Longitudinal dietary trajectories from pregnancy to 3 years post delivery in women with obesity: relationships with adiposity.
Longitudinal dietary trajectories from pregnancy to 3 years post delivery in women with obesity: relationships with adiposity.
复制标题
肥胖女性从怀孕到产后 3 年的纵向饮食轨迹：与肥胖的关系。
DOI：
10.1002/oby.23706
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Dalrymple KV
中科院分区：
文献类型：
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作者：
Dalrymple KV
本研究的目的是探讨从怀孕早期到分娩后3年的纵向饮食轨迹与肥胖妇女的肥胖指标之间的关系。在妊娠15+ 0至18+ 6周时，使用食物频率问卷（FFQ）对（英国妊娠更好饮食和活动试验）研究进行评估（基线）、孕27 ± 0 ~ 28 ± 6周、孕34 ± 0 ~ 36 ± 0周、产后6个月和3年。使用因子分析基线FFQ数据，确定了四种饮食模式：水果和蔬菜，非洲/加勒比海，加工和零食。基线评分系统应用于随后4个时间点的FFQ数据。使用基于组的轨迹建模来提取纵向饮食模式轨迹。使用调整回归，饮食轨迹和对数转换/标准化肥胖措施（BMI和腰围和中上臂围）之间的关联在3年后delivered.ResultsTwo轨迹被发现最好地描述了四个人的饮食模式的数据，这些特点是高和低的遵守。对加工模式的高度坚持与较高的BMI相关（β = 0.38 [95% CI：0.06-0.69]）和较高的腰围（β = 0.35 [0.03-0.67]）和中上臂周长（β = 0.36 [0.04-0.67]）。怀孕期间和产后3年的加工饮食模式与较高的肥胖症有关。
ObjectiveThe study aim was to examine the relationships between longitudinal dietary trajectories from early pregnancy to 3 years post delivery and adiposity measures in women with obesity.MethodsThe diets of 1208 women with obesity in the UPBEAT (UK Pregnancy Better Eating and Activity Trial) study were assessed using a food frequency questionnaire (FFQ) at 15+0to 18+6weeks’ gestation (baseline), 27+0to 28+6weeks’ gestation, and 34+0to 36+0weeks' gestation, as well as 6 months and 3 years post delivery. Using factor analysis of the baseline FFQ data, four dietary patterns were identified: fruit & vegetable, African/Caribbean, processed, and snacking. The baseline scoring system was applied to the FFQ data at the four subsequent time points. Group‐based trajectory modeling was used to extract longitudinal dietary pattern trajectories. Using adjusted regression, associations between dietary trajectories and log‐transformed/standardized adiposity measures (BMI and waist and mid‐upper arm circumferences) at 3 years post delivery were examined.ResultsTwo trajectories were found to best describe the data for the four individual dietary patterns; these were characterized as high and low adherence. A high adherence to the processed pattern was associated with a higher BMI (β = 0.38 [95% CI: 0.06–0.69]) and higher waist (β = 0.35 [0.03–0.67]) and mid‐upper arm circumferences (β = 0.36 [0.04–0.67]) at 3 years post delivery.ConclusionsIn women with obesity, a processed dietary pattern across pregnancy and 3 years post delivery is associated with higher adiposity.