<rdf:RDF xmlns:rdf="http://www.openarchives.org/OAI/2.0/rdf/" xmlns:ow="http://www.ontoweb.org/ontology/1#" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:ds="http://dspace.org/ds/elements/1.1/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:doc="http://www.lyncode.com/xoai" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/rdf/ http://www.openarchives.org/OAI/2.0/rdf.xsd">
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      <dc:title>Pre-Pregnancy Adherence to the Mediterranean Diet and Gestational Diabetes Mellitus: A Case-Control Study</dc:title>
      <dc:creator>Olmedo Requena, María Rocío</dc:creator>
      <dc:creator>Gómez-Fernández, Julia</dc:creator>
      <dc:creator>Amezcua Prieto, María Del Carmen</dc:creator>
      <dc:creator>Mozas Moreno, Juan</dc:creator>
      <dc:creator>Saeed Khan, Khalid</dc:creator>
      <dc:creator>Jiménez Moleón, José Juan</dc:creator>
      <dc:subject>Mediterranean diet (MD)</dc:subject>
      <dc:subject>Gestational diabetes mellitus (GDM)</dc:subject>
      <dc:subject>Pregnancy</dc:subject>
      <dc:subject>Maternal nutrition</dc:subject>
      <dc:subject>Lifestyles</dc:subject>
      <dc:description>Gestational diabetes mellitus (GDM), an important public health problem that affects mothers and offspring, is a common metabolic disorder. We evaluated the effect of the pre-pregnancy Mediterranean diet (MD) level of exposure on the odds of GDM development. A case-control study (291 GDM cases and 1175 controls without GDM) was conducted in pregnant women. Pre-pregnancy dietary intake was assessed using a validated food frequency questionnaire to calculate an MD adherence index (range score 0–9: low ≤ 2; middle 3–4; high 5–6; very high ≥ 7). Adjusted odds ratios (aOR) and their 95% confidence intervals (CI) were estimated using multivariable logistic regression models including age, BMI, family history of diabetes mellitus, previous GDM, miscarriages, and gravidity. Overall, middle-high MD adherence was 216/291 (74.2%) and very high adherence was 17/291 (5.8%) in cases. In controls the corresponding figures were 900/1175 (76.6%) and 73/1175 (6.2%), respectively. Compared to low adherence, high MD adherence was associated with GDM reduction (aOR 0.61, 95% CI 0.39,0.94; p = 0.028), and very high MD adherence was even more strongly associated (aOR 0.33, 95% CI 0.15, 0.72; p = 0.005). The protective effect of adherence to the MD prior to pregnancy should be considered as a preventive tool against the development of GDM.</dc:description>
      <dc:date>2019-05-18T22:06:22Z</dc:date>
      <dc:date>2019-05-18T22:06:22Z</dc:date>
      <dc:date>2019-05-01</dc:date>
      <dc:type>info:eu-repo/semantics/article</dc:type>
      <dc:identifier>Olmedo-Requena, R. [et al}. Pre-Pregnancy Adherence to the Mediterranean Diet and Gestational Diabetes Mellitus: A Case-Control Study. Nutrients 2019, 11, 1003; doi:10.3390/nu11051003.</dc:identifier>
      <dc:identifier>2072-6643</dc:identifier>
      <dc:identifier>http://hdl.handle.net/10481/55767</dc:identifier>
      <dc:language>eng</dc:language>
      <dc:rights>http://creativecommons.org/licenses/by/3.0/es/</dc:rights>
      <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
      <dc:rights>Atribución 3.0 España</dc:rights>
      <dc:publisher>MDPI</dc:publisher>
   </ow:Publication>
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