scholarly journals Lifestyle Changes and Long-Term Weight Gain in Women With and Without a History of Gestational Diabetes Mellitus: A Prospective Study of 54,062 Women in the Nurses' Health Study II

2021 ◽  
Author(s):  
Jiaxi Yang ◽  
Cuilin Zhang ◽  
Jorge E. Chavarro ◽  
Janet W. Rich-Edwards ◽  
Molin Wang ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Weight Gain ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Diet Quality ◽  
Weight Change ◽  
Healthy Eating Index ◽  
Health Study ◽  
Total N ◽  
History Of

<b>Objective</b> We examined lifestyle factors with mid-life weight change according to history of gestational diabetes mellitus (GDM) in a large longitudinal female cohort. <p><b>Research Design and Methods </b>In the Nurses’ Health Study II, we categorized change in lifestyle within 4-year periods and estimated their associations with concurrent change in body weight (kg) among parous women after age 40 for the following: diet quality (Alternate Healthy Eating Index [AHEI]), leisure-time physical activity (PA), alcohol, and smoking, by GDM history status <a>(total n=54,062, 5</a>.3% with a history of GDM). </p> <p><b>Results </b>Over a median follow-up of 13 years, average 4-year weight gain was 1.10 kg and 1.33 kg for women with and without prior GDM, respectively. Women improving diet quality had favorable 4-year weight change, particularly among women with a history of GDM (AHEI change from low to high: -2.97 kg [CI: -4.34, -1.60] vs. -1.19 kg [CI: -1.41, -0.96] for GDM vs. non-GDM, respectively; <i>p</i>-heterogeneity=0.04). Increasing PA was associated with weight maintenance for GDM women only (PA increase from low to high: 0.26 kg [95% CI: -0.25, 0.77] vs. 0.90 kg [95% CI: 0.80, 1.01] for GDM vs. non-GDM, respectively; <i>p</i>-heterogeneity=0.02). For both GDM and non-GDM women, weight change did not differ significantly with change in alcohol, while women who quit smoking had significant weight gain (4.38 kg for GDM and 3.85 kg for non-GDM).</p> <p><b>Conclusions </b>Improvements in diet quality and PA were related to less weight gain in mid-life among parous women, and the benefit of such improvements on weight management was particularly pronounced among women with a history of GDM.</p>

scholarly journals Lifestyle Changes and Long-Term Weight Gain in Women With and Without a History of Gestational Diabetes Mellitus: A Prospective Study of 54,062 Women in the Nurses' Health Study II

2021 ◽  
Author(s):  
Jiaxi Yang ◽  
Cuilin Zhang ◽  
Jorge E. Chavarro ◽  
Janet W. Rich-Edwards ◽  
Molin Wang ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Weight Gain ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Diet Quality ◽  
Weight Change ◽  
Healthy Eating Index ◽  
Health Study ◽  
Total N ◽  
History Of

<b>Objective</b> We examined lifestyle factors with mid-life weight change according to history of gestational diabetes mellitus (GDM) in a large longitudinal female cohort. <p><b>Research Design and Methods </b>In the Nurses’ Health Study II, we categorized change in lifestyle within 4-year periods and estimated their associations with concurrent change in body weight (kg) among parous women after age 40 for the following: diet quality (Alternate Healthy Eating Index [AHEI]), leisure-time physical activity (PA), alcohol, and smoking, by GDM history status <a>(total n=54,062, 5</a>.3% with a history of GDM). </p> <p><b>Results </b>Over a median follow-up of 13 years, average 4-year weight gain was 1.10 kg and 1.33 kg for women with and without prior GDM, respectively. Women improving diet quality had favorable 4-year weight change, particularly among women with a history of GDM (AHEI change from low to high: -2.97 kg [CI: -4.34, -1.60] vs. -1.19 kg [CI: -1.41, -0.96] for GDM vs. non-GDM, respectively; <i>p</i>-heterogeneity=0.04). Increasing PA was associated with weight maintenance for GDM women only (PA increase from low to high: 0.26 kg [95% CI: -0.25, 0.77] vs. 0.90 kg [95% CI: 0.80, 1.01] for GDM vs. non-GDM, respectively; <i>p</i>-heterogeneity=0.02). For both GDM and non-GDM women, weight change did not differ significantly with change in alcohol, while women who quit smoking had significant weight gain (4.38 kg for GDM and 3.85 kg for non-GDM).</p> <p><b>Conclusions </b>Improvements in diet quality and PA were related to less weight gain in mid-life among parous women, and the benefit of such improvements on weight management was particularly pronounced among women with a history of GDM.</p>

