Metro travel and perceived COVID-19 infection risks: A case study of Hong Kong.

The COVID-19 pandemic has exerted unprecedented impacts on travel behaviors because of people's increased health precautions and the presence of various COVID-19 containment measures. However, little research has explored whether and how people changed their travel with respect to their perceived local infection risks across space and time. In this article, we relate elasticity and resilience thinking to the changes in metro travel and perceived infection risks at the station or community level over time. Using empirical data from Hong Kong, we measure a metro station's elasticity as the ratio of changes in its average trip length to the COVID-19 cases' footprints around that station. We regard those footprints as a proxy for people's perceived infection risks when making trips to that station. To explore influencing factors on travel in the ups and downs of perceived infection risks, we classify stations based on their elasticity values and examine the association between stations' elasticities and characteristics of stations and their served communities. The findings show that stations varied in elasticity values across space and different surges of the local pandemic. The elasticity of stations can be predicted by socio-demographics and physical attributes of station areas. Stations serving a larger percentage of population with higher education degrees and certain occupations observed more pronounced trip length decrease for the same level of perceived infection risks. The number of parking spaces and retail facilities significantly explained variations in stations' elasticity. The results provide references on crisis management and resilience improvement amid and post COVID-19.

Transition Metal-Free Aromatic C-H, C-N, C-S and C-O Borylation.

Aromatic organoboron compounds are highly valuable building blocks in organic chemistry. They were mainly synthesized through aromatic C-H and C-Het borylation, in which transition metal-catalysis dominate. In the past decade, with increasing attention to sustainable chemistry, numerous transition metal-free C-H and C-Het borylation transformations have been developed and emerged as efficient methods towards the synthesis of aromatic organoboron compounds. This account mainly focuses on recent advances in transition metal-free aromatic C-H, C-N, C-S, and C-O borylation transformations and provides insights to where further developments are required.

Occurrence, partitioning and transport of perfluoroalkyl acids in gas and particles from the southeast coastal and mountainous areas of China.

Perfluoroalkyl acids (PFAA) in gas and particles were analyzed in southeast coastal and mountainous cities, including Fuzhou, Xiamen, Zhangzhou and Nanping, to study the pollution characteristics, particle size distribution, phase partitioning and atmospheric transport. PFAA ranged from 7.8 to 290 pg m-3 in gaseous phase, 27 - 1200 pg m-3 in particulate phase, and perfluorobutanoic acid (PFBA), perfluorooctanoic acid (PFOA) were main compounds. PFAA had the highest concentration in Nanping with perfluorohexanoic acid (PFHxA) dominant, which could be related to the emission of PFAS from local industrial plants. Perfluorocarboxylic acids (PFCAs) and perfluoroalkyl sulfonic acids (PFSAs) exhibited different particle size distribution characteristics, with PFSAs preferring to distribute on coarse particles, which could be affected by the salt, minerals and organic matter in different particle sizes. The gas - particle partitioning coefficient (KPA) had a line relationship with the fluorinated carbon chain length of PFAA, suggesting that long-chain PFAA tended to exist in particulate phase. The Winter Monsoon could transport to the study area and drive atmospheric PFAS to southern cities. HIGHLIGHTS: • Industrial plants contributed high concentrations of PFAA. • PFSAs tended to present in coarse particles. • Log KPA increased linearly with increasing carbon chain length of PFAA. • Winter Monsoon drove atmospheric PFAA to southern cities.

Original and improved interspecies correlation estimation models in China for potential application in water quality criteria.

Fluoranthene (FLU) has gained much attention in recent years because of its continuous discharge in natural waters and toxicity to aquatic ecosystems. However, it is difficult to control and manage FLU pollution because of the lack of a rational and scientific water quality criteria (WQC) of FLU. To solve these data gaps, the US EPA established an interspecies correlation estimation (ICE) model, which can be utilized to develop the SSD and HC5 (hazardous concentration, 5th percentile). Moreover, an improved model was developed using a combination of North American ICE models supplemented with China-specific species. In this study, to verify the applicability of the two ICE models, measured acute toxicity data for FLU were obtained from 9 acute toxicity tests using indigenous Chinese aquatic species from different taxonomic levels. Original and improved ICE-based SSD curves, which were generated using 3 surrogate species (Daphnia magna, Oncorhynchus mykiss, and Lepomis macrochirus), were compared with SSD curves based on measured data. The results showed that HC5 was 1.838, 1.062, and 0.570 mg/L for the original ICE, improved ICE, and measured data, respectively. The improved ICE-based HC5 value for FLU was within twofold of the HC5 value based on measure data, while the original ICE-based HC5 value was threefold higher than the HC5 value based on measure data. This indicated that the improved ICE had better predictability in extrapolating data with acceptable deviation than the original ICE. Furthermore, their differences between HC5 derived from two SSD curves were not significant. Generally, the improved ICE model was verified as a valid approach for generating SSDs with limited toxicity data and for deriving WQC for FLU.

