PMID- 31237529
OWN - NLM
STAT- MEDLINE
DCOM- 20200608
LR  - 20200608
IS  - 1475-2662 (Electronic)
IS  - 0007-1145 (Linking)
VI  - 122
IP  - 7
DP  - 2019 Oct 14
TI  - Association of the Dietary-Based Diabetes-Risk Score (DDS) with the risk of 
      gestational diabetes mellitus in the Seguimiento Universidad de Navarra (SUN) 
      project.
PG  - 800-807
LID - 10.1017/S0007114519001521 [doi]
AB  - It is crucial to identify people at risk for type 2 diabetes mellitus (T2DM) and 
      gestational diabetes mellitus (GDM) to implement preventive interventions in 
      order to address these pandemics. A simple score exclusively based on dietary 
      components, the Dietary-Based Diabetes-Risk Score (DDS) showed a strong inverse 
      association with incident T2DM. The objective was to assess the association 
      between DDS and the risk of GDM in a cohort of Spanish university graduates. The 
      'Seguimiento Universidad de Navarra' project is a prospective and dynamic cohort 
      which included data of 3455 women who notified pregnancies between 1999 and 2012. 
      The diagnosis of GDM is self-reported and further confirmed by physicians. A 
      validated 136-item semi-quantitative FFQ was used to assess pre-gestational 
      dietary habits. The development of the DDS was aimed to quantify the association 
      between the adherence to this a priori dietary score and T2DM incidence. The 
      score exclusively included dietary components (nine food groups with reported 
      inverse associations with T2DM incidence and three food groups which reported 
      direct associations with T2DM). Three categories of adherence to the DDS were 
      assessed: low (11-24), intermediate (25-39) and high (40-60). The upper category 
      showed an independent inverse association with the risk of incident GDM compared 
      with the lowest category (multivariate-adjusted OR 0.48; 95 % CI 0.24, 0.99; P 
      for linear trend: 0.01). Several sensitivity analyses supported the robustness of 
      these results. These results reinforce the importance of pre-gestational dietary 
      habits for reducing GDM and provide a brief tool to practically assess the 
      relevant dietary habits in clinical practice.
FAU - Donazar-Ezcurra, Mikel
AU  - Donazar-Ezcurra M
AD  - Department of Preventive Medicine and Public Health, University of Navarra, 
      Pamplona, Spain.
AD  - Department Obstetrics and Gynaecology, Complejo Hospitalario de 
      Navarra-Osasunbidea-IDISNA, Pamplona, Spain.
FAU - Lopez-Del Burgo, Cristina
AU  - Lopez-Del Burgo C
AD  - Department of Preventive Medicine and Public Health, University of Navarra, 
      Pamplona, Spain.
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn), Instituto de Salud 
      Carlos III, Madrid, Spain.
AD  - Navarra's Health Research Institute (IDISNA), Pamplona, Spain.
AD  - Institute for Culture and Society (ICS), University of Navarra, Pamplona, Spain.
FAU - Martinez-Gonzalez, Miguel A
AU  - Martinez-Gonzalez MA
AD  - Department of Preventive Medicine and Public Health, University of Navarra, 
      Pamplona, Spain.
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn), Instituto de Salud 
      Carlos III, Madrid, Spain.
AD  - Navarra's Health Research Institute (IDISNA), Pamplona, Spain.
AD  - Department of Nutrition, Harvard TH Chan School of Public Health, Boston, MA, 
      USA.
FAU - Dominguez, Ligia J
AU  - Dominguez LJ
AD  - Geriatric Unit - Department of Internal Medicine and Specialties, University of 
      Palermo, Palermo, Italy.
FAU - Basterra-Gortari, Francisco J
AU  - Basterra-Gortari FJ
AD  - Department of Preventive Medicine and Public Health, University of Navarra, 
      Pamplona, Spain.
AD  - Navarra's Health Research Institute (IDISNA), Pamplona, Spain.
AD  - Department of Internal Medicine (Endocrinology), Hospital Reina Sofia, 
      Osasunbidea-IDISNA, Tudela, Spain.
FAU - de Irala, Jokin
AU  - de Irala J
AD  - Department of Preventive Medicine and Public Health, University of Navarra, 
      Pamplona, Spain.
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn), Instituto de Salud 
      Carlos III, Madrid, Spain.
AD  - Navarra's Health Research Institute (IDISNA), Pamplona, Spain.
AD  - Institute for Culture and Society (ICS), University of Navarra, Pamplona, Spain.
FAU - Bes-Rastrollo, Maira
AU  - Bes-Rastrollo M
AD  - Department of Preventive Medicine and Public Health, University of Navarra, 
      Pamplona, Spain.
AD  - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn), Instituto de Salud 
      Carlos III, Madrid, Spain.
AD  - Navarra's Health Research Institute (IDISNA), Pamplona, Spain.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Br J Nutr
JT  - The British journal of nutrition
JID - 0372547
SB  - IM
MH  - Adult
MH  - Cohort Studies
MH  - Diabetes, Gestational/*epidemiology
MH  - *Diet
MH  - Female
MH  - Humans
MH  - Pregnancy
MH  - Prospective Studies
MH  - Risk Factors
MH  - Spain/epidemiology
MH  - Young Adult
OTO - NOTNLM
OT  - Cohort studies
OT  - Diabetes dietary score
OT  - Diabetes prevention
OT  - Gestational diabetes risk
EDAT- 2019/06/27 06:00
MHDA- 2020/06/09 06:00
CRDT- 2019/06/26 06:00
PHST- 2019/06/27 06:00 [pubmed]
PHST- 2020/06/09 06:00 [medline]
PHST- 2019/06/26 06:00 [entrez]
AID - S0007114519001521 [pii]
AID - 10.1017/S0007114519001521 [doi]
PST - ppublish
SO  - Br J Nutr. 2019 Oct 14;122(7):800-807. doi: 10.1017/S0007114519001521.