Clin Nutr Res.  2015 Oct;4(4):216-224. 10.7762/cnr.2015.4.4.216.

Dietary Patterns and Their Associations with the Diet Quality Index-International (DQI-I) in Korean Women with Gestational Diabetes Mellitus

• Shin MK
• Kim YS
• Kim JH
• Kim SH
• Kim Y

• KMID: 2386078
• DOI: http://doi.org/10.7762/cnr.2015.4.4.216

Abstract

The aim of this study was to examine dietary pattern, nutritional intake, and diet quality of Korean pregnant women with gestational diabetes mellitus (GDM). Between October 2008 and May 2012, 166 pregnant women diagnosed with GDM completed a questionnaire and dietary intake was assessed using a 3-day food record. Blood pressure, fasting plasma glucose, and glycated hemoglobin (HbA1c) concentrations were measured and oral glucose tolerance test (OGTT) was performed. Two major dietary patterns ("carbohydrate and vegetable" and "western" patterns) were identified through factor analysis. Dietary pattern scores for each dietary pattern were categorized into tertiles. The dietary quality index-international (DQI-I) was used to measure overall diet quality. Subjects with higher carbohydrate and vegetable pattern scores reported less physical activity (p < 0.05) and have higher diastolic blood pressure levels (p = 0.05). After adjusting for age and energy intake, higher carbohydrate and vegetable pattern scores were associated with higher sodium intakes (p = 0.02), but lower intakes of fat (p = 0.002) and other micronutrients. On the other hand, higher western pattern scores were associated with higher fat intake (p = 0.0001), but lower intakes of sodium (p = 0.01) and other micronutrients. Higher scores for both dietary patterns were associated with lower scores in the moderation category of the DQI-I (p < 0.0001). HbA1c and fasting plasma glucose levels were significantly lower among participants with high DQI-I than those with low DQI-I (p < 0.05). The study findings suggest that many Korean women with GDM do not consume nutritionally adequate or balanced diets, regardless of dietary pattern.

Keyword

Gestational diabetes mellitus; Dietary pattern; Nutrient intake; Diet quality index-international

MeSH Terms

Blood Glucose
Blood Pressure
Diabetes, Gestational*
Diet*
Energy Intake
Fasting
Female
Glucose Tolerance Test
Hand
Hemoglobin A, Glycosylated
Humans
Micronutrients
Motor Activity
Pregnancy
Pregnant Women
Sodium
Vegetables
Micronutrients
Sodium

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