{"id":17662,"date":"2016-11-01T00:00:00","date_gmt":"2018-12-03T18:55:03","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/healthful-dietary-patterns-and-long-term-weight-change-among\/"},"modified":"2018-12-03T19:55:03","modified_gmt":"2018-12-03T18:55:03","slug":"healthful-dietary-patterns-and-long-term-weight-change-among","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/healthful-dietary-patterns-and-long-term-weight-change-among\/","title":{"rendered":"Healthful dietary patterns and long-term weight change among women with a history of gestational diabetes mellitus."},"content":{"rendered":"<p style=\"text-align:justify\"><strong>BACKGROUND\/OBJECTIVE<\/strong><br \/>\nDiet represents a key strategy for the prevention of obesity and type 2 diabetes among women with a history of gestational diabetes mellitus (GDM), although effective dietary patterns to prevent weight gain in the long-term are largely unknown. We sought to evaluate whether improvement in overall diet quality is associated with less long-term weight gain among high risk women with prior GDM.<\/p>\n<p style=\"text-align:justify\"><strong>SUBJECTS\/METHODS<\/strong><br \/>\nWomen with a history of GDM (N=3 397) were followed from 1991 to 2011, or until diagnosis of type 2 diabetes or other chronic disease. Usual diet was assessed via food frequency questionnaire every 4 years from which we calculated the Alternative Healthy Eating Index (aHEI-2010), Alternate Mediterranean Diet (AMED), and Dietary Approaches to Stop Hypertension (DASH) dietary pattern scores. Weight, lifestyle, and health-related outcomes were self-reported every 2 years. We estimated the change in dietary score with change in body weight using linear regression models adjusting for age, baseline body-mass index, baseline and simultaneous change in physical activity and smoking status, and other risk factors.<\/p>\n<p style=\"text-align:justify\"><strong>RESULTS<\/strong><br \/>\nWomen were followed up to 20 years, gaining an average 1.9&thinsp;kg (s.d.=7.0) per 4-year period. Women in the highest quintile (Q5) of diet change (most improvement in quality) gained significantly less weight per 4-year period than the lowest quintile (Q1; decrease in quality), independent of other risk factors (4-year weight change, aHEI-2010: Q5=1.30&thinsp;kg vs Q1=3.27&thinsp;kg; AMED: Q5=0.94&thinsp;kg vs Q1=2.56&thinsp;kg, DASH: Q5=0.64&thinsp;kg vs Q1=2.75&thinsp;kg). Significant effect modification by BMI (p-interactions &lt;0.001) indicated a greater magnitude of weight change among women with a higher baseline BMI for all three patterns.<\/p>\n<p style=\"text-align:justify\"><strong>CONCLUSIONS<\/strong><br \/>\nIncreased diet quality was associated with less weight gain, independent of other lifestyle factors. Postpartum recommendations on diet quality may provide one strategy to prevent long-term weight gain in this high risk group.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-17662","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Division of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA. frank.hu@channing.harvard.edu","annee":"2016","mois":"11","numero":"40:11","page":"1748-53","auteurs":[{"ID":17655,"post_author":"0","post_date":"2018-12-03 19:54:59","post_date_gmt":"2018-12-03 18:54:59","post_content":"","post_title":"T T Fung","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"t-t-fung","to_ping":"","pinged":"","post_modified":"2018-12-03 19:54:59","post_modified_gmt":"2018-12-03 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Zhang","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"cheng-gang-zhang","to_ping":"","pinged":"","post_modified":"2018-12-03 17:39:37","post_modified_gmt":"2018-12-03 16:39:37","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/cheng-gang-zhang\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":7824,"post_author":"0","post_date":"2018-12-03 17:53:17","post_date_gmt":"2018-12-03 16:53:17","post_content":"","post_title":"J E Chavarro","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"j-e-chavarro","to_ping":"","pinged":"","post_modified":"2018-12-03 17:53:17","post_modified_gmt":"2018-12-03 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Bao","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"w-bao","to_ping":"","pinged":"","post_modified":"2018-12-03 19:55:01","post_modified_gmt":"2018-12-03 18:55:01","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/w-bao\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":17659,"post_author":"0","post_date":"2018-12-03 19:55:01","post_date_gmt":"2018-12-03 18:55:01","post_content":"","post_title":"A A Bjerregaard","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"a-a-bjerregaard","to_ping":"","pinged":"","post_modified":"2018-12-03 19:55:01","post_modified_gmt":"2018-12-03 18:55:01","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/a-a-bjerregaard\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":17660,"post_author":"0","post_date":"2018-12-03 19:55:02","post_date_gmt":"2018-12-03 18:55:02","post_content":"","post_title":"J A E Manson","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"j-a-e-manson","to_ping":"","pinged":"","post_modified":"2018-12-03 19:55:02","post_modified_gmt":"2018-12-03 18:55:02","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/j-a-e-manson\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":17661,"post_author":"0","post_date":"2018-12-03 19:55:02","post_date_gmt":"2018-12-03 18:55:02","post_content":"","post_title":"F B Hu","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"f-b-hu","to_ping":"","pinged":"","post_modified":"2018-12-03 19:55:02","post_modified_gmt":"2018-12-03 18:55:02","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/f-b-hu\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"}],"sources":[{"ID":6134,"post_author":"0","post_date":"2018-12-03 17:35:10","post_date_gmt":"2018-12-03 16:35:10","post_content":"","post_title":"International journal of obesity (2005)","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"international-journal-of-obesity-2005","to_ping":"","pinged":"","post_modified":"2018-12-03 17:35:10","post_modified_gmt":"2018-12-03 16:35:10","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/source\/international-journal-of-obesity-2005\/","menu_order":0,"post_type":"source","post_mime_type":"","comment_count":"0","filter":"raw"}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.6 (Yoast SEO v23.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Healthful dietary patterns and long-term weight change among women with a history of gestational diabetes mellitus. - Aprifel<\/title>\n<meta name=\"description\" content=\"Healthful dietary patterns and long-term weight change among women with a history of gestational diabetes mellitus. - Aprifel\" \/>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Healthful dietary patterns and long-term weight change among women with a history of 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