In:
Paediatric and Perinatal Epidemiology, Wiley, Vol. 30, No. 3 ( 2016-05), p. 246-255
Kurzfassung:
Elevated levels of cardiometabolic markers are characteristic of normal pregnancy, however, insulin resistance and increased glucose, triglyceride, and cholesterol levels can adversely influence maternal and child health. Diet is a modifiable behaviour that could have significant impact on maternal cardiometabolic levels during pregnancy. We investigated the association between dietary patterns and cardiometabolic markers (glucose, insulin, insulin resistance ( HOMA ‐ IR ), triglycerides, and cholesterol) during pregnancy. Methods Data from the Pregnancy, Infection, and Nutrition prospective cohort study (2000–05) was used ( n = 513). Diet was assessed using a food frequency questionnaire. Dietary patterns were derived using latent class analysis ( LCA ) and the Dietary Approaches to Stop Hypertension ( DASH ) diet. Linear regression was used to examine the dietary patterns–cardiometabolic markers association during pregnancy. Results Three dietary patterns evolved from the LCA characterised by high intakes of: (1) hamburgers, hot dogs, bacon, French fries, fried chicken, white bread, and soft drinks; (2) some vegetables, fruit juice, refined grains, mixed dishes, processed meat, and empty calorie foods; and (3) fruits, vegetables, whole grains, low‐fat dairy, breakfast bars, and water. After adjustment for potential confounders including prepregnancy body mass index, a diet consistent with Latent Class 3 was negatively associated with maternal insulin (μU/ mL : β = −0.12; 95% CI −0.23, −0.01) and HOMA ‐ IR (β = −0.13; 95% CI −0.25, −0.00). Additionally, DASH scores within Tertile 3 (higher dietary quality) were also negatively associated with maternal triglycerides (mg/ dL ). Conclusions The study findings suggest an association between maternal dietary patterns and several cardiometabolic markers during pregnancy.
Materialart:
Online-Ressource
ISSN:
0269-5022
,
1365-3016
DOI:
10.1111/ppe.2016.30.issue-3
Sprache:
Englisch
Verlag:
Wiley
Publikationsdatum:
2016
ZDB Id:
2008566-7
