Effect of Circadian Distribution of Energy and Macronutrients on Gestational Weight Gain in Chinese Pregnant Women.

Effect of Circadian Distribution of Energy and Macronutrients on Gestational Weight Gain in Chinese Pregnant Women.
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DOI:
10.3390/nu15092106
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发表时间:
2023-04-27
期刊:
影响因子:
5.9
通讯作者:
Zhang X
Zhang X
中科院分区:
医学2区
文献类型:
--
作者:
Xiong W;Cui S;Dong J;Su Y;Han Y;Qu Z;Jin S;Li Z;Gao L;Cui T;Zhang X

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饮食摄入的时间可能会影响体重增加(GWG)。以前的研究报告了相互矛盾的结果,可能是由于不一致的用餐时间的特点。我们在天津进行了一项出生队列研究,以确定妊娠中晚期每日能量和大量营养素分布对GWG的影响。在第二和第三孕期的饮食摄入量信息使用三个24小时的饮食回忆,和吃饭时间的定义与睡眠/觉醒时间。使用医学研究所指南的建议评估GWG的充分性。在妊娠晚期,傍晚-傍晚时间窗平均能量和大量营养素分布相对较高的孕妇,其GWG率和总GWG均高于早晨时间窗(β = 0.707; β = 0.316)。妊娠中期和妊娠晚期早晨的碳水化合物摄入量(β = 0.005; β = 0.008)与GWG率呈正相关。妊娠中期早晨碳水化合物摄入量与总GWG呈正相关(β = 0.004)。妊娠晚期早晨的脂肪摄入量(β = 0.051; β = 0.020)与GWG率和总GWG正相关。中国孕妇妊娠期高血糖与中晚期集中在傍晚-傍晚的进食行为及早晨碳水化合物和脂肪的摄入密切相关。
Gestational weight gain (GWG) may be affected by the timing of dietary intake. Previous studies have reported contradictory findings, possibly due to inconsistent characterizations of meal timing. We conducted a birth cohort study in Tianjin to determine the effect of daily energy and macronutrient distribution in mid and late pregnancy on GWG. Dietary intake information in the second and third trimesters used three 24-h dietary recalls, and meal timing was defined in relation to sleep/wake timing. The adequacy of GWG was assessed using recommendations from the Institute of Medicine guidelines. Pregnant women who had a relatively high average energy and macronutrient distribution in the late afternoon–early evening time window exhibited a greater GWG rate and a greater total GWG than that in morning time window during the third trimester (β = 0.707; β = 0.316). Carbohydrate intake in the morning of the second and third trimesters (β = 0.005; β = 0.008) was positively associated with GWG rates. Morning carbohydrate intake in the second trimester was also positively associated with total GWG (β = 0.004). Fat intake in the morning of the third trimester (β = 0.051; β = 0.020) was positively associated with the GWG rates and total GWG. Excessive GWG of Chinese pregnant women was related closely to eating behavior focused on the late afternoon–early evening and carbohydrate and fat intake in the morning during the second and third trimesters.
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