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A Priori and a Posteriori Dietary Patterns during Pregnancy and Gestational Weight Gain: The Generation R Study

Abnormal gestational weight gain (GWG) is associated with adverse pregnancy outcomes. We examined whether dietary patterns are associated with GWG. Participants included 3374 pregnant women from a population-based cohort in the Netherlands. Dietary intake during pregnancy was assessed with food-freq...

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Autores principales: Tielemans, Myrte J., Erler, Nicole S., Leermakers, Elisabeth T. M., van den Broek, Marion, Jaddoe, Vincent W. V., Steegers, Eric A. P., Kiefte-de Jong, Jessica C., Franco, Oscar H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4663604/
https://www.ncbi.nlm.nih.gov/pubmed/26569303
http://dx.doi.org/10.3390/nu7115476
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author Tielemans, Myrte J.
Erler, Nicole S.
Leermakers, Elisabeth T. M.
van den Broek, Marion
Jaddoe, Vincent W. V.
Steegers, Eric A. P.
Kiefte-de Jong, Jessica C.
Franco, Oscar H.
author_facet Tielemans, Myrte J.
Erler, Nicole S.
Leermakers, Elisabeth T. M.
van den Broek, Marion
Jaddoe, Vincent W. V.
Steegers, Eric A. P.
Kiefte-de Jong, Jessica C.
Franco, Oscar H.
author_sort Tielemans, Myrte J.
collection PubMed
description Abnormal gestational weight gain (GWG) is associated with adverse pregnancy outcomes. We examined whether dietary patterns are associated with GWG. Participants included 3374 pregnant women from a population-based cohort in the Netherlands. Dietary intake during pregnancy was assessed with food-frequency questionnaires. Three a posteriori-derived dietary patterns were identified using principal component analysis: a “Vegetable, oil and fish”, a “Nuts, high-fiber cereals and soy”, and a “Margarine, sugar and snacks” pattern. The a priori-defined dietary pattern was based on national dietary recommendations. Weight was repeatedly measured around 13, 20 and 30 weeks of pregnancy; pre-pregnancy and maximum weight were self-reported. Normal weight women with high adherence to the “Vegetable, oil and fish” pattern had higher early-pregnancy GWG than those with low adherence (43 g/week (95% CI 16; 69) for highest vs. lowest quartile (Q)). Adherence to the “Margarine, sugar and snacks” pattern was associated with a higher prevalence of excessive GWG (OR 1.45 (95% CI 1.06; 1.99) Q4 vs. Q1). Normal weight women with higher scores on the “Nuts, high-fiber cereals and soy” pattern had more moderate GWG than women with lower scores (−0.01 (95% CI −0.02; −0.00) per SD). The a priori-defined pattern was not associated with GWG. To conclude, specific dietary patterns may play a role in early pregnancy but are not consistently associated with GWG.
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spelling pubmed-46636042015-12-10 A Priori and a Posteriori Dietary Patterns during Pregnancy and Gestational Weight Gain: The Generation R Study Tielemans, Myrte J. Erler, Nicole S. Leermakers, Elisabeth T. M. van den Broek, Marion Jaddoe, Vincent W. V. Steegers, Eric A. P. Kiefte-de Jong, Jessica C. Franco, Oscar H. Nutrients Article Abnormal gestational weight gain (GWG) is associated with adverse pregnancy outcomes. We examined whether dietary patterns are associated with GWG. Participants included 3374 pregnant women from a population-based cohort in the Netherlands. Dietary intake during pregnancy was assessed with food-frequency questionnaires. Three a posteriori-derived dietary patterns were identified using principal component analysis: a “Vegetable, oil and fish”, a “Nuts, high-fiber cereals and soy”, and a “Margarine, sugar and snacks” pattern. The a priori-defined dietary pattern was based on national dietary recommendations. Weight was repeatedly measured around 13, 20 and 30 weeks of pregnancy; pre-pregnancy and maximum weight were self-reported. Normal weight women with high adherence to the “Vegetable, oil and fish” pattern had higher early-pregnancy GWG than those with low adherence (43 g/week (95% CI 16; 69) for highest vs. lowest quartile (Q)). Adherence to the “Margarine, sugar and snacks” pattern was associated with a higher prevalence of excessive GWG (OR 1.45 (95% CI 1.06; 1.99) Q4 vs. Q1). Normal weight women with higher scores on the “Nuts, high-fiber cereals and soy” pattern had more moderate GWG than women with lower scores (−0.01 (95% CI −0.02; −0.00) per SD). The a priori-defined pattern was not associated with GWG. To conclude, specific dietary patterns may play a role in early pregnancy but are not consistently associated with GWG. MDPI 2015-11-12 /pmc/articles/PMC4663604/ /pubmed/26569303 http://dx.doi.org/10.3390/nu7115476 Text en © 2015 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons by Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Tielemans, Myrte J.
Erler, Nicole S.
Leermakers, Elisabeth T. M.
van den Broek, Marion
Jaddoe, Vincent W. V.
Steegers, Eric A. P.
Kiefte-de Jong, Jessica C.
Franco, Oscar H.
A Priori and a Posteriori Dietary Patterns during Pregnancy and Gestational Weight Gain: The Generation R Study
title A Priori and a Posteriori Dietary Patterns during Pregnancy and Gestational Weight Gain: The Generation R Study
title_full A Priori and a Posteriori Dietary Patterns during Pregnancy and Gestational Weight Gain: The Generation R Study
title_fullStr A Priori and a Posteriori Dietary Patterns during Pregnancy and Gestational Weight Gain: The Generation R Study
title_full_unstemmed A Priori and a Posteriori Dietary Patterns during Pregnancy and Gestational Weight Gain: The Generation R Study
title_short A Priori and a Posteriori Dietary Patterns during Pregnancy and Gestational Weight Gain: The Generation R Study
title_sort priori and a posteriori dietary patterns during pregnancy and gestational weight gain: the generation r study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4663604/
https://www.ncbi.nlm.nih.gov/pubmed/26569303
http://dx.doi.org/10.3390/nu7115476
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