孕期糖尿病后与异常葡萄糖容忍相关的饮食模式:MyNutritype研究
Farah Yasmin Hasbullah1, Barakatun-Nisak Mohd Yusof1,2,3, Sangeetha Shyam4,5,6,7
1Department of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia.
Nutrients
|June 28, 2023
概括
患有异常葡萄糖耐受性后孕期糖尿病 (后孕期糖尿病) 的女性,患糖尿病的风险增加.
科学领域:
- 营养科学 营养科学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 异常葡萄糖耐受性 (AGT),包括2型糖尿病和糖尿病前期,在孕期糖尿病 (GDM) 后的女性中很常见.
- 饮食模式与AGT风险有关,但亚洲人口的数据有限.
- 了解这些关联对于针对GDM后妇女的有针对性的干预措施至关重要.
研究的目的:
- 为了研究饮食模式和马来西亚妇女的AGT与GDM的历史之间的联系.
- 为了确定特定的饮食模式,可能会增加或减少发展AGT后GDM的风险.
主要方法:
- 一项涉及157名GDM后妇女的横截面研究.
- 通过对食物频率问卷数据的主要成分分析来确定饮食模式.
- 通过口服葡萄糖耐受性测试或HbA1c,AGT诊断遵循马来西亚临床实践指南.
主要成果:
- 确定了五种不同的饮食模式:"不健康"",鱼蛋水果蔬菜"",谷物糖果"",蔬菜乳制品"和"肉糖甜饮料".
- "谷物-糖果"饮食模式在调整混因素后显著与AGT风险增加有关 (调整OR为1.536,p=0.049).
- 在这个队列中,没有其他饮食模式显示出与AGT的统计学意义上的关联.
结论:
- 摄入高谷物和糖果的饮食模式与GDM后女性异常葡萄糖耐受性风险更高有关.
- 建议GDM后妇女改变生活方式和饮食干预措施,以减轻AGT风险.
- 在不同亚洲人群中进行进一步的研究可以完善预防GDM后AGT的饮食建议.
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