Higher Animal Protein Intake During the Second Trimester of Pregnancy Is Associated With Risk of GDM
Background and Aims: This study aimed to examine the associations between the total protein intake as well as types and sources of proteins with the gestational diabetes mellitus (GDM) risk.Method and Results: This was a prospective cohort study of the pregnant women in Malaysia. In this study, the...
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Frontiers Media S.A.
2021
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oai:doaj.org-article:0fe5f9248d4a43109509714fe059e7222021-11-15T13:47:39ZHigher Animal Protein Intake During the Second Trimester of Pregnancy Is Associated With Risk of GDM2296-861X10.3389/fnut.2021.718792https://doaj.org/article/0fe5f9248d4a43109509714fe059e7222021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fnut.2021.718792/fullhttps://doaj.org/toc/2296-861XBackground and Aims: This study aimed to examine the associations between the total protein intake as well as types and sources of proteins with the gestational diabetes mellitus (GDM) risk.Method and Results: This was a prospective cohort study of the pregnant women in Malaysia. In this study, the total, animal, and plant protein intakes were assessed using a semi-quantitative food frequency questionnaire. Of the 452 women, 48 (10.62%) were diagnosed with GDM. From pre-pregnancy to second trimester, most of the women had 10–20% of energy intake from protein (88.9–90.3%) and ≥75% of recommended protein intake (74.6–86.5%). The women in the highest tertile (T3) of total animal protein intake [adjusted odds ratio (AOR) = 2.76, 95% CI = 1.27–6.04] and red meat protein (AOR = 2.69, 95% CI = 1.27–5.70), specifically in the second trimester, had significantly higher GDM risk compared with the women in the middle tertile of intake (T2). Interestingly, the women in the T3 of egg protein in the second trimester were significantly at lower GDM risk (AOR = 0.43, 95% CI = 0.18–0.91) compared with those in T2.Conclusion: The highest tertile of animal protein (≥42.15 g/day) intake, particularly red meat protein in the second trimester was positively associated with the GDM risk, whereas the highest tertile of egg protein was inversely associated with the GDM risk. Protein intake before or during early pregnancy was not associated with the GDM risk. These findings underscore the importance of sources and types of protein intake, particularly after the first trimester of pregnancy, in relation to GDM risk.Heng Yaw YongZalilah Mohd ShariffBarakatun Nisak Mohd YusofZulida RejaliYvonne Yee Siang TeeJacques BindelsEline M. van der BeekEline M. van der BeekFrontiers Media S.A.articleegg proteinanimal proteinred meat proteingestational diabetes (GDM)before pregnancyduring pregnancyNutrition. Foods and food supplyTX341-641ENFrontiers in Nutrition, Vol 8 (2021) |
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egg protein animal protein red meat protein gestational diabetes (GDM) before pregnancy during pregnancy Nutrition. Foods and food supply TX341-641 |
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egg protein animal protein red meat protein gestational diabetes (GDM) before pregnancy during pregnancy Nutrition. Foods and food supply TX341-641 Heng Yaw Yong Zalilah Mohd Shariff Barakatun Nisak Mohd Yusof Zulida Rejali Yvonne Yee Siang Tee Jacques Bindels Eline M. van der Beek Eline M. van der Beek Higher Animal Protein Intake During the Second Trimester of Pregnancy Is Associated With Risk of GDM |
description |
Background and Aims: This study aimed to examine the associations between the total protein intake as well as types and sources of proteins with the gestational diabetes mellitus (GDM) risk.Method and Results: This was a prospective cohort study of the pregnant women in Malaysia. In this study, the total, animal, and plant protein intakes were assessed using a semi-quantitative food frequency questionnaire. Of the 452 women, 48 (10.62%) were diagnosed with GDM. From pre-pregnancy to second trimester, most of the women had 10–20% of energy intake from protein (88.9–90.3%) and ≥75% of recommended protein intake (74.6–86.5%). The women in the highest tertile (T3) of total animal protein intake [adjusted odds ratio (AOR) = 2.76, 95% CI = 1.27–6.04] and red meat protein (AOR = 2.69, 95% CI = 1.27–5.70), specifically in the second trimester, had significantly higher GDM risk compared with the women in the middle tertile of intake (T2). Interestingly, the women in the T3 of egg protein in the second trimester were significantly at lower GDM risk (AOR = 0.43, 95% CI = 0.18–0.91) compared with those in T2.Conclusion: The highest tertile of animal protein (≥42.15 g/day) intake, particularly red meat protein in the second trimester was positively associated with the GDM risk, whereas the highest tertile of egg protein was inversely associated with the GDM risk. Protein intake before or during early pregnancy was not associated with the GDM risk. These findings underscore the importance of sources and types of protein intake, particularly after the first trimester of pregnancy, in relation to GDM risk. |
format |
article |
author |
Heng Yaw Yong Zalilah Mohd Shariff Barakatun Nisak Mohd Yusof Zulida Rejali Yvonne Yee Siang Tee Jacques Bindels Eline M. van der Beek Eline M. van der Beek |
author_facet |
Heng Yaw Yong Zalilah Mohd Shariff Barakatun Nisak Mohd Yusof Zulida Rejali Yvonne Yee Siang Tee Jacques Bindels Eline M. van der Beek Eline M. van der Beek |
author_sort |
Heng Yaw Yong |
title |
Higher Animal Protein Intake During the Second Trimester of Pregnancy Is Associated With Risk of GDM |
title_short |
Higher Animal Protein Intake During the Second Trimester of Pregnancy Is Associated With Risk of GDM |
title_full |
Higher Animal Protein Intake During the Second Trimester of Pregnancy Is Associated With Risk of GDM |
title_fullStr |
Higher Animal Protein Intake During the Second Trimester of Pregnancy Is Associated With Risk of GDM |
title_full_unstemmed |
Higher Animal Protein Intake During the Second Trimester of Pregnancy Is Associated With Risk of GDM |
title_sort |
higher animal protein intake during the second trimester of pregnancy is associated with risk of gdm |
publisher |
Frontiers Media S.A. |
publishDate |
2021 |
url |
https://doaj.org/article/0fe5f9248d4a43109509714fe059e722 |
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