Comparison of the sensitivity between indigenous and exotic aquatic species for fluoranthene and derivation of water quality criteria (WQC).

Fluoranthene (FLU) has shown relatively high toxicity to aquatic life as a priority polycyclic aromatic hydrocarbon (PAH). Considering the toxic effects of FLU on aquatic organisms and its high detection frequency in the aquatic environment, it is necessary and critical to derive FLU water quality criteria (WQC) for the protection of aquatic organisms and ecological risk assessment. However, due to the lack of toxicity data at different classification levels, there has been no research about the WQC of FLU. In this study, nine acute and three chronic toxicity tests were carried out on 9 Chinese indigenous aquatic species from different classification levels to obtain toxicity data. According to the US EPA guidelines, the criterion maximum concentration of 0.570 mg/L and the criterion continuous concentration of 0.174 mg/L were developed. There is no significant difference when comparing the species sensitivity distributions between indigenous and exotic species. Therefore, it is possible to use toxicity data from organisms in different areas for ecological risk assessment of FLU. CAPSULE: We compared the sensitivity between indigenous and exotic aquatic species for fluoranthene and derived its water quality criteria.

Water Quality Criteria and Ecological Risk Assessment of Typical Transition Metals in South Asia.

Transition metal pollution in rivers in South Asia is more serious than in other regions because of the lack of adequate freshwater management measures. Water quality criteria (WQC) for South Asia is urgently needed to protect regional aquatic environments because of the occurrence of transboundary rivers. The present study established non-parametric kernel density estimation species sensitivity distribution (NPKDE-SSD) models and then derived the acceptable hazardous concentration for protection of 95% of all aquatic species (HC5) and WQC of six typical transition metals in South Asia. The results showed that the order of acute and chronic WQC was Mn > Fe > Cd > Zn > Cu > Hg and Cu > Fe > Cd, respectively. A risk assessment of these metals in the Indus River, the Ganges River, the Brahmaputra River, the Meghna River, and the Bagmati River was also carried out. Based on the results, these major rivers in South Asia were highly polluted with transition metals, with significant ecological risks for a large number of aquatic species. This study can contribute to a better understanding of ecological risks in South Asia and provide a scientific basis for the updating of water quality standards and the increase in overall water quality.

Study on Risk Assessment Methods and Zoning of Hazardous Chemicals Leaking into Seas.

In China, studies on the regional risk assessment of hazardous chemicals have been carried out for only a few years, and there are few studies on hazardous chemicals leaking into seas. Previous regional-risk-assessment methods considered a single risk factor for most assessment targets, and comprehensive considerations of risk sources and sensitive resources for a study area are not sufficiently included. Based on previous work, this study established a regional-risk-assessment method for hazardous chemicals leaking into seas. This method considered the hazards of hazardous chemicals and the tolerance of the regional environment by means of a case study in Tianjin. The results showed that the risk level of the enterprise was Grade I, classified as a high-risk source of hazardous chemicals; the main reasons were the strong toxicity and large quantity of hazardous chemicals. This method provides technical support for scientifically assessing marine-environmental-risk levels for hazardous-chemical-leakage areas and for carrying out risk-prevention and restoration assessments of hazardous chemicals leaking into seas.

Spatio-Temporal Variations of Zooplankton and Correlations with Environmental Parameters around Tiaowei Island, Fujian, China.

