Adherence to Mediterranean diet during pregnancy and serum lipid, lipoprotein and homocysteine concentrations at birth

Gesteiro, Eva; Bastida, Sara; Bernal, Beatriz Rodríguez; Sánchez‐Muniz, Francisco J.

doi:10.1007/s00394-014-0798-5

Cited by 20 publications

(51 citation statements)

References 36 publications

(45 reference statements)

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“…In a cross-sectional study, Gesteiro et al [76] analysed the MD adherence in 35 Spanish women during the first trimester of pregnancy, who completed 169-items FFQ guided by a trained dietician. Adherence to the MD was calculated with a modified version of the score used in the PREDIMED study [72].…”

Section: Resultsmentioning

confidence: 99%

“…Recent evidence suggests these conditions have their roots in utero as maternal obesity, dyslipidaemia, and hyperglycaemia are associated with child cardiometabolic health and developing insulin resistance and obesity later in life [85,86]. Although studies considered in this review indicate that higher adherence to the MD during pregnancy is a potential protective factor against abdominal obesity [73,74] and positively influences lipoprotein and homocysteine concentration [76], and insulin resistance in new-borns [70], the use of different endpoints to evaluate outcomes reduces the level of evidence.…”

Section: Discussionmentioning

confidence: 99%

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Effect of Adherence to Mediterranean Diet during Pregnancy on Children’s Health: A Systematic Review

et al. 2019

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The traditional Mediterranean diet has been shown to be a healthy eating pattern that protects against the development of many diseases in adults and children. Pregnancy is a critical period of plasticity during which foetal development may be significantly influenced by different environmental factors, including maternal nutrition. In this context, several studies have examined the potential benefits of adherence to a Mediterranean diet during pregnancy on birth outcomes, considering the Mediterranean diet as a whole rather than focusing on the effect of its individual components. In this review, we systematically summarized and discussed results of studies investigating the protective role of Mediterranean diet against foetal growth, prematurity, neural tube defects and other congenital pathologies, asthma and allergy, body weight and metabolic markers. Although current data are insufficient and randomized control trials are needed, growing evidence suggests the beneficial effect of the Mediterranean diet during pregnancy on children’s health. In this sense, strategies aiming to promote adherence to this dietary pattern might be of considerable importance to public health.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effect of Adherence to Mediterranean Diet during Pregnancy on Children’s Health: A Systematic Review

et al. 2019

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“…Emphasis on the protective effects of the MD against non-communicable diseases (NCD) and for mental health benefits [ 72 , 73 ] would likely be beneficial in its promotion. Interestingly, although the health benefits of an MD were enabling factors, the reported benefits in preconception and pregnancy [ 26 , 27 , 28 , 29 , 30 , 31 , 74 , 75 , 76 ] were considered less important. Most participants indicated that the possibility of pregnancy was too far in the future to contemplate following a dietary pattern for benefits, and diet would not even be a concern in some participants unless there was difficulty in conception.…”

Section: Discussionmentioning

confidence: 99%

“…The MD has been shown to prevent diseases associated with chronic inflammation, including coronary heart disease and stroke, type 2 diabetes, cognitive diseases, and obesity [ 25 ]. In addition, research has also demonstrated numerous benefits to the preconception and pregnancy periods, such as a reduced risk of hypertensive disorders [ 26 ], reduced risk of GDM [ 27 ], improvement in glucose tolerance [ 28 ], reduced gestational weight gain [ 29 ], reduction in depressive symptoms and risk of postnatal depression [ 30 ], and improved offspring homocysteine and lipoprotein levels [ 31 ].…”

Section: Introductionmentioning

confidence: 99%

Exploring the Perceived Barriers to Following a Mediterranean Style Diet in Childbearing Age: A Qualitative Study

Hundley

Tsofliou

2018

Nutrients

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A considerable amount of research has focused on interventions in pregnancy to promote health in current and future generations. This has yielded inconsistent results and focus has turned towards improving health in the preconception period. Promotion of healthy dietary patterns similar to a Mediterranean diet in the preconception years has been suggested as a dietary strategy to prevent maternal obesity and optimize offspring health. However, it is uncertain whether adoption is acceptable in women of childbearing age. This qualitative study aims to investigate the perceived barriers to following a Mediterranean diet in women of childbearing age. Semi-structured focus groups were used to generate deep insights to be used to guide the development of a future intervention. Nulliparous women aged between 20 and 47 years were recruited (n = 20). Six focus groups were digitally audio recorded and transcribed verbatim by the researcher. Thematic analysis was used to analyze data, which occurred in parallel with data collection to ascertain when data saturation was reached. Five core themes were identified: Mediterranean diet features, perceived benefits, existing dietary behavior and knowledge, practical factors, and information source. The present study highlights that a Mediterranean diet is acceptable to childbearing-aged women, and the insights generated will be helpful in developing an intervention to promote Mediterranean diet adoption.

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“…Some studies have shown that adherence to a Mediterranean diet is associated with more favorable metabolic health in both the mother and infant, including lower risk for gestational diabetes and low birth weight, as well as lower neonatal insulin, blood glucose, lipids and lipoprotein. 64 – 67 These studies demonstrate that a positive intrauterine environment can improve maternal and neonatal outcomes and should be considered for public health recommendations and translation into clinical practice. However, to date, research on modifying maternal diet during pregnancy has primarily been confined to studies using animal models.…”

Section: Discussionmentioning

confidence: 89%

Epigenetic and developmental influences on the risk of obesity, diabetes, and metabolic syndrome

Smith

Ryckman

2015

DMSO

100

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Metabolic syndrome is a growing cause of morbidity and mortality worldwide. Metabolic syndrome is characterized by the presence of a variety of metabolic disturbances including obesity, hyperlipidemia, hypertension, and elevated fasting blood sugar. Although the risk for metabolic syndrome has largely been attributed to adult lifestyle factors such as poor nutrition, lack of exercise, and smoking, there is now strong evidence suggesting that predisposition to the development of metabolic syndrome begins in utero. First posited by Hales and Barker in 1992, the “thrifty phenotype” hypothesis proposes that susceptibility to adult chronic diseases can occur in response to exposures in the prenatal and perinatal periods. This hypothesis has been continually supported by epidemiologic studies and studies involving animal models. In this review, we describe the structural, metabolic and epigenetic changes that occur in response to adverse intrauterine environments including prenatal and postnatal diet, maternal obesity, and pregnancy complications. Given the increasing prevalence of metabolic syndrome in both the developed and developing worlds, a greater understanding and appreciation for the role of the intrauterine environment in adult chronic disease etiology is imperative.

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Adherence to Mediterranean diet during pregnancy and serum lipid, lipoprotein and homocysteine concentrations at birth

Abstract: Neonates whose mothers consumed low MDA diets presented impaired lipoprotein and increased homocysteine levels at birth. A follow-up study on early cardiovascular disease prevention is needed to understand the importance of present findings later in life.

Cited by 20 publications

References 36 publications

Effect of Adherence to Mediterranean Diet during Pregnancy on Children’s Health: A Systematic Review

Effect of Adherence to Mediterranean Diet during Pregnancy on Children’s Health: A Systematic Review

Exploring the Perceived Barriers to Following a Mediterranean Style Diet in Childbearing Age: A Qualitative Study

Epigenetic and developmental influences on the risk of obesity, diabetes, and metabolic syndrome

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