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Association between Chinese Dietary Guidelines Compliance Index for Pregnant Women and Risks of Pregnancy Complications in the Tongji Maternal and Child Health Cohort

Background: Compliance with dietary guidelines among pregnant women can positively influence not only their own health but also the health of their babies. Measuring the compliance requires professional skills in nutrition and dietary counseling. In China, few simple and effective techniques assess...

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Autores principales: Ding, Ye, Xu, Fangping, Zhong, Chunrong, Tong, Lishu, Li, Fang, Li, Qian, Chen, Renjuan, Zhou, Xuezhen, Li, Xiating, Cui, Wenli, Zhang, Yu, Huang, Li, Xu, Shangzhi, Liu, Chaoqun, Wu, Jiangyue, Chen, Xi, Gao, Qin, Yang, Nianhong, Wang, Zhixu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7999266/
https://www.ncbi.nlm.nih.gov/pubmed/33802324
http://dx.doi.org/10.3390/nu13030829
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author Ding, Ye
Xu, Fangping
Zhong, Chunrong
Tong, Lishu
Li, Fang
Li, Qian
Chen, Renjuan
Zhou, Xuezhen
Li, Xiating
Cui, Wenli
Zhang, Yu
Huang, Li
Xu, Shangzhi
Liu, Chaoqun
Wu, Jiangyue
Chen, Xi
Gao, Qin
Yang, Nianhong
Wang, Zhixu
author_facet Ding, Ye
Xu, Fangping
Zhong, Chunrong
Tong, Lishu
Li, Fang
Li, Qian
Chen, Renjuan
Zhou, Xuezhen
Li, Xiating
Cui, Wenli
Zhang, Yu
Huang, Li
Xu, Shangzhi
Liu, Chaoqun
Wu, Jiangyue
Chen, Xi
Gao, Qin
Yang, Nianhong
Wang, Zhixu
author_sort Ding, Ye
collection PubMed
description Background: Compliance with dietary guidelines among pregnant women can positively influence not only their own health but also the health of their babies. Measuring the compliance requires professional skills in nutrition and dietary counseling. In China, few simple and effective techniques assess dietary quality among pregnant women, especially in rural areas. We aimed to establish a new simple and effective assessment technique, the “Chinese Dietary Guidelines Compliance Index for Pregnant Women (CDGCI-PW)” and assess the association between maternal dietary compliance and risks of pregnancy complications. Methods: The CDGCI-PW consists of 13 main components which were based on the 2016 edition of the Chinese dietary guidelines for pregnant women. Each component was assigned a different score range, and the overall score ranged from 0 to 100 points. The Tongji Maternal and Child Health Cohort study (from September 2013 to May 2016) was a prospective cohort study designed to examine maternal dietary and lifestyle effects on the health of pregnant women and their offspring. The maternal diet during the second trimester was compared with the corresponding recommended intake of the Chinese balanced dietary pagoda for pregnant women to verify their compliance with dietary guidelines. The association between maternal dietary quality and risks of pregnancy complications was estimated by regression analysis. Receiver operating characteristic (ROC) curves were constructed to identify the optimal cut-off values of CDGCI-PW for gestational hypertension and gestational diabetes mellitus (GDM). Results: Among the 2708 pregnant women, 1489 were eventually followed up. The mean CDGCI-PW score was 74.1 (standard deviation (SD) 7.5) in the second trimester. The majority of foods showed the following trend: the higher the CDGCI-PW score, the higher the proportion of pregnant women who reported food intake within the recommended range. Moreover, a higher maternal CDGCI-PW score was significantly associated with lower risks of gestational hypertension [odds ratio (OR) (95% confidence interval [(CI): 0.30 (0.20, 0.37)] and GDM [OR (95% CI): 0.38 (0.31, 0.48)]. The optimal CDGCI-PW cut-off value for gestational hypertension was ≥68.5 (sensitivity 82%; specificity: 61%; area under the ROC curve, AUC = 0.743), and the optimal CDGCI-PW cut-off score for GDM was ≥75.5 (sensitivity 43%; specificity: 81%; area under the ROC curve, AUC = 0.714). Conclusions: The CDGCI-PW is a simple and useful technique that assesses maternal diet quality during pregnancy, while adherence to the CDGCI-PW is associated with a lower risk of gestational hypertension and GDM.
