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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Gestational weight gain trajectories over pregnancy and their association with maternal diet quality: Results from the PRINCESA cohort
Nutrition (Burbank, Los Angeles County, Calif.), v 65, pp 158-166
01 Sep 2019
PMID: 31132630
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: The aims of this study were to characterize, among pregnant Mexican women, gestational weight gain (GWG) trajectories; assess associations of maternal dietary quality score (MDQS) with GWG during early-mid pregnancy, middle pregnancy, late pregnancy, and prolonged pregnancy; and evaluate the association between MDQS and adequacy of GWG, throughout pregnancy. We hypothesized that higher MDQS adherence is protective against insufficient or excessive GWG across pregnancy and that the association between MDQS adherence and GWG would vary by prepregnancy body mass index (BMI) category.
Methods: We analyzed data from 660 pregnant women participating in the PRINCESA (Pregnancy Research on Inflammation, Nutrition and City Environments: Systematic Analyses) cohort in Mexico City, 2009 to 2014. Repeated measures of dietary intake and mother's weight were obtained during pregnancy. Individual GWG trajectories were modeled in a multilevel regression framework. Associations between MDQS (low, medium, and high adherence) and GWG were investigated using mixed-effect regression models with linear splines.
Results: Women with prepregnancy BMI of >= 30 kg/m(2) had a slower rate of GWG (RGWG) compared with other categories. A higher adherence to MDQS was protective against an insufficient (odds ratio [OR], 0.63; 95% confidence interval [CI], 0.42-0.95; P = 0.03) and an excessive RGWG (OR, 0.62; 95% CI, 0.41-0.94; P=0.03) throughout pregnancy, adjusting for prepregnancy BMI, energy intake, maternal age, educational level, parity, fetal sex, marital status, and physical activity. Associations between diet and RGWG differed by gestational period.
Conclusion: A better quality diet, as measured by MDQS, was associated with appropriate GWG during pregnancy in the PRINCESA cohort. (C) 2019 Elsevier Inc. All rights reserved.
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Details
- Title
- Gestational weight gain trajectories over pregnancy and their association with maternal diet quality: Results from the PRINCESA cohort
- Creators
- Monica Ancira-Moreno - Health Department, Universidad Iberoamericana, Mexico City, Mexico; UNAM, School of Medicine Branch at Instituto Nacional de Medicina Genómica, México City, México; National Institute of Public Health, Cuernavaca, Morelos, Mexico.Felipe Vadillo-Ortega - MedicinaJuan Angel Rivera-Dommarco - Natl Inst Publ Hlth, Cuernavaca, Morelos, MexicoBrisa N. Sanchez - University of MichiganJeremy Pasteris - University of MichiganCarolina Batis - CONACYT - Health and Nutrition Research Center, National Institute of Public Health, Cuernavaca, Morelos, Mexico.Marisol Castillo-Castrejon - University of MichiganMarie S. O'Neill - University of Michigan
- Publication Details
- Nutrition (Burbank, Los Angeles County, Calif.), v 65, pp 158-166
- Publisher
- Elsevier
- Number of pages
- 9
- Grant note
- Capital Semilla of the Division of Social Studies Academic Vice Presidency of the Universidad Iberoamericana P30ES017885 / NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Environmental Health Sciences (NIEHS)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000478713700022
- Scopus ID
- 2-s2.0-85066081022
- Other Identifier
- 991020100080404721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Nutrition & Dietetics