Pre-Pregnancy BMI Influences the Association of Dietary Quality and Gestational Weight Gain: The SECOST Study

Yong, Heng Yaw; Shariff, Zalilah Mohd; Yusof, Barakatun Nisak Mohd; Rejali, Zulida; Tee, Yvonne Yee Siang; Bindels, Jacques; Beek, Eline M. van der

doi:10.3390/ijerph16193735

Cited by 23 publications

(27 citation statements)

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“…Furthermore, only increased prepregnancy BMI was significantly associated with weight at delivery, AFI, glucose levels after delivery and menarche. This is to the certain degree in line with previous reports, where women with increased prepregnancy BMI tend to gain weight [ 28 , 29 ]. In the study of Dong et al, elevated prepregnancy BMI and excessive GWG in first trimester of pregnancy were associated with gestational DM [ 30 ]; however, Yong et al, reported that GWG nor in the first neither in the second trimester of pregnancy was independently associated with the risk for gestational DM [ 31 ].…”

Section: Discussionsupporting

confidence: 92%

The Influence of Increased Prepregnancy Body Mass Index and Excessive Gestational Weight Gain on Pregnancy Course and Fetal and Maternal Perinatal Outcomes

et al. 2020

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Background: The aim of our study was to assess the influence of prepregnancy Body Mass Index (BMI) changes as well as excessive gestational weight gain (GWG) on maternal and fetal perinatal parameters. Furthermore, we aimed to analyze the influence of increased prepregnancy BMI values and excessive GWG on neonatal early motoric development. Methods: The 203 eligible female participants were evaluated. Prepregnancy Body Mass Index (BMI) and excessive gestational weight gain (GWG) defined according to Institute of Medicine 2009 guidelines in the USA were assessed with tested maternal and fetal perinatal parameters and infants early motoric development (Alberta Infant Motor Scale—AIMS). Results: Significant predictors of increased prepregnancy BMI in perinatal period include: weight at delivery (p = 0.001), GWG (p = 0.002) and BMI at delivery (p < 0.001), while significant predictors of excessive GWG in perinatal period are: prepregnancy BMI (p = 0.029) and BMI at delivery (p < 0.001). In the group of participants with both increased prepregnancy BMI and excessive GWG versus others, significant predictors were: hypertension (HTA) (p = 0.019), amniotic fluid index (AFI) (p = 0.047), Pronation (AIMS) (p = 0.028) and Supination (AIMS) (p = 0.029). Conclusion: Increased prepregnancy BMI and excessive GWG are significantly associated with numerous perinatal factors that could alter the pregnancy course, pregnancy outcome and early motoric development of newborn. Moreover, increased prepregnancy BMI is shown to be a significant predictor of excessive GWG; thus, early selection of pregnant women for close monitoring of weight gain during pregnancy will have positive effects on reducing the risk of less favorable pregnancy course and early motoric development of newborn.

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Section: Discussionsupporting

confidence: 92%

The Influence of Increased Prepregnancy Body Mass Index and Excessive Gestational Weight Gain on Pregnancy Course and Fetal and Maternal Perinatal Outcomes

et al. 2020

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“…The association between food security and diet quality was also documented in women with children [ 51 , 52 , 53 , 67 ]. The only study that reported on pregnant women found lower M-HEI scores throughout their pregnancy (ranging between 52.7–56.1%) [ 54 ].…”

Section: Resultsmentioning

confidence: 99%

“…None of the reported studies explored the impact of diet quality on clinical outcomes in children, adolescents, young adults, or adult men ( Table 6 ). Limited evidence pointed toward positive associations between good diet quality and higher serum hemoglobin [ 64 ] and excessive gestational weight gain [ 54 ] in women. A negative association between diet quality and breast cancer risk was reported by one study [ 54 ].…”

Section: Resultsmentioning

confidence: 99%

“…Limited evidence pointed toward positive associations between good diet quality and higher serum hemoglobin [ 64 ] and excessive gestational weight gain [ 54 ] in women. A negative association between diet quality and breast cancer risk was reported by one study [ 54 ]. Intriguing positive associations between diet quality and hypertension among older adults [ 49 ], postprandial glucose level among prediabetic individuals [ 62 ], and insulin treatment among diabetic patients [ 60 ] were found.…”

