Effects of Maternal Dietary Patterns during Pregnancy on Early Childhood Growth Trajectories and Obesity Risk: The CANDLE Study
Effects of Maternal Dietary Patterns during Pregnancy on Early Childhood Growth Trajectories and Obesity Risk: The CANDLE Study
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DOI：
10.3390/nu12020465
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发表时间：
2020-02-01
期刊：
影响因子：
5.9
通讯作者：
Zhao, Qi
中科院分区：
文献类型：
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作者：
Hu, Zunsong;Tylavsky, Frances A.;Zhao, Qi
我们研究了母亲怀孕期间的饮食模式和幼儿生长轨迹与后代超重/肥胖风险之间的关联。在妊娠中期使用食物频率调查问卷评估母亲的饮食，并通过降序回归得出饮食模式。分析了母亲饮食模式评分与从出生到四岁的体重指数 (BMI) 轨迹（高、中和低 BMI 轨迹）以及四岁时超重/肥胖风险之间的关联 (n = 1257)。确定了两种母亲饮食模式。快餐模式包括较多摄入炸鸡和鱼、果汁、蛋黄酱和含糖饮料，而加工食品模式包括较多摄入乳制品、沙拉酱、加工肉类和冷早餐麦片。坚持快餐模式较多的女性更有可能在 BMI 上升轨迹组中生下孩子 [OR (95% CI) = 1.32 (1.07-1.62)； p = 0.008] 或四岁时超重/肥胖 [OR (95% CI) = 1.31 (1.11-1.54)； p = 0.001]。加工食品模式与这些结果无关。怀孕期间以油炸食品和含糖饮料为代表的母亲饮食模式可能会导致儿童早期快速生长，并增加后代肥胖的风险。
We investigated the associations between maternal dietary patterns during pregnancy and early childhood growth trajectories and overweight/obesity risk in offspring. Maternal diet was assessed using a food frequency questionnaire during the second trimester, and dietary patterns were derived by reduced rank regression. The associations between maternal dietary pattern scores and body mass index (BMI) trajectories from birth to age four (rising-high, moderate, and low BMI trajectories) as well as overweight/obesity risk at age four were analyzed (n = 1257). Two maternal dietary patterns were identified. The fast food pattern included a higher intake of fried chicken and fish, fruit juices, mayonnaise, and sugar-sweetened beverages, while the processed food pattern included a higher intake of dairy, salad dressing, processed meat, and cold breakfast cereal. Women with greater adherence to the fast food pattern were more likely to have children in the rising-high BMI trajectory group [OR (95% CI) = 1.32 (1.07-1.62); p = 0.008] or having overweight/obesity at age four [OR (95% CI) = 1.31 (1.11-1.54); p = 0.001]. The processed food pattern was not associated with these outcomes. The maternal dietary pattern during pregnancy represented by fried foods and sugar-sweetened beverages may contribute to rapid early childhood growth and increased risk for obesity in offspring.