The present study illustrates zooplankton dynamics in relation to environmental factors from the surrounding area of Tiaowei Island based on ten seasonal sampling cruises over three years. A total of 116 species of zooplankton were collected with a predominance of Copepoda (mainly consisting of Centropagidae, Oithonidae, Acartia, Labidocera and Paracalanus), accounting for 31.6 % of the total number of species. The diversity indices indicated a relatively high richness, abundance and evenness of zooplankton ranging from 2.794 to 4.012 on the Shannon-Wiener index for each cruise. More than 20 species of Cnidaria medusae are found as gelatinous organisms, which not only compete with fish but also potentially cause disasters. Significant seasonal variations were detected in both the zooplankton structure and environmental variables. NMDS illustrated a highly overlapping community structure in spring, autumn and winter, while the zooplankton composition in the summer was different from that of the other three seasons with a higher diversity index. Meanwhile, out of thirteen environmental parameters, eight varied significantly among seasons but there were no significant variations among stations. The biota-environmental relationship following a redundancy analysis revealed that water temperature, pH, salinity, dissolved oxygen and suspended particulate composition were the main environmental parameters, seasonally impacting the zooplankton communities. Planktonic larvae (such as nauplius larvae and branchyura zoea) and some zooplankton (including Corophium sinensis and Oithonasimilis) were significantly vulnerable to the dynamics of suspended particulate composition and water temperature.

Plasma Manganese Levels and Risk of Gestational Diabetes Mellitus: A Prospective Cohort Study.

Manganese (Mn) intake has been found to be linked with risk of type 2 diabetes. However, the role of Mn in the development of gestational diabetes mellitus (GDM) remains to be investigated. This prospective study included pregnant women from the Tongji Maternal and Child Health Cohort. A total of 2327 participants with plasma specimens before 20 weeks were included. Among the pregnant women, 9.7% (225/2327) were diagnosed with GDM. After adjustment, pregnant women with the third and highest quartile of plasma Mn levels had 1.31-fold (RR, 2.31 [1.48, 3.61]) and 2.35-fold (RR, 3.35 [2.17, 5.17]) increased risk of GDM compared with those with the lowest quartile. A 1 standard deviation increment of ln-transformed plasma Mn levels (0.53 µg/L) was related to elevated risks of GDM with RRs of 1.28 [1.17, 1.40]. The positive associations between Mn and GDM remained consistent in all the subgroups. The weighted quantile sum index was significantly related to GDM (RR, 1.60 [1.37, 1.86]). The contribution of Mn (58.69%) to the metal mixture index was the highest related to GDM. Higher plasma Mn levels were found to be linked with elevated fasting and 2 h post-load blood glucose. This study revealed relationships of higher plasma Mn levels in early pregnancy and increased risk of GDM, suggesting that though essential, excess Mn in the body might be a potential important risk factor for GDM.

Derivation of Water Quality Criteria for Carbamazepine and Ecological Risk Assessment in the Nansi Lake Basin.

Carbamazepine, as one of several pharmaceutical and personal care products, has gained much attention in recent years because of its continuous discharge in natural waters and toxicity to aquatic ecosystems. However, it is difficult to evaluate and manage carbamazepine pollution because of the lack of a rational and scientific Water Quality Criteria (WQC) of carbamazepine. In this study, the carbamazepine toxicity data of thirty-five aquatic species from eight taxonomic groups were selected, and the species sensitivity distribution (SSD) method was applied to derive the WQC for carbamazepine based on the Log-logistic model, which was 18.4 ng/L. Meanwhile, the occurrence and distribution of carbamazepine in the Nansi Lake basin was studied. Results showed that concentrations of carbamazepine in 29 sampling sites were in the range of 3.3 to 128.2 ng/L, with the mean of 17.3 ng/L. In general, the levels of carbamazepine in tributaries were higher than those in the lakes. In addition, qualitative and quantitative ecological risk assessment methods were applied to assess the adverse effect of carbamazepine on aquatic systems. The hazard quotient (HQ) method showed that there were 24 and 5 sampling sites, in which risk levels were low and moderate, respectively. The joint probability curve (JPC) method indicated that ecological risks might exist in 1.4% and 1.0% of surface water, while a 5% threshold and 1% threshold were set up to protect aquatic species, respectively. Generally, carbamazepine posed a low risk to the aquatic organisms in the Nansi Lake basin.

Use of Interspecies Correlation Estimation (ICE) Models to Derive Water Quality Criteria of Microplastics for Protecting Aquatic Organisms.

