Are Dietary Patterns of Mothers during Pregnancy Related to Children's Weight Status? Evidence from the Lifeways Cross-Generational Cohort Study
Are Dietary Patterns of Mothers during Pregnancy Related to Children's Weight Status? Evidence from the Lifeways Cross-Generational Cohort Study
复制标题
DOI：
10.3934/publichealth.2015.3.274
复制
发表时间：
2015-01-01
影响因子：
3.3
通讯作者：
Kelleher, Cecily C.
中科院分区：
文献类型：
--
作者：
Murrin, Celine M.;Heinen, Mirjam M.;Kelleher, Cecily C.
儿童的饮食模式很可能受到母亲饮食模式的影响。本研究的主要目的是检查儿童的肥胖是否会受到母亲怀孕期间饮食模式的影响。第二个目的是研究父亲和孩子的饮食模式对儿童肥胖的相对影响。这项研究是一项前瞻性的跨代队列研究，招募了1,124名怀孕期间的母亲。自我报告的问卷调查包括食物频率工具（FFQ），以评估父母在围产期的摄入量。在5岁时测量儿童体重指数（BMI），并进行适合年龄的FFQ。通过主成分分析确定每组的饮食模式。Pearson相关和逻辑回归用于检验关联。饮食模式描述了n = 1,042母亲在怀孕期间和n = 331父亲在围产期。可获得n = 443名5岁儿童的饮食模式和BMI数据。为母亲确定的饮食模式与父亲相应的饮食模式相关。儿童的“面食蔬菜型”与母亲的“健康型”呈正相关（r = 0.195，p < 0.01），与父亲的“健康型”呈正相关（r = 0.250，p < 0.01）。儿童的“垃圾”食物类型与母亲（r = 0.245，p < 0.01）和父亲（r = 0.257，p < 0.01）的“加工”食物类型相关。多因素Logistic回归分析中，儿童“谷类和果汁”的上三分位数[三分位数2（T2）：OR 0.44，95%CI（0.22-0.90）; T3：0.41，（0.19-0.85）]和“面食和蔬菜”模式的中三分位数[T3：0.37，（0.18-0.75）]与超重和肥胖呈负相关。母亲在怀孕期间的处理模式与后代超重和肥胖正相关[T2：2.64，（1.28-5.45）; T3：2.03，（0.87-4.73）]。父亲的饮食模式没有观察到显着的关联。研究结果表明，母亲的饮食结构对儿童肥胖的影响在生命早期阶段就已明显。
Children's diet patterns are likely to be influenced by their mothers' diet pattern. The primary objective of this study was to examine whether children's adiposity could be influenced by diet patterns of mothers during pregnancy. A secondary objective was to study the relative influence of fathers' and children's dietary patterns on childhood adiposity. The design was a prospective cross-generational cohort study initiated with 1,124 mothers recruited during pregnancy. Self reported questionnaires included a food frequency instrument (FFQ) to assess parental intakes during the perinatal period. Child body mass index (BMI) was measured at 5 years and an age-appropriate FFQ was administered. Dietary patterns for each group were identified by principal components analysis. Pearson's correlation and logistic regression were used to test for associations. Dietary patterns were described for n = 1,042 mothers during pregnancy and n = 331 fathers during the perinatal period. Dietary patterns and BMI data were available for n = 443 children at age 5 years. The diet patterns identified for mothers correlated with the corresponding diet patterns for fathers. The children's "pasta & vegetable" pattern was positively correlated with "healthy patterns" in mothers (r = 0.195, p < 0.01) and fathers (r = 0.250, p < 0.01). The children's "junk" food pattern was correlated with the "processed" pattern in mothers (r = 0.245, p < 0.01) and fathers (r = 0.257, p < 0.01). In multivariate logistic regression analysis the upper tertiles of children's "cereal and juice" [Tertile 2 (T2): OR 0.44, 95% CI (0.22-0.90); T3: 0.41, (0.19-0.85)] and the middle tertile of the "pasta and veg" patterns [T3: 0.37, (0.18-0.75)] were negatively associated with overweight and obesity. The mothers' processed pattern during pregnancy was positively associated with offspring overweight and obesity [T2: 2.64, (1.28-5.45); T3: 2.03, (0.87-4.73)]. No significant associations were observed for the paternal diet patterns. This analysis shows that the influence of maternal diet pattern on child obesity is apparent early in the lifecourse.