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Cited by 156Gestational Diabetes Research and ManagementNutritional Studies and DietDiet, Metabolism, and Disease

The DOI matches its Crossref record; 35 of the 35 references it cites were found in a registry or an index.

A prospective study of prepregnancy dietary fat intake and risk of gestational diabetes

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Bowers, Katherine, Tobias, Deirdre K, Yeung, Edwina, Hu, Frank B, Zhang, Cuilin·2012·The American Journal of Clinical Nutrition
DOI 10.3945/ajcn.111.026294PMC PMC3260071
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Abstract

Background Fatty acids play a vital role in glucose homeostasis; however, studies on habitual dietary fat intakes and gestational diabetes mellitus (GDM) risk are limited and provide conflicting findings. Objective We determined whether the total amount and the type and source of prepregnancy dietary fats are related to risk of GDM. Design A prospective study was conducted in 13,475 women who reported a singleton pregnancy between 1991 and 2001 in the Nurses' Health Study II. In these women, 860 incident GDM cases were reported. The adjusted RR of GDM was estimated for quintiles of total fat, specific fat, and the source of fat intakes by pooled logistic regression. Results Higher animal fat and cholesterol intakes were significantly associated with increased GDM risk. Across increasing quintiles of animal fat, RRs (95% CIs) for GDM were 1.00 (reference), 1.55 (1.20, 1.98), 1.43 (1.09, 1.88), 1.40 (1.04, 1.89), and 1.88 (1.36, 2.60) (P-trend = 0.05). Corresponding RRs (95% CIs) for dietary cholesterol were 1.00 (reference), 1.08 (0.84, 1.32), 1.02 (0.78, 1.29), 1.20 (0.93, 1.55), and 1.45 (1.11, 1.89) (P-trend = 0.04). The substitution of 5% of energy from animal fat for an equal percentage of energy from carbohydrates was associated with significantly increased risk of GDM [RR (95% CI): 1.13 (1.08, 1.18); P < 0.0001]. No significant associations were observed between dietary polyunsaturated fat, monounsaturated fat, or trans fat intakes and GDM risk. Conclusion Higher prepregnancy intakes of animal fat and cholesterol were associated with elevated GDM risk.

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Metadata

Authors
Bowers, K., Tobias, D. K., Yeung, E., Hu, F. B., & Zhang, C.
Affiliations
National Institutes of Health (US)
Corresponding author
Zhang, Cuilin
ORCID
Venue
The American Journal of Clinical Nutrition
Publisher
Elsevier BV
Published
2012-02
Volume
95
Issue
2
Pages
446-453
ISSN
0002-9165 (ISSN-L)
DOI
10.3945/ajcn.111.026294
PMC
PMC3260071
OpenAlex
W2137633909
Cited by
156
References
35
Citations by year
2026: 7 · 2025: 6 · 2024: 9 · 2023: 8 · 2022: 16 · 2021: 13 · 2020: 9 · 2019: 14 · 2018: 15 · 2017: 18 · 2016: 12 · 2015: 10 · 2014: 7 · 2013: 8 · 2012: 4
FWCI
11.19
Type
journal article
Language
en
Open access
Licence
Locations
  • American Journal of Clinical Nutrition (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health
  • National Cancer Institute (CA50385, R01CA050385)
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01DK058845, DK58845)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
Keywords
gestational diabetes mellitus, animal fats, dietary cholesterol, fat sources, glucose homeostasis, dietary substitution, polyunsaturated fat, monounsaturated fatty acids, trans fatty acids, Nurses' Health Study II
MeSH terms
Adult, Animals, Cholesterol, Dietary, Diet, Dietary Carbohydrates, Dietary Fats, Fatty Acids, Female, Humans, Meat, Pregnancy, Prenatal Care, Prospective Studies, Risk Factors, Logistic Models, Diabetes, Gestational

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