Microplastics (MPs) in the water environment pose a potential threat to aquatic organisms. The Species Sensitivity Distribution (SSD) method was used to assess the ecological risks of microplastics on aquatic organisms in this study. However, the limited toxicity data of aquatic organisms made it impossible to derive water quality criteria (WQC) for MPs and difficult to implement an accurately ecological risk assessment. To solve the data gaps, the USEPA established the interspecies correlation estimation (ICE) model, which could predict toxicity data to a wider range of aquatic organisms and could also be utilized to develop SSD and HC5 (hazardous concentration, 5th percentile). Herein, we collected the acute toxicity data of 11 aquatic species from 10 families in 5 phyla to fit the metrical-based SSDs, meanwhile generating the ICE-based-SSDs using three surrogate species (Oncorhynchus mykiss, Hyalella Azteca, and Daphnia magna), and finally compared the above SSDs, as well as the corresponding HC5. The results showed that the measured HC5 for acute MPs toxicity data was 112.3 µg/L, and ICE-based HC5 was 167.2 µg/L, which indicated there were no significant differences between HC5 derived from measured acute and ICE-based predicted values thus the ICE model was verified as a valid approach for generating SSDs with limited toxicity data and deriving WQC for MPs.

Impact of P-Chloroaniline on Oxidative Stress and Biomacromolecules Damage in the Clam Ruditapes philippinarums: A Simulate Toxicity Test of Spill Incident.

As a hazardous chemical, p-chloroaniline (PCA) shows intensive adsorption and accumulation after entering the aquatic ecosystem, which can be enriched in organisms and cause damage. With the objective of achieving an integrated and mechanistic view of the toxic effects of PCA in the marine sentinel organism Ruditapes philippinarum, Manila clams were exposed to different concentration of PCA (0.5, 2 and 5 mg/L) for 15 days. Focusing on the gills, first targeting the toxic and digestive gland, the metabolic detoxification organ, we detected dose- and time-related changes inantioxidase activities and biomacromolecular damages in treated clams. Glutathione S-transferase (GST) activity and glutathione (GSH) contents were significantly induced, and superoxide dismutase (SOD) activity increased at the beginning of exposure and then decreased. The malondialdehyde (MDA) and protein methylation (PC) contents which represent lipid peroxidation and carbonylation of proteins, increased first with exposure time and then decreased in the digestive gland. DNA strand break levels were consistently higher than those in the control group. The digestive gland showed more sensitivity to the stress of PCA than the gills. GST and MDA in the gill and GST, GSH, SOD, DNA strand break level in the digestive gland showed significant correlation with PCA exposure, which indicated that these parameters can be used as sensitive biomarkers to indicate toxic effects from chloraniline leakage.

Natural attenuation of sulfometuron-methyl in seawater: Kinetics, intermediates, toxicity change and ecological risk assessment.

This research aims to evaluate the environmental feasibility of sulfometuron-methyl (SM) as a growth inhibitor for restricting the growth of Spartina alterniflora. To achieve this purpose, the natural attenuation characteristics, ecological risk, degradation pathway, and comprehensive toxicity changes of SM in seawater were investigated under the simulated marine environmental conditions of Jiaozhou Bay, China. The natural attenuation of SM in seawater followed first-order reaction kinetics with a rate constant (K) of 0.0694 d-1 and a half-life of 9.99 days. When photolysis, hydrolysis, and biodegradation pathways act alone, the rate constants K of SM were 0.0167, 0.0143, and 0.0099 d-1 respectively, indicating that their contributions to the total removal of SM decreased in turn. The calculation results of risk quotient (RQ) showed that the seawater containing 10 mg/L of SM demonstrated a very high risk to marine diatom Skeletonema costatum before and after 21 days of attenuation with RQ values of 24.46 and 6.32, respectively, however, the risk to other marine organisms (fish, crustaceans, and bivalves) decreased from moderate (RQ < 1) to low (RQ < 0.01). Four attenuation products of SM were identified and two degradation pathways of SM in seawater were proposed. Based on the rate of inhibition of bioluminescence, SM in seawater was not harmful to Photobacterium phosphoreum T3, whereas the toxicity of seawater containing SM increased with the extension of attenuation time, suggesting the formation of intermediate products with high aquatic toxicity. According to the toxicity values predicted by ECOSAR, the toxicity of one identified attenuation product was higher than that of SM. To the best of our knowledge, this is the first report on the attenuation characteristics and toxicity changes of SM in seawater. The results indicated that the toxicity of both SM and its degradation products to non-target marine organisms should be considered in evaluating the feasibility of SM in controlling coastal Spartina alterniflora.

Association of Maternal Dietary Patterns With Birth Weight and the Mediation of Gestational Weight Gain: A Prospective Birth Cohort.

