The influence of maternal dietary patterns on gestational weight gain: A large prospective cohort study in China

Wei, Xu-Hong; He, Jianxing; Lin, Yan; Lu, Min‐Shan; Zhou, Qianling; Li, Shenghui; Lu, Jinhua; Yuan, Mingyang; Chen, Niannian; Zhang, Lifang; Qiu, Lan; W, Mai; Pan, Yuejun; Yin, Caixin; Hu, Cui-Yue; Xia, Huimin; Qiu, Xiu

doi:10.1016/j.nut.2018.07.113

Cited by 18 publications

(25 citation statements)

References 35 publications

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“…30 Moreover, a diet pattern rich in fish, beans, nuts, and yogurt has been shown to decrease the risk of inadequate GWG. 31 Most women in the present study were overweight or obese, and consistent with other studies, 32,33 the highest prevalence of excessive GWG occurred among women that were overweight or obese.…”

Section: Discussionsupporting

confidence: 91%

The Role of Health-related Behaviors in Gestational Weight Gain among Women with Overweight and Obesity: A Cross-sectional Analysis

Paulino

Pinho-Pompeu

Raikov

et al. 2020

Rev Bras Ginecol Obstet

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Objective To evaluate the influence of health-related behaviors including food intake, physical activity, sleep time, smoking habits, stress, depression, and optimism on excessive gestational weight gain (GWG) among women with overweight and obesity. Methods A cross-sectional study was conducted at the Women's Hospital of the Universidade de Campinas, Campinas, state of São Paulo, Brazil, with 386 mediate postpartum women that fit the inclusion criteria of ≥ 19 years old, first prenatal care visit at or before 14 weeks, and single live baby. Dietary habits, physical exercise practice, sleep duration, smoking and alcohol habits were self-reported. Psychosocial history was evaluated using the Edinburgh Postpartum Depression Scale (EPDS), Perceived Stress Scale (PSS), and Life Orientation Test-Revised (LOT-R). Sociodemographic, obstetric, anthropometric, and neonatal data were retrieved from medical records. Descriptive statistics and stepwise logistic regression were performed. Results The prevalence of overweight and obesity was 29.27% and 24.61%, respectively, according to the body mass index (BMI). Excessive GWG was observed in 47.79% of women with overweight and in 45.26% of women with obesity. Excessive GWG among overweight and obese women was associated with inadequate vegetable and bean consumption (odds ratio [OR] = 2.95, 95% confidence interval [CI]: 1.35–6.46 and OR = 1.91; 95%CI: 1.01–3.63, respectively) and stress (OR = 1.63; 95%CI 1.01–2.64). After adjustment by maternal age, multiparity, sleep duration, smoking, and alcohol intake, we found that stress (PSS ≥ 20) was associated with excessive GWG in women with overweight or obesity (OR: 1.75; 95%CI: 1.03–2.96). Conclusion Among women with overweight and obesity, stress is the main variable associated with excessive GWG. Inadequate vegetables and beans consumption also showed association with excessive GWG.

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Section: Discussionsupporting

confidence: 91%

The Role of Health-related Behaviors in Gestational Weight Gain among Women with Overweight and Obesity: A Cross-sectional Analysis

Paulino

Pinho-Pompeu

Raikov

et al. 2020

Rev Bras Ginecol Obstet

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“…In addition, dramatic changes in gut microbial composition have been observed in pregnant women after dietary intervention 7 . The dietary patterns of pregnant women largely impact their GWG as well as infant birth weight 38,39 . In our samples, however, the stability of the gut microbiota could be partly explained by the fact that the women's dietary patterns rarely changed during normal pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Systematic analysis of gut microbiota in pregnant women and its correlations with individual heterogeneity

