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Pre-Pregnancy Adherence to the Mediterranean Diet and Gestational Diabetes Mellitus: A Case-Control Study
dc.contributor.author | Olmedo Requena, María Rocío | |
dc.contributor.author | Gómez-Fernández, Julia | |
dc.contributor.author | Amezcua Prieto, María Del Carmen | |
dc.contributor.author | Mozas Moreno, Juan | |
dc.contributor.author | Saeed Khan, Khalid | |
dc.contributor.author | Jiménez Moleón, José Juan | |
dc.date.accessioned | 2019-05-18T22:06:22Z | |
dc.date.available | 2019-05-18T22:06:22Z | |
dc.date.issued | 2019-05-01 | |
dc.identifier.citation | 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. | es_ES |
dc.identifier.issn | 2072-6643 | |
dc.identifier.uri | http://hdl.handle.net/10481/55767 | |
dc.description.abstract | 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. | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | MDPI | es_ES |
dc.rights | Atribución 3.0 España | * |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es/ | * |
dc.subject | Mediterranean diet (MD) | es_ES |
dc.subject | Gestational diabetes mellitus (GDM) | es_ES |
dc.subject | Pregnancy | es_ES |
dc.subject | Maternal nutrition | es_ES |
dc.subject | Lifestyles | es_ES |
dc.title | Pre-Pregnancy Adherence to the Mediterranean Diet and Gestational Diabetes Mellitus: A Case-Control Study | es_ES |
dc.type | info:eu-repo/semantics/article | es_ES |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es_ES |