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Article

Self-Reported Eating Speed and Incidence of Gestational Diabetes Mellitus: the Japan Environment and Children’s Study

1
Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka 5650871, Japan
2
Department of Public Health, Hokkaido University Graduate School of Medicine, Sapporo 0608638, Japan
3
Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka 5650871, Japan
4
Maternal & Child Health Information Center, Osaka Women’s and Children’s Hospital, Osaka 5941101, Japan
5
Department of Public Health Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba 3058575, Japan
*
Author to whom correspondence should be addressed.
Membership of the Japan Environment and Children’s Study is provided in the Acknowledgments.
Nutrients 2020, 12(5), 1296; https://doi.org/10.3390/nu12051296
Received: 3 March 2020 / Revised: 21 April 2020 / Accepted: 28 April 2020 / Published: 2 May 2020
(This article belongs to the Special Issue Nutrition for Gestational Diabetes)
There is little evidence linking eating speed to gestational diabetes mellitus (GDM) incidence. We therefore aimed to evaluate the prospective association of eating speed with GDM incidence. Overall, 97,454 pregnant women were recruited between January 2011 and March 2014. Singleton pregnant women who did not have GDM, heart disease, stroke, cancer, type 1 diabetes, and/or type 2 diabetes at the time of study enrollment were eligible. Each woman was asked about her eating speed at that time via a questionnaire. Odds ratios of GDM in relation to eating speed were obtained using logistic regression. Among the 84,811 women eligible for analysis, 1902 cases of GDM were identified in medical records. Compared with women who reported slow eating speed, the age-adjusted odds ratios (95% confidence interval) of GDM for women who reported medium, relatively fast, or very fast eating speed were 1.03 (0.90, 1.18), 1.07 (0.94, 1.23), and 1.28 (1.05, 1.58), respectively. Adjustment for demographic, lifestyle-related, and dietary factors including dietary fat, dietary fiber, and energy intakes yielded similar results. The association was attenuated and no longer significant after further adjustment for pre-pregnancy body mass index. The mediation analysis showed that being overweight accounted for 64% of the excess risk of GDM associated with eating speed. In conclusion, women who reported very fast eating speed, compared with those reporting slow eating speed, were associated with an increased incidence of GDM, which may be largely mediated by increased body fat. View Full-Text
Keywords: eating speed; gestational diabetes; cohort study; prevention eating speed; gestational diabetes; cohort study; prevention
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MDPI and ACS Style

Dong, J.-Y.; Ikehara, S.; Kimura, T.; Cui, M.; Kawanishi, Y.; Kimura, T.; Ueda, K.; Iso, H.; the Japan Environment and Children’s Study Group. Self-Reported Eating Speed and Incidence of Gestational Diabetes Mellitus: the Japan Environment and Children’s Study. Nutrients 2020, 12, 1296. https://doi.org/10.3390/nu12051296

AMA Style

Dong J-Y, Ikehara S, Kimura T, Cui M, Kawanishi Y, Kimura T, Ueda K, Iso H, the Japan Environment and Children’s Study Group. Self-Reported Eating Speed and Incidence of Gestational Diabetes Mellitus: the Japan Environment and Children’s Study. Nutrients. 2020; 12(5):1296. https://doi.org/10.3390/nu12051296

Chicago/Turabian Style

Dong, Jia-Yi, Satoyo Ikehara, Takashi Kimura, Meishan Cui, Yoko Kawanishi, Tadashi Kimura, Kimiko Ueda, Hiroyasu Iso, and the Japan Environment and Children’s Study Group. 2020. "Self-Reported Eating Speed and Incidence of Gestational Diabetes Mellitus: the Japan Environment and Children’s Study" Nutrients 12, no. 5: 1296. https://doi.org/10.3390/nu12051296

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