Postpartum diet quality in Australian women following a gestational diabetes pregnancy

Morrison, M. K., Koh, D., Lowe, J. M., Miller, Y. D., Marshall, A. L., Colyvas, K. and Collins, C. E. (2012) Postpartum diet quality in Australian women following a gestational diabetes pregnancy. European Journal of Clinical Nutrition, 66 10: 1160-1165. doi:10.1038/ejcn.2012.84

Author Morrison, M. K.
Koh, D.
Lowe, J. M.
Miller, Y. D.
Marshall, A. L.
Colyvas, K.
Collins, C. E.
Title Postpartum diet quality in Australian women following a gestational diabetes pregnancy
Journal name European Journal of Clinical Nutrition   Check publisher's open access policy
ISSN 0954-3007
Publication date 2012-10
Sub-type Article (original research)
DOI 10.1038/ejcn.2012.84
Volume 66
Issue 10
Start page 1160
End page 1165
Total pages 6
Place of publication London, United Kingdom
Publisher Nature
Collection year 2013
Language eng
Formatted abstract
Background/Objectives: To describe the diet quality of a national sample of Australian women with a recent history of gestational diabetes mellitus (GDM) and determine factors associated with adherence to national dietary recommendations.

Subjects/Methods: A postpartum lifestyle survey with 1499 Australian women diagnosed with GDM 3 years previously. Diet quality was measured using the Australian recommended food score (ARFS) and weighted by demographic and diabetes management characteristics. Multinominal logistic regression analysis was used to determine the association between diet quality and demographic characteristics, health seeking behaviours and diabetes-related risk factors.

Results: Mean (±s.d.) ARFS was 30.9±8.1 from a possible maximum score of 74. Subscale component scores demonstrated that the nuts/legumes, grains and fruits were the most poorly scored. Factors associated with being in the highest compared with the lowest ARFS quintile included age (odds ratio (OR) 5-year increase1.40; 95% (confidence interval) CI: 1.16-1.68), tertiary education (OR2.19; 95% CI: 1.52-3.17), speaking only English (OR1.92; 95% CI: 1.19-3.08), being sufficiently physically active (OR2.11; 95% CI: 1.46-3.05), returning for postpartum blood glucose testing (OR1.75; 95% CI: 1.23-2.50) and receiving risk reduction advice from a health professional (OR1.80; 95% CI: 1.24-2.60).

Conclusions: Despite an increased risk of type 2 diabetes, women in this study had an overall poor diet quality as measured by the ARFS. Women with GDM should be targeted for interventions aimed at achieving a postpartum diet consistent with the guidelines for chronic disease prevention. Encouraging women to return for follow-up and providing risk reduction advice may be positive initial steps to improve diet quality, but additional strategies need to be identified.
Keyword Gestational diabetes
Diet quality
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online: 11 July 2012.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Psychology Publications
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