Cargando…

A High Adherence to Six Food Targets of the Mediterranean Diet in the Late First Trimester is Associated with a Reduction in the Risk of Materno-Foetal Outcomes: The St. Carlos Gestational Diabetes Mellitus Prevention Study

A prenatal diet affects materno-foetal outcomes. This is a post hoc analysis of the St. Carlos gestational diabetes mellitus (GDM) Prevention Study. It aims to evaluate the effect of a late first-trimester (>12 gestational weeks) degree of adherence to a MedDiet pattern—based on six food targets—...

Descripción completa

Detalles Bibliográficos
Autores principales: Assaf-Balut, Carla, García de la Torre, Nuria, Fuentes, Manuel, Durán, Alejandra, Bordiú, Elena, del Valle, Laura, Valerio, Johanna, Jiménez, Inés, Herraiz, Miguel Angel, Izquierdo, Nuria, Torrejón, María José, de Miguel, María Paz, Barabash, Ana, Cuesta, Martín, Rubio, Miguel Angel, Calle-Pascual, Alfonso Luis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6356317/
https://www.ncbi.nlm.nih.gov/pubmed/30602688
http://dx.doi.org/10.3390/nu11010066
_version_ 1783391506259771392
author Assaf-Balut, Carla
García de la Torre, Nuria
Fuentes, Manuel
Durán, Alejandra
Bordiú, Elena
del Valle, Laura
Valerio, Johanna
Jiménez, Inés
Herraiz, Miguel Angel
Izquierdo, Nuria
Torrejón, María José
de Miguel, María Paz
Barabash, Ana
Cuesta, Martín
Rubio, Miguel Angel
Calle-Pascual, Alfonso Luis
author_facet Assaf-Balut, Carla
García de la Torre, Nuria
Fuentes, Manuel
Durán, Alejandra
Bordiú, Elena
del Valle, Laura
Valerio, Johanna
Jiménez, Inés
Herraiz, Miguel Angel
Izquierdo, Nuria
Torrejón, María José
de Miguel, María Paz
Barabash, Ana
Cuesta, Martín
Rubio, Miguel Angel
Calle-Pascual, Alfonso Luis
author_sort Assaf-Balut, Carla
collection PubMed
description A prenatal diet affects materno-foetal outcomes. This is a post hoc analysis of the St. Carlos gestational diabetes mellitus (GDM) Prevention Study. It aims to evaluate the effect of a late first-trimester (>12 gestational weeks) degree of adherence to a MedDiet pattern—based on six food targets—on a composite of materno-foetal outcomes (CMFCs). The CMFCs were defined as having emergency C-section, perineal trauma, pregnancy-induced hypertension and preeclampsia, prematurity, large-for-gestational-age, and/or small-for-gestational-age. A total of 874 women were stratified into three groups according to late first-trimester compliance with six food targets: >12 servings/week of vegetables, >12 servings/week of fruits, <2 servings/week of juice, >3 servings/week of nuts, >6 days/week consumption of extra virgin olive oil (EVOO), and ≥40 mL/day of EVOO. High adherence was defined as complying with 5–6 targets; moderate adherence 2–4 targets; low adherence 0–1 targets. There was a linear association between high, moderate, and low adherence, and a lower risk of GDM, CMFCs, urinary tract infections (UTI), prematurity, and small-for-gestational-age (SGA) newborns (all p < 0.05). The odds ratios (95% CI) for GDM and CMFCs in women with a high adherence were 0.35((0.18–0.67), p = 0.002) and 0.23((0.11–0.48), p < 0.001), respectively. Late first-trimester high adherence to the predefined six food targets is associated with a reduction in the risk of GDM, CMFCs, UTI, prematurity, and SGA new-borns.
format Online
Article
Text
id pubmed-6356317
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-63563172019-02-01 A High Adherence to Six Food Targets of the Mediterranean Diet in the Late First Trimester is Associated with a Reduction in the Risk of Materno-Foetal Outcomes: The St. Carlos Gestational Diabetes Mellitus Prevention Study Assaf-Balut, Carla García de la Torre, Nuria Fuentes, Manuel Durán, Alejandra Bordiú, Elena del Valle, Laura Valerio, Johanna Jiménez, Inés Herraiz, Miguel Angel Izquierdo, Nuria Torrejón, María José de Miguel, María Paz Barabash, Ana Cuesta, Martín Rubio, Miguel Angel Calle-Pascual, Alfonso Luis Nutrients Article A prenatal diet affects materno-foetal outcomes. This is a post hoc analysis of the St. Carlos gestational diabetes mellitus (GDM) Prevention Study. It aims to evaluate the effect of a late first-trimester (>12 gestational weeks) degree of adherence to a MedDiet pattern—based on six food targets—on a composite of materno-foetal outcomes (CMFCs). The CMFCs were defined as having emergency C-section, perineal trauma, pregnancy-induced hypertension and preeclampsia, prematurity, large-for-gestational-age, and/or small-for-gestational-age. A total of 874 women were stratified into three groups according to late first-trimester compliance with six food targets: >12 servings/week of vegetables, >12 servings/week of fruits, <2 servings/week of juice, >3 servings/week of nuts, >6 days/week consumption of extra virgin olive oil (EVOO), and ≥40 mL/day of EVOO. High adherence was defined as complying with 5–6 targets; moderate adherence 2–4 targets; low adherence 0–1 targets. There was a linear association between high, moderate, and low adherence, and a lower risk of GDM, CMFCs, urinary tract infections (UTI), prematurity, and small-for-gestational-age (SGA) newborns (all p < 0.05). The odds ratios (95% CI) for GDM and CMFCs in women with a high adherence were 0.35((0.18–0.67), p = 0.002) and 0.23((0.11–0.48), p < 0.001), respectively. Late first-trimester high adherence to the predefined six food targets is associated with a reduction in the risk of GDM, CMFCs, UTI, prematurity, and SGA new-borns. MDPI 2018-12-31 /pmc/articles/PMC6356317/ /pubmed/30602688 http://dx.doi.org/10.3390/nu11010066 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Assaf-Balut, Carla
