Pre-Conception Maternal Food Intake and the Association with Childhood Allergies

Grieger, Jessica A.; Pelecanos, Anita; Hurst, Cameron; Tai, Andrew; Clifton, Vicki L.

doi:10.3390/nu11081851

Cited by 11 publications

(7 citation statements)

References 52 publications

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“…We also found that mothers of infants with eczema consumed more protein from poultry food source during pregnancy than mothers of infants without eczema. This result was in line with a previous study in Australia demonstrating that maternal pre-conception poultry intake was positively associated with offspring eczema ( 56 ). In the adult literature, two studies also found that diets with high intake of poultry were associated with allergic diseases ( 57 , 58 ).…”

Section: Discussionsupporting

confidence: 93%

Maternal Dietary Protein Patterns During Pregnancy and the Risk of Infant Eczema: A Cohort Study

Zeng

Wu²,

Tang

et al. 2021

Front. Nutr.

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Background: Previous studies have suggested that maternal dietary protein was associated with allergic diseases in offspring, but few studies have evaluated the influence of dietary protein patterns. This study aimed to explore the prospective association between maternal dietary protein patterns during pregnancy and the risk of infant eczema.Methods: A total of 713 mother-child pairs from a prospective cohort in Guangzhou, China were recruited. Maternal dietary protein was estimated using a validated face-to-face food frequency questionnaire at 20–28 weeks' gestation from 2017 to 2018. Dietary protein patterns were calculated based on the sources of protein. The data of infant eczema was assessed at 6 months of age using the symptom questionnaire of eczema. Logistic regression was carried out to examine the associations between maternal dietary protein patterns and infant eczema.Results: The cumulative incidence of infant eczema at 6 months of age was 51.19%. Mothers of infants with eczema consumed more protein from poultry source during pregnancy than mothers of infants without eczema, while no statistical differences were observed in maternal intakes of protein from cereals and tubers, vegetables, fruits, red meat, fish and seafood, eggs, dairy, soybean, and nuts and seeds. Four dietary protein patterns were identified and termed poultry, plant, dairy and eggs, and red meat and fish. The cumulative incidence of eczema was 61.2, 45.8, 48.0, 51.4% for these four patterns, respectively. Compared to the poultry dietary pattern, the plant pattern and the dairy and eggs pattern were associated with a reduced risk of infant eczema, and the adjusted odds ratios (95% confidence interval) were 0.572 (0.330–0.992), 0.478 (0.274–0.837), respectively. No such association was observed for the red meat and fish dietary protein pattern.Conclusion: This is the first study that focused on the association between maternal dietary protein during pregnancy from a whole-diet perspective and infant eczema. Compared with the poultry dietary protein pattern, the maternal plant pattern and the dairy and eggs pattern during pregnancy were associated with a reduced risk of infant eczema.

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Section: Discussionsupporting

confidence: 93%

Maternal Dietary Protein Patterns During Pregnancy and the Risk of Infant Eczema: A Cohort Study

Zeng

Wu²,

Tang

et al. 2021

Front. Nutr.

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“…There is increasing recognition of the importance of nutrition for reproductive health [4]. Observational studies have consistently shown associations between poorer food choices or unhealthier dietary patterns and higher risk for infertility [5][6][7], gestational diabetes (reviewed in [8,9]) and preterm birth [10], but also contributing to poorer outcomes for the offspring, including increased risk for low birth weight [11], child allergy [12], and child adiposity [13].…”

Section: Introductionmentioning

confidence: 99%

Do Older Women of Reproductive Age Have Better Diet Quality than Younger Women of Reproductive Age?

