TY - JOUR
T1 - Predominantly night-time feeding and maternal glycaemic levels during pregnancy
AU - Growing Up in Singapore Towards Healthy Outcomes (GUSTO) study group
AU - Loy, See Ling
AU - Cheng, Tuck Seng
AU - Colega, Marjorelee T.
AU - Cheung, Yin Bun
AU - Godfrey, Keith M.
AU - Gluckman, Peter D.
AU - Kwek, Kenneth
AU - Saw, Seang Mei
AU - Chong, Yap Seng
AU - Padmapriya, Natarajan
AU - Müller-Riemenschneider, Falk
AU - Lek, Ngee
AU - Yap, Fabian
AU - Chong, Mary Foong Fong
AU - Chan, Jerry Kok Yen
AU - Agarwal, Pratibha
AU - Biswas, Arijit
AU - Looi Bong, Choon
AU - Broekman, Birit F.
AU - Cai, Shirong
AU - Chan, Yiong Huak
AU - Chee, Cornelia Yin Ing
AU - Chen, Helen
AU - Chinnadurai, Amutha
AU - Chng, Chai Kiat
AU - Chong, Shang Chee
AU - Chua, Mei Chien
AU - Fok, Doris
AU - Fortier, Marielle V.
AU - Goh, Anne Eng Neo
AU - Goh, Yam Thiam Daniel
AU - Gooley, Joshua J.
AU - Han, Wee Meng
AU - Hanson, Mark
AU - Henry, Christiani Jeyakumar
AU - Holbrook, Joanna D.
AU - Hsu, Chin Ying
AU - Karnani, Neerja
AU - Kapur, Jeevesh
AU - Lau, Ivy Yee Man
AU - Lee, Bee Wah
AU - Lee, Yung Seng
AU - Lim, Sok Bee
AU - Magiati, Iliana
AU - Daniel, Lourdes Mary
AU - Meaney, Michael
AU - Ngo, Cheryl
AU - Niduvaje, Krishnamoorthy
AU - Pang, Wei Wei
AU - Qiu, Anqi
PY - 2016/5/14
Y1 - 2016/5/14
N2 - Little is known about the influence of meal timing and energy consumption patterns throughout the day on glucose regulation during pregnancy. We examined the association of maternal feeding patterns with glycaemic levels among lean and overweight pregnant women. In a prospective cohort study in Singapore, maternal 24-h dietary recalls, fasting glucose (FG) and 2-h postprandial glucose (2HPPG) concentrations were measured at 26-28 weeks of gestation. Women (n 985) were classified into lean (BMI<23 kg/m2) or overweight (BMI≥23 kg/m2) groups. They were further categorised as predominantly daytime (pDT) or predominantly night-time (pNT) feeders according to consumption of greater proportion of energy content from 07.00 to 18.59 hours or from 19.00 to 06.59 hours, respectively. On stratification by weight status, lean pNT feeders were found to have higher FG than lean pDT feeders (4.36 (sd 0.38) v. 4.22 (sd 0.35) mmol/l; P=0.002); however, such differences were not observed between overweight pDT and pNT feeders (4.49 (sd 0.60) v. 4.46 (sd 0.45) mmol/l; P=0.717). Using multiple linear regression with confounder adjustment, pNT feeding was associated with higher FG in the lean group (β=0.16 mmol/l; 95 % CI 0.05, 0.26; P=0.003) but not in the overweight group (β=0.02 mmol/l; 95 % CI -0.17, 0.20; P=0.879). No significant association was found between maternal feeding pattern and 2HPPG in both the lean and the overweight groups. In conclusion, pNT feeding was associated with higher FG concentration in lean but not in overweight pregnant women, suggesting that there may be an adiposity-dependent effect of maternal feeding patterns on glucose tolerance during pregnancy.
AB - Little is known about the influence of meal timing and energy consumption patterns throughout the day on glucose regulation during pregnancy. We examined the association of maternal feeding patterns with glycaemic levels among lean and overweight pregnant women. In a prospective cohort study in Singapore, maternal 24-h dietary recalls, fasting glucose (FG) and 2-h postprandial glucose (2HPPG) concentrations were measured at 26-28 weeks of gestation. Women (n 985) were classified into lean (BMI<23 kg/m2) or overweight (BMI≥23 kg/m2) groups. They were further categorised as predominantly daytime (pDT) or predominantly night-time (pNT) feeders according to consumption of greater proportion of energy content from 07.00 to 18.59 hours or from 19.00 to 06.59 hours, respectively. On stratification by weight status, lean pNT feeders were found to have higher FG than lean pDT feeders (4.36 (sd 0.38) v. 4.22 (sd 0.35) mmol/l; P=0.002); however, such differences were not observed between overweight pDT and pNT feeders (4.49 (sd 0.60) v. 4.46 (sd 0.45) mmol/l; P=0.717). Using multiple linear regression with confounder adjustment, pNT feeding was associated with higher FG in the lean group (β=0.16 mmol/l; 95 % CI 0.05, 0.26; P=0.003) but not in the overweight group (β=0.02 mmol/l; 95 % CI -0.17, 0.20; P=0.879). No significant association was found between maternal feeding pattern and 2HPPG in both the lean and the overweight groups. In conclusion, pNT feeding was associated with higher FG concentration in lean but not in overweight pregnant women, suggesting that there may be an adiposity-dependent effect of maternal feeding patterns on glucose tolerance during pregnancy.
KW - Feeding patterns: Glycaemic levels: Overweight pregnant women: Pregnancy: Meal timings
UR - http://www.scopus.com/inward/record.url?scp=84960112299&partnerID=8YFLogxK
U2 - https://doi.org/10.1017/S0007114516000441
DO - https://doi.org/10.1017/S0007114516000441
M3 - Article
C2 - 26949026
SN - 0007-1145
VL - 115
SP - 1563
EP - 1570
JO - British journal of nutrition
JF - British journal of nutrition
IS - 9
ER -