Maternal dietary consumption of legumes, vegetables and fruit during pregnancy, does it protect against small for gestational age?

Martínez‐Galiano, Juan Miguel; Amezcua‐Prieto, Carmen; Salcedo‐Bellido, Inmaculada; González-Mata, Guadalupe; Bueno‐Cavanillas, Aurora; Delgado-Rodrı́guez, Miguel

doi:10.1186/s12884-018-2123-4

Cited by 28 publications

(26 citation statements)

References 36 publications

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“…However, some other studies found that maternal zinc deficiency during pregnancy elevates the risks of foetal growth restriction [11]. Similarly, low serum selenium status could contribute to low birth weight [42], small for gestational age infants [43], and the risk of developing pre-eclampsia and pregnancy-induced hypertension [44].…”

Section: Discussionmentioning

confidence: 99%

Selenium, Zinc, and Manganese Status in Pregnant Women and Its Relation to Maternal and Child Complications

et al. 2020

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Micronutrients, as essential components of prenatal care, are important to reduce the risk for maternal and child morbidity and mortality by lowering pregnancy-related complications. The present study aimed to investigate the status of the trace elements, i.e., selenium, zinc, and manganese in pregnant and non-pregnant women from a developing country and to evaluate its relationship with maternal and child complications. Selenium, zinc, and manganese concentrations were measured in the blood serum of 80 pregnant women and compared with 40 non-pregnant healthy controls. The quantitative analyses of trace elements were performed by using the inductively coupled plasma–optical emission spectrometry (ICP-OES) method. The information about the dietary habits of the study participants was recorded by using a food frequency questionnaire. The results showed significant lower selenium and zinc levels in pregnant women as compared to the controls (2.26 ± 1.09 vs. 2.76 ± 1.15 µmol/L, p = 0.031; 21.86 ± 7.21 vs. 29.54 ± 7.62 µmol/L, p < 0.001) respectively, with no difference in manganese concentrations (1.40 ± 0.09 vs.1.38 ± 0.09 log10 nmol/L, p = 0.365). Regarding maternal and child complications, higher manganese levels were associated with an increased odds ratio for maternal complications (OR = 3.175, CI (95%) 1.631−6.181; p = 0.038). Consumption of dairy products was associated with lower selenium and manganese values. Pregnant women showed a lower serum selenium and zinc status, and in addition elevated serum manganese concentrations, which might be associated with a higher risk for maternal pregnancy/birth complications, although more studies are necessary to evaluate this association.

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Section: Discussionmentioning

confidence: 99%

Selenium, Zinc, and Manganese Status in Pregnant Women and Its Relation to Maternal and Child Complications

et al. 2020

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“…The use of dietary patterns is considered an estimation of the overall dietary habits of a subject and has become widespread in nutrition research as an alternative approach to study individual components of the diet [2–7]. The investigation of the association between different dietary structures and pregnancy outcomes has shown that specific dietary constituents can exert high risk or protection with regard to preterm birth [2, 3], shorter birth length [2], hypertensive disorders in pregnancy (HDP) [4], gestational diabetes mellitus (GDM) [5, 6] and small for gestational age infants (SGA) [7]. However, most of the results of these studies are inconsistent because of the cultural differences among various geographical regions and countries result in distinct dietary sources.…”

Section: Introductionmentioning

confidence: 99%

High starchy food intake may increase the risk of adverse pregnancy outcomes: a nested case-control study in the Shaanxi province of Northwestern China