et al. 2021

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There is increasing recognition of the importance of nutrition for reproductive health, but little is known regarding the diet quality of younger vs. older reproductive aged women, and how their intakes relate to dietary recommendations. The purpose of the study was to examine the diets of younger (19–35 years old) compared to older (35–50 years old) reproductive aged women, and how they align with dietary recommendations. Women aged 19–50 years from the 2011–13 Australian National Nutrition and Physical Activity Survey were included (n = 2323). Dietary intakes were assessed by a single 24-h dietary recall and were compared to (i) Australian Dietary Guidelines; (ii) Acceptable Macronutrient Distribution for protein, carbohydrates, and fat; and (iii) Dietary Guideline Index (DGI). Regression analyses comparing younger and older women against recommendations were undertaken, with confounders determined a priori. There was no difference between older and younger women in meeting food group recommendations, with 26% of all women meeting recommendations for fruit, and meat and alternatives, and <20% meeting recommendations for vegetables and alternatives, grains, and dairy. Although there was no difference between older and younger women in total DGI score (mean (SE) 75.6 (1.7) vs. 74.5 (2.5), p > 0.05), older women had higher component scores in limiting saturated fat, consuming low-fat milk, and limiting adding salt during cooking. Continued health promotion for women of reproductive age should be a key priority to improve their own health and that of future generations.

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“…Saturated spreads (e.g., butter) were protective against eczema, current wheeze, and rhinitis, while non-oily fish was protective against eczema and current wheeze; however, poultry and fruit juice were adversely associated with allergies. The authors, however, emphasize that this topic requires further research [ 19 ]. Nonetheless, these results coincide with the false alarm hypothesis, which suggests that food allergy is associated with high intake of advanced glycation end-products (AGEs) and proglycating dietary sugars that may work as alarmins—endogenous molecules secreted from cells undergoing nonprogrammed cell death.…”

Section: Discussionmentioning

confidence: 99%

“…However, it has been also mentioned that the limitation might have been the use of self-reported food frequency questionnaires (FFQs) to assess food intake, possibly leading to errors caused by subject memory bias. Another study, dedicated to maternal pre-conception food intake, such as low and high fat dairy, fresh fruit, saturated and unsaturated spreads, and take-away foods, revealed some protective impact for several atopic diseases but at the same time poultry and fruit juice were adversely associated with eczema, current wheeze and rhinitis classified as “each allergy” [ 19 ]. That study was also limited by FFQs and maternal group characteristic showing that almost 30% were obese and 50% were asthmatic.…”

Section: Introductionmentioning

confidence: 99%

Gestational Dysfunction-Driven Diets and Probiotic Supplementation Correlate with the Profile of Allergen-Specific Antibodies in the Serum of Allergy Sufferers

Ogrodowczyk

Zakrzewska²,

Romaszko³

et al. 2020

Nutrients

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Background: Maternal diet has significant effects on development of childhood atopic disease and hypersensitivity development. However, the gestational dysfunctions demanding special diets are becoming a widespread phenomenon, their immunological implications can be manifested in the profile of antibodies in the offspring’s serum. Methods: 153 allergic and 150 healthy individuals were diagnosed for allergy using specific antibody and cytokine immunoassay tests. The medical history of subjects along with mothers’ course of pregnancy was completed by allergologist’s anamnesis. A self-organizing neural network and multivariate analyses to complex data and pick basic interactions were used. Results: Two significant explanatory modules were determined. The first was formed by gestational diabetic and cholestatic diet, infant formula feeding type, probiotic supplementation and its BMI index, moderate IgE, increased IgG levels of antibodies and single or poly-food allergy type (7 clusters). The second was formed by gestational vegan/vegetarian and elimination diet, maternal probiotic supplementation, sex, high IgE total antibodies and food and mixed poly-allergy to aero- and food-origin allergens (19 clusters). Conclusions: Significant associations were observed between special gestational diet intake underlying foetal programming and the mechanisms of childhood allergy. The novelty is the positive association between diabetic and cholestatic diet intake and IgE/IgG-mediated food hypersensitivity.

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Pre-Conception Maternal Food Intake and the Association with Childhood Allergies

Cited by 11 publications

References 52 publications

Maternal Dietary Protein Patterns During Pregnancy and the Risk of Infant Eczema: A Cohort Study

Maternal Dietary Protein Patterns During Pregnancy and the Risk of Infant Eczema: A Cohort Study

Do Older Women of Reproductive Age Have Better Diet Quality than Younger Women of Reproductive Age?

Gestational Dysfunction-Driven Diets and Probiotic Supplementation Correlate with the Profile of Allergen-Specific Antibodies in the Serum of Allergy Sufferers

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