Longitudinal dietary trajectories from pregnancy to 3 years post delivery in women with obesity: relationships with adiposity.

Autor: Dalrymple KV; Department of Women and Children's Health, School of Life Course and Population Sciences, King's College London, London, UK.; MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK., Vogel C; MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.; NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK.; NIHR Applied Research Collaboration Wessex, Southampton Science Park, Southampton, UK., Flynn AC; Department of Nutritional Sciences, School of Life Course and Population Sciences, King's College London, London, UK., Seed PT; Department of Women and Children's Health, School of Life Course and Population Sciences, King's College London, London, UK., Godfrey KM; MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.; NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK., Poston L; Department of Women and Children's Health, School of Life Course and Population Sciences, King's College London, London, UK., Inskip HM; MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.; NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK., Crozier SR; MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.; NIHR Applied Research Collaboration Wessex, Southampton Science Park, Southampton, UK.
Jazyk: angličtina
Zdroj: Obesity (Silver Spring, Md.) [Obesity (Silver Spring)] 2023 Apr; Vol. 31 (4), pp. 1159-1169. Date of Electronic Publication: 2023 Mar 06.
DOI: 10.1002/oby.23706
Abstrakt: Objective: The 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.
Methods: The 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 +0 to 18 +6 weeks' gestation (baseline), 27 +0 to 28 +6 weeks' gestation, and 34 +0 to 36 +0 weeks' 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.
Results: Two 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.
Conclusions: In women with obesity, a processed dietary pattern across pregnancy and 3 years post delivery is associated with higher adiposity.
(© 2023 The Authors. Obesity published by Wiley Periodicals LLC on behalf of The Obesity Society.)
Databáze: MEDLINE
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