Diet Quality among Women with Previous Gestational Diabetes Mellitus in Rural Areas of Hunan Province

Mingshu Li, Jingcheng Shi, Jing Luo, Qing Long, Qiping Yang, Yufeng OuYang, Hanmei Liu, Qian Lin and Jia Guo
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Mingshu Li: Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, 110 Xiangya Road, Changsha 410078, Hunan, China
Jingcheng Shi: Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, 110 Xiangya Road, Changsha 410078, Hunan, China
Jing Luo: Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, 110 Xiangya Road, Changsha 410078, Hunan, China
Qing Long: Xiangya School of Nursing, Central South University, 172 Tongzi Road, Changsha 410013, Hunan, China
Qiping Yang: Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, 110 Xiangya Road, Changsha 410078, Hunan, China
Yufeng OuYang: Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, 110 Xiangya Road, Changsha 410078, Hunan, China
Hanmei Liu: Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, 110 Xiangya Road, Changsha 410078, Hunan, China
Qian Lin: Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, 110 Xiangya Road, Changsha 410078, Hunan, China
Jia Guo: Xiangya School of Nursing, Central South University, 172 Tongzi Road, Changsha 410013, Hunan, China

IJERPH, 2020, vol. 17, issue 16, 1-16

Abstract: Diet quality is critical for postpartum type 2 diabetes mellitus (T2DM) progression among women with a history of gestational diabetes mellitus (GDM). The Chinese Healthy Eating Index (CHEI) is a dietary index developed according to the latest Chinese Dietary Guidelines (CDG-2016). Our study aimed to assess the diet quality of women with previous GDM in rural areas of Hunan Province by applying the CHEI. Women with previous GDM in two counties of Hunan were enrolled. Their food intake data, which were used to calculate their CHEI scores, were collected by a 24-h dietary recall. The association of CHEI with sociodemographic and anthropometric variables was evaluated via linear regression models. 404 women were included in the final analysis. The mean score of the total CHEI was 54.9 (SD 7.9). The components of whole grains and mixed beans, seeds and nuts, tubers, dairy, and poultry scored extremely low. Ethnic minority groups and women younger than 30 years had lower CHEI scores. Our study observed an unsatisfactory diet quality among women with previous GDM in rural areas of Hunan Province. Future dietary education focusing on the CDG is needed to improve their diet quality and help in T2DM prevention among this population, especially young and ethnic minority women.

Keywords: diet quality; Chinese Healthy Eating Index (CHEI); women with previous gestational diabetes mellitus (GDM); Hunan; rural areas (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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