Abstract
Background
The prevalence of gestational diabetes (GDM) has been increasing along with the obesity pandemic. It is associated with pregnancy complications and a risk of type 2 diabetes.
Objective
To study nutrient intake among pregnant Finnish women at increased risk of GDM due to obesity or a history of GDM.
Design
Food records from obese women or women with GDM history (n=394) were examined at baseline (≤20 weeks of pregnancy) of the Finnish Gestational Diabetes Prevention Study.
Results
The pregnant women had a mean fat intake of 33 en% (SD 7), saturated fatty acids (SFA) 12 en% (SD 3), and carbohydrate 46 en% (SD 6). Sucrose intake among pregnant women with GDM history was 7 en% (SD 3), which was different from the intake of the other pregnant women, 10 en% (SD 4) (p<0.001). Median intakes of folate and vitamins A and D provided by food sources were below the Finnish national nutrition recommendation, but, excluding vitamin A, supplements raised the total intake to the recommended level. The frequency of use of dietary supplements among pregnant women was 77%.
Conclusions
The observed excessive intake of SFA and low intake of carbohydrates among women at high risk of GDM may further increase their risk of GDM. A GDM history, however, seems to reduce sucrose intake in a future pregnancy. Pregnant women at high risk of GDM seem to have insufficient intakes of vitamin D and folate from food and thus need supplementation, which most of them already take.
Conflict of interest and funding
This work was supported by the Ahokas Foundation, Finnish Foundation for Cardiovascular Disease, Special state subsidy for health science research of HUCH, Samfundet Folkhälsan, The Finnish Diabetes Research Foundation, Foundation for Medical Research Liv och Hälsa, State Provincial Office of Southern Finland, The Social Insurance Institution of Finland.