Objective To investigate the association of maternal body composition and dietary intake with the risk of gestational diabetes mellitus(GDM).Methods A total 154 GDM subjects and 981 controls were enrolled in a prospec...Objective To investigate the association of maternal body composition and dietary intake with the risk of gestational diabetes mellitus(GDM).Methods A total 154 GDM subjects and 981 controls were enrolled in a prospective cohort study in 11 hospitals from May 20,2012 to December 31,2013.Bioelectrical impedance analysis and dietary surveys were used to determine body composition and to evaluate the intake of nutrients in subjects at 21-24 weeks'gestation(WG).Logistic regression analysis was applied to explore the relationships of maternal body composition and dietary intake with the risk of GDIVl morbidity.Results Age,pre-pregnant body weight(BW),and body mass index(BMI)were associated with increased risk of GDM.Fat mass(FM),fat mass percentage(FMP),extracellular water(ECW),BMI,BW,energy,protein,fat,and carbohydrates at 21-24 WG were associated with an increased risk of GDM.In contrast,fat free mass(FFM),muscular mass(MM),and intracellular water(ICW)were associated with a decreased risk of GDM.Conclusion Maternal body composition and dietary intake during the second trimester of pregnancy were associated with the risk of GDM morbidity.展开更多
Objective This study aimed to analyze the temporal trends and characteristics associated with waist circumference(WC)among elderly Chinese people.Methods We used data from 3,096 adults≥65 years who participated in th...Objective This study aimed to analyze the temporal trends and characteristics associated with waist circumference(WC)among elderly Chinese people.Methods We used data from 3,096 adults≥65 years who participated in the China Health and Nutrition Survey(CHNS),an ongoing cohort study,between 1993 and 2015.We used longitudinal quantile regression models to explore the temporal trends and characteristics associated with WC.Results WC increased gradually among the elderly Chinese population during the survey.The WC curves shifted to the right with wider distributions and lower peaks in men and women.All WC percentile curves shifted upward with similar growth rates in the 25th,50th,and 75th percentiles.The WC means increased from 78 cm to 86 cm during the 22 years of our study.WC significantly increased with age and body mass index and decreased with physical activity(PA).These associations were stronger in the higher percentiles than in the lower percentiles.Conclusions WC is rising among Chinese adults≥65 years.Factors affecting WC in elderly people may have different effects on different percentiles of the WC distribution,and PA was the most important protective factor in the higher percentiles of the WC distribution.Thus,different interventional strategies are needed.展开更多
基金supported by the International Science&Technology Cooperation Program of China(2013DFA30910)the Danone Dietary Nutrition Research and Education Foundation(DIC 2012-05)a Clinical Nutrition Research Grant of the Chinese Nutrition Society
文摘Objective To investigate the association of maternal body composition and dietary intake with the risk of gestational diabetes mellitus(GDM).Methods A total 154 GDM subjects and 981 controls were enrolled in a prospective cohort study in 11 hospitals from May 20,2012 to December 31,2013.Bioelectrical impedance analysis and dietary surveys were used to determine body composition and to evaluate the intake of nutrients in subjects at 21-24 weeks'gestation(WG).Logistic regression analysis was applied to explore the relationships of maternal body composition and dietary intake with the risk of GDIVl morbidity.Results Age,pre-pregnant body weight(BW),and body mass index(BMI)were associated with increased risk of GDM.Fat mass(FM),fat mass percentage(FMP),extracellular water(ECW),BMI,BW,energy,protein,fat,and carbohydrates at 21-24 WG were associated with an increased risk of GDM.In contrast,fat free mass(FFM),muscular mass(MM),and intracellular water(ICW)were associated with a decreased risk of GDM.Conclusion Maternal body composition and dietary intake during the second trimester of pregnancy were associated with the risk of GDM morbidity.
基金Nutrition and Health, Chinese Center for Disease Control and Prevention, Carolina Population Center, the University of North Carolina at Chapel Hill [5 R24 HD050924]the National Institutes of Health [R01-HD30880, DK056350, R24 HD050924, and R01-HD38700]+1 种基金the Chinese Institute of Food Science and Technology [2020-09]the National Natural Science Foundation of China [No.82103848].
文摘Objective This study aimed to analyze the temporal trends and characteristics associated with waist circumference(WC)among elderly Chinese people.Methods We used data from 3,096 adults≥65 years who participated in the China Health and Nutrition Survey(CHNS),an ongoing cohort study,between 1993 and 2015.We used longitudinal quantile regression models to explore the temporal trends and characteristics associated with WC.Results WC increased gradually among the elderly Chinese population during the survey.The WC curves shifted to the right with wider distributions and lower peaks in men and women.All WC percentile curves shifted upward with similar growth rates in the 25th,50th,and 75th percentiles.The WC means increased from 78 cm to 86 cm during the 22 years of our study.WC significantly increased with age and body mass index and decreased with physical activity(PA).These associations were stronger in the higher percentiles than in the lower percentiles.Conclusions WC is rising among Chinese adults≥65 years.Factors affecting WC in elderly people may have different effects on different percentiles of the WC distribution,and PA was the most important protective factor in the higher percentiles of the WC distribution.Thus,different interventional strategies are needed.
