Assessment of pregnancy dietary intake and association with maternal and neonatal outcomes.

Autor:	Costanza J; Research Laboratories Coordination Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy., Camanni M; Research Laboratories Coordination Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy., Ferrari MM; Unit of Obstetric, Department of Woman, Child and Neonate 'L. Mangiagalli', Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy., De Cosmi V; Pediatric Intermediate Care Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.; Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy., Tabano S; Laboratory of Medical Genetics, Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico, Milan, Italy.; Department of Pathophysiology & Transplantation, Università degli Studi di Milano, Milan, Italy., Fontana L; Research Laboratories Coordination Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.; Department of Pathophysiology & Transplantation, Università degli Studi di Milano, Milan, Italy., Radaelli T; Unit of Obstetric, Department of Woman, Child and Neonate 'L. Mangiagalli', Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy., Privitera G; Unit of Obstetric, Department of Woman, Child and Neonate 'L. Mangiagalli', Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy., Alberico D; Unit of Obstetric, Department of Woman, Child and Neonate 'L. Mangiagalli', Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy., Colapietro P; Department of Pathophysiology & Transplantation, Università degli Studi di Milano, Milan, Italy., Motta S; Research Laboratories Coordination Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy., Sirchia S; Medical Genetics, Department of Health Sciences, Università degli Studi di Milano, Milan, Italy., Stampalija T; Unit of Fetal Medicine and Prenatal Diagnosis, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.; Department of Medical, Surgical and Health Science, Università diTrieste, Trieste, Italy., Tabasso C; Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy.; Neonatal Intensive Care Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy., Roggero P; Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy.; Neonatal Intensive Care Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy., Parazzini F; Unit of Obstetric, Department of Woman, Child and Neonate 'L. Mangiagalli', Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.; Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy., Mosca F; Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy.; Neonatal Intensive Care Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy., Ferrazzi E; Unit of Obstetric, Department of Woman, Child and Neonate 'L. Mangiagalli', Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.; Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy., Bosari S; Scientific Direction, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy., Miozzo M; Research Laboratories Coordination Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy. monica.miozzo@unimi.it.; Medical Genetics, Department of Health Sciences, Università degli Studi di Milano, Milan, Italy. monica.miozzo@unimi.it., Agostoni C; Pediatric Intermediate Care Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.; Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy.
Jazyk:	angličtina
Zdroj:	Pediatric research [Pediatr Res] 2022 Jun; Vol. 91 (7), pp. 1890-1896. Date of Electronic Publication: 2021 Aug 03.
DOI:	10.1038/s41390-021-01665-6
Abstrakt:	Background: Maternal dietary habits are contributors of maternal and fetal health; however, available data are heterogeneous and not conclusive. Methods: Nutrient intake during pregnancy was assessed in 503 women with uncomplicated pregnancies, using the validated Food Frequency Questionnaire developed by the European Prospective Investigation into Cancer and Nutrition (EPIC-FFQ). Results: In all, 68% of women had a normal body mass index at the beginning of pregnancy, and 83% of newborns had an appropriate weight for gestational age. Maternal pre-pregnancy body mass index (BMI), gestational weight gain (GWG), and placental weight were independently correlated with birth weight. GWG was not related to the pre-pregnancy BMI. EPIC-FFQ evaluation showed that 30% of women adhered to the European Food Safety Authority (EFSA) ranges for macronutrient intake. In most pregnant women (98.1%), consumption of water was below recommendations. Comparing women with intakes within EFSA ranges for macronutrients with those who did not, no differences were found in BMI, GWG, and neonatal or placental weight. Neither maternal nor neonatal parameters were associated with the maternal dietary profiles. Conclusions: In our population, maternal pre-pregnancy BMI, GWG, and placental weight are determinants of birth weight percentile, while no association was found with maternal nutrition. Future studies should explore associations through all infancy. Impact: Maternal anthropometrics and nutrition status may affect offspring birth weight. In 503 healthy women, maternal pre-pregnancy body mass index (BMI), gestational weight gain (GWG), and placental weight were independently correlated to neonatal birth weight. GWG was not related to the pre-pregnancy BMI. In all, 30% of women respected the EFSA ranges for macronutrients. Neither maternal nor neonatal parameters were associated with maternal dietary profiles considered in this study. Maternal pre-pregnancy BMI, GWG, and placental weight are determinants of neonatal birth weight percentile, while a connection with maternal nutrition profiles was not found. (© 2021. The Author(s).)
Databáze:	MEDLINE
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