García de la Torre, Nuria
Fuentes, Manuel
Durán, Alejandra
Bordiú, Elena
del Valle, Laura
Valerio, Johanna
Jiménez, Inés
Herraiz, Miguel Angel
Izquierdo, Nuria
Torrejón, María José
de Miguel, María Paz
Barabash, Ana
Cuesta, Martín
Rubio, Miguel Angel
Calle-Pascual, Alfonso Luis
A High Adherence to Six Food Targets of the Mediterranean Diet in the Late First Trimester is Associated with a Reduction in the Risk of Materno-Foetal Outcomes: The St. Carlos Gestational Diabetes Mellitus Prevention Study
title A High Adherence to Six Food Targets of the Mediterranean Diet in the Late First Trimester is Associated with a Reduction in the Risk of Materno-Foetal Outcomes: The St. Carlos Gestational Diabetes Mellitus Prevention Study
title_full A High Adherence to Six Food Targets of the Mediterranean Diet in the Late First Trimester is Associated with a Reduction in the Risk of Materno-Foetal Outcomes: The St. Carlos Gestational Diabetes Mellitus Prevention Study
title_fullStr A High Adherence to Six Food Targets of the Mediterranean Diet in the Late First Trimester is Associated with a Reduction in the Risk of Materno-Foetal Outcomes: The St. Carlos Gestational Diabetes Mellitus Prevention Study
title_full_unstemmed A High Adherence to Six Food Targets of the Mediterranean Diet in the Late First Trimester is Associated with a Reduction in the Risk of Materno-Foetal Outcomes: The St. Carlos Gestational Diabetes Mellitus Prevention Study
title_short A High Adherence to Six Food Targets of the Mediterranean Diet in the Late First Trimester is Associated with a Reduction in the Risk of Materno-Foetal Outcomes: The St. Carlos Gestational Diabetes Mellitus Prevention Study
title_sort high adherence to six food targets of the mediterranean diet in the late first trimester is associated with a reduction in the risk of materno-foetal outcomes: the st. carlos gestational diabetes mellitus prevention study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6356317/
https://www.ncbi.nlm.nih.gov/pubmed/30602688
http://dx.doi.org/10.3390/nu11010066
work_keys_str_mv AT assafbalutcarla ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT garciadelatorrenuria ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT fuentesmanuel ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT duranalejandra ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT bordiuelena ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT delvallelaura ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT valeriojohanna ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT jimenezines ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT herraizmiguelangel ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT izquierdonuria ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT torrejonmariajose ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT demiguelmariapaz ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT barabashana ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT cuestamartin ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT rubiomiguelangel ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT callepascualalfonsoluis ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT assafbalutcarla highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT garciadelatorrenuria highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT fuentesmanuel highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT duranalejandra highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT bordiuelena highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT delvallelaura highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT valeriojohanna highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT jimenezines highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT herraizmiguelangel highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT izquierdonuria highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT torrejonmariajose highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT demiguelmariapaz highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT barabashana highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT cuestamartin highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT rubiomiguelangel highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy
AT callepascualalfonsoluis highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy