Maternal dietary diversity and risk of small for gestational age newborn: Findings from a case–control study

Cano-Ibáñez, Naomi; Martínez‐Galiano, Juan Miguel; Amezcua‐Prieto, Carmen; Olmedo‐Requena, Rocío; Bueno‐Cavanillas, Aurora; Delgado-Rodrı́guez, Miguel

doi:10.1016/j.clnu.2019.08.019

Cited by 19 publications

(24 citation statements)

References 25 publications

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“…Considering the Average Requirements (AR) and/or Average Intake (AI) and Upper-Level intake (UL), we built three categories: (i) deficit intake (intake below AR/AI), (ii) adequate intake (intake between AR/AI and UL), and (iii) excessive intake (intake higher UL). To decrease potential measurement errors derived from the use of the FFQ (overestimation bias), we calculated the proportion of women with intakes below two thirds (2/3) of the Dietary Reference Intakes (DRIs), as other authors have reported previously [14,27]. Results were based on dietary intake data only, excluding supplements.…”

Section: Diet Quality: Nutrient Adequate Intakementioning

confidence: 99%

“…To correct possible errors derived from the FFQ, we excluded participants with energy intakes outside of predefined limits [17], and we used the residual method to adjust for food intake for energy intake. However, although the FFQ specifies the usual portion size as part of the question on frequency, it might not be the ideal tool to measure micronutrient intake and is not validated for this specific population group, although it has been used previously in pregnant women [14]. For this reason, we considered that intake was adequate only when the intake reached at least 2/3 of the recommendations proposed by EFSA for pregnant women, correcting the possible bias introduced by the FFQ and assuming, in any case, that the inadequate micronutrient intake (deficit intake or excessive intake) would be higher than the estimated figures [27].…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…In particular, essential micronutrients are necessary to prevent maternal and perinatal adverse health conditions. However, a deficient intake of essential micronutrients is commonly reported [12] and is associated with an increased nutritional vulnerability in pregnant women [13,14], specifically among those women with worse dietary food intake. Usually, this deficient intake is linked to occidental dietary patterns characterized by a high intake of meat or meat products; snacks; baked desserts; and sugar-sweetened beverages, providing large amounts of saturated fatty acids and simple carbohydrates as added sugars [15].…”

Section: Introductionmentioning

confidence: 99%

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Maternal Dietary Patterns during Pregnancy and Their Association with Gestational Weight Gain and Nutrient Adequacy

Cano-Ibáñez

Martínez‐Galiano

Luque-Fernández

et al. 2020

IJERPH

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Several epidemiologic studies have shown an association between Gestational Weight Gain (GWG) and offspring complications. The GWG is directly linked to maternal dietary intake and women’s nutritional status during pregnancy. The aim of this study was (1) to assess, in a sample of Spanish pregnant women, the association between maternal dietary patterns and GWG and (2) to assess maternal dietary patterns and nutrient adequate intake according to GWG. A retrospective study was conducted in a sample of 503 adult pregnant women in five hospitals in Eastern Andalusia (Spain). Data on demographic characteristics, anthropometric values, and dietary intake were collected from clinical records by trained midwives. Usual food intake was gathered through a validated Food Frequency Questionnaire (FFQ), and dietary patterns were obtained by principal component analysis. Nutrient adequacy was defined according to European dietary intake recommendations for pregnant women. Regression models adjusted by confounding factors were constructed to study the association between maternal dietary pattern and GWG, and maternal dietary patterns and nutritional adequacy. A negative association was found between GWG and the Mediterranean dietary pattern (crude β = −0.06, 95% CI: −0.11, −0.04). Independent of maternal dietary pattern, nutrient adequacy of dietary fiber, vitamin B9, D, E, and iodine was related to a Mediterranean dietary pattern (p < 0.05). A Mediterranean dietary pattern is related to lower GWG and better nutrient adequacy. The promotion of healthy dietary behavior consistent with the general advice promoted by the Mediterranean Diet (based on legumes, vegetables, nuts, olive oil, and whole cereals) will offer healthful, sustainable, and practical strategies to control GWG and ensure adequate nutrient intake during pregnancy.

