Author
GOLLENBERG, A - UNIV OF MASS, AMHERST | |
PEKOW, P - UNIV OF MASS, AMHERST | |
STRENFELD, B - KAISER PERMANENTE, CA | |
MANSON, J - HARVARD UNIVERSITY | |
SOLOMON, C - HARVARD UNIVERSITY | |
MARKENSON, G - BAYSTATE MED CTR, MA | |
Tucker, Katherine | |
CHASAN-TABER, L - UNIV OF MASS, AMHERST |
Submitted to: Meeting Abstract
Publication Type: Abstract Only Publication Acceptance Date: 4/1/2007 Publication Date: 6/18/2007 Citation: Gollenberg, A., Pekow, P., Strenfeld, B., Manson, J., Solomon, C., Markenson, G., Tucker, K., Chasan-Taber, L. 2007. Health Behaviors Among Pregnant Latina Women at Risk for Gestational Diabetes Mellitus. Meeting Abstract. 20th Annual Meeting of the Society for Pediatric and Perinatal Epidemiologic Research. Boston, MA. Interpretive Summary: Technical Abstract: Gestational diabetes mellitus (GDM), a common complication of pregnancy, increases the risk of subsequent diabetes and obesity. Latina women have over twice the risk for developing GDM as compared to non-Latina white women. Health-promoting practices during pregnancy may improve metabolic status and decrease the risk of developing GDM. Therefore, we assessed health-related behaviors and associated factors in the Latina GDM Study, a prospective cohort of 1231 prenatal care patients. Self-reported information on diet, lifestyle factors, demographics, medical history, and physical activity (PA) were collected by bilingual interviewers in early and mid-pregnancy. Multivariate logistic regression was used to estimate the odds of meeting guidelines for pregnancy PA (>/= 10 MET-hrs/wk), fruit/vegetable consumption (7 servings/day), as well as the use of cigarettes and alcohol during pregnancy. Overall, 10% of women met the physical activity guidelines, 24% met the fruit/vegetable guidelines, 21% of women smoked and 1.4% consumed alcohol. In multivariate analyses, younger, English-speaking women, and those with a prior adverse pregnancy outcome were more likely to meet the PA guidelines. Older, more physically active, and non-smoking women were more likely to consume adequate fruits/vegetables. Low education, increased parity, alcohol and illicit drug use were associated with smoking in pregnancy. Neither history of GDM nor current GDM diagnosis was associated with meeting health-promoting guidelines. As the prevalence of GDM continues to rise, it becomes increasingly important to identify lifestyle behaviors that may modify the risk of developing this disorder. |