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CN 34-1304/RISSN 1674-3679

Volume 29 Issue 1
Jan.  2025
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LAN Minyan, CHEN Yaqing, LIU Yu, HE Xuanqing, GU Xiaonan, HUANG Shuyue, LI Mengfan, CAI Li. A study on the quality of overall beverage intake and its associations with glucose metabolism in pregnant women[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2025, 29(1): 27-33. doi: 10.16462/j.cnki.zhjbkz.2025.01.005
Citation: LAN Minyan, CHEN Yaqing, LIU Yu, HE Xuanqing, GU Xiaonan, HUANG Shuyue, LI Mengfan, CAI Li. A study on the quality of overall beverage intake and its associations with glucose metabolism in pregnant women[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2025, 29(1): 27-33. doi: 10.16462/j.cnki.zhjbkz.2025.01.005

A study on the quality of overall beverage intake and its associations with glucose metabolism in pregnant women

doi: 10.16462/j.cnki.zhjbkz.2025.01.005
Funds:

Natural Science Foundation of Guangdong Province 2023A1515030192

Natural Science Foundation of Guangdong Province 2024A1515011522

More Information
  • Corresponding author: CAI Li, E-mail: caili5@mail.sysu.edu.cn
  • Received Date: 2024-02-23
  • Rev Recd Date: 2024-06-18
  • Available Online: 2025-02-11
  • Publish Date: 2025-01-10
  •   Objective   To evaluate the overall quality of beverage intake among pregnant women using the healthy beverage index (HBI) and explore its association with glucose metabolism levels and gestational diabetes mellitus (GDM).   Methods   From 2017 to 2018 1 029 pregnant women at 20-28 weeks of gestation were enrolled. Beverage intake quantity and frequency were collected using the food frequency questionnaire through face-to-face interviews. Scores for the 10 subcategories and total score of HBI, with a maximum total score of 100, were calculated. Oral glucose tolerance tests and blood sample analyses were conducted to evaluate glucose metabolism levels and diagnose GDM. Multiple linear regression and logistic regression were conducted for association analysis.   Results   The average HBI score was (79.81±9.84), with 18.85% diagnosed with GDM. Among the subcategories, compared to pregnant women with higher sugar-sweetened beverage intake, those with lower sugar-sweetened beverage intake had lower fasting blood glucose (B=-0.39, 95% CI: -0.63-0.51, P=0.002). Compared to pregnant women with higher total beverage energy, those with lower total beverage energy had lower fasting blood glucose (B=-0.09, 95% CI: -0.17-0.01, P=0.020) and a reduced risk of GDM (OR=0.52, 95% CI: 0.29-0.90, P=0.024). No significant associations of HBI total score and scores of other HBI subcategories with glucose metabolism levels or GDM were found.   Conclusions   This is the first study utilizing HBI to evaluate the overall quality of beverage intake among pregnant women, and the results show that pregnant women scored relatively high. Sugar-sweetened beverages and total beverage energy in line with guidline recommendation were associated with lower fasting blood glucose and reduced GDM risk.
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