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spelling pubmed-79992662021-03-28 Association between Chinese Dietary Guidelines Compliance Index for Pregnant Women and Risks of Pregnancy Complications in the Tongji Maternal and Child Health Cohort Ding, Ye Xu, Fangping Zhong, Chunrong Tong, Lishu Li, Fang Li, Qian Chen, Renjuan Zhou, Xuezhen Li, Xiating Cui, Wenli Zhang, Yu Huang, Li Xu, Shangzhi Liu, Chaoqun Wu, Jiangyue Chen, Xi Gao, Qin Yang, Nianhong Wang, Zhixu Nutrients Article Background: Compliance with dietary guidelines among pregnant women can positively influence not only their own health but also the health of their babies. Measuring the compliance requires professional skills in nutrition and dietary counseling. In China, few simple and effective techniques assess dietary quality among pregnant women, especially in rural areas. We aimed to establish a new simple and effective assessment technique, the “Chinese Dietary Guidelines Compliance Index for Pregnant Women (CDGCI-PW)” and assess the association between maternal dietary compliance and risks of pregnancy complications. Methods: The CDGCI-PW consists of 13 main components which were based on the 2016 edition of the Chinese dietary guidelines for pregnant women. Each component was assigned a different score range, and the overall score ranged from 0 to 100 points. The Tongji Maternal and Child Health Cohort study (from September 2013 to May 2016) was a prospective cohort study designed to examine maternal dietary and lifestyle effects on the health of pregnant women and their offspring. The maternal diet during the second trimester was compared with the corresponding recommended intake of the Chinese balanced dietary pagoda for pregnant women to verify their compliance with dietary guidelines. The association between maternal dietary quality and risks of pregnancy complications was estimated by regression analysis. Receiver operating characteristic (ROC) curves were constructed to identify the optimal cut-off values of CDGCI-PW for gestational hypertension and gestational diabetes mellitus (GDM). Results: Among the 2708 pregnant women, 1489 were eventually followed up. The mean CDGCI-PW score was 74.1 (standard deviation (SD) 7.5) in the second trimester. The majority of foods showed the following trend: the higher the CDGCI-PW score, the higher the proportion of pregnant women who reported food intake within the recommended range. Moreover, a higher maternal CDGCI-PW score was significantly associated with lower risks of gestational hypertension [odds ratio (OR) (95% confidence interval [(CI): 0.30 (0.20, 0.37)] and GDM [OR (95% CI): 0.38 (0.31, 0.48)]. The optimal CDGCI-PW cut-off value for gestational hypertension was ≥68.5 (sensitivity 82%; specificity: 61%; area under the ROC curve, AUC = 0.743), and the optimal CDGCI-PW cut-off score for GDM was ≥75.5 (sensitivity 43%; specificity: 81%; area under the ROC curve, AUC = 0.714). Conclusions: The CDGCI-PW is a simple and useful technique that assesses maternal diet quality during pregnancy, while adherence to the CDGCI-PW is associated with a lower risk of gestational hypertension and GDM. MDPI 2021-03-03 /pmc/articles/PMC7999266/ /pubmed/33802324 http://dx.doi.org/10.3390/nu13030829 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/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/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Ding, Ye
Xu, Fangping
Zhong, Chunrong
Tong, Lishu
Li, Fang
Li, Qian
Chen, Renjuan
Zhou, Xuezhen
Li, Xiating
Cui, Wenli
Zhang, Yu
Huang, Li
Xu, Shangzhi
Liu, Chaoqun
Wu, Jiangyue
Chen, Xi
Gao, Qin
Yang, Nianhong
Wang, Zhixu
Association between Chinese Dietary Guidelines Compliance Index for Pregnant Women and Risks of Pregnancy Complications in the Tongji Maternal and Child Health Cohort
title Association between Chinese Dietary Guidelines Compliance Index for Pregnant Women and Risks of Pregnancy Complications in the Tongji Maternal and Child Health Cohort
title_full Association between Chinese Dietary Guidelines Compliance Index for Pregnant Women and Risks of Pregnancy Complications in the Tongji Maternal and Child Health Cohort
title_fullStr Association between Chinese Dietary Guidelines Compliance Index for Pregnant Women and Risks of Pregnancy Complications in the Tongji Maternal and Child Health Cohort
title_full_unstemmed Association between Chinese Dietary Guidelines Compliance Index for Pregnant Women and Risks of Pregnancy Complications in the Tongji Maternal and Child Health Cohort
title_short Association between Chinese Dietary Guidelines Compliance Index for Pregnant Women and Risks of Pregnancy Complications in the Tongji Maternal and Child Health Cohort
title_sort association between chinese dietary guidelines compliance index for pregnant women and risks of pregnancy complications in the tongji maternal and child health cohort
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7999266/
https://www.ncbi.nlm.nih.gov/pubmed/33802324
http://dx.doi.org/10.3390/nu13030829
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