Geospatial analysis of food environment demonstrates associations with gestational diabetes

American Journal of Obstetrics and Gynecology
Maike K KahrKjersti M Aagaard

Abstract

Gestational diabetes mellitus (GDM) is one of most common complications of pregnancy, with incidence rates varying by maternal age, race/ethnicity, obesity, parity, and family history. Given its increasing prevalence in recent decades, covariant environmental and sociodemographic factors may be additional determinants of GDM occurrence. We hypothesized that environmental risk factors, in particular measures of the food environment, may be a diabetes contributor. We employed geospatial modeling in a populous US county to characterize the association of the relative availability of fast food restaurants and supermarkets to GDM. Utilizing a perinatal database with >4900 encoded antenatal and outcome variables inclusive of ZIP code data, 8912 consecutive pregnancies were analyzed for correlations between GDM and food environment based on countywide food permit registration data. Linkage between pregnancies and food environment was achieved on the basis of validated 5-digit ZIP code data. The prevalence of supermarkets and fast food restaurants per 100,000 inhabitants for each ZIP code were gathered from publicly available food permit sources. To independently authenticate our findings with objective data, we measured hemoglobin A1c...Continue Reading

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Citations

Feb 2, 2016·American Journal of Obstetrics and Gynecology·Maike K KahrKjersti M Aagaard
May 5, 2016·American Journal of Obstetrics and Gynecology·Kjersti M Aagaard, Maike K Kahr
Jun 7, 2016·American Journal of Obstetrics and Gynecology·Kristin C ChabarriaKjersti M Aagaard
Nov 10, 2016·International Journal of Environmental Research and Public Health·Susan L Prescott, Alan C Logan
Nov 9, 2016·Obstetrics and Gynecology·Laura C ColicchiaJudy C Chang
Sep 9, 2017·Biological Trace Element Research·Zhuo LiBo Li
Sep 23, 2020·The International Journal of Behavioral Nutrition and Physical Activity·Lukar E ThorntonSimon R White
Oct 10, 2020·Journal of Women's Health·Sarah BenatarIan Hill
Dec 22, 2020·American Journal of Obstetrics & Gynecology MFM·Yaneve N FongeAnthony C Sciscione
Mar 3, 2020·American Journal of Perinatology·Grace C BannerLynn M Yee
Nov 29, 2021·American Journal of Perinatology·Helen GomezLynn M Yee

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