A meta-analysis of maternal dietary patterns and preeclampsia

Traore, Stanislav Seydou; Bo, Yacong; Amoah, Adwoa Nyantakyiwaa; Khatun, Pipasha; Kou, Guangning; Hu, Youchun; Lyu, Quanjun

doi:10.1016/j.nutos.2021.08.001

Cited by 8 publications

(11 citation statements)

References 40 publications

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“…In contrast to a recent meta-analysis by Traore et al (2021), which revealed that risk of preeclampsia may be reduced by a higher intake of whole grains, our findings suggest that women with preeclampsia may have a higher average daily intake of whole grains in the last month of pregnancy than women without preeclampsia. This finding is counterintuitive as whole grains are typically regarded as one of the hallmarks of a healthy diet that offer many protective health benefits.…”

Section: Discussioncontrasting

confidence: 99%

Women Who Give Birth Preterm Do Not Meet Dietary Guidelines During Pregnancy

Filatava,

Overton,

El Habbal

et al. 2024

McN: The American Journal of Maternal/Child Nursing

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Purpose: To evaluate maternal dietary intake during pregnancy compared with the 2015-2020 and 2020-2025 Dietary Guidelines for Americans (DGA). Study Design and Methods: A retrospective observational study design was used. The cohort included women who gave birth to preterm infants between 25 1/7 weeks and 33 6/7 weeks of gestation. Within 2 weeks of birth, participants were asked to recall their diet in the last month of pregnancy using the Dietary Screener Questionnaire. Participants' dietary intakes were compared to current 2020-2025 DGA that include specific recommendations for pregnant women and prior 2015-2020 DGA that were in place during the study period but were not pregnancy-specific. Results: Forty-five women participated in the study. None met the 2015-2020 or 2020-2025 DGA recommended intake of all seven dietary components. When compared to both DGAs, 2.2% of participants met the recommended dairy intake, 26.7% met the calcium intake, 15.6% were below the threshold for added sugar, and none met the vegetable or whole grain intake. When compared to the 2015-2020 DGA, 28.9% met the fruit intake and 2.2% met the fiber intake. However, when compared to the 2020-2025 DGA, only 2.2% met the fruit intake and none met the fiber intake. Clinical Implication: Women who gave birth preterm did not adhere to the 2015-2020 or 2020-2025 DGA recommendations in the last month of pregnancy. Nurses are uniquely positioned to provide pregnant women with nutritional screening and counseling as part of routine prenatal care.

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Section: Discussioncontrasting

confidence: 99%

Women Who Give Birth Preterm Do Not Meet Dietary Guidelines During Pregnancy

Filatava,

Overton,

El Habbal

et al. 2024

McN: The American Journal of Maternal/Child Nursing

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“…Despite previous studies finding associations between maternal dietary patterns and the development of GDM and preeclampsia (10,11,(37)(38)(39), no significant associations were found in our study. Results from systematic reviews have consistently found that women consuming a healthy dietary pattern in pregnancy (high in vegetables, fruits, legumes, fish and whole grains and low in meat, processed food and sugar-sweetened foods) had lower odds of developing pre-eclampsia and GDM (37)(38)(39).…”

Section: Gestational Diabetes Mellitus and Preeclampsiacontrasting

confidence: 99%

An Investigation of the Relationship Between Dietary Patterns in Early Pregnancy and Maternal/Infant Health Outcomes in a Chinese Cohort

