Eating in the Absence of Hunger Is Related to Worse Diet Quality throughout Pregnancy.

Eating in the Absence of Hunger Is Related to Worse Diet Quality throughout Pregnancy.
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在没有饥饿的情况下进食与整个怀孕期间的饮食质量有关。

DOI:
10.1016/j.jand.2020.09.037
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发表时间:
2021-03
影响因子:
4.8
通讯作者:
Nansel TR
Nansel TR
中科院分区:
医学2区
文献类型:
--
作者:
Lipsky LM;Burger KS;Faith MS;Shearrer GE;Nansel TR

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很少有研究调查在没有饥饿的情况下进食(EAH)的实验室评估是否与长期饮食质量有关。本研究调查了EAH与妊娠期饮食质量的关系。妊娠期饮食质量评估使用24小时饮食回忆收集在每个妊娠三个月。在一项平衡、交叉实验室喂养子研究中评估了EAH,参与者在妊娠第二个三个月期间在标准化膳食后完成了两次自由进食。从2015年3月至2016年12月在北卡罗来纳州的一项观察性、前瞻性队列研究(妊娠饮食属性研究)中招募的妊娠≤ 12周的受试者子样本(n=46)中收集数据。参与者在两个单独的评估中分别接受了高度加工(HP)和最低限度加工(MP)食品。根据饮食召回计算总健康饮食指数-2015(HEI 2015)和坚持充足性(HEI 2015-adq)和适度成分(HEI 2015-mod)的评分。较高的分数反映较好的饮食质量。线性回归估计怀孕饮食质量与EAH(能量,EAH-kcal;和百分比提供,EAH-%)在每个条件下的所有食物,并分别为甜和咸的食物。在HP条件下,较低的妊娠饮食质量(所有指标)与所有食物和甜食的EAH-千卡和EAH-%较高相关。HP食物的EAH每增加100 kcal,HEI 2015中的评分就会下降2-3分(SE=0.7 - 0.8)(P<0.01); HP食物的消耗百分比每增加10%,HEI 2015中的评分就会下降5-7分(SE=2.0)(P<0.01)。HP条件下更大的EAH-kcal和EAH-%的咸味食物摄入量与较低的HEI 2015-adq相关,但与HEI 2015或HEI 2015-mod无关。MP条件下的EAH与妊娠饮食质量无关。HP的EAH越高,尤其是甜食,妊娠期饮食质量越差。进食后终止HP糖果可能反映了一种倾向,吃过饱,可能是一个有用的干预目标,以改善产妇的饮食质量。
Scant research has examined whether laboratory assessments of eating in the absence of hunger (EAH) relates to long-term diet quality. This study investigates the association of EAH with diet quality during pregnancy. Pregnancy diet quality was assessed using 24-hour diet recalls collected in each pregnancy trimester. EAH was assessed in a counterbalanced, crossover laboratory feeding substudy in which participants completed two free access eating occasions following a standardized meal during their 2nd pregnancy trimester. Data were collected from March 2015 to December 2016 from a subsample of participants (n=46) enrolled at ≤ 12 weeks gestation in an observational, prospective cohort study (the Pregnancy Eating Attributes Study) in North Carolina. Participants were presented with highly processed (HP) and minimally processed (MP) foods in two separate assessments. Scores for total Healthy Eating Index-2015 (HEI2015) and adherence to adequacy (HEI2015-adq) and moderation components (HEI2015-mod) were calculated from the diet recalls. Higher scores reflect better diet quality. Linear regressions estimated associations of pregnancy diet quality with EAH (energy, EAH-kcal; and percent offered, EAH-%) in each condition for all foods, and separately for sweet and savory foods. Lower pregnancy diet quality (all indicators) was associated with greater EAH-kcal and EAH-% of all foods and sweet foods in the HP condition. Each 100-kcal increase in EAH of HP foods was associated with a 2–3-point decrease (SE=0.7 – 0.8) in HEI2015 (P<0.01); each 10% increase of percent consumed was associated with a 5–7-point decrease (SE=2.0) in HEI2015 (P<0.01). Greater EAH-kcal and EAH-% of savory food intake in the HP condition were associated with lower HEI2015-adq, but not HEI2015 or HEI2015-mod. EAH in the MP condition was not associated with pregnancy diet quality. Greater EAH of HP, especially sweet, foods was related to worse pregnancy diet quality. Consuming HP sweets after meal termination may reflect a tendency for eating beyond satiation and may be a useful intervention target for improving maternal diet quality.
表观遗传问题:早期营养,微生物组和长期健康发展之间的联系。
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发表时间: 2017
影响因子: 2.6
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Indrio F;Martini S;Francavilla R;Corvaglia L;Cristofori F;Mastrolia SA;Neu J;Rautava S;Russo Spena G;Raimondi F;Loverro G
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期刊: NUTRITION IN THE PREVENTION AND TREATMENT OF DISEASE, 4TH EDITION
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