干旱区生态环境知识资源中心(Arid): Examining the relationship between food environment and gestational diabetes

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DOI	10.1016/j.ajogmf.2020.100204
	Examining the relationship between food environment and gestational diabetes
	Fonge, Yaneve N.; Jain, Vanita D.; Harrison, Cecelia; Brooks, Madeline; Sciscione, Anthony C.
通讯作者	Fonge, YN (corresponding author), Christiana Care Hlth Syst, Dept Obstet & Gynecol, Newark, DE 19807 USA.
来源期刊	AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM
ISSN	2589-9333
出版年	2020
卷号	2 期号:4
英文摘要	BACKGROUND: Studies have shown an association between the incidence of gestational diabetes and living in neighborhoods over-saturated with unhealthy foods. OBJECTIVE: This study sought to determine if the food environment also affects the management of gestational diabetes. We hypothesized that living in areas with a higher quality of food decreased the risk of requiring medication to treat gestational diabetes. STUDY DESIGN: This was a retrospective cohort study of singleton births at the Christiana Care Health System between 2015 and 2018. Patients with gestational diabetes who live in Delaware (N=1327) were geocoded and classified according to their census tract food environment. The food environment was assessed using the modified Retail Food Environment Index, which measures the percentage of healthy food retailers among all food retailers within a half-mile radius of the census tract boundaries. The modified Retail Food Environment Index scores were divided into 3 categories: poor (modified Retail Food Environment Index score, 0-3), average (modified Retail Food Environment Index score, 4-10), and good or above average (modified Retail Food Environment Index score, >= 11) food environments. The primary outcome was the prevalence of A2 gestational diabetes mellitus. Several neonatal and obstetrical outcomes were also examined including type II diabetes mellitus (defined as a 2-hour glucose tolerance test with at least 1 value above the threshold), cesarean delivery, shoulder dystocia, admission to the neonatal intensive care unit, neonatal hypoglycemia, neonatal hyperbilirubinemia, neonatal respiratory distress syndrome, and macrosomia. RESULTS: A total of 689 (52%) women were diagnosed as having A2 gestational diabetes mellitus. Women in the average or good or above average food environment groups had a lower prevalence of A2 gestational diabetes mellitus than women in the poor food environment group (modified Retail Food Environment Index score, 4-10 [adjusted odds ratio, 0.58; 95% confidence interval, 0.37-0.92] and modified Retail Food Environment Index score, >= 11 [adjusted odds ratio, 0.56; 95% confidence interval, 0.40-0.82]). They also had a lower prevalence of type II diabetes mellitus (modified Retail Food Environment Index score, 4-10 [adjusted odds ratio, 0.25; 95% confidence interval, 0.09-0.72] and modified Retail Food Environment Index score, >= 11 [adjusted odds ratio, 0.48; 95% confidence interval, 0.27-0.86]). There were no differences in the other secondary outcomes of interest. CONCLUSION: The food environment affects the requirement for medication to obtain glycemic levels that are within the target range for those with gestational diabetes.
英文关键词	A2 gestational diabetes food desert food swamp modified Retail Food Environment Index mRFEI
类型	Article
语种	英语
开放获取类型	Bronze
收录类别	ESCI
WOS记录号	WOS:000658254200018
WOS类目	Obstetrics & Gynecology
WOS研究方向	Obstetrics & Gynecology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/352514
作者单位	[Fonge, Yaneve N.] Christiana Care Hlth Syst, Dept Obstet & Gynecol, Newark, DE 19807 USA; [Jain, Vanita D.; Sciscione, Anthony C.] Christiana Care Hlth Syst, Div Maternal Fetal Med, Newark, DE USA; [Harrison, Cecelia; Brooks, Madeline] Christiana Care Hlth Syst, Value Inst, Newark, DE USA
推荐引用方式 GB/T 7714	Fonge, Yaneve N.,Jain, Vanita D.,Harrison, Cecelia,et al. Examining the relationship between food environment and gestational diabetes[J],2020,2(4).
APA	Fonge, Yaneve N.,Jain, Vanita D.,Harrison, Cecelia,Brooks, Madeline,&Sciscione, Anthony C..(2020).Examining the relationship between food environment and gestational diabetes.AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM,2(4).
MLA	Fonge, Yaneve N.,et al."Examining the relationship between food environment and gestational diabetes".AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM 2.4(2020).