Dietary energy density but not glycemic load is associated with gestational weight gain

Andrea Deierlein, Anna Maria Siega-Riz, Amy Herring

Research output: Contribution to journalArticle

Abstract

Background: Most pregnant women gain more weight than the ranges recommended. Excessive weight gain is linked to pregnancy complications and to long-term maternal and child health outcomes. Objective: The objective was to examine the impact of dietary glycemic load and energy density on total gestational weight gain and the weight gain ratio (observed weight gain/expected weight gain). Design: Data are from 1231 women with singleton pregnancies who participated in the Pregnancy, Infection, and Nutrition Cohort Study. Dietary information was collected at 26-29 wk of gestation with the use of a semiquantified food-frequency questionnaire. Linear regression models were used to estimate the associations between quartiles of glycemic load and energy density with total gestational weight gain and weight gain ratio. Results: Dietary patterns of pregnant women significantly differed across many sociodemographic and behavioral characteristics, with the greatest contrasts seen for glycemic load. After adjustment for covariates, compared with women in the first quartile consuming a mean dietary energy density of 0.71 kcal/g (reference), women in the third quartile consuming a mean energy density of 0.98 kcal/g gained an excess of 1.13 kg (95% CI: 0.24, 2.01), and women in the fourth quartile consuming a mean energy density of 1.21 kcal/g gained an excess of 1.08 kg (95% CI: 0.20, 1.97) and had an increase of 0.13 (95% CI: 0.006, 0.24) units in the weight gain ratio. All other comparisons of energy intakes were not statistically significant. Glycemic load was not associated with total gestational weight gain or weight gain ratio. Conclusion: Dietary energy density is a modifiable factor that may assist pregnant women in managing gestational weight gains.

Original languageEnglish (US)
Pages (from-to)693-699
Number of pages7
JournalAmerican Journal of Clinical Nutrition
Volume88
Issue number3
StatePublished - Sep 1 2008

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energy density
Weight Gain
weight gain
pregnant women
Pregnant Women
pregnancy
Glycemic Load
Linear Models
Prenatal Nutritional Physiological Phenomena
pregnancy complications
Pregnancy
Pregnancy Complications
food frequency questionnaires
Energy Intake
cohort studies
eating habits
energy intake
Cohort Studies
nutrition

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Food Science

Cite this

Dietary energy density but not glycemic load is associated with gestational weight gain. / Deierlein, Andrea; Siega-Riz, Anna Maria; Herring, Amy.

In: American Journal of Clinical Nutrition, Vol. 88, No. 3, 01.09.2008, p. 693-699.

Research output: Contribution to journalArticle

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