Dietary Glycemic Index during Pregnancy Is Associated with Biomarkers of the Metabolic Syndrome in Offspring at Age 20 Years

被引:25
作者
Danielsen, Inge [1 ]
Granstrom, Charlotta [1 ]
Haldorsson, Thorhallur [1 ,2 ]
Rytter, Dorte [3 ]
Bech, Bodil Hammer [3 ]
Henriksen, Tine Brink [4 ]
Vaag, Allan Arthur [5 ,6 ]
Olsen, Sjurdur Frodi [1 ]
机构
[1] Statens Serum Inst, Dept Epidemiol Res, Ctr Fetal Programming, DK-2300 Copenhagen, Denmark
[2] Univ Iceland, Sch Hlth Sci, Fac Food Sci & Nutr, Unit Nutr Res, Reykjavik, Iceland
[3] Aarhus Univ, Epidemiol Sect, Dept Publ Hlth, Ctr Fetal Programming, Aarhus, Denmark
[4] Aarhus Univ Hosp, Dept Paediat, Skejby, Denmark
[5] Rigshosp, Dept Endocrinol, DK-2100 Copenhagen, Denmark
[6] Univ Copenhagen, Dept Clin Med, Copenhagen, Denmark
关键词
GESTATIONAL DIABETES-MELLITUS; BIRTH-WEIGHT; INSULIN-RESISTANCE; THRIFTY PHENOTYPE; LOAD VALUES; RISK; CARBOHYDRATE; WOMEN; METAANALYSIS; PREVALENCE;
D O I
10.1371/journal.pone.0064887
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Objective: Growing evidence indicates that metabolic syndrome is rooted in fetal life with a potential key role of nutrition during pregnancy. The objective of the study was to assess the possible associations between the dietary glycemic index (GI) and glycemic load (GL) during pregnancy and biomarkers of the metabolic syndrome in young adult offspring. Methods: Dietary GI and GL were assessed by questionnaires and interviews in gestation week 30 and offspring were clinically examined at the age of 20 years. Analyses based on 428 mother-offspring dyads were adjusted for maternal smoking during pregnancy, height, pre-pregnancy body mass index (BMI), education, energy intake, and the offspring's ambient level of physical activity. In addition, possible confounding by gestational diabetes mellitus was taken into account. Outcome Measures: Waist circumference, blood pressure, HOMA insulin resistance (HOMA-IR) and plasma levels of fasting glucose, triglycerides, HDL cholesterol, LDL cholesterol, total cholesterol, insulin, and leptin were measured in the offspring. Results: Significant associations were found between dietary GI in pregnancy and HOMA-IR (the relative increase in HOMA-IR per 10 units' GI increase was 1.09 [95% CI: 1.01, 1.16], p = 0.02), insulin (1.09 [95% CI: 1.02, 1.16], p = 0.01) and leptin (1.21 [95% CI: 1.06, 1.38], p = 0.01) in the offspring; whereas no associations were detected for GL. Conclusions: Our data suggests that high dietary GI in pregnancy may affect levels of markers for the metabolic syndrome in young adult offspring in a potentially harmful direction.
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页数:8
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