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An Early, Universal Mediterranean Diet-Based Intervention in Pregnancy Reduces Cardiovascular Risk Factors in the “Fourth Trimester”

An early antenatal dietary intervention could play an important role in the prevention of metabolic diseases postpartum. The aim of this study is to evaluate whether an early, specific dietary intervention reduces women’s cardiovascular risk in the “fourth trimester”. This prospective cohort study c...

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Autores principales: Assaf-Balut, Carla, Garcia de la Torre, Nuria, Durán, Alejandra, Bordiu, Elena, del Valle, Laura, Familiar, Cristina, Valerio, Johanna, Jimenez, Inés, Herraiz, Miguel Angel, Izquierdo, Nuria, Runkle, Isabelle, de Miguel, María Paz, Montañez, Carmen, Barabash, Ana, Cuesta, Martín, Rubio, Miguel Angel, Calle-Pascual, Alfonso Luis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6780735/
https://www.ncbi.nlm.nih.gov/pubmed/31546914
http://dx.doi.org/10.3390/jcm8091499
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author Assaf-Balut, Carla
Garcia de la Torre, Nuria
Durán, Alejandra
Bordiu, Elena
del Valle, Laura
Familiar, Cristina
Valerio, Johanna
Jimenez, Inés
Herraiz, Miguel Angel
Izquierdo, Nuria
Runkle, Isabelle
de Miguel, María Paz
Montañez, Carmen
Barabash, Ana
Cuesta, Martín
Rubio, Miguel Angel
Calle-Pascual, Alfonso Luis
author_facet Assaf-Balut, Carla
Garcia de la Torre, Nuria
Durán, Alejandra
Bordiu, Elena
del Valle, Laura
Familiar, Cristina
Valerio, Johanna
Jimenez, Inés
Herraiz, Miguel Angel
Izquierdo, Nuria
Runkle, Isabelle
de Miguel, María Paz
Montañez, Carmen
Barabash, Ana
Cuesta, Martín
Rubio, Miguel Angel
Calle-Pascual, Alfonso Luis
author_sort Assaf-Balut, Carla
collection PubMed
description An early antenatal dietary intervention could play an important role in the prevention of metabolic diseases postpartum. The aim of this study is to evaluate whether an early, specific dietary intervention reduces women’s cardiovascular risk in the “fourth trimester”. This prospective cohort study compares 1675 women from the standard-care group (ScG/n = 676), who received standard-care dietary guidelines, with the intervention group (IG/n = 999), who received Mediterranean diet (MedDiet)-based dietary guidelines, supplemented with extra-virgin olive oil and nuts. Cardiovascular risk was determined by the presence of metabolic syndrome (MetS) and insulin resistance syndrome (IrS) (HOMA-IR 3.5) at 12–14 weeks postpartum. MetS was less frequent in the IG (11.3 vs. 19.3%, p < 0.05). The intervention was associated with a reduction in the relative risk of having MetS: 0.74 (95% CI, 0.60–0.90), but not in the risk of IrS. When analyzing the presence of having one or more components of the MetS, the IG had significantly higher rates of having 0 components and lower rates of having ≥1 (p-trend = 0.029). An early MedDiet-based nutritional intervention in pregnancy is associated with reductions in postpartum rates of MetS.
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spelling pubmed-67807352019-10-30 An Early, Universal Mediterranean Diet-Based Intervention in Pregnancy Reduces Cardiovascular Risk Factors in the “Fourth Trimester” Assaf-Balut, Carla Garcia de la Torre, Nuria Durán, Alejandra Bordiu, Elena del Valle, Laura Familiar, Cristina Valerio, Johanna Jimenez, Inés Herraiz, Miguel Angel Izquierdo, Nuria Runkle, Isabelle de Miguel, María Paz Montañez, Carmen Barabash, Ana Cuesta, Martín Rubio, Miguel Angel Calle-Pascual, Alfonso Luis J Clin Med Article An early antenatal dietary intervention could play an important role in the prevention of metabolic diseases postpartum. The aim of this study is to evaluate whether an early, specific dietary intervention reduces women’s cardiovascular risk in the “fourth trimester”. This prospective cohort study compares 1675 women from the standard-care group (ScG/n = 676), who received standard-care dietary guidelines, with the intervention group (IG/n = 999), who received Mediterranean diet (MedDiet)-based dietary guidelines, supplemented with extra-virgin olive oil and nuts. Cardiovascular risk was determined by the presence of metabolic syndrome (MetS) and insulin resistance syndrome (IrS) (HOMA-IR 3.5) at 12–14 weeks postpartum. MetS was less frequent in the IG (11.3 vs. 19.3%, p < 0.05). The intervention was associated with a reduction in the relative risk of having MetS: 0.74 (95% CI, 0.60–0.90), but not in the risk of IrS. When analyzing the presence of having one or more components of the MetS, the IG had significantly higher rates of having 0 components and lower rates of having ≥1 (p-trend = 0.029). An early MedDiet-based nutritional intervention in pregnancy is associated with reductions in postpartum rates of MetS. MDPI 2019-09-19 /pmc/articles/PMC6780735/ /pubmed/31546914 http://dx.doi.org/10.3390/jcm8091499 Text en © 2019 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
Garcia de la Torre, Nuria
Durán, Alejandra
Bordiu, Elena
del Valle, Laura
Familiar, Cristina
Valerio, Johanna
Jimenez, Inés
Herraiz, Miguel Angel
Izquierdo, Nuria
Runkle, Isabelle
de Miguel, María Paz
Montañez, Carmen
Barabash, Ana
Cuesta, Martín
Rubio, Miguel Angel
Calle-Pascual, Alfonso Luis
An Early, Universal Mediterranean Diet-Based Intervention in Pregnancy Reduces Cardiovascular Risk Factors in the “Fourth Trimester”
title An Early, Universal Mediterranean Diet-Based Intervention in Pregnancy Reduces Cardiovascular Risk Factors in the “Fourth Trimester”
title_full An Early, Universal Mediterranean Diet-Based Intervention in Pregnancy Reduces Cardiovascular Risk Factors in the “Fourth Trimester”
title_fullStr An Early, Universal Mediterranean Diet-Based Intervention in Pregnancy Reduces Cardiovascular Risk Factors in the “Fourth Trimester”
title_full_unstemmed An Early, Universal Mediterranean Diet-Based Intervention in Pregnancy Reduces Cardiovascular Risk Factors in the “Fourth Trimester”
title_short An Early, Universal Mediterranean Diet-Based Intervention in Pregnancy Reduces Cardiovascular Risk Factors in the “Fourth Trimester”
title_sort early, universal mediterranean diet-based intervention in pregnancy reduces cardiovascular risk factors in the “fourth trimester”
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6780735/
https://www.ncbi.nlm.nih.gov/pubmed/31546914
http://dx.doi.org/10.3390/jcm8091499
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