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Dietary patterns of Chinese women of childbearing age during pregnancy and their relationship to the neonatal birth weight
OBJECTIVE: To examine the type of maternal dietary patterns during pregnancy and the distribution characteristics of children’s birth weight and the association between dietary patterns and neonatal birth weight in China. METHODS: Data were derived from a cross-sectional program named “The prevalenc...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7449039/ https://www.ncbi.nlm.nih.gov/pubmed/32847595 http://dx.doi.org/10.1186/s12937-020-00607-y |
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author | Yan, Hui Dang, Shaonong Zhang, Yaodong Luo, Shuying |
author_facet | Yan, Hui Dang, Shaonong Zhang, Yaodong Luo, Shuying |
author_sort | Yan, Hui |
collection | PubMed |
description | OBJECTIVE: To examine the type of maternal dietary patterns during pregnancy and the distribution characteristics of children’s birth weight and the association between dietary patterns and neonatal birth weight in China. METHODS: Data were derived from a cross-sectional program named “The prevalence and risk factors of birth defects in Shaanxi Province” in July to November in 2013. A stratified multistage random sampling method was used to select women and their children. The mother’s diet during pregnancy was investigated using semi-quantitative food frequency questionnaire (FFQ) to collect the frequency and amount of food consumption, and the newborn birth weight as well as related social demographic information was collected at the same time. In our study, 0–1 year old children and their mothers with complete dietary survey data were selected as research objects. The main dietary patterns were identified according to factor analysis, and latent class analysis (LCA) was used to investigate the social demographic factors affecting dietary patterns. The logistic regression model was used to assess the association between birth weight and maternal dietary patterns during pregnancy by establishing three adjusting models and the data were stratified for further analysis by urban-rural and regions. RESULTS: A total of 15,980 participants were involved in this study. Four dietary patterns were identified: “vegetarian pattern”, “balance pattern”, “traditional pattern” and “processing pattern”. Compared with moderate tertile, women in the highest tertile of adherence to vegetarian pattern increased the risk of low birth weight in offspring in rural areas (OR = 1.61, 95%CI:1.06–2.93) and middle region (OR = 1.75, 95%CI:1.18–2.62), and the traditional pattern had greater odds of lower birth weight in the middle region (OR = 1.55, 95%CI:1.05–3.75). The processing pattern was found a protective factor for the occurrence of low birth weight in rural areas (OR = 0.98, 95%CI:0.43–0.99) but was a risk factor for low birth weight in the southern region (OR = 8.83, 95%CI:1.22–15.16). The balance pattern was a protective factor for the occurrence of low birth weight in the northern region(OR = 0.35, 95%CI:0.14–0.83). CONCLUSION: The vegetarian and traditional pattern may be positively related to a higher risk of low birth weight while the balanced pattern may keep birth weight of offspring within the appropriate range. Health education of balanced diet and individual nutrition guidance during pregnancy should be strengthened, to make the dietary structure during pregnancy are more reasonable, reduce the occurrence of adverse birth weight of newborns. |
format | Online Article Text |
id | pubmed-7449039 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-74490392020-08-27 Dietary patterns of Chinese women of childbearing age during pregnancy and their relationship to the neonatal birth weight Yan, Hui Dang, Shaonong Zhang, Yaodong Luo, Shuying Nutr J Research OBJECTIVE: To examine the type of maternal dietary patterns during pregnancy and the distribution characteristics of children’s birth weight and the association between dietary patterns and neonatal birth weight in China. METHODS: Data were derived from a cross-sectional program named “The prevalence and risk factors of birth defects in Shaanxi Province” in July to November in 2013. A stratified multistage random sampling method was used to select women and their children. The mother’s diet during pregnancy was investigated using semi-quantitative food frequency questionnaire (FFQ) to collect the frequency and amount of food consumption, and the newborn birth weight as well as related social demographic information was collected at the same time. In our study, 0–1 year old children and their mothers with complete dietary survey data were selected as research objects. The main dietary patterns were identified according to factor analysis, and latent class analysis (LCA) was used to investigate the social demographic factors affecting dietary patterns. The logistic regression model was used to assess the association between birth weight and maternal dietary patterns during pregnancy by establishing three adjusting models and the data were stratified for further analysis by urban-rural and regions. RESULTS: A total of 15,980 participants were involved in this study. Four dietary patterns were identified: “vegetarian pattern”, “balance pattern”, “traditional pattern” and “processing pattern”. Compared with moderate tertile, women in the highest tertile of adherence to vegetarian pattern increased the risk of low birth weight in offspring in rural areas (OR = 1.61, 95%CI:1.06–2.93) and middle region (OR = 1.75, 95%CI:1.18–2.62), and the traditional pattern had greater odds of lower birth weight in the middle region (OR = 1.55, 95%CI:1.05–3.75). The processing pattern was found a protective factor for the occurrence of low birth weight in rural areas (OR = 0.98, 95%CI:0.43–0.99) but was a risk factor for low birth weight in the southern region (OR = 8.83, 95%CI:1.22–15.16). The balance pattern was a protective factor for the occurrence of low birth weight in the northern region(OR = 0.35, 95%CI:0.14–0.83). CONCLUSION: The vegetarian and traditional pattern may be positively related to a higher risk of low birth weight while the balanced pattern may keep birth weight of offspring within the appropriate range. Health education of balanced diet and individual nutrition guidance during pregnancy should be strengthened, to make the dietary structure during pregnancy are more reasonable, reduce the occurrence of adverse birth weight of newborns. BioMed Central 2020-08-26 /pmc/articles/PMC7449039/ /pubmed/32847595 http://dx.doi.org/10.1186/s12937-020-00607-y Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Yan, Hui Dang, Shaonong Zhang, Yaodong Luo, Shuying Dietary patterns of Chinese women of childbearing age during pregnancy and their relationship to the neonatal birth weight |
title | Dietary patterns of Chinese women of childbearing age during pregnancy and their relationship to the neonatal birth weight |
title_full | Dietary patterns of Chinese women of childbearing age during pregnancy and their relationship to the neonatal birth weight |
title_fullStr | Dietary patterns of Chinese women of childbearing age during pregnancy and their relationship to the neonatal birth weight |
title_full_unstemmed | Dietary patterns of Chinese women of childbearing age during pregnancy and their relationship to the neonatal birth weight |
title_short | Dietary patterns of Chinese women of childbearing age during pregnancy and their relationship to the neonatal birth weight |
title_sort | dietary patterns of chinese women of childbearing age during pregnancy and their relationship to the neonatal birth weight |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7449039/ https://www.ncbi.nlm.nih.gov/pubmed/32847595 http://dx.doi.org/10.1186/s12937-020-00607-y |
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