Intuitive eating is associated with weight and glucose control during pregnancy and in the early postpartum period in women with gestational diabetes mellitus (GDM): A clinical cohort study.

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Ressource 1Download: Quansah_EatingBehaviors_2019_COVER.pdf (850.80 [Ko])
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Version: Author's accepted manuscript
License: CC BY-NC-ND 4.0
Secondary document(s)
Download: Accepted mansucript_intuitve eating and metabolic outcomes in women with GDM.pdf (886.88 [Ko])
State: Public
Version: Author's accepted manuscript
License: Not specified
Serval ID
serval:BIB_474938D9DC7C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Intuitive eating is associated with weight and glucose control during pregnancy and in the early postpartum period in women with gestational diabetes mellitus (GDM): A clinical cohort study.
Journal
Eating behaviors
Author(s)
Quansah D.Y., Gross J., Gilbert L., Helbling C., Horsch A., Puder J.J.
ISSN
1873-7358 (Electronic)
ISSN-L
1471-0153
Publication state
Published
Issued date
08/2019
Peer-reviewed
Oui
Volume
34
Pages
101304
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
High pre-pregnancy weight and body mass index (BMI) increase the risk of gestational diabetes mellitus (GDM) and diabetes after pregnancy. To tackle weight and metabolic health problems, there is a need to investigate novel lifestyle approaches. Outside of pregnancy, higher adherence to intuitive eating (IE) is associated with lower BMI and improved glycemic control. This study investigated the association between IE and metabolic health during pregnancy and in the early postpartum period among women with GDM.
Two-hundred and fourteen consecutive women aged ≥18, diagnosed with GDM between 2015 and 2017 and completed the "Eating for Physical rather than Emotional Reasons (EPR)" and "Reliance on Hunger and Satiety cues (RHSC) subscales" of the French Intuitive Eating Scale-2 (IES-2) questionnaire at the first GDM clinic visit were included in this study.
Participants' mean age was 33.32 ± 5.20 years. Their weight and BMI before pregnancy were 68.18 ± 14.83 kg and 25.30 ± 5.19 kg/m <sup>2</sup> respectively. After adjusting for confounding variables, the cross-sectional analyses showed that the two subscales of IES-2 at the first GDM visit were associated with lower weight and BMI before pregnancy, and lower weight at the first GDM visit (β = -0.181 to -0.215, all p ≤ 0.008). In addition, the EPR subscale was associated with HbA1c and fasting plasma glucose at the first GDM visit (β = -0.170 and to -0.196; all p ≤ 0.016). In the longitudinal analyses, both subscales of IES-2 at first GDM visit were associated with lower weight at the end of pregnancy, BMI and fasting plasma glucose at 6-8 weeks postpartum (β = -0.143 to -0.218, all p ≤ 0.040) after adjusting for confounders.
Increase adherence to IE could represent a novel approach to weight and glucose control during and after pregnancy in women with GDM.
Keywords
Adult, Blood Glucose/analysis, Body Mass Index, Cohort Studies, Cross-Sectional Studies, Diabetes, Gestational/blood, Eating/psychology, Female, Humans, Hunger/physiology, Life Style, Overweight/blood, Postpartum Period/psychology, Pregnancy, Surveys and Questionnaires, Weight Loss/physiology, Body mass index, Gestational diabetes mellitus, Glycemic control, Intuitive eating, Postpartum
Pubmed
Web of science
Open Access
Yes
Funding(s)
Swiss National Science Foundation / Projects / 32003B_176119
Create date
27/05/2019 21:55
Last modification date
28/01/2020 7:20
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