Yang

Guo²,

Li³

et al. 2020

npj Biofilms Microbiomes

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The woman’s gut microbiota during pregnancy may support nutrient acquisition, is associated with diseases, and has been linked to infant health. However, there is limited information on gut microbial characteristics and dependence in pregnant women. In this study, we provide a comprehensive overview of the gut microbial characteristics of 1479 pregnant women using 16S rRNA gene sequencing of fecal samples. We identify a core microbiota of pregnant women, which displays a similar overall structure to that of age-matched nonpregnant women. Our data show that the gestational age-associated variation in the gut microbiota, from the ninth week of gestation to antepartum, is relatively limited. Building upon rich metadata, we reveal a set of exogenous and intrinsic host factors that are highly correlated with the variation in gut microbial community composition and function. These microbiota covariates are concentrated in basic host properties (e.g., age and residency status) and blood clinical parameters, suggesting that individual heterogeneity is the major force shaping the gut microbiome during pregnancy. Moreover, we identify microbial and functional markers that are associated with age, pre-pregnancy body mass index, residency status, and pre-pregnancy and gestational diseases. The gut microbiota during pregnancy is also different between women with high or low gestational weight gain. Our study demonstrates the structure, gestational age-associated variation, and associations with host factors of the gut microbiota during pregnancy and strengthens the understanding of microbe–host interactions. The results from this study offer new materials and prospects for gut microbiome research in clinical and diagnostic fields.

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“…Indeed, foods rich in vitamins, minerals, fibers, and antioxidants can help stimulate the immune system and detoxification enzymes, improve cholesterol synthesis, modulate hormone metabolism and stimulate antioxidant defense [34]. Moreover, women who adhered to a prudent diet were more likely to have a healthy lifestyle, which in turn contributed to adequate GWG independent of pre-pregnancy BMI [35]. However, further research is encouraged to evaluate the effects of certain food categories and the potential mechanistic pathways involved in this process.…”

Section: Discussionmentioning

confidence: 99%

“…However, in our opinion, the analysis of dietary patterns represents a practical and useful approach to inform and to guide healthy eating and weight management during pregnancy. Accordingly, the prudent dietary pattern—including a variety of healthy foods—has been encouraged in many dietary guidelines [35].…”

Section: Discussionmentioning

confidence: 99%

Maternal Dietary Patterns Are Associated with Pre-Pregnancy Body Mass Index and Gestational Weight Gain: Results from the “Mamma & Bambino” Cohort

et al. 2019

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The present study investigated the association of maternal dietary patterns with pre-pregnancy body mass index (BMI) and total gestational weight gain (GWG), using data of 232 women from the “Mamma & Bambino” cohort. Dietary patterns were derived by a food frequency questionnaire and principal component analysis. Self-reported pre-pregnancy BMI and GWG were calculated according to the World Health Organization and Institute of Medicine guidelines, respectively. The adherence to the “Western” dietary pattern—characterized by high intake of red meat, fries, dipping sauces, salty snacks and alcoholic drinks—was associated with increased GWG (β = 1.217; standard error [SE] = 0.487; p = 0.013), especially among obese women (β = 7.363; SE = 1.808; p = 0.005). In contrast, the adherence to the “prudent” dietary pattern—characterized by high intake of boiled potatoes, cooked vegetables, legumes, pizza and soup—was associated with reduced pre-pregnancy BMI (β = −0.631; SE = 0.318; p-trend = 0.038). Interestingly, the adherence to this pattern was positively associated with GWG among underweight (β = 4.127; SE = 1.722; p = 0.048), and negatively among overweight and obese individuals (β = −4.209; SE = 1.635; p = 0.016 and β = −7.356; SE = 2.304; p = 0.031, respectively). Our findings point out that the promotion of a healthy diet might represent a potential preventive strategy against inadequate weight gain, even during the periconceptional period.

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The influence of maternal dietary patterns on gestational weight gain: A large prospective cohort study in China

Cited by 18 publications

References 35 publications

The Role of Health-related Behaviors in Gestational Weight Gain among Women with Overweight and Obesity: A Cross-sectional Analysis

The Role of Health-related Behaviors in Gestational Weight Gain among Women with Overweight and Obesity: A Cross-sectional Analysis

Systematic analysis of gut microbiota in pregnant women and its correlations with individual heterogeneity

Maternal Dietary Patterns Are Associated with Pre-Pregnancy Body Mass Index and Gestational Weight Gain: Results from the “Mamma & Bambino” Cohort

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