Dietary Quality and Sociodemographic and Health Behavior Characteristics Among Pregnant Women Participating in the New York University Children's Health and Environment Study.
Dietary Quality and Sociodemographic and Health Behavior Characteristics Among Pregnant Women Participating in the New York University Children's Health and Environment Study.
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DOI：
10.3389/fnut.2021.639425
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发表时间：
2021
影响因子：
5
通讯作者：
Trasande L
中科院分区：
文献类型：
--
作者：
Deierlein AL;Ghassabian A;Kahn LG;Afanasyeva Y;Mehta-Lee SS;Brubaker SG;Trasande L
母亲在怀孕前和怀孕期间的饮食对母亲及其后代的直接和长期健康起着重要作用。我们的目标是评估一个大的，多样化的，城市孕妇队列的饮食质量，并检查与社会人口和健康行为特征的关联。数据来自参加纽约大学儿童健康与环境研究（NYU CHES）的1,325名孕妇。使用健康饮食指数（HEI）-2015评估饮食质量。平均HEI-2015总分为74.9（SD = 8.5）; 376（28%）、612（46%）、263（20%）和74（6%）名女性的评分分别落入A/B、C、D和F的等级范围。平均HEI-2015成分得分高水果和全谷物和低蛋白质相关，钠和脂肪相关的成分。在多变量线性回归模型中，西班牙裔女性在HEI-2015中的得分高出1.65分（95%置信区间：0.21，3.10）相比，非西班牙裔白色妇女，而年轻的年龄（<30岁）、产次、单身、孕前肥胖、吸烟、既存高血压、中度/重度抑郁症状、不符合体力活动建议，怀孕前不服用维生素与平均HEI-2015总评分降低约1.5-5分相关。饮食是一种可以改变的行为;我们的研究结果表明，持续需要孕前和产前营养咨询。
Maternal diet, prior to and during pregnancy, plays an important role in the immediate and long-term health of the mother and her offspring. Our objectives were to assess diet quality among a large, diverse, urban cohort of pregnant women, and examine associations with sociodemographic and health behavior characteristics. Data were from 1,325 pregnant women enrolled in New York University Children's Health and Environment Study (NYU CHES). Diet quality was assessed using the Healthy Eating Index (HEI)-2015. Mean total HEI-2015 score was 74.9 (SD = 8.5); 376 (28%), 612 (46%), 263 (20%), and 74 (6%) of women had scores that fell into the grade range of A/B, C, D, and F, respectively. Mean HEI-2015 component scores were high for fruit and whole grains and low for protein-related, sodium, and fat-related components. In multivariable linear regression models, Hispanic women scored 1.65 points higher on the total HEI-2015 (95% CI: 0.21, 3.10) compared to non-Hispanic White women, while younger age (<30 years), parity, single status, pre-pregnancy obesity, smoking, pre-existing hypertension, moderate/severe depressive symptoms, not meeting physical activity recommendations, and not taking a vitamin before pregnancy were associated with ~1.5–5-point lower mean total HEI-2015 scores. Diet is a modifiable behavior; our results suggest a continued need for pre-conceptional and prenatal nutritional counseling.
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期刊：
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影响因子：
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