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Diabetes Metab Syndr. 2019 Sep - Oct;13(5):2947-2952. doi: 10.1016/j.dsx.2019.07.053. Epub 2019 Aug 6.

Association between lifestyle habits and adiposity values among children exposed and unexposed to gestational diabetes mellitus in utero.

Author information

1
School of Nutrition, Laval University, Québec, Québec, Canada; Institute of Nutrition and Functional Foods (INAF), Laval University, Québec, Québec, Canada.
2
Institute of Nutrition and Functional Foods (INAF), Laval University, Québec, Québec, Canada.
3
Department of Human Kinetics, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada.
4
Endocrinology and Nephrology Axis, CHU de Quebec Research Center, Québec, Québec, Canada; Diabetes Research Unit, Laval University Medical Research Center, Québec, Québec, Canada.
5
Department of Pediatrics, Laval University, CHU de Quebec Research Center, Québec, Québec, Canada.
6
School of Nutrition, Laval University, Québec, Québec, Canada; Quebec Heart and Lung Institute, Laval University, Québec, Québec, Canada.
7
School of Nutrition, Laval University, Québec, Québec, Canada; Institute of Nutrition and Functional Foods (INAF), Laval University, Québec, Québec, Canada; Endocrinology and Nephrology Axis, CHU de Quebec Research Center, Québec, Québec, Canada. Electronic address: julie.robitaille@fsaa.ulaval.ca.

Abstract

AIMS:

The objectives of this study were to assess the profile of lifestyle habits among children exposed (GDM+) or unexposed (GDM-) to GDM and to assess whether a healthy lifestyle profile is associated with lower adiposity values among these children.

METHODS:

A total of 105 GDM+ and 38 GDM- children aged 2-14 years were included. Vegetables and fruit intakes were collected using two 24-h dietary recalls. Physical activity and sedentary time were measured with accelerometers. Screen and sleep time were assessed using questionnaires. Weight, height and waist circumference were measured. Body composition was assessed by absorptiometry.

RESULTS:

GDM+ children had lower moderate-to-vigorous physical activity practice (p = 0.043) and fruit intake (p = 0.020) than GDM- children. Among children with an unhealthy lifestyle (meeting 0-2 lifestyle recommendations), GDM+ children had greater percentage of fat mass (p = 0.021) and android fat mass (p = 0.020) than GDM- children. Moreover, among GDM+ children, children with a healthy lifestyle (meeting 3-4 lifestyle recommendations) tended to have lower percentage of fat mass (p = 0.053) and android fat mass (p = 0.071) than those with an unhealthy lifestyle.

CONCLUSION:

Improving lifestyle habits among GDM+ children could represent a promising approach to prevent deteriorated adiposity values.

KEYWORDS:

Diet; Exercise; Pediatric obesity; Sedentary behavior; Sleep

PMID:
31425961
DOI:
10.1016/j.dsx.2019.07.053

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