Section: Resultsmentioning

confidence: 99%

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Diet Quality of Malaysians across Lifespan: A Scoping Review of Evidence in a Multi-Ethnic Population

et al. 2021

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Malaysia is a rapidly developing economy experiencing a nutrition transition. It suffers from a double burden of over- and undernutrition, making it essential to understand diet quality in the population. In this scoping review, we have collated the existing literature on Malaysian diet quality, including factors that influence it, and the association between diet quality and health outcomes across the lifespan of Malaysians. Overall, diet quality was poor in all age groups studied. The Healthy Eating Index (HEI) and its iterations were predominantly used in urban and clinical settings to evaluate diet-chronic disease relationships. These indices were significantly associated with cardio-metabolic and disease risks in adults. The Diet Diversity Score (DDS) and Food Variety Score (FVS) were used to gauge diet quality in maternal and child nutrition studies and were associated with appropriate growth and caloric intake. Deficiencies were found in fruit, vegetable, legumes, and dairy intake. Meat, salt, and sugar intake were found to be excessive in many studies. The findings can inform policies to improve diet quality in this population. The review also identified knowledge gaps that require further investigation.

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“…However, fruit and vegetable consumption was not linked to GWG in other prospective studies ( 31 , 33 ). Although our study did not evaluate diet quality specifically, high fruit and vegetable consumption is consistently associated with higher diet quality ( 35 ); and diet quality has been linked with reduced GWG in several ( 32 , 36 – 38 ), but not all ( 39 – 41 ) prior studies. The underlying cause of these discrepancies between fruit/vegetable consumption or diet quality and GWG is unclear.…”

Section: Discussionmentioning

confidence: 89%

Diet during Pregnancy and Gestational Weight Gain in a Michigan Pregnancy Cohort

Hirko

Comstock

Strakovsky

et al. 2020

Current Developments in Nutrition

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Background Gestational weight gain (GWG) has important health implications for both the mother and offspring. Maternal diet during pregnancy may play an important role in achieving adequate GWG; although its precise role is unclear. Objective Associations between maternal dietary components (fruits and vegetables, added sugar, % energy from fat, dairy) and GWG were examined in 327 pregnant women from the Archive for Research on Child Health cohort. Methods Self-reported usual dietary intake was assessed with validated dietary screening tools at first prenatal visit. GWG was obtained from the birth certificate and was categorized as inadequate, adequate, or excessive according to the Institute of Medicine recommendations. Associations between dietary components and GWG were assessed using multivariable regression models, stratified by maternal pre-pregnancy body mass index category. Results Only 31.5% of women had adequate GWG, with 24.8% gaining insufficient weight and 43.7% gaining excessively. Women who consumed more fruits and vegetables were suggestively less likely to have excessive GWG (OR (95%CI): 0.86 (0.75, 1.00)) in the minimally-adjusted model; but the association became non-significant after adjusting for covariates (OR (95%CI): 0.89 (0.77, 1.03)). In stratified models, fruit and vegetable intake was linked to lower likelihood of excessive GWG among women with obesity (OR (95% CI): 0.77 (0.60, 0.97)), whereas added sugar intake was linked to a slight reduction in likelihood of excessive GWG (OR (95%CI): 0.91 (0.84, 0.99)) among women with a pre-pregnancy BMI in the normal range. Other dietary components were not significantly associated with GWG. Conclusions These results suggest that consuming fruits and vegetables during pregnancy may reduce risk for excessive GWG among women with obesity. With the rising prevalence of obesity among women of reproductive age, interventions to increase fruit and vegetable intake during pregnancy may have broad public health impact by improving maternal and child health outcomes.

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Pre-Pregnancy BMI Influences the Association of Dietary Quality and Gestational Weight Gain: The SECOST Study

Cited by 23 publications

References 50 publications

The Influence of Increased Prepregnancy Body Mass Index and Excessive Gestational Weight Gain on Pregnancy Course and Fetal and Maternal Perinatal Outcomes

The Influence of Increased Prepregnancy Body Mass Index and Excessive Gestational Weight Gain on Pregnancy Course and Fetal and Maternal Perinatal Outcomes

Diet Quality of Malaysians across Lifespan: A Scoping Review of Evidence in a Multi-Ethnic Population

Diet during Pregnancy and Gestational Weight Gain in a Michigan Pregnancy Cohort

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