The associations among maternal diet, birth weight, and gestational weight gain are still inconclusive. This study aimed to investigate the associations between maternal dietary patterns and birth weight, and further explore whether GWG mediates these associations. A total of 3,334 pregnant women who completed a validated semi-quantitative food frequency questionnaire from the Tongji Maternal and Child Health Cohort were included. Dietary patterns were extracted by using principal component analysis. Regression models and mediation analyses were performed to explore the associations between dietary patterns and birth weight and the effects of GWG on these associations. Five dietary patterns were identified: "Beans-vegetables," "Fish-meat-eggs," "Nuts-whole grains," "Organ-poultry-seafood" and "Rice-wheat-fruits." Only women following the "Beans-vegetables" pattern had heavier newborns (ß = 47.39; 95% CI: 12.25, 82.54). Women following the "Beans-vegetables" pattern had significantly lower GWG (ß = -0.7; 95% CI: -1.15, -0.25) and had a 16% lower risk of excessive GWG and 11% higher odd of adequate GWG. The association between the "Beans-vegetables" pattern and birth weight was negatively mediated by GWG. A dietary pattern enriched in beans and vegetables is beneficial for effectively controlling GWG and increasing birth weight. GWG serves. Clinical Trial Registry: This trial was registered at ClinicalTrials.gov (NCT03099837).

Natural attenuation characteristics and comprehensive toxicity changes of C9 aromatics under simulated marine conditions.

Microcosmic experiments were performed under a simulated marine environment to investigate the natural attenuation of C9 aromatics using nine components (propylbenzene, isopropylbenzene, 2-ethyltoluene, 3-ethyltoluene, 4-ethyltoluene, 1,2,3-trimethylbenzene, 1,2,4-trimethylbenzene, 1,3,5-trimethylbenzene, and indene). This research aims to assess the contribution of biodegradation and abiotic activity to total attenuation of C9 aromatics and ascertain the changes in the comprehensive toxicity of seawater in the natural environment. The process of natural attenuation indicates the agreement with pseudo-first-order kinetics for all nine components in microcosmic experiments. The half-lives of the nine main compounds in C9 aromatics ranged between 0.34 day and 0.44 day under optimal conditions. The experiments showed that the natural attenuation of nine aromatic hydrocarbons mainly occurred via abiotic processes. Seawater samples significantly inhibited the luminescence of P. phosphoreum (the luminescence inhibition ratio reached 100%) at the beginning of the experiment. In addition, the toxicity declined slowly and continued for 25 days. The attenuation kinetics and changes in toxicity could be applied to explore the natural attenuation of C9 aromatics in the marine environment.

Adaptive Laboratory Evolution of Microalgae: A Review of the Regulation of Growth, Stress Resistance, Metabolic Processes, and Biodegradation of Pollutants.

Adaptive laboratory evolution (ALE) experiments are a serviceable method for the industrial utilization of the microalgae, which can improve the phenotype, performance, and stability of microalgae to obtain strains containing beneficial mutations. In this article, we reviewed the research into the microalgae ALE test and assessed the improvement of microalgae growth, tolerance, metabolism, and substrate utilization by ALE. In addition, the principles of ALE and the key factors of experimental design, as well as the issues and drawbacks of the microalgae ALE method were discussed. In general, improving the efficiency of ALE and verifying the stability of ALE resulting strains are the primary problems that need to be solved in future research, making it a promising method for the application of microalgae biotechnology.

Toxicity evaluation of butyl acrylate on the photosynthetic pigments, chlorophyll fluorescence parameters, and oxygen evolution activity of Phaeodactylum tricornutum and Platymonas subcordiformis.

Butyl acrylate is a hazardous and noxious substance (HNS) listed in the top 50 chemicals that is most likely to be involved in HNS spilling incident. At present, information about toxicity effect of butyl acrylate on marine organisms was insufficient, especially on marine microalgae. Phaeodactylum tricornutum (P. tricornutum) and Platymonas subcordiformis (P. subcordiformis) were used as test organism to evaluate the toxic effect of butyl acrylate on their photosynthetic system. Results showed that chlorophyll a (Chl-a) content, the net photosynthetic oxygen evolution rate (NOR), and chlorophyll fluorescence parameters including maximal photochemical efficiency (Fv/Fm), electron transfer rate (ETR), photochemical quenching (qP), and non-photochemical quenching (NPQ) were all stimulated in the toxic dose of 5,10, and 25 mg/L while those were significantly inhibited in the highest concentration of 25 mg/L groups after 96 h. Meanwhile, it was also found that Fv/Fm would be a suitable indicator for evaluating the toxicity of butyl acrylate on the photosynthetic system of two marine microalgae according to the analysis of Pearson correlation coefficient and integrated biomarker response (IBR). Once butyl acrylate enters the marine ecosystem, the toxicity data obtained in this study could be used as a reference for evaluating the effect of butyl acrylate on the photosynthetic capacity of marine microalgae.

Periconceptional iron supplementation and risk of gestational diabetes mellitus: A prospective cohort study.

AIMS: Iron supplementation has been recommended for healthy pregnancy, but concerns have been raised regarding the potential adverse effects. We sought to examine the impact of periconceptional iron supplement use on subsequent gestational diabetes mellitus (GDM) risk. METHODS: Participants (N = 5101) with information on periconceptional micronutrient supplementation and diagnosis of GDM were involved. Information on iron supplementation and general characteristics were collected at enrollment and follow-up visits. GDM was diagnosed by oral glucose tolerance tests (OGTT) conducted at 24-28 weeks of gestation. Robust Poisson regression model was used to estimate the relative risks (RRs) and 95% confidence intervals (CI) for the effect of iron supplement use on GDM. RESULTS: 10.5% of the participants were diagnosed with GDM and the incidence was significantly higher in users with iron >30 mg/d for more than 3 months (Iron >30-L) than in nonusers. Adjusted RRs (95% CI) were 1.53 (1.21, 1.93) in Iron >30-L group, 1.14 (0.80, 1.61) in users with iron >30 mg/d for<3 months (Iron > 30-S) and 1.15 (0.86, 1.54) in users with iron ≤30 mg/d for any duration (Iron ≤30) respectively, compared to nonusers. This link in Iron >30-L group was even stronger (adjusted RR: 1.70, 95% CI: 1.25, 2.31) when restricting the analysis among primiparous and iron-replete participants without family history of diabetes. There were no significant differences in birth outcomes among groups. CONCLUSIONS: Periconceptional iron supplementation >30 mg/d for long-term was associated with increased GDM risk. The need and safety of prophylactic iron supplement in iron-replete pregnant women should be reconsidered.

Association between Chinese Dietary Guidelines Compliance Index for Pregnant Women and Risks of Pregnancy Complications in the Tongji Maternal and Child Health Cohort.

BACKGROUND: Compliance with dietary guidelines among pregnant women can positively influence not only their own health but also the health of their babies. Measuring the compliance requires professional skills in nutrition and dietary counseling. In China, few simple and effective techniques assess dietary quality among pregnant women, especially in rural areas. We aimed to establish a new simple and effective assessment technique, the "Chinese Dietary Guidelines Compliance Index for Pregnant Women (CDGCI-PW)" and assess the association between maternal dietary compliance and risks of pregnancy complications. METHODS: The CDGCI-PW consists of 13 main components which were based on the 2016 edition of the Chinese dietary guidelines for pregnant women. Each component was assigned a different score range, and the overall score ranged from 0 to 100 points. The Tongji Maternal and Child Health Cohort study (from September 2013 to May 2016) was a prospective cohort study designed to examine maternal dietary and lifestyle effects on the health of pregnant women and their offspring. The maternal diet during the second trimester was compared with the corresponding recommended intake of the Chinese balanced dietary pagoda for pregnant women to verify their compliance with dietary guidelines. The association between maternal dietary quality and risks of pregnancy complications was estimated by regression analysis. Receiver operating characteristic (ROC) curves were constructed to identify the optimal cut-off values of CDGCI-PW for gestational hypertension and gestational diabetes mellitus (GDM). RESULTS: Among the 2708 pregnant women, 1489 were eventually followed up. The mean CDGCI-PW score was 74.1 (standard deviation (SD) 7.5) in the second trimester. The majority of foods showed the following trend: the higher the CDGCI-PW score, the higher the proportion of pregnant women who reported food intake within the recommended range. Moreover, a higher maternal CDGCI-PW score was significantly associated with lower risks of gestational hypertension [odds ratio (OR) (95% confidence interval [(CI): 0.30 (0.20, 0.37)] and GDM [OR (95% CI): 0.38 (0.31, 0.48)]. The optimal CDGCI-PW cut-off value for gestational hypertension was ≥68.5 (sensitivity 82%; specificity: 61%; area under the ROC curve, AUC = 0.743), and the optimal CDGCI-PW cut-off score for GDM was ≥75.5 (sensitivity 43%; specificity: 81%; area under the ROC curve, AUC = 0.714). CONCLUSIONS: The CDGCI-PW is a simple and useful technique that assesses maternal diet quality during pregnancy, while adherence to the CDGCI-PW is associated with a lower risk of gestational hypertension and GDM.