et al. 2022

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BackgroundStudies assessing links between maternal diet and pregnancy outcomes have focused predominantly on individual nutrients or foods. However, nutrients are typically consumed in combinations of foods or beverages (i.e., dietary patterns). Taking into account the diet as a whole appreciates that nutrient absorption and metabolism are influenced by other nutrients and the food matrix.ObjectiveThe aim of this study was to investigate the relationship between dietary pattern consumption in early pregnancy and pregnancy/infant outcomes, including gestational diabetes mellitus, gestational weight gain, preeclampsia, placental weight, gestational age at delivery, small-for-gestational-age, large-for-gestational-age, macrosomia, measures of infant body composition, and scores on two main indices of the Bayley Scales of Infant Development [Mental Development Index (MDI) and the Psychomotor Development Index (PDI)] at 12 months.DesignOur study included 1,437 participants from a mother-infant cohort in Chongqing, China. Maternal diet was assessed using a 96-item food frequency questionnaire at 11–14 weeks gestation. Dietary patterns were constructed using principal component analysis. Multivariate regressions were performed to assess associations between maternal dietary pattern scores and pregnancy and infant outcomes, adjusting for confounders.ResultsTwo dietary patterns were derived: a pattern high in pasta, sweetened beverages, and oils and condiments (PSO-based dietary pattern) and a pattern high in fish, poultry, and vegetables (FPV-based dietary pattern). Higher scores on the PSO-based dietary pattern were associated with lower infant standardized scores on the PDI of the Bayley Scales of Infant Development, β (95% confidence interval) = −1.276 (−2.392, −0.160); lower placental weight, β (95% CI) = −6.413 (−12.352g, −0.473); and higher infant's tricep skinfold thickness at 6 weeks of age. β (95% CI) = 0.279 (0.033, 0.526). Higher scores on the FPV-based dietary pattern were associated with higher gestational weight gain between visit 1 (11–14 week's gestation) and 3 (32–34 week's gestation). β (95% CI) = 25.612 (13.255, 37.969). No significant associations were observed between dietary pattern scores and the remaining pregnancy/infant outcomes investigated or MDI scores on the Bayley Scales of Infant Development. This was the first study to investigate the association between dietary patterns in early pregnancy and infant neurocognition in a Chinese cohort.

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“…A previous recent study with meta-analysis investigated the effects of maternal dietary patterns on pregnancy and reported that maternal adherence to an unhealthy diet was associated with 23% higher odds of HDP, including preeclampsia [ 97 ]. Another study also found a significant association between higher adherence to a Western dietary pattern, an unhealthy diet pattern characterized by a high amount of UPF such as processed meat, soft drinks, and refined foods, and increased risk of preeclampsia [ 98 ], corroborating our results.…”

Section: Discussionsupporting

confidence: 89%

Maternal Consumption of Ultra-Processed Foods-Rich Diet and Perinatal Outcomes: A Systematic Review and Meta-Analysis

et al. 2022

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The consumption of ultra-processed food (UPF)-rich diets represents a potential threat to human health. Considering maternal diet adequacy during pregnancy is a major determinant for perinatal health outcomes, this study aimed to systematically review and meta-analyze studies investigating the association between maternal consumption of a UPF-rich diet and perinatal outcomes. Conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, five electronic databases and gray literature using Google Scholar and ProQuest Dissertations and Theses Global were searched up to 31 May 2022. No restrictions were applied on language and publication date. Two reviewers independently conducted the study selection and data extraction process. Meta-analysis was conducted according to the random-effects model. In total, 61 studies were included in the systematic review and the overall population comprised 698,803 women from all gestational trimesters. Meta-analysis of cohort studies showed that maternal consumption of UPF-rich diets was associated with an increased risk of gestational diabetes mellitus (odds ratio (OR): 1.48; 95% confidence interval (CI): 1.17, 1.87) and preeclampsia (OR: 1.28; 95% CI: 1.15, 1.42). Neonatal outcomes showed no association. The overall GRADE quality of the evidence for the associations was very low. The findings highlight the need to monitor and reduce UPF consumption, specifically during the gestational period, as a strategy to prevent adverse perinatal outcomes.

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A meta-analysis of maternal dietary patterns and preeclampsia

Cited by 8 publications

References 40 publications

Women Who Give Birth Preterm Do Not Meet Dietary Guidelines During Pregnancy

Women Who Give Birth Preterm Do Not Meet Dietary Guidelines During Pregnancy

An Investigation of the Relationship Between Dietary Patterns in Early Pregnancy and Maternal/Infant Health Outcomes in a Chinese Cohort

Maternal Consumption of Ultra-Processed Foods-Rich Diet and Perinatal Outcomes: A Systematic Review and Meta-Analysis

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