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Section: Diet Quality: Nutrient Adequate Intakementioning

confidence: 99%

Section: Strengths and Limitationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Maternal Dietary Patterns during Pregnancy and Their Association with Gestational Weight Gain and Nutrient Adequacy

Cano-Ibáñez

Martínez‐Galiano

Luque-Fernández

et al. 2020

IJERPH

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“…The dietary diversity score (DDS) was calculated using the method originally developed by Kant et al [23], which has recently been used by Farhangi et al [34] and Cano-Ibáñez et al [26,35]. Five food groups were considered in the construction of the DDS: vegetables, fruits, cereals, dairy products, and the protein food group.…”

Section: Dietary Diversity Score Constructionmentioning

confidence: 99%

Dietary Diversity and Prostate Cancer in a Spanish Adult Population: CAPLIFE Study

et al. 2020

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Dietary diversity (DD) is a key component of a high-quality diet, providing the adequate nutrient requirements. However, the role of DD on prostate cancer (PCa) is still uncertain. The aim of this study was to evaluate the relationship between DD, adequate nutrient intake and PCa, according to the aggressiveness of the tumor. The CAPLIFE (CAP: prostate cancer; LIFE: lifestyles) study is a population-based case-control study including a total of 402 incident PCa cases and 302 controls. The DD score (DDS), adjusted by total energy intake, was collected through a validated food frequency questionnaire. Nutrient adequacy was defined according to European Dietary Recommendation Intake for men. The aggressiveness of PCa was determined according to the International Society of Urology Pathology classification. The association between DDS, nutrient intake and PCa was assessed by logistic regression models with adjustment for potential confounding factors. DDS was similar for PCa cases and controls, independent of PCa aggressiveness. According to each food group DDS, the protein group showed the highest mean score in all the subgroups analyzed. However, no differences were observed for each of the DDS components. The DDS, the variety of the group’s food intake, and the adequate nutrient intake, were not associated with PCa.

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“…Greater adherence to a dietary pattern of fast food and sweets before pregnancy increases the chances of birth of a large-for-gestational-age newborn, while greater adherence to vegetables and dairy decreases the chances of premature delivery [53]. A higher prevalence of maternal nutritional deficiencies, a lower dietary diversity score, and consumption of a smaller variety of dairy products, have been significantly associated with a lower risk of having a small-for-gestational-age newborn [54].…”

Section: Effects Of Nutritional Status Of Pregnant Women On the Fetusmentioning

confidence: 99%

Nutrition in Reproductive Health: Nutritional Conditioning Factors during Pregnancy and Its Impact on Health

et al. 2020

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During the gestational period, women need to have optimal health to meet fetal requirements for growth and development. Nutrition is one of the most important factors that can ensure a mother`s health and also that of their offspring. The role of maternal diet, before and during pregnancy, has been associated with adverse birth outcomes and a worsening of maternal health. Medical conditions that are closely related to dietary intake and may affect women before or during pregnancy have also been associated with the appearance of pathology in a newborn. To date, several studies have been carried out in order to identify the role of diet as a factor associated with child physiological and psychological health, both in the short and long term. Educating mothers regarding the influence of maternal dietary intake during pregnancy on infants’ health could represent a simple but effective target for public health policies to improve pregnancy nutrition, and therefore help to avoid newborn diseases through the development.

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Maternal dietary diversity and risk of small for gestational age newborn: Findings from a case–control study

Cited by 19 publications

References 25 publications

Maternal Dietary Patterns during Pregnancy and Their Association with Gestational Weight Gain and Nutrient Adequacy

Maternal Dietary Patterns during Pregnancy and Their Association with Gestational Weight Gain and Nutrient Adequacy

Dietary Diversity and Prostate Cancer in a Spanish Adult Population: CAPLIFE Study

Nutrition in Reproductive Health: Nutritional Conditioning Factors during Pregnancy and Its Impact on Health

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