetened soft-drink intake may be of benefit in reducing cardiometabolic risk.


2018 ◽  
Vol 37 (2) ◽  
pp. 638-645 ◽  
Author(s):  
Mikel Donazar-Ezcurra ◽  
Cristina Lopez-del Burgo ◽  
Miguel A. Martinez-Gonzalez ◽  
Francisco J. Basterra-Gortari ◽  
Jokin de Irala ◽  
...  

2020 ◽  
Author(s):  
Narges Sadat Motahari-Tabari ◽  
Mahbobeh Faramarzi ◽  
Marjan Ahmad Shirvani ◽  
Afsaneh Bakhtiari ◽  
Shabnam Omidvar ◽  
...  

Abstract Background: Gestational diabetes is one of the most common metabolic dysfunction in pregnancy and as overweight and obesity are of the major risk factors, this study aimed to determine the effect of Information-Motivation and Behavioral skills (IMB) model-based counseling on preventing gestational diabetes in overweight and obese pregnant women. Methods: A randomised controlled trial (RCT) was conducted involving pregnant women who are overweight (BMI >25 to 29.9 k/gm2) or obese (BMI >30 k/gm2), at the 12 to 16 weeks gestation and recruited from the Prenatal Clinic of Rohani Educational Hospital in Babol medical university, Iran, women in the intervention group will receive a program informed four sessions by the Information-Motivation and Behavioral skills. The control group received routine care. Blood glucose was measured before and 8 weeks after the intervention. Descriptive and inferential statistics including mean, standard deviation, frequency, t-test, chi-square and ANCOVA were used. Results: The prevalence of gestational diabetes was lower in the intervention group than the routine care group (10% and 29.9%, respectively, RR=0.33, CI 95% (0.15- 0.74) p=0.004) as well as mean fasting blood glucose (d=0.28, P=0.07), and glucose tolerance test at the first and second hour (d= 0.41 and d=0.73, respectively, p<0.01). Conclusions: Our data suggest that women that IMB model-based counseling on self-care in early pregnancy in overweight and obese pregnant women can be effective in preventing gestational diabetes. Keywords: Gestational Diabetes, Obesity, Overweight, Information-Motivation-Behavioral Skills Model Name of the registry: Comparison of the effectiveness of counseling based on health promoting behaviors on fasting blood glucose and glucose tolerance test in pregnant and overweight and obese women IRCT registration number: IRCT20120125008822N3Registration date: 2018-07-05, 1397/04/14Registration timing: prospective https://en.irct.ir/trial/32150


2009 ◽  
Vol 34 (2) ◽  
pp. 135-139 ◽  
Author(s):  
Gurveena Parhar ◽  
Richard Yoon ◽  
Steven Chussid

Objective: This study examined maternal and child oral health behaviors and potential risk factors for dental caries in high-risk children. Study Design: Data on oral health practices were collected from surveys of mother/caregivers and the child's dental chart was reviewed. Linear regression and ordered probit regression models were used to examine data. Results: A total of sixty questionnaires were completed. There was a marginally significant relationship (P=.08) between number of times per day a child consumed a sweetened beverage and the dmfs of the child. Mothers who snacked more frequently had a greater probability(24%) that their child snacked 3 times or more. Mothers who drank a sweetened beverage more frequently had a greater probability (40%) that their child drank a sweetened beverage 3 or more times a day. Mothers who brushed their teeth with fluoridated toothpaste had a greater probability (79%) that their child brushed 2 or more times a day with fluoridated toothpaste. Conclusions: Two maternal variables, reported soft drink consumption and dietary habits, appear promising for caries prediction. Implementation of dietary counseling and oral health programs for mothers and research merit further exploration.


2021 ◽  
pp. 1-13
Author(s):  
Anna-Kristin Brettschneider ◽  
Clarissa Lage Barbosa ◽  
Marjolein Haftenberger ◽  
Franziska Lehmann ◽  
Gert BM Mensink

Abstract Objective: Dietary habits developed during childhood and adolescence are likely to continue into adulthood. An unbalanced diet may cause nutrient deficiencies and excessive energy intake; these enhance the risk for developing overweight and obesity and their co-morbidities. In the present analysis, food consumption of adolescents is described and evaluated against German food-based dietary guidelines with special focus on socio-economic status (SES) and region of residence. Design: Within the ‘German Health Interview and Examination Survey for Children and Adolescents’ (KiGGS Wave 2), the cross-sectional ‘Eating Study as a KiGGS Module’ (EsKiMo II) was conducted from 2015 until 2017 to provide data about dietary behaviour. Setting: Germany. Participants: 1353 adolescents aged 12–17 years from a nationwide representative sample with food consumption data from computer-assisted dietary history interviews. Results: The median consumption of fruits, vegetables, starchy foods and milk/dairy products among adolescents in Germany was below the recommendation. The median consumption of both meat/meat products and unfavourable foods, like confectionery, which should be consumed sparingly, was about 1·5 times the recommended amount. The total amount of beverages consumed by most adolescents was above the minimum amount recommended. Soft drink consumption of adolescents with a low SES was three to five times higher than soft drink consumption of adolescents with a high SES. Conclusions: The results indicate the need for an improvement of dietary habits among adolescents in Germany. Further approaches to promote healthy diets in Germany should be continued, and the focus on social inequalities should be strengthened.


