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Higher parity, pre-pregnancy BMI and rate of gestational weight gain are associated with gestational diabetes mellitus in food insecure women

Food insecurity may exacerbate adverse maternal health outcomes during pregnancy, however, this association has not been well established, particularly in the context of developing countries. This study aimed to identify the associations between household food insecurity and gestational diabetes mel...

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Main Authors: Yong, Heng Yaw, Mohd Shariff, Zalilah, Mohd Yusof, Barakatun Nisak, Rejali, Zulida, Yee, Yvonne Siang Tee, Bindels, Jacques, van der Beek, Eline M.
Format: Article
Language:English
Published: Multidisciplinary Digital Publishing Institute 2021
Online Access:http://psasir.upm.edu.my/id/eprint/97524/1/ABSTRACT.pdf
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spelling oai:psasir.upm.edu.my:97524 http://psasir.upm.edu.my/id/eprint/97524/ Higher parity, pre-pregnancy BMI and rate of gestational weight gain are associated with gestational diabetes mellitus in food insecure women Yong, Heng Yaw Mohd Shariff, Zalilah Mohd Yusof, Barakatun Nisak Rejali, Zulida Yee, Yvonne Siang Tee Bindels, Jacques van der Beek, Eline M. Food insecurity may exacerbate adverse maternal health outcomes during pregnancy, however, this association has not been well established, particularly in the context of developing countries. This study aimed to identify the associations between household food insecurity and gestational diabetes mellitus (GDM) risk among urban pregnant women. Household food insecurity was assessed using the translated 10-item Radimer/Cornell hunger scale. Logistic regression models were used to estimate the associations between food insecurity status and GDM risk. About 35.6% of women experienced food insecurity, with 25.2% reported household food insecurity, 8.0% individual food insecurity, and 2.4% child hunger. Food insecure women were at significantly higher risk of developing GDM compared to food secure women (AOR = 16.65, 95% CI = 6.17–24.98). The significant association between food insecurity and GDM risk was influenced by pre-pregnancy BMI, parity and rate of GWG at second trimester. Food insecure women with parity ≥ 2 (AOR = 4.21, 95% CI = 1.98–8.92), overweight/obese BMI prior to pregnancy (AOR = 12.11, 95% CI = 6.09–24.10) and excessive rate of GWG in the second trimester (AOR = 9.66, 95% CI = 4.27–21.83) were significantly more likely to develop GDM compared to food secure women. Food insecurity showed strong association with GDM risk in that the association was influenced by maternal biological and physical characteristics. Multipronged interventions may be necessary for food insecure pregnant women who are not only at risk of overweight/obesity prior to pregnancy but also may have excessive gestational weight gain, in order to effectively reduce GDM risk. Multidisciplinary Digital Publishing Institute 2021 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/97524/1/ABSTRACT.pdf Yong, Heng Yaw and Mohd Shariff, Zalilah and Mohd Yusof, Barakatun Nisak and Rejali, Zulida and Yee, Yvonne Siang Tee and Bindels, Jacques and van der Beek, Eline M. (2021) Higher parity, pre-pregnancy BMI and rate of gestational weight gain are associated with gestational diabetes mellitus in food insecure women. International Journal of Environmental Research and Public Health, 18 (5). art. no. 2694. pp. 1-11. ISSN 1660-4601 https://www.mdpi.com/1660-4601/18/5/2694 10.3390/ijerph18052694
institution UPM IR
collection UPM IR
language English
description Food insecurity may exacerbate adverse maternal health outcomes during pregnancy, however, this association has not been well established, particularly in the context of developing countries. This study aimed to identify the associations between household food insecurity and gestational diabetes mellitus (GDM) risk among urban pregnant women. Household food insecurity was assessed using the translated 10-item Radimer/Cornell hunger scale. Logistic regression models were used to estimate the associations between food insecurity status and GDM risk. About 35.6% of women experienced food insecurity, with 25.2% reported household food insecurity, 8.0% individual food insecurity, and 2.4% child hunger. Food insecure women were at significantly higher risk of developing GDM compared to food secure women (AOR = 16.65, 95% CI = 6.17–24.98). The significant association between food insecurity and GDM risk was influenced by pre-pregnancy BMI, parity and rate of GWG at second trimester. Food insecure women with parity ≥ 2 (AOR = 4.21, 95% CI = 1.98–8.92), overweight/obese BMI prior to pregnancy (AOR = 12.11, 95% CI = 6.09–24.10) and excessive rate of GWG in the second trimester (AOR = 9.66, 95% CI = 4.27–21.83) were significantly more likely to develop GDM compared to food secure women. Food insecurity showed strong association with GDM risk in that the association was influenced by maternal biological and physical characteristics. Multipronged interventions may be necessary for food insecure pregnant women who are not only at risk of overweight/obesity prior to pregnancy but also may have excessive gestational weight gain, in order to effectively reduce GDM risk.
format Article
author Yong, Heng Yaw
Mohd Shariff, Zalilah
Mohd Yusof, Barakatun Nisak
Rejali, Zulida
Yee, Yvonne Siang Tee
Bindels, Jacques
van der Beek, Eline M.
spellingShingle Yong, Heng Yaw
Mohd Shariff, Zalilah
Mohd Yusof, Barakatun Nisak
Rejali, Zulida
Yee, Yvonne Siang Tee
Bindels, Jacques
van der Beek, Eline M.
Higher parity, pre-pregnancy BMI and rate of gestational weight gain are associated with gestational diabetes mellitus in food insecure women
author_facet Yong, Heng Yaw
Mohd Shariff, Zalilah
Mohd Yusof, Barakatun Nisak
Rejali, Zulida
Yee, Yvonne Siang Tee
Bindels, Jacques
van der Beek, Eline M.
author_sort Yong, Heng Yaw
title Higher parity, pre-pregnancy BMI and rate of gestational weight gain are associated with gestational diabetes mellitus in food insecure women
title_short Higher parity, pre-pregnancy BMI and rate of gestational weight gain are associated with gestational diabetes mellitus in food insecure women
title_full Higher parity, pre-pregnancy BMI and rate of gestational weight gain are associated with gestational diabetes mellitus in food insecure women
title_fullStr Higher parity, pre-pregnancy BMI and rate of gestational weight gain are associated with gestational diabetes mellitus in food insecure women
title_full_unstemmed Higher parity, pre-pregnancy BMI and rate of gestational weight gain are associated with gestational diabetes mellitus in food insecure women
title_sort higher parity, pre-pregnancy bmi and rate of gestational weight gain are associated with gestational diabetes mellitus in food insecure women
publisher Multidisciplinary Digital Publishing Institute
publishDate 2021
url http://psasir.upm.edu.my/id/eprint/97524/1/ABSTRACT.pdf
_version_ 1782761639307640832
score 12.933938

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