Association between diet quality measured by the Healthy Food Intake Index and later risk of gestational diabetes-a secondary analysis of the RADIEL trial

J Meinila; A Valkama; S B Koivusalo; K Rönö; H Kautiainen; J Lindström; B Stach-Lempinen; J G Eriksson; M Erkkola

doi:10.1038/ejcn.2016.275

Association between diet quality measured by the Healthy Food Intake Index and later risk of gestational diabetes-a secondary analysis of the RADIEL trial

Eur J Clin Nutr. 2017 Apr;71(4):555-557. doi: 10.1038/ejcn.2016.275. Epub 2017 Feb 1.

Authors

J Meinila¹, A Valkama^{1

2}, S B Koivusalo³, K Rönö³, H Kautiainen^{1

4}, J Lindström⁵, B Stach-Lempinen⁶, J G Eriksson^{1

2

5}, M Erkkola⁷

Affiliations

¹ Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
² Folkhälsan Research Center, Helsinki, Finland.
³ Department of Obstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
⁴ Department of General Practice and Primary Health Care, University of Eastern Finland, Kuopio, Finland.
⁵ Department of Chronic Disease Prevention, National Institute for Health and Welfare, Helsinki, Finland.
⁶ Department of Obstetrics and Gynecology, South-Karelia Central Hospital, Lappeenranta, Finland.
⁷ Department of Food and Environmental Sciences, University of Helsinki, Helsinki, Finland.

PMID: 28145421
DOI: 10.1038/ejcn.2016.275

Abstract

The aim of this study was to find the association between adherence to the Nordic Nutrition Recommendations (NNR) and glucose metabolism. Participants were 137 pregnant obese women or women with a history of gestational diabetes (GDM) from the Finnish Gestational Diabetes Prevention Study. Adherence to the NNR was assessed by the Healthy Food Intake Index (HFII) calculated from the first trimesters' food frequency questionnaires. Higher HFII scores reflected higher adherence to the NNR (score range 0-17). Regression models with linear contrasts served for the main analysis. The mean HFII score was 10.0 (s.d. 2.8). The odds for GDM decreased toward the higher HFII categories (P=0.067). Fasting glucose (FG) and 2hG concentrations showed inverse linearity across the HFII categories (P(FG)=0.030 and P(2hG)=0.028, adjusted for body mass index, age and GDM/pregnancy history). Low adherence to the NNR is associated with higher antenatal FG and 2hG concentrations and possibly GDM.

Publication types

Randomized Controlled Trial

MeSH terms

Adult
Blood Glucose / analysis
Body Mass Index
Diabetes, Gestational / etiology*
Diet Records
Diet, Healthy*
Diet, Reducing / methods
Diet, Reducing / psychology*
Fasting / blood
Female
Finland
Humans
Linear Models
Nutrition Policy
Obesity / complications
Obesity / diet therapy*
Obesity / psychology
Patient Compliance*
Pregnancy
Pregnancy Trimester, First / blood
Pregnancy Trimester, First / psychology
Risk Factors

Substances

Blood Glucose