2009 ◽  
Vol 12 (12) ◽  
pp. 2457-2463 ◽  
Author(s):  
Tina Liang ◽  
Stefan Kuhle ◽  
Paul J Veugelers

AbstractObjectiveTo examine whether eating while watching television poses a risk for poor nutrition and excess body weight over and above that of time spent watching television.DesignWe analysed data of grade 5 students participating in a comprehensive population-based survey in the Canadian province of Nova Scotia. This survey included the Harvard’s Youth Food Frequency Questionnaire, students’ height and weight measurements, and a parent survey. We applied multivariable linear and logistic random effects models to quantify the associations of watching television and eating while watching television with diet quality and body weight.SettingThe province of Nova Scotia, Canada.SubjectsGrade 5 students (n4966).ResultsEating supper while watching television negatively affected the consumption of fruits and vegetables and overall diet quality. More frequent supper while watching television was associated with more soft drink consumption, a higher percentage energy intake from sugar out of total energy from carbohydrate, a higher percentage energy intake from fat, and a higher percentage energy intake from snack food. These associations appeared independent of time children spent watching television. Both watching television and eating while watching television were positively and independently associated with overweight.ConclusionsOur observations suggest that both sedentary behaviours from time spent watching television as well as poor nutrition as a result of eating while watching television contribute to overweight in children. They justify current health promotion targeting time spent watching television and call for promotion of family meals as a means to avoid eating in front of the television.


2012 ◽  
Vol 16 (4) ◽  
pp. 693-703 ◽  
Author(s):  
Alison B Feeley ◽  
Eustasius Musenge ◽  
John M Pettifor ◽  
Shane A Norris

AbstractObjectiveThe present study aimed to assess the relationship between dietary habits, change in socio-economic status and BMI Z-score and fat mass in a cohort of South African adolescents.DesignIn the longitudinal study, data were collected at ages 13, 15 and 17 years on a birth cohort who have been followed since 1990. Black participants with complete dietary habits data (breakfast consumption during the week and at weekends, snacking while watching television, eating main meal with family, lunchbox use, number of tuck shop purchases, fast-food consumption, confectionery consumption and sweetened beverage consumption) at all three ages and body composition data at age 17 years were included in the analyses. Generalized estimating equations were used to test the associations between individual longitudinal dietary habits and obesity (denoted by BMI Z-score and fat mass) with adjustments for change in socio-economic status between birth and age 12 years.SettingBirth to Twenty (Bt20) study, Soweto-Johannesburg, South Africa.SubjectsAdolescents (n 1298; 49·7 % male).ResultsIn males, the multivariable analyses showed that soft drink consumption was positively associated with both BMI Z-score and fat mass (P < 0·05). Furthermore, these relationships remained the same after adjustment for socio-economic indicators (P < 0·05). No associations were found in females.ConclusionsLongitudinal soft drink consumption was associated with increased BMI Z-score and fat mass in males only. Fridge ownership at birth (a proxy for greater household disposable income in this cohort) was shown to be associated with both BMI Z-score and fat mass.


2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Maria Fernanda Zeron-Rugerio ◽  
Ana Eugenia Ortega-Regules ◽  
Maria Armida Patricia Porras-Loaiza ◽  
Giovana Longo-Silva ◽  
Trinitat Cambras ◽  
...  

AbstractIntroductionUnderstanding health behaviors, such as sleep and dietary patterns, is important for health promotion and disease prevention. College period is a complicated, difficult time to maintain healthy behaviors. In this regard, little is known about the impact of sleep and diet quality on well-being among college young adults. Hence, we aimed to study the impact of sleep and diet quality on well-being in college students.Materials and MethodsThree hundred-twelve Mexican college students (82% females; 20.6 ± 3.4years) were included in a cross-sectional study. Participants completed the following validated questionnaires: Well-being Index to assess well-being (high scores indicate high well-being), Pittsburg Sleep Quality Index for sleep quality (scores > 5 indicate poor sleep quality), and a validate version of the Health Eating Index for Mexican population to assess diet quality (scores > 80 indicate good diet quality). BMI and physical activity were also assessed. Scores were treated as continuous variables, and statistical analysis were performed using SPSS v24 and adjusted for confounding variables.ResultsSixty-seven percent of our population showed a poor sleep quality and eighty-four percent needs to make changes in their diet in order to improve its quality. On the other hand, fifty-one percent of the studied population had a low well-being perception. Poor sleep quality (p < 0.001) and low diet quality (p < 0.001) associated with a lower well-being perception. In addition, poor sleep quality is associated with low diet quality (p < 0.05). Regarding food consumption, higher sweets (p < 0.001) and soft-drink (p < 0.001) intake was inversely associated with well-being scores. Likewise, high consumption of sweets (p < 0.05) and soft-drink (p < 0.05), and low fruit (p < 0.05) and cereal (p < 0.05) consumption are linked to poor sleep quality.DiscussionOur results show that half of the studied population had a low well-being, and also that poor sleep and diet quality are frequent among college students. Interestingly, the fact that poor sleep and diet quality were associated to a lower perception of well-being highlights the importance of promoting sleep hygiene and diet quality among college students as an important strategy to improve well-being and health, even in young adults. In addition, we found that higher sweets and soft-drink consumption were associated to both low well-being perception and poor sleep quality. Hence, it is important to promote healthy habits regarding eating and sleeping well, in order to improve well-being perception among college students.


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