Abstract P051: Lifestyle Change In Mid-life And Long-term Weight Gain In Women With And Without History Of Gestational Diabetes Mellitus

Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Jiaxi Yang ◽  
Janet Rich-Edwards ◽  
Molin Wang ◽  
Wafaie W Fawzi ◽  
Cuilin Zhang ◽  
...  
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Body Weight ◽  
Weight Gain ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Weight Change ◽  
Lifestyle Change ◽  
History Of

Introduction: Identifying strategies to mitigate gradual long-term weight gain is critical for preventing obesity and its related chronic diseases, particularly for persons at high risk, such as women with a history of gestational diabetes mellitus (GDM). We prospectively examined the independent associations between lifestyle changes in mid-life with long-term weight change among women with and without a history of GDM. Hypothesis: We hypothesized that favorable improvements in lifestyle would be associated with less long-term weight gain, particularly among women with a history of GDM. Methods: We used data from the longitudinal Nurses’ Health Study II, with self-reported lifestyle, diet via food frequency questionnaire, and body weight updated every 2-4 years. We analyzed repeated 4-year changes of the following lifestyle factors among parous women after age 40: adherence to a healthy dietary pattern (Alternate Healthy Eating Index score [AHEI]), physical activity (MET-hrs/wk), moderate alcohol intake (servings/d), and non-smoking, in relation to concurrent 4-year change in body weight (lb). We used multivariable generalized estimating equation models to estimate the least-squares mean of 4-year weight change and 95% confidence interval (CI) for each lifestyle change category (e.g., decrease, remain stable, and increase). Results: Our analysis included 61,637 women, of which 3,444 (5.6%) had a history of GDM. Mean of repeated 4-year weight change after age 40 was 3.0 lb (SD=14.3). Improving diet was associated with favorable 4-year weight change, particularly among women with a history of GDM vs. without GDM (AHEI score change from low to high: -6.3 lb [CI: -9.3, -3.4] vs. -2.7 lb [CI: -3.2, -2.2], respectively; p-interaction=0.04). Increasing physical activity was associated with weight maintenance for GDM women only (MET-hrs/wk change from low to high: 0.6 lb [95% CI: -0.6, 1.7] vs. 2.0 lb [95% CI: 1.8, 2.2] for GDM vs. non-GDM, respectively; p-interaction=0.01). Reducing alcohol (decreased servings/d: 1.9 lb [95% CI: 1.2, 2.6] and 2.8 lb [95% CI: 2.6, 2.9] for GDM vs. non-GDM, respectively) and smoking cessation (recent quitter: 9.8 lb [95% CI: 7.1, 12.5] and 8.5 lb [95% CI: 8.0, 9.1] for GDM vs. non-GDM, respectively) were associated with similar patterns in weight change for women with and without prior GDM. Further, the joint association of improving both diet and physical activity from low to high was related to -12.3 lb (95% CI: -19.5, -5.0) and -6.1 lb (95% CI: -8.0, -4.2) of weight loss for GDM vs. non-GDM women, respectively. Conclusions: We observed that attainable improvements in diet quality and physical activity were associated with weight gain prevention. These findings support continued efforts to improve lifestyle as a beneficial strategy to prevent long-term weight gain, particularly among women with a history of GDM.

scholarly journals Diet Quality among Women with Previous Gestational Diabetes Mellitus in Rural Areas of Hunan Province

2020 ◽  
Vol 17 (16) ◽  
pp. 5942
Author(s):  
Mingshu Li ◽  
Jingcheng Shi ◽  
Jing Luo ◽  
Qing Long ◽  
Qiping Yang ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Ethnic Minority ◽  
Diet Quality ◽  
Rural Areas ◽  
Healthy Eating Index ◽  
Dietary Guidelines ◽  
Hunan Province ◽  
Linear Regression Models

