A vegetable, fruit, and white rice dietary pattern during pregnancy is associated with a lower risk of preterm birth and larger birth size in a multiethnic Asian cohort: the Growing Up in Singapore Towards healthy Outcomes (GUSTO) cohort study

Chia, Adeline; Seymour, Jamie V. de; Colega, Marjorelee; Chen, Ling‐Wei; Chan, Yiong Huak; Aris, Izzuddin M.; Tint, Mya Thway; Quah, Phaik Ling; Godfrey, Keith M.; Yap, Fabian; Saw, Seang Mei; Baker, Philip N.; Chong, Yap Seng; Dam, Rob M. van; Lee, Yung Seng; Chong, Mary Foong Fong

doi:10.3945/ajcn.116.133892

Cited by 64 publications

(102 citation statements)

References 43 publications

(66 reference statements)

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“…However, sensitivity analyses in participants who completed a 3-d food diary produced similar estimates, albeit wider CIs (but not with abdominal adiposity measures, which might be due to the reduced sample size). In addition, we also showed that our 24-h recall is moderately valid and has good reproducibility in previously published results (27,29,30,52,62). Second, maternal diet was only assessed during 26-28 wk of gestation, which may not be representative of a diet followed throughout pregnancy.…”

Section: Discussionmentioning

confidence: 73%

“…The clinic staff also guided the participants on completing food diaries at home for the following week. Nutrient analysis of the dietary records was performed by using nutrient analysis software (Dietplan; Forestfield Software Ltd.) containing a food-composition database of locally available foods (29), with modifications made for inaccuracies found.…”

Section: Diet Quality Assessmentmentioning

confidence: 99%

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Adherence to a healthy eating index for pregnant women is associated with lower neonatal adiposity in a multiethnic Asian cohort: the Growing Up in Singapore Towards healthy Outcomes (GUSTO) Study

Chia

Tint

Han

et al. 2018

The American Journal of Clinical Nutrition

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Background: Evidence linking maternal diet quality during pregnancy with infant birth outcomes is limited in Asia. Objective: We investigated the association of maternal diet quality with the risk of preterm birth, offspring birth size, and adiposity in a multiethnic Asian birth cohort. Design: Dietary intakes of 1051 pregnant women were ascertained at 26-28 wk of gestation with the use of 24-h recalls and 3-d food diaries, from which diet quality (score range: 0-100) was measured by the Healthy Eating Index for pregnant women in Singapore (HEI-SGP). Gestational age was established by first-trimester ultrasound dating scan. Neonatal weight and length were measured at birth. Body composition was assessed by air displacement plethysmography in a subset of infants (n = 313) within 72 h after birth, and abdominal adiposity was assessed by MRI (n = 316) within the first 2 wk of life. Associations were assessed by multivariable linear regression for continuous outcomes and logistic regression for preterm birth. Results: The mean ± SD maternal HEI-SGP score was 52.1 ± 13.6. Maternal diet quality during pregnancy was not associated with preterm birth or birth weight. Greater adherence to the HEI-SGP (per 10-point increment in HEI-SGP score) was associated with longer birth length [β (95% CI): 0.14 (0.03, 0. Conclusions:Higher maternal diet quality during pregnancy was associated with longer birth length and lower neonatal adiposity but not with birth weight and preterm birth. These findings warrant further investigation in independent studies. This trial was registered at clinicaltrials.gov as NCT01174875.Am J Clin Nutr 2018;107:71-79.

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Section: Discussionmentioning

confidence: 73%

Section: Diet Quality Assessmentmentioning

confidence: 99%

Adherence to a healthy eating index for pregnant women is associated with lower neonatal adiposity in a multiethnic Asian cohort: the Growing Up in Singapore Towards healthy Outcomes (GUSTO) Study

Chia

Tint

Han

et al. 2018

The American Journal of Clinical Nutrition

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“…dietary patterns) underlying food consumption ( 25 , 31 , 32 ) . A total of five factors were determined in this study, and the number of factors retained was based on the eigenvalue, factor interpretability after varimax rotation and a scree plot showing the proportion of the variance of total consumption of the food variables ( 15 , 25 , 33 ) . The dietary pattern score for each participant was calculated by summing the standardised frequency of food groups weighted by their factor loadings.…”

