Relationship between minimally and ultra-processed food intake during pregnancy with obesity and gestational diabetes mellitus
Sartorelli DS, Crivellenti LC, Zuccolotto DCC, Franco LJ
Cadernos de saude publica · 44 citations
Review labels
Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.
How it was studied
- Design
- Cross-sectional study (indexed by PubMed)
- Studied in
- People
- Main outcome
- Clinical events such as disease or death
- Intake measured by
- Food diaries or recalls
Who paid for it
- Funding
- Independent funding
- Government
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- University or hospital
- Universidade de São Paulo
- University or hospital
- Fundação de Apoio ao Ensino, Pesquisa e Assistência do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo
- Grants
- Conselho Nacional de Desenvolvimento Científico e Tecnológico (472221/2010-8); Conselho Nacional de Desenvolvimento Científico e Tecnológico (302498/2015-0)
Based on 3 listed funder(s).
Publication
- Published
- 2019-01-01 · Cad Saude Publica · vol. 35 · issue 4 · p. e00049318
- Publisher
- Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
- Cited
- 73 citations · more than 98% of similar papers · 9.2× the field average
- Impact
- Top 10% most cited in its field
- References
- 35 works
- Access
- Open access (free to publish) · CC-BY
- Research areas
- Obesity, Physical Activity, Diet · Consumer Attitudes and Food Labeling · Nutritional Studies and Diet
- Keywords
- Medicine, Gestational diabetes, Overweight, Obesity, Pregnancy, Diabetes mellitus, Obstetrics, Gestation, Logistic regression, Environmental health, Internal medicine, Endocrinology, Biology
- MeSH
- humans, diabetes, gestational, obesity, weight gain, diet, cross-sectional studies, feeding behavior, energy intake, gestational age, pregnancy, socioeconomic factors, adult, brazil, female, overweight, young adult, fast foods, surveys and questionnaires
4 authors
From BR
- Daniela Saes SartorelliUniversidade de Ribeirão Preto; Universidade de São Paulo
- Lívia Castro CrivellentiUniversidade de Ribeirão Preto; Universidade de São Paulo
- Daniela Cristina Candelas ZuccolottoUniversidade de Ribeirão Preto; Universidade de São Paulo
- Laércio Joel FrancoUniversidade de Ribeirão Preto; Universidade de São Paulo
Abstract
This study aimed to investigate the relationship between food intake (considering the nature, extent, and purpose of food processing) during pregnancy and overweight, obesity, and gestational diabetes mellitus conditions. This is a cross-sectional study conducted among 785 adult women in singleton pregnancies (between 24th and 39th weeks of gestation) in Brazil. Usual food intake was estimated by the Multiple Source Method, using two 24-hour dietary recalls. The food groups of interest in this study were the unprocessed or minimally processed foods and ultra-processed foods. The World Health Organization criteria for the diagnosis of gestational diabetes mellitus and the Atalah criteria for excess weight were used. Adjusted multinomial logistic regression models were used to assess the relationship between energy contribution (%E) from foods with overweight and obesity conditions and, adjusted logistic regression models for gestational diabetes mellitus. In total, 32.1% participants were overweight, 24.6% were obese, and 17.7% of women were diagnosed with gestational diabetes mellitus . After adjustments, an inverse association between the highest tertile of %E from the intake of unprocessed or minimally processed foods and obesity was found [0.49 (0.30-0.79)]. Moreover, a positive association between the highest tertile of %E from ultra-processed food intake [3.06 (1.27-3.37)] and obesity was observed. No association between food intake (considering the nature, extent, and purpose of food processing) during pregnancy and overweight or gestational diabetes mellitus was found. The findings suggest a role of food processing in obesity but not in gestational diabetes mellitus. Further research is warranted to provide robust evidence on the relationship between the role of processed foods in obesity and gestational diabetes mellitus.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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