The Influence of Maternal Dietary Patterns on Body Mass Index and Gestational Weight Gain in Urban Black South African Women

Wrottesley, Stephanie V; Pisa, Pedro T.; Norris, Shane A.

doi:10.3390/nu9070732

Cited by 70 publications

(132 citation statements)

References 47 publications

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“…PCA was used to confirm the previously identified dietary patterns—namely western, traditional, and mixed—as described elsewhere (Wrottesley et al, , ). However, due to the comparatively high loadings of high sugar items in the previously labelled mixed pattern, this pattern was reclassified as the “mixed, high sugar” pattern in this study to provide stronger representation of its composition.…”

Section: Methodsmentioning

confidence: 99%

“…Further to the aforementioned findings, analyses from S1000 demonstrated differential associations between dietary patterns during pregnancy and maternal and offspring outcomes according to maternal body mass index (BMI) at baseline (Wrottesley et al, , ). In addition, both a higher maternal BMI and greater GWG were positively associated with newborn weight‐to‐length ratio but not with fat mass index (Wrottesley et al, ).…”

Section: Introductionmentioning

confidence: 95%

“…In urban African women, maternal dietary patterns during pregnancy have been associated with gestational weight gain (GWG) and with newborn growth and adiposity (Wrottesley, Ong, Pisa, & Norris, ; Wrottesley, Pisa, & Norris, ), potentially influencing long‐term risk of noncommunicable diseases for mothers and their offspring (Chiavaroli, Derraik, Hofman, & Cutfield, ; Godfrey et al, ; Holland, Groth, & Kitzman, ; Mochizuki, Hariya, Honma, & Goda, ). Specifically, in a longitudinal birth cohort study (Soweto First 1000‐Day Study; S1000), we identified three distinct dietary patterns in women during pregnancy using principal component analysis (PCA); namely “western,” “traditional,” and “mixed” (Wrottesley et al, ). Dietary transition is well established in highly urbanised settings such as Soweto (South Africa) where the consumption of energy dense and micronutrient poor diets high in refined carbohydrates, processed meats, high fat/sugar convenience foods, and edible oils (i.e., the western and mixed patterns in this case) increasingly surpass that of historically consumed diets high in whole grains, legumes, vegetables, and traditional meats (the traditional pattern; Popkin, ; Popkin, Adair, & Ng, ; Wrottesley et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…Specifically, in a longitudinal birth cohort study (Soweto First 1000‐Day Study; S1000), we identified three distinct dietary patterns in women during pregnancy using principal component analysis (PCA); namely “western,” “traditional,” and “mixed” (Wrottesley et al, ). Dietary transition is well established in highly urbanised settings such as Soweto (South Africa) where the consumption of energy dense and micronutrient poor diets high in refined carbohydrates, processed meats, high fat/sugar convenience foods, and edible oils (i.e., the western and mixed patterns in this case) increasingly surpass that of historically consumed diets high in whole grains, legumes, vegetables, and traditional meats (the traditional pattern; Popkin, ; Popkin, Adair, & Ng, ; Wrottesley et al, ). The S1000 study showed that adherence to the western and mixed dietary patterns was associated with higher maternal weight gain during pregnancy (Wrottesley et al, ).…”

Section: Introductionmentioning

confidence: 99%

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A maternal “mixed, high sugar” dietary pattern is associated with fetal growth

Wrottesley

Prioreschi

Kehoe

et al. 2019

Maternal & Child Nutrition

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This study examined associations between a maternal “mixed, high sugar” dietary pattern during pregnancy and ultrasound‐determined fetal growth in 495 urban African women and explored whether these associations were independent of maternal baseline body mass index (BMI) and gestational weight gain (GWG). Linear mixed effects modelling (LMM) was used to test the associations between maternal mixed, high sugar dietary pattern score, baseline BMI (kg/m2), and GWG (kg/week) and the following fetal growth outcomes: (a) biparietal diameter (cm), (b) head circumference (cm), (c) abdominal circumference (cm), and (d) femur length (cm). In the pooled LMM, a +1 standard deviation (SD) increase in the mixed, high sugar dietary pattern score was associated with higher biparietal diameter (0.03 cm/+1 SD; p = .007), head circumference (0.07 cm/+1 SD; p = .026), abdominal circumference (0.08 cm/+1 SD; p = .038), and femur length (0.02 cm/+1 SD; p = .015). Although these associations were independent of maternal BMI and GWG, higher baseline BMI was independently and positively associated with abdominal circumference (0.03 cm/+1 kg/m2; p = .011) and femur length (0.01 cm/+1 kg/m2; p = .007) and 1 kg/week greater GWG was associated with a 0.82 cm increase in abdominal circumference (p = .007). In urban African settings, where preconception maternal obesity prevalence is high and processed, high sugar diets are common, improving maternal dietary intake and BMI prior to conception should be prioritised for optimising pregnancy and birth outcomes as well as longer‐term offspring health. In addition, dietary management strategies during pregnancy may be beneficial in facilitating healthy fetal growth.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A maternal “mixed, high sugar” dietary pattern is associated with fetal growth

