Dietary patterns and associated lifestyles in preconception, pregnancy and postpartum

Cucó, Gemma; Fernandez-Ballart, Joan D.; Sala, Jesús Salvador Gómez; Viladrich, Carme; Iranzo, Ramón; Vila, Joan; Arija, Victoria

doi:10.1038/sj.ejcn.1602324

Cited by 228 publications

(249 citation statements)

References 34 publications

(45 reference statements)

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“…The dietary intake was assessed in week 25 of gestation, and intake in the previous 4 weeks was recorded. Cuco et al (2006) found that food intake at one point in pregnancy reflects well the dietary patterns throughout pregnancy, and thus we find it reasonable to assume that the dietary intake does not change substantially. Furthermore, the FFQ has been validated with respect to intake of fruits and vegetables showing that the data recorded in the FFQ are applicable to analyses on food group level , which provide the basis for the construction of the dietary patterns defined in this study.…”

Section: Discussionmentioning

confidence: 63%

“…Factor analysis has been employed in analysis of diet during pregnancy in a Spanish study (Cuco et al, 2006), where diet at different time points in pregnancy in relation to lifestyle factors was examined, and in a Mexican-American survey (Wolff and Wolff, 1995), where association between dietary patterns in pregnancy and birth weight was investigated. As the human diet consists of a large variety of nutrients, and intakes of these will often correlate, it may be appropriate to analyse dietary patterns as an alternative to examining a potential effect of intakes of single nutrients on health outcome.…”

Section: Introductionmentioning

confidence: 99%

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Major dietary patterns in pregnancy and fetal growth

et al. 2007

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Objectives: To investigate possible associations between maternal diet during pregnancy and fetal growth. Method: Factor analysis was used to explore dietary patterns among pregnant women. The association between maternal dietary patterns and fetal growth (in terms of small for gestational age, SGA) was investigated by logistic regression. Prospective cohort study, including information on 44 612 women in Denmark. Results: Two major dietary patterns were defined: the first pattern was characterized by red and processed meat, high-fat dairy, and the second pattern was characterized by intake of vegetables, fruits, poultry and fish. Women were classified into three classes according to their diet: the first class had high intake of foods of the first dietary pattern, and was classified as 'the Western diet', the second class preferred foods of the second pattern and was classified as the 'Health Conscious'; and the third one had eaten foods of both patterns, and was classified as the 'Intermediate'. The odds ratio of having a small for gestationalage infant (with a birth weight below the 2.5th percentile for gestational age and gender) was 0.74 (95% CI 0.64-0.86) for women in the Health Conscious class compared with women in the Western Diet class. The analyses were adjusted for parity, maternal smoking, age, height, pre-pregnancy weight and father's height. Conclusions: Our results indicated that a diet in pregnancy, based on red and processed meat and high-fat diary, was associated with increased risk for SGA. Further studies are warranted to identify specific macro-, or micronutrients that may be underlying these associations.

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Section: Discussionmentioning

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Major dietary patterns in pregnancy and fetal growth

et al. 2007

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“….0-34.9, and Q35.0 kg/m 2 ) RR3 adjusted for age (5-year category), parity (0, 1, 2, 3+), BMI (nine categories), race/ethnicity, cigarette smoking status (never, past, current), family history of diabetes in a first-degree relative (yes, no), alcohol intake (0, 0.1-5.0, 5.1-15.0 or >15 g/day), physical activity (quintile), and total energy (quintile) Dietary information during pregnancy was not specifically measured in the current study. However, limited data suggest that dietary patterns and macronutrient intakes do not vary significantly between periods prior to conception and periods of pregnancy [49], although women generally increase their energy intake in pregnancy to meet fetal need. It is plausible that much of the adverse effects of red meat and processed meat on the risk of GDM that we observed for the pregravid period reflected continued consumption patterns during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

A prospective study of dietary patterns, meat intake and the risk of gestational diabetes mellitus

et al. 2006

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Aims/hypothesis The aim of this study was to prospectively examine whether dietary patterns are related to risk of gestational diabetes mellitus (GDM). Methods This prospective cohort study included 13,110 women who were free of cardiovascular disease, cancer, type 2 diabetes and history of GDM. Subjects completed a validated semi-quantitative food frequency questionnaire in 1991, and reported at least one singleton pregnancy between 1992 and 1998 in the Nurses_ Health Study II. Two major dietary patterns (i.e. Fprudent_ and FWestern_) were identified through factor analysis. The prudent pattern was characterised by a high intake of fruit, green leafy vegetables, poultry and fish, whereas the Western pattern was characterised by high intake of red meat, processed meat, refined grain products, sweets, French fries and pizza. Results We documented 758 incident cases of GDM. After adjustment for age, parity, pre-pregnancy BMI and other covariates, the relative risk (RR) of GDM, comparing the highest with the lowest quintile of the Western pattern scores, was 1.63 (95% CI 1.20-2.21; p trend =0.001), whereas the RR comparing the lowest with the highest quintile of the prudent pattern scores was 1.39 (95% CI 1.08-1.80; p trend =0.018). The RR for each increment of one serving/ day was 1.61 (95% CI 1.25-2.07) for red meat and 1.64 (95% CI 1.13-2.38) for processed meat. Conclusions/interpretation These findings suggest that prepregnancy dietary patterns may affect women_s risk of developing GDM. A diet high in red and processed meat was associated with a significantly elevated risk.

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“…Dietary patterns rich in vitamins, minerals and proteins are associated with higher birth weight 13 . Older women with a higher level of education are more likely to follow a healthy diet and prevalence of pregestational overweight is lower in this group 8,12,14 . It has also been shown that increased parity, prepregnancy maternal overweight, being single and unemployed and smoking are factors associated with unhealthy dietary patterns during pregnancy 12,14 .…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, pregnant women pay more attention to diet and food choices than nonpregnant women 9 ; thus pregnancy is an ideal time to make changes to dietary habits 10 . Dietary patterns during pregnancy have been associated with nutritional intake, sociodemographic characteristics and outcomes for babies 8,11,12,13,14,15 . Dietary patterns rich in vitamins, minerals and proteins are associated with higher birth weight 13 .…”

Section: Introductionmentioning

confidence: 99%