PMID- 33101589 OWN - NLM STAT- MEDLINE DCOM- 20210513 LR - 20240329 IS - 1942-0994 (Electronic) IS - 1942-0900 (Print) IS - 1942-0994 (Linking) VI - 2020 DP - 2020 TI - Dietary Total Antioxidant Capacity and Gestational Diabetes Mellitus: A Case-Control Study. PG - 5471316 LID - 10.1155/2020/5471316 [doi] LID - 5471316 AB - BACKGROUND: Elevated oxidative stress status has been reported among pregnant women with gestational diabetes mellitus (GDM). In diabetic condition, glucose and lipid peroxidation, and alteration in antioxidant defense lead to increased free radicals. The objective of this study was to investigate the association between dietary total antioxidant capacity (DTAC) and GDM. METHODS: This hospital-based case-control study was conducted in 463 pregnant women (healthy, n = 263; GDM, n = 200). Anthropometric indices, blood pressure, and biochemical analyses were measured. Dietary intake was assessed by the average of three 24-hour dietary intake records. DTAC was calculated by three indices: ferric reducing ability of plasma (FRAP), total radical-trapping antioxidant parameter (TRAP), and Trolox equivalent antioxidant capacity (TEAC). Multivariable logistic regression was performed to examine the relationship between DTAC and GDM risk in crude and adjusted models. RESULTS: The mean age and BMI were 28.33 +/- 6.23 years and 29.67 +/- 4.73 kg/m(2), respectively. Total energy, protein, and selenium intakes were significantly higher in cases than controls (P < 0.05). Moreover, intakes of carbohydrate, vitamins C, B6, and A, manganese, fruits, fruit juices, vegetables, legumes, and FRAP were significantly lower in cases than controls (P < 0.05). The risk of gestational diabetes mellitus was 85% lower among those in the highest tertile of FRAP (OR: 0.15; 95% CI: 0.08-0.29). There was no significant association between the risk of GDM and TRAP (OR: 1.62; 95% CI: 0.94-2.79) as well as TEAC (OR: 1.56; 95% CI: 0.89-2.72). CONCLUSION: Pregnant women who were in the highest tertile of FRAP were at lower risk of GDM. However, larger prospective studies are needed to confirm our findings. CI - Copyright (c) 2020 Elnaz Daneshzad et al. FAU - Daneshzad, Elnaz AU - Daneshzad E AD - Department of Community Nutrition, School of Nutritional Science and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. FAU - Tehrani, Hatav AU - Tehrani H AD - Department of Obstetrics and Gynecology, Isfahan University of Medical Sciences, Isfahan, Iran. FAU - Bellissimo, Nick AU - Bellissimo N AD - School of Nutrition, Ryerson University, Toronto, Canada. FAU - Azadbakht, Leila AU - Azadbakht L AUID- ORCID: 0000-0002-7169-6960 AD - Department of Community Nutrition, School of Nutritional Science and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. AD - Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran. AD - Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Science, Isfahan, Iran. LA - eng PT - Journal Article DEP - 20201008 PL - United States TA - Oxid Med Cell Longev JT - Oxidative medicine and cellular longevity JID - 101479826 RN - 0 (Antioxidants) RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Triglycerides) RN - 0 (hemoglobin A1c protein, human) RN - H6241UJ22B (Selenium) SB - IM MH - Adult MH - Antioxidants/administration & dosage/*chemistry MH - Blood Glucose/analysis MH - Case-Control Studies MH - Diabetes, Gestational/*pathology MH - *Diet MH - Energy Intake MH - Female MH - Glycated Hemoglobin/analysis MH - Humans MH - Logistic Models MH - Odds Ratio MH - Pregnancy MH - Selenium/analysis MH - Triglycerides/analysis MH - Young Adult PMC - PMC7568138 COIS- The authors declare no conflict of interest. EDAT- 2020/10/27 06:00 MHDA- 2021/05/14 06:00 PMCR- 2020/10/08 CRDT- 2020/10/26 05:23 PHST- 2020/04/22 00:00 [received] PHST- 2020/08/11 00:00 [accepted] PHST- 2020/10/26 05:23 [entrez] PHST- 2020/10/27 06:00 [pubmed] PHST- 2021/05/14 06:00 [medline] PHST- 2020/10/08 00:00 [pmc-release] AID - 10.1155/2020/5471316 [doi] PST - epublish SO - Oxid Med Cell Longev. 2020 Oct 8;2020:5471316. doi: 10.1155/2020/5471316. eCollection 2020.