Dietary patterns of pregnant women, maternal excessive body weight and gestational diabetes

• Published in: Revista de saúde pública Vol. 53; p. 52
• Main Authors: Zuccolotto, Daniela Cristina Candelas, Crivellenti, Lívia Castro, Franco, Laércio Joel, Sartorelli, Daniela Saes
• Format: Journal Article
• Language: English
• Published: Brazil Faculdade de Saúde Pública da Universidade de São Paulo 01-01-2019; Universidade de São Paulo
• Subjects: Adult; Body Mass Index; Brazil; Comportamento Alimentar; Diabetes, Gestacional; Diabetes, Gestational - etiology; Diet - adverse effects; Epidemiologic Methods; Fatores de Risco; Feeding Behavior; Female; Gestantes; Health Policy & Services; Humans; Maternal Nutritional Physiological Phenomena; Nutrição Pré-Natal; Obesity - complications; Original; Overweight - complications; Pregnancy; Weight Gain; Young Adult; Brazil; Diabetes, Gestacional; Comportamento Alimentar; Gestational Diabetes; Risk Factors; Pregnant Women; Feeding Behavior; Prenatal Nutrition; Gestantes; Fatores de Risco; Nutrição Pré-Natal
• ISSN: 0034-8910; 1518-8787; 1518-8787
• DOI: 10.11606/S1518-8787.2019053000909

To investigate the relationship between the dietary patterns of pregnant women with maternal excessive body weight and gestational diabetes mellitus.
A cross-sectional study conducted with a convenience sample of 785 adult pregnant women attended by the Unified Health System of Ribeirão Preto, state of São Paulo, between 2011 and 2012. Two 24-hour dietary recalls, corrected by the multiple source method, were employed . For the classification of the body mass index and the diagnosis of gestational diabetes mellitus, the criteria by Atalah and the World Health Organization were used, respectively. Dietary patterns were obtained by principal component analysis using the Varimax rotation method. The relationship between adherence to patterns, overweight and obesity was analyzed by multinomial logistic regression models and the relationship with gestational diabetes mellitus by adjusted unconditional logistic regression models.
We identified four dietary patterns: "traditional Brazilian"; "snacks"; "coffee" and "healthy". Women with a higher adherence to the "Healthy" (OR = 0.52; 95%CI 0.33-0.83) and "Brazilian Traditional" patterns (OR = 0.61; 95%CI 0.38-0.96) presented a lower chance of obesity, when compared to women with lower adherence, regardless of confounding factors. After adjustment for maternal excessive body weight, there was no association between dietary patterns and gestational diabetes mellitus.
Among the pregnant women, greater adherence to "traditional Brazilian" and "healthy" patterns was inversely associated with obesity, but no relationship was identified with gestational diabetes mellitus after adjusting for excessive body weight. Prospective studies are recommended to investigate the relationship between dietary patterns, overweight and gestational diabetes mellitus, reducing the chance of reverse causality.