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Abstract
This cross-sectional study (n=303) from the HealthyMoms trial examined associations of body composition (fat mass index, % fat mass, fat-free mass index, BMI) and physical fitness (cardiorespiratory fitness, handgrip strength) with gestational diabetes and cardiovascular health in early pregnancy. Fat mass index, % fat mass, and BMI were strongly associated with gestational diabetes, HOMA-IR, blood pressure, and MetS score. Fat-free mass index showed weaker associations, attenuated after adjusting for fat mass index. Greater cardiorespiratory fitness was linked to lower HOMA-IR and MetS score, but this was attenuated after adjusting for fat mass index. The study concludes that excess fat mass, not fat-free mass, is the primary focus for clinical care regarding gestational diabetes and cardiovascular health.
Publisher
Nutrition and Diabetes
Published On
Jun 07, 2021
Authors
Pontus Henriksson, Johanna Sandborg, Emmie Söderström, Marja H. Leppänen, Victoria Snekkenes, Marie Blomberg, Francisco B. Ortega, Marie Löf
Tags
gestational diabetes
body composition
fat mass index
physical fitness
cardiovascular health
early pregnancy
HealthyMoms trial
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