Huang

Shang

Yang

et al. 2019

BMC Pregnancy Childbirth

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Background There was a wider disparity in the diet characterization among most studies on diet and pregnancy outcomes in different countries, and the research in northern China is limited. Therefore, the purpose of the present study that was conducted in northwest China was to understand the dietary characteristics of periconceptional women and to explore the relationship between and specific dietary patterns with adverse pregnancy outcomes. Methods A nested case-control study was conducted from October 2017 to November 2018 in Shaanxi, China. Based on a prospective cohort of 368 women who were pregnant or prepared for pregnancy, 63 participants who developed the outcomes of gestational hypertension, gestational diabetes, preterm birth, low birth weight, and birth defects were included in the case group. A total of 237 healthy pregnant women were included during the same period in the control group. Dietary intake was assessed using a validated food frequency questionnaire for the three months before pregnancy and the first trimester. Information on delivery details and antenatal pregnancy complications was obtained from the hospital maternity records. Dietary patterns were derived using factor analysis. Stratified analysis was performed on the overall, single and multiple adverse pregnancy outcomes categories. Adjustment was made for sociodemographic characteristics and nutritional supplement status. Results Six major dietary patterns were identified. The ‘starchy’ dietary pattern, composed of high intake in noodle and flour products and/or rice and its products, was associated with the odds of developing of adverse pregnancy outcomes (OR: 2.324, 95% CI: 1.293–4.178). This risk remained significant following adjustment for potential confounders of maternal demographic characteristics and nutritional status (aOR: 2.337, 95% CI:1.253–4.331). Strong association were found during the first trimester of pregnancy, but showed no association during the three months before pregnancy (aOR:1.473, 95% CI: 0.682–3.234). Conclusions High starchy food intake was associated with adverse pregnancy outcomes, particularly during the first trimester of pregnancy. Health education focusing on periconceptional dietary patterns could be a practical strategy for preventing adverse pregnancy outcomes.

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“…Among other diets, the MD prevents SGA newborns, with extra-virgin olive oil being the major contributing component in conjunction with selenium contained in vegetables and legumes [28,29,54,55].…”

Section: Fetal Outcomes (Table 5-7)mentioning

confidence: 99%

Maternal periconceptional nutrition matters. A scoping review of the current literature

Montagnoli

Santoro

Buzzi

et al. 2021

The Journal of Maternal-Fetal & Neonatal Medicine

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Background: The importance of nutrition in reproductive health is widely acknowledged with special emphasis given to periconceptional maternal diet and its implications on embryo-fetal development, pregnancy complications, and the health of the offspring. Methods: Following the PRISMA guidelines, we searched for literature in PubMed, CINAHL, and WoS to gather newer information on how diet composition influences the concepts from the very early stages of pregnancy and how maternal health may be affected as well. Fifty-six studies published up to June 2020 met the inclusion criteria. Results: With its proportioned and diversified macronutrient composition, the Mediterranean Diet prevents congenital anomalies, preterm birth, hypertensive disorders, and gestational diabetes. Similar dietary patterns rich in vegetables, nuts, fish, and cereals increase the likelihood of conception and have a protective action, mediated by their antioxidant properties, against orofacial clefts, congenital heart and limb defects in the progeny. Conversely, the pro-inflammatory features of western diets, rich in processed foods and low in fruit content, diminish fertility, increase miscarriage rates, and enhance the risk of neural tube defects regardless of folate supplementation. Conclusions: It may be concluded that within the multiple dietary options, some of them are soundly associated with beneficial effects for the mother and the newborn. IMPLICATIONS FOR PRACTICEAn appropriate counseling must be offered to the woman of fertile age to make her aware of how periconceptional nutrition may help fulfill her reproductive expectations.

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Maternal dietary consumption of legumes, vegetables and fruit during pregnancy, does it protect against small for gestational age?

Cited by 28 publications

References 36 publications

Selenium, Zinc, and Manganese Status in Pregnant Women and Its Relation to Maternal and Child Complications

Selenium, Zinc, and Manganese Status in Pregnant Women and Its Relation to Maternal and Child Complications

High starchy food intake may increase the risk of adverse pregnancy outcomes: a nested case-control study in the Shaanxi province of Northwestern China

Maternal periconceptional nutrition matters. A scoping review of the current literature

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