Is restrained eating behaviour associated with pre-pregnancy weight and weight-gain in gestational diabetes?

Abstract

Aims: The aim of this study was to investigate the association between eating behaviors and pre-pregnancy body mass index (BMI) and body weight gain in individuals with gestational diabetes mellitus. Methods: This cross-sectional study was conducted in 34 pregnant women diagnosed with gestational diabetes mellitus and 50 nondiabetic women above the 28th week of pregnancy. The Dutch Eating Behavior Questionnaire was used to assess eating habits. A quantitative food frequency questionnaire was used to assess food consumption. Results: Individuals with gestational diabetes had significantly higher levels of restrained eating behavior scores (27.11±5.98 vs 20.32±6.84) compared to nondiabetic women (p<0.05). Pre-pregnancy body mass index value was found to be related to restrained eating behavior score in individuals with gestational diabetes (p<0.05), and restrained eating score was found to be higher in individuals with gestational diabetes who had body weight gain above the recommendations than in individuals with body weight gain in accordance with the recommendations (p<0.05). The energy intake (1965±433.02 kcal/day vs. 1731.04±462.64 kcal/day), carbohydrate (201.19±59.35 g/day vs. 170.56±56.49 g/day) consumption of pregnant women diagnosed with gestational diabetes were higher than those nondiabetic women, whereas vitamin B6 (1.12±0.31 mg/day vs. 1.33±0.46 mg/day), and calcium consumptions (682.88±265.12 mg/day vs. 963.03±391.63 mg/day) were lower (p<0.05). Conclusion: Women with gestational diabetes showed a higher restrained eating behavior score, which may be attributed to pre-pregnancy body mass index and body weight gain above the recommendations. Furthermore, it has been emphasized that this may be associated with an inadequate intake of certain nutrients.

Keywords

• Eating behaviour
• gestational diabetes
• restrained eating

References

1. Sartayeva A, Danyarova L, Begalina D, Nurgalieva Z, Baikadamova L, Adilova G. Gestational diabetes: Prevalence and rısks for the mother and child (Revıew). Georgian Med News. 2022;(328-329):47-52.
2. Lamanna J, Susan B. After gestational diabetes: An overlooked care transition in primary care. J Nurse Practitioners. 2020;16:319-323
3. Karaçam Z, Çelik D. The prevalence and risk factors of gestational diabetes mellitus in Turkey: a systematic review and meta-analysis. J Matern Fetal Neonatal Med. 2021;34(8):1331-1341.
4. Yessoufou A, Moutairou K. Maternal diabetes in pregnancy: early and long-term outcomes on the offspring and the concept of "metabolic memory". Exp Diabetes Res. 2011;2011:218598.
5. You H, Hu J, Liu Y, Luo B, Lei A. Risk of type 2 diabetes mellitus after gestational diabetes mellitus: A systematic review & meta-analysis. Indian J Med Res. 2021;154(1):62-77.
6. Gupta Y, Kalra B, Baruah MP, Singla R, Kalra S. Updated guidelines on screening for gestational diabetes. Int J Womens Health. 2015;19(7):539-550.
7. Rasmussen L, Poulsen CW, Kampmann U, Smedegaard SB, Ovesen PG, Fuglsang J. Diet and healthy lifestyle in the management of gestational diabetes mellitus. Nutrients. 2020;12(10):3050.
8. Chu AHY, Godfrey KM. Gestational diabetes mellitus and developmental programming. Ann Nutr Metab. 2020;76(3):4-15.

