Diet Choices at 3 and 12 Months for Women and Their Partners after Recent Gestational Diabetes (GDM)—Results of the Families Defeating Diabetes (FDD) Study

ANICK VEZINA; RUTH M. MCMANUS; LOIS E. DONOVAN; DAVID B. MILLER; ISABELLE T. GIROUX

doi:10.2337/db18-2346-PUB

Published Only

Diet Choices at 3 and 12 Months for Women and Their Partners after Recent Gestational Diabetes (GDM)—Results of the Families Defeating Diabetes (FDD) Study

ANICK VEZINA,
RUTH M. MCMANUS,
LOIS E. DONOVAN,
DAVID B. MILLER and
ISABELLE T. GIROUX

Gatineau, QC, Canada, London, ON, Canada, Calgary, AB, Canada, Victoria, BC, Canada, Ottawa, ON, Canada

Diabetes 2018 Jul; 67(Supplement 1): -. https://doi.org/10.2337/db18-2346-PUB

Abstract

Objectives: FDD was a 12 month, multi-centre, Canadian, randomized study translating diabetes-protective messages after GDM. Male partner participation was encouraged. We compared paternal vs. maternal food choices for interventional (INT) and control (CON) participants before and after FDD.

Methods: INT maternal and paternal participants received information promoting high fibre/low fat foods; portion control; healthy restaurant choices via postpartum seminar, access to branded FDD website and twice-monthly email contact. CON maternal subjects received a postpartum healthy living handout. One-day food records at 3 and 12 months were analyzed for fast food intake (FF) and Canada’s Food Guide (CFG) servings.

Results: 15 INT and 16 CON maternal/paternal pairs provided food records at 3 and 12 months. Considering INT and CON cohorts together: paternal and maternal grain products, milk/alternatives and meat/alternatives consumption met CFG guidelines at 3 and 12 months. Paternal and maternal vegetables and fruit (V and F) intakes were similar but lower than recommended (paternal: goal 8-10 servings/day; baseline 3.8±2.2; 12 months 4.6±2.9; maternal: goal 7-8 servings/day; baseline 4.1±2.8; 12 months 5.4±3.2). Paternal FF intake was higher than maternal at baseline: (0.41±0.61 vs. 0.12±0.34; p=0.03) but not at 12 months (0.44±0.62 vs. 0.34±0.40, p=0.6). Paternal and maternal V and F intakes were modestly correlated by 12 months (r=0.35, p=0.05).

Conclusions: Notable paternal and maternal postpartum diet choices were: servings of V and F did not meet CFG recommendations at 3 and 12 months for men or women; paternal FF intake was higher than maternal soon after delivery, but not at 12 months as maternal servings increased; paternal and maternal V and F intakes were correlated at 12 months postpartum. Therefore, it may be helpful to target both paternal and maternal food choices when promoting healthy living after GDM.

Disclosure A. Vezina: None. R.M. McManus: None. L.E. Donovan: None. D.B. Miller: None. I.T. Giroux: None.

http://www.diabetesjournals.org/content/license

Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. More information is available at http://www.diabetesjournals.org/content/license.