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Association between diet quality measured by the Healthy Food Intake Index and later risk of gestational diabetes—a secondary analysis of the RADIEL trial

European Journal of Clinical Nutrition volume 71, pages 555–557 (2017)Cite this article

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A Corrigendum to this article was published on 05 July 2017

Abstract

The aim of this study was to find the association between adherence to the Nordic Nutrition Recommendations (NNR) and glucose metabolism. Participants were 137 pregnant obese women or women with a history of gestational diabetes (GDM) from the Finnish Gestational Diabetes Prevention Study. Adherence to the NNR was assessed by the Healthy Food Intake Index (HFII) calculated from the first trimesters’ food frequency questionnaires. Higher HFII scores reflected higher adherence to the NNR (score range 0−17). Regression models with linear contrasts served for the main analysis. The mean HFII score was 10.0 (s.d. 2.8). The odds for GDM decreased toward the higher HFII categories (P=0.067). Fasting glucose (FG) and 2hG concentrations showed inverse linearity across the HFII categories (P(FG)=0.030 and P(2hG)=0.028, adjusted for body mass index, age and GDM/pregnancy history). Low adherence to the NNR is associated with higher antenatal FG and 2hG concentrations and possibly GDM.

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Acknowledgements

We are grateful to the women who participated in the study, the study nurses, research dietitians, and research scientists who contributed to this study. This work was supported by the Ahokas Foundation, Finnish Foundation for Cardiovascular Disease, Special State Subsidy for Health Science Research of Helsinki University Central Hospital, Samfundet Folkhälsan, The Finnish Diabetes Research Foundation, Foundation for Medical Research Liv och Hälsa, Kulturfonden, Juho Vainio Foundation, State Provincial Office of Southern Finland and The Social Insurance Institution of Finland.

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Authors and Affiliations

  1. Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland

    J Meinila, A Valkama, H Kautiainen & J G Eriksson

  2. Folkhälsan Research Center, Helsinki, Finland

    A Valkama & J G Eriksson

  3. Department of Obstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland

    S B Koivusalo & K Rönö

  4. Department of General Practice and Primary Health Care, University of Eastern Finland, Kuopio, Finland

    H Kautiainen

  5. Department of Chronic Disease Prevention, National Institute for Health and Welfare, Helsinki, Finland

    J Lindström & J G Eriksson

  6. Department of Obstetrics and Gynecology, South-Karelia Central Hospital, Lappeenranta, Finland

    B Stach-Lempinen

  7. Department of Food and Environmental Sciences, University of Helsinki, Helsinki, Finland

    M Erkkola

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  1. J Meinila
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  2. A Valkama
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  9. M Erkkola
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Correspondence to J Meinila.

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Meinila, J., Valkama, A., Koivusalo, S. et al. Association between diet quality measured by the Healthy Food Intake Index and later risk of gestational diabetes—a secondary analysis of the RADIEL trial. Eur J Clin Nutr 71, 555–557 (2017). https://doi.org/10.1038/ejcn.2016.275

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