9. Kim HJ, Cho E, Shin G. Experiences of changes in eating habits and eating behaviors of women first diagnosed with gestational diabetes. Int J Environ Res Public Health. 2021;18(16):8774.
10. Nguyen H, Le N, Tra TT, et al. Nutritional status, eating habits and foods intake by gestational diabetes patients in National Hospital of Endocrinology. J Complement Med Res. 2021;12(2): 143-151.
11. Lan X, Zhang YQ, Dong HL, et al. Excessive gestational weight gain in the first trimester is associated with risk of gestational diabetes mellitus: a prospective study from Southwest China. Public Health Nutr. 2020;23(3):394-401.
12. World Health Organization. 2000. Obesity: preventing and managing the global epidemic: report of a WHO consultation. Last reviewed May 5, 2023. Accessed May 5, 2023. https://apps.who.int/iris/handle/10665/42330
13. Institute of Medicine (US) and National Research Council (US) Committee to Reexamine IOM Pregnancy Weight Guidelines. Weight gain during pregnancy: reexamining the guidelines. National Academies Press, Washington, 2009
14. Hui AL, Sevenhuysen G, Harvey D, Salamon E. Barriers and coping strategies of women with gestational diabetes to follow dietary advice. Women Birth. 2014;27:292–297.
15. Draffin CR, Alderdice FA, McCance DR, et al. Exploring the needs, concerns and knowledge of women diagnosed with gestational diabetes: A qualitative study. Midwifery. 2016;40:141–147.
16. Adams RC, Chambers CD, Lawrence NS. Do restrained eaters show increased BMI, food craving and disinhibited eating? A comparison of the restraint scale and the restrained eating scale of the Dutch Eating Behaviour Questionnaire. R Soc Open Sci. 2019;6(6):190174.
17. Nederkoorn C, Van Eijs Y, Jansen A. Restrained eaters act on impulse. Pers Indiv Diff. 2004;37:1651-1658.
18. Zanardo V, Cavaliere A, Giliberti E, et al. Gestational weight gain and eating-related disorders. J Obstet Gynaecol. 2021;41(8):1205-1209.
19. Heery E, Wall PG, Kelleher CC, McAuliffe FM. Effects of dietary restraint and weight gain attitudes on gestational weight gain. Appetite. 2016;107:501-510.
20. Slane JD, Levine MD. Association of restraint and disinhibition to gestational weight gain among pregnant former smokers. Womens Health Issues. 2015;25(4):390-395.
21. Conway R, Reddy S, Davies J. Dietary restraint and weight gain during pregnancy. Eur J Clin Nutr. 1999;53(11):849-853.
22. Rios JM, Miller AL, Lumeng JC, et al. Associations of maternal food addiction, dietary restraint, and pre-pregnancy BMI with infant eating behaviors and risk for overweight. Appetite. 2023;184:106516.
23. Johnson, JL, Farr SL, Dietz PM, Sharma AJ, Barfield WD, Robbins CL. Trends in gestational weight gain: The pregnancy risk assessmentmonitoring system, 2000-2009. Am J Obstet Gynecol. 2015;212(6):806.
24. Widen EM, Factor-Litvak PR, Gallagher D, et al. The pattern of gestational weight gain is associated with changes in maternal body composition and neonatal size. Matern Child Health J. 2015;19:2286–2294.
25. Karachaliou M, Georgiou V, Roumeliotaki T, et al. Association of trimester specific gestational weight gain with fetal growth, off spring obesity, and cardiometabolic traits in early childhood. Am J Obstet Gynecol. 2015;212:1–14.
26. Ćwiek D, Lubkowska A, Zimny M, Szymoniak K, Sipak-Szmigiel O. Weight gain during and after pregnancy in women with gestational diabetes mellitus-a preliminary study. Int J Environ Res Public Health. 2022;19(19):11959.
27. Laraia BA, Siega-Riz AM, Dole N, London E. Pregravid weight is associated with prior dietary restraint and psychosocial factors during pregnancy. Obesity (Silver Spring). 2009;17(3):550-558.
28. Shin D, Lee KW, Song WO. Pre-pregnancy weight status ıs associated with diet quality and nutritional biomarkers during pregnancy. Nutrients. 2016;8(3):162.
29. Yang Y, Wei Q, Yu H, et al. Higher pre-pregnancy body mass index is associated with excessive gestational weight gain in normal weight Chinese mothers with gestational diabetes. J Obstet Gynaecol Res. 2016;42(5):511-518.
30. Hung NT, Nhung LTT, Phuong TTT. Nutritional status, eating habits and foods ıntake by gestational diabetes patients in national hospital of endocrinology. J Complement Med Res. 2021;12(2):143-151.
31. Zugravu C, Petra A, Pietrosel VA, et al. Nutritional interventions and lifestyle changing in gestational diabetes mellitus prevention: A narrative review. Sustainability. 2023;15:1069.