ArticleAmerican journal of obstetrics and gynecology2016
Geospatial analysis of food environment demonstrates associations with gestational diabetes.
Article in American journal of obstetrics and gynecology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The association between ultra-processed food and common pregnancy adverse outcomes: a dose-response systematic review and meta-analysis.BMC pregnancy and childbirth · 2024Pooled it
- Neighborhood Access to the Built Environment and Allostatic Load: A Systematic Review of the Use of Geographic Information Systems.Public health reviews · 2024Pooled it
- Dietary Blueberry and Soluble Fiber Supplementation Reduces Risk of Gestational Diabetes in Women with Obesity in a Randomized Controlled Trial.The Journal of nutrition · 2021Trial
- Food, Built and Socio-Economic Environments and Maternal-Infant Outcomes: A Geospatial and Structural Equation Modelling of 163 000 Births.BJOG : an international journal of obstetrics and gynaecology · 2026Article
- Geospatial Determinants of Maternal Overweight, Gestational Diabetes and Large for Gestational Age Birthweight in Melbourne During and After COVID-19 Lockdowns.The Australian & New Zealand journal of obstetrics & gynaecology · 2025Article
- Neighbourhood Deprivation and Gestational Diabetes Mellitus in Arizona From the AzPEARS Study.Paediatric and perinatal epidemiology · 2025Article
- Elevated Micro- and Nanoplastics Detected in Preterm Human Placentae.Research square · 2025Article
- Chicago Neighborhood Context and Racial/Ethnic Disparities in Maternal Diabetes.Journal of racial and ethnic health disparities · 2025Article
- Unpacking the retail food environment: strengths, gaps and policy implications in obesity research.BMJ nutrition, prevention & health · 2025Article
- Association between density of food retailers and fitness centers and gestational diabetes mellitus in Eastern Massachusetts, USA: population-based study.Lancet regional health. Americas · 2024Article
- Neighborhood Environment and Poor Maternal Glycemic Control-Associated Complications of Gestational Diabetes Mellitus.AJPM focus · 2024Article
- Environmental Justice Index and adverse pregnancy outcomes.AJOG global reports · 2024Article
- Community-level social determinants of health and pregestational and gestational diabetes.American journal of obstetrics & gynecology MFM · 2024Article
- Understanding Food Security as a Social Determinant of Diabetes-Related Health during Pregnancy.American journal of perinatology · 2023Article
- SERUM GLP-2 is Increased in Association with Excess Gestational Weight Gain.American journal of perinatology · 2023Article
- The Relationship between Food Security and Gestational Diabetes among Pregnant Women.AJP reports · 2022Article
- Obesogenic environments and cardiovascular disease: a path analysis using US nationally representative data.BMC public health · 2022Observational
- Environmental and individual factors associated with gestational weight gain.BMC public health · 2022Article
- Maternal and early life exposures and their potential to influence development of the microbiome.Genome medicine · 2022Review
- A geospatial platform to support visualization, analysis, and prediction of tuberculosis notification in space and time.Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
17 authors.
Funding
Abstract
backgroundGestational 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.
objectiveWe 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. STUDY
designUtilizing 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 levels as a function of geospatial distribution of food environment in a matched subset (n = 80).
resultsResidence in neighborhoods with a high prevalence of fast food restaurants (fourth quartile) was significantly associated with an increased risk of developing GDM (relative to first quartile: adjusted odds ratio, 1.63; 95% confidence interval, 1.21-2.19). In multivariate analysis, this association held true after controlling for potential confounders (P = .002). Measurement of hemoglobin A1c levels in a matched subset were significantly increased in association with residence in a ZIP code with a higher fast food/supermarket ratio (n = 80, r = 0.251 P < .05).
conclusionAs demonstrated by geospatial analysis, a relationship of food environment and risk for gestational diabetes was identified.
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