Demographic and health characteristics associated with fish and n -3 fatty acid supplement intake during pregnancy: results from pregnancy cohorts in the ECHO programme.

Autor:	Oken E; Division of Chronic Disease research across the Lifecourse, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, 401 Park Drive, Suite 401 East, Boston, MA, USA., Musci RJ; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Westlake M; RTI International, Raleigh, NC, USA., Gachigi K; Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Aschner JL; Department of Pediatrics, Joseph M. Sanzari Children's Hospital, Hackensack Meridian School of Medicine, Nutley, NJ, USA.; Albert Einstein College of Medicine, Bronx, NY, USA., Barnes KL; Marshfield Clinic Research Institute, Marshfield, WI, USA., Bastain TM; Department of Population and Public Health Sciences, University of Southern California, Los Angeles, CA, USA., Buss C; Department of Medical Psychology, Charité University of Medicine Berlin, Berlin, Germany.; Development, Health, Disease Research Program, University of California Irvine, Irvine, CA, USA., Camargo CA Jr; Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA., Cordero JF; Department of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, GA, USA., Dabelea D; Lifecourse Epidemiology of Adiposity and Diabetes (LEAD) Center, University of Colorado Anschutz Medical Campus, Aurora, CO, USA., Dunlop AL; Department of Gynecology & Obstetrics, Emory University School of Medicine, Atlanta, GA, USA., Ghassabian A; Department of Pediatrics, New York University Grossman School of Medicine, New York, NY, USA., Hipwell AE; Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA., Hockett CW; Avera Research Institute, Sioux Falls, SD, USA., Karagas MR; Department of Epidemiology, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA., Lugo-Candelas C; New York State Psychiatric Institute, New York, NY, USA., Margolis AE; Columbia University Irving Medical center, New York, NY, USA., O'Connor TG; Departments of Psychiatry, Psychology, Neuroscience, Obstetrics and Gynecology, University of Rochester, Rochester, NY, USA., Shuster CL; Brown Center for the Study of Children at Risk, Women and Infants Hospital, Providence, RI, USA., Straughen JK; Department of Public Health Sciences, Henry Ford Health System, Detroit, MI, USA., Lyall K; AJ Drexel Autism Institute, Philadelphia, PA, USA.
Jazyk:	angličtina
Zdroj:	Public health nutrition [Public Health