Section: Methodsmentioning

confidence: 99%

Maternal dietary pattern characterised by high protein and low carbohydrate intake in pregnancy is associated with a higher risk of gestational diabetes mellitus in Chinese women: a prospective cohort study

et al. 2018

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Maternal dietary patterns and macronutrients intake have been shown to affect the development of gestational diabetes mellitus (GDM), but the findings are inconsistent. We aimed to identify maternal dietary patterns and examine their associations with GDM risk, and to evaluate the contributions of macronutrients intake to these associations. We included 2755 Chinese pregnant women from the Tongji Maternal and Child Health Cohort. Dietary intakes were assessed using a validated semi-quantitative FFQ 2 weeks before the diagnosis of GDM. GDM (n 248) was diagnosed based on the results of a 75-g, 2-h oral glucose tolerance test at 24–28 weeks gestation. We derived five different dietary patterns from a principal component analysis. The results showed that high fish–meat–eggs scores, which were positively related to protein intake and inversely related to carbohydrate intake, were associated with a higher risk of GDM (adjusted OR for quartile 4 v. quartile 1: 1·83; 95 % CI 1·21, 2·79; Ptrend=0·007) and higher plasma glucose levels. In contrast, high rice–wheat–fruits scores, which were positively related to carbohydrate intake and inversely related to protein intake, were associated with lower risk of GDM (adjusted OR for quartile 3 v. quartile 1: 0·54; 95 % CI 0·36, 0·83; Ptrend=0·010) and lower plasma glucose levels. In addition, dietary protein and carbohydrate intake significantly contributed to the associations between dietary patterns and GDM risk or glucose levels. These findings suggest that a dietary pattern characterised by high protein and low carbohydrate intake in pregnancy was associated with a higher risk of GDM, which may provide important clues for dietary guidance during pregnancy to prevent GDM.

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“…In the present review, the definition of SGA varied from birth weight < 2•5th percentile (23) to < 5th percentile (32,40,41) to <10th percentile of gestational age (34,35,38) . The majority of studies (seventeen articles) defined SGA as birth weight below the 10th percentile for the gestational age.…”

Section: Study Characteristicsmentioning

confidence: 99%

Effects of maternal diets on preterm birth and low birth weight: a systematic review

2019

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Current evidence indicates that maternal diets before and during pregnancy could influence rates of preterm birth, low birth weight (LBW) and small for gestational age (SGA) births. However, findings have been inconsistent. This review summarised evidence concerning the effects of maternal diets before and during pregnancy on preterm birth, LBW and SGA. Systematic electronic database searches were carried out using PubMed, Embase, Scopus and Cochrane library using the preferred reporting items for systematic reviews and meta-analyses guidelines. The review included forty eligible articles, comprising mostly of prospective cohort studies, with five randomised controlled trials. The dietary patterns during pregnancy associated with a lower risk of preterm birth were commonly characterised by high consumption of vegetables, fruits, whole grains, fish and dairy products. Those associated with a lower risk of SGA also had similar characteristics, including high consumption of vegetables, fruits, legumes, seafood/fish and milk products. Results from a limited number of studies suggested there was a beneficial effect on the risk of preterm birth of pre-pregnancy diet quality characterised by a high intake of fruits and proteins and less intake of added sugars, saturated fats and fast foods. The evidence was mixed for the relationship between maternal dietary patterns during pregnancy and LBW. These findings indicate that better maternal diet quality during pregnancy, characterised by a high intake of vegetables, fruits, whole grains, dairy products and protein diets, may have a synergistic effect on reducing the risk of preterm birth and SGA.

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A vegetable, fruit, and white rice dietary pattern during pregnancy is associated with a lower risk of preterm birth and larger birth size in a multiethnic Asian cohort: the Growing Up in Singapore Towards healthy Outcomes (GUSTO) cohort study

Abstract: The VFR pattern is associated with a lower incidence of preterm birth and with larger birth size in an Asian population. The findings related to larger birth size warrant further confirmation in independent studies. This trial was registered at clinicaltrials.gov as NCT01174875.

Cited by 64 publications

References 43 publications

Adherence to a healthy eating index for pregnant women is associated with lower neonatal adiposity in a multiethnic Asian cohort: the Growing Up in Singapore Towards healthy Outcomes (GUSTO) Study

Adherence to a healthy eating index for pregnant women is associated with lower neonatal adiposity in a multiethnic Asian cohort: the Growing Up in Singapore Towards healthy Outcomes (GUSTO) Study

Maternal dietary pattern characterised by high protein and low carbohydrate intake in pregnancy is associated with a higher risk of gestational diabetes mellitus in Chinese women: a prospective cohort study

Effects of maternal diets on preterm birth and low birth weight: a systematic review

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