Journal of Diabetes
Volume 4, Issue 4, 2012, Pages 432-438

Effect of lifestyle on the risk of gestational diabetes and obstetric outcomes in immigrant Hispanic women living in Spain (Article)

Pérez-Ferre N. , Fernández D. , Torrejón M.J. , Del Prado N. , Runkle I. , Rubio M.A. , Montañez C. , Bordiu E. , Calle-Pascual A.*
  • a Endocrinology and Nutrition Department, Hospital Clínico San Carlos, Madrid, Spain
  • b Endocrinology and Nutrition Department, Hospital Clínico San Carlos, Madrid, Spain
  • c Clinical Analysis Department, Hospital Clínico San Carlos, Madrid, Spain
  • d Preventive Medicine Department, Hospital Clínico San Carlos, Madrid, Spain
  • e Endocrinology and Nutrition Department, Hospital Clínico San Carlos, Madrid, Spain
  • f Endocrinology and Nutrition Department, Hospital Clínico San Carlos, Madrid, Spain
  • g Endocrinology and Nutrition Department, Hospital Clínico San Carlos, Madrid, Spain
  • h Endocrinology and Nutrition Department, Hospital Clínico San Carlos, Madrid, Spain
  • i Endocrinology and Nutrition Department, Hospital Clínico San Carlos, Madrid, Spain

Abstract

Background: Data about the immigrant population living in Spain, their lifestyle habits, and risk factors for gestational diabetes mellitus (GDM) are limited. Thus, the aim of the present study was to describe risk factors for the onset of GDM, the evolution of gestation and delivery, and newborns of Hispanic women living in Spain compared with those of Spanish women. Methods: A semiquantitative questionnaire regarding lifestyle habits was administered to 459 pregnant women (115 Hispanic) with a positive O'Sullivan test (24-28weeks gestation) between 1 April 2007 and 31 March 2008. Information was collected regarding gestation, delivery, and the newborn. Results: The prevalence of GDM increased with mother's age, pregestational overweight/obesity, and multiparity. In addition, GDM was associated with lower pregestational fiber and a lower intake of low glycaemic index foods in Hispanic women. The odds ratios (OR) for the total population were 2.53 (95% confidence interval [CI] 1.28-5.01) for overweight, 3.68 (95% CI 1.72-7.90) for obesity, 3.83 (95% 2.03-7.23) for age ≥35years, and 1.64 (95% CI 1.02-3.01) for multiparity. Newborns from the Hispanic population were significantly heavier than newborns from Spanish women and the rate of Caesarean delivery was significantly higher in the Hispanic population with GDM compared with those without GDM. Conclusions: The immigrant Hispanic population living in Spain trends to acquire the same risk factors associated with lifestyle to the indigenous population. Preventive strategies must stress increased physical activity and fiber intake, decreased intake of sweetened beverages, and an effective reduction in body weight before pregnancy. © 2012 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and Wiley Publishing Asia Pty Ltd.

Author Keywords

Hispanic Mediterranean diet Ethnicity gestational diabetes Lifestyle

Index Keywords

physical activity immigrant lifestyle Life Style Maternal Age saturated fatty acid carbohydrate intake dietary fiber human risk assessment carbohydrate polyunsaturated fatty acid obesity priority journal Hispanic Americans Humans Hispanic unsaturated fatty acid weight reduction Infant, Newborn Emigrants and Immigrants Spain female Risk Factors pregnancy prevalence Incidence Article pregnancy outcome adult multipara Birth Weight beverage maternal nutrition dietary intake cesarean section Diabetes, Gestational pregnancy diabetes mellitus
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84870320638&doi=10.1111%2fj.1753-0407.2012.00221.x&partnerID=40&md5=1c5504faecc19f7de360bf636f2a768c
DOI: 10.1111/j.1753-0407.2012.00221.x
ISSN: 17530393
Cited by: 8
Original Language: English