Wrottesley

Prioreschi

Kehoe

et al. 2019

Maternal & Child Nutrition

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show abstract

“…Prepregnancy weight and gestational weight gain were not available. We assumed a 16 kg weight gain during pregnancy for all participants based on a previous study of South African women (Wrottesley et al, 2017). During non-exclusive breastfeeding, we assumed milk intake to be half the intake during exclusive breastfeeding.…”

Section: Methodsmentioning

confidence: 99%

Early-life exposure to p,p′-DDT and p,p′-DDE in South African children participating in the VHEMBE study: An assessment using repeated serum measurements and pharmacokinetic modeling

Verner

Chevrier

Ngueta

et al. 2018

Environment International

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Background: The World Health Organization recommends indoor residual spraying (IRS) of insecticides (including dichlorodiphenyltrichloroethane [DDT]) to fight malaria vectors in endemic countries. There is limited information on children’s exposure to DDT in sprayed areas, and tools to estimate early-life exposure have not been thoroughly evaluated in this context. Objectives: To document serum p,p′-DDT/E levels in 47 mothers and children participating in the Venda Health Examination of Mothers, Babies and their Environment (VHEMBE), a study conducted in an area where IRS insecticides are used annually, and to evaluate the precision and accuracy of a published pharmacokinetic model for the estimation of children’s p,p′-DDT/E levels. Methods: p,p′-DDT/E levels were measured in maternal serum at delivery, and in children’s serum at 12 and 24 months of age. A pharmacokinetic model of gestational and lactational exposure was used to estimate children’s p,p′-DDT/E levels during pregnancy and the first two years of life, and estimated levels were compared to measured levels. Results: The geometric means of children’s serum p,p′-DDT/E levels at 12 and 24 months were higher than those of maternal serum levels. Regression models of measured children’s p,p′-DDT/E levels vs. levels estimated with the pharmacokinetic model (which only accounted for children’s exposure through placental transfer and breastfeeding) had coefficients of determination (R2) ranging from 0.75 to 0.82. Estimated p,p′-DDE levels were not significantly different from measured levels, whereas p,p′-DDT levels were overestimated by 36% at 12 months, and 51% at 24 months. Conclusion: Results indicate that children living in a sprayed area have serum p,p′-DDT/E levels exceeding their mothers’ during the first two years of life. The pharmacokinetic model may be useful to estimate children’s levels in the VHEMBE population.

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Association of dietary patterns of pregnant women with pregnancy outcomes: A hospital‐based study

Ghorbani‐Kafteroodi,

Ghiasvand,

Saghafi‐Asl

et al. 2023

Food Science & Nutrition

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Diet is one of the main factors influencing pregnancy outcomes. Maternal and child health both seem to be related to dietary patterns. So far, no study on dietary pattern has been performed on pregnant women and its association with pregnancy outcomes in Rasht. Therefore, the present study aimed to investigate the association between dietary patterns and pregnancy outcomes in Rasht. In this cross‐sectional study, 300 healthy pregnant women were included from three public hospitals in Rasht. Data on demographic, dietary intake, physical activity (PA), and anthropometric measurements of mothers were recorded. Outcomes of newborns were also gathered. Dietary patterns were identified using principal component analysis. General linear model was used for data analysis. Prior to pregnancy, only 40% of women had a normal body mass index (BMI). More than half of them (52.3%) had a gestational weight gain in excess of the guidelines. The dominant dietary patterns among pregnant women were traditional, Western, and healthy, respectively. High adherence to the Western pattern had a direct association with gestational weight gain (B = 1.48, p = .046) and inverse association with birth length (B = −0.71, p = .043). However, the results did not remain significant after adjusting for covariates. The present study indicated that several factors can affect the association of the Western diet with pregnancy outcomes. Therefore, making policies for interventional programs to improve maternal lifestyle factors along with their diet quality is recommended.

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The Influence of Maternal Dietary Patterns on Body Mass Index and Gestational Weight Gain in Urban Black South African Women

Cited by 70 publications

References 47 publications

A maternal “mixed, high sugar” dietary pattern is associated with fetal growth

A maternal “mixed, high sugar” dietary pattern is associated with fetal growth

Early-life exposure to p,p′-DDT and p,p′-DDE in South African children participating in the VHEMBE study: An assessment using repeated serum measurements and pharmacokinetic modeling

Association of dietary patterns of pregnant women with pregnancy outcomes: A hospital‐based study

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