Abstract 16141: Diet Quality and Cardiometabolic Risk Status of Women Within Five Years Following Gestational Diabetes
Introduction and Purpose: Healthy diet patterns are protective for type 2 diabetes (T2DM) prevention in general, however there is little study of diet quality in relation to Metabolic syndrome (MetS) or diabetes risk in women with previous gestational diabetes (pGDM). The purpose of this study was to examine the relationship between diet quality as measured by the Alternate Healthy Eating Index (AHEI) and cardiometabolic risk status in women early after a gestational diabetic (GDM) pregnancy.
Methods: A cross-sectional, descriptive study was used to recruit a community sample of women (n=75) within 5 years of a GDM pregnancy. Variables of cardiometabolic risk were defined by T2DM and pre-diabetes risk and presence of MetS, measured by hemoglobin A1C and AHA defined MetS indicators respectively (waist circumference, blood pressure, fasting glucose, serum lipids). Diet intake was measured with the Block food frequency questionnaire and scored into the AHEI.
Results: Participants were women age range 18-48 years, 55% Minority, who were within a mean of 2.6 years since their pGDM pregnancy. AHEI diet quality was suboptimal (M = 47.6, SD = 14.3). Participants had significant cardiometabolic risk factors; 67% were overweight or obese, 48% had abnormal hemoglobin A1C levels, and 20% had MetS. Better AHEI diet quality was protective for BMI status (r = -.23, p = .05), hemoglobin A1C (r = -.23, p = .02) and MetS risk (t = 2.2, p = .03).
Conclusion: In conclusion, the AHEI diet pattern, even at suboptimal adherence is protective for cardiometabolic risk factors in women early after a GDM pregnancy. There is a substantial opportunity to address diet quality and cardiometabolic factors in this high risk population to reduce diabetes and cardiovascular risk.
- © 2013 by American Heart Association, Inc.