Diet quality is critical for postpartum type 2 diabetes mellitus (T2DM) progression among women with a history of gestational diabetes mellitus (GDM). The Chinese Healthy Eating Index (CHEI) is a dietary index developed according to the latest Chinese Dietary Guidelines (CDG-2016). Our study aimed to assess the diet quality of women with previous GDM in rural areas of Hunan Province by applying the CHEI. Women with previous GDM in two counties of Hunan were enrolled. Their food intake data, which were used to calculate their CHEI scores, were collected by a 24-h dietary recall. The association of CHEI with sociodemographic and anthropometric variables was evaluated via linear regression models. 404 women were included in the final analysis. The mean score of the total CHEI was 54.9 (SD 7.9). The components of whole grains and mixed beans, seeds and nuts, tubers, dairy, and poultry scored extremely low. Ethnic minority groups and women younger than 30 years had lower CHEI scores. Our study observed an unsatisfactory diet quality among women with previous GDM in rural areas of Hunan Province. Future dietary education focusing on the CDG is needed to improve their diet quality and help in T2DM prevention among this population, especially young and ethnic minority women.

scholarly journals Weight Gain and Progression to Type 2 Diabetes in Women With a History of Gestational Diabetes Mellitus

2015 ◽  
Vol 100 (9) ◽  
pp. 3548-3555 ◽  
Author(s):  
Joon Ho Moon ◽  
Soo Heon Kwak ◽  
Hye Seung Jung ◽  
Sung Hee Choi ◽  
Soo Lim ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Weight Gain ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
History Of

scholarly journals Diet Quality and History of Gestational Diabetes Mellitus Among Childbearing Women, United States, 2007–2010

2015 ◽  
Vol 12 ◽  
Author(s):  
Rui S. Xiao ◽  
Tiffany A. Moore Simas ◽  
Sharina D. Person ◽  
Robert J. Goldberg ◽  
Molly E. Waring
Keyword(s):  
Diabetes Mellitus ◽  
United States ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Diet Quality ◽  
History Of ◽  
Childbearing Women

scholarly journals Diet Quality Indices and Physical Activity Levels Associated with Adequacy of Gestational Weight Gain in Pregnant Women with Gestational Diabetes Mellitus

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1842
Author(s):  
Vanessa Averof Honorato de Almeida ◽  
Rafaela Alkmin da Costa ◽  
Cristiane de Freitas Paganoti ◽  
Fernanda Cristina Mikami ◽  
Ana Maria da Silva Sousa ◽  
...  
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Weight Gain ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnant Women ◽  
Gestational Weight Gain ◽  
Diet Quality ◽  
Multinomial Logistic Regression ◽  
Gestational Weight

The aim of this study was to evaluate the Diet Quality Index (DQI) and the Physical Activity (PA) levels associated with adequacy of gestational weight gain in pregnant women with gestational diabetes mellitus (GDM). A total of 172 pregnant women with a single fetus and a diagnosis of GDM participated. Food intake was self-reported on the food frequency questionnaire and DQI was quantified using the index validated and revised for Brazil (DQI-R). To assess PA, the Pregnancy Physical Activity Questionnaire was administered. Gestational weight gain was classified, following the criteria of the Institute of Medicine, into adequate (AWG), insufficient (IWG), or excessive (EWG) weight gain. A multinomial logistic regression analysis was performed, with level of significance <0.05. The participants were divided into 3 groups: AWG (33.1%), IWG (27.3%), and EWG (39.5%). The analysis indicated that if the pregnant women PA fell into tertile 1 or 2, then they had a greater chance of having IWG, whereas those with the lowest scores on the DQI-R, whose PA fell into tertile 2, and pregestational obesity women had the greatest chance of having EWG. This study has shown that low PA levels may contribute towards IWG. On the other hand, a low final DQI-R score, representing inadequate food habits, low PA levels, and pregestational obesity may increase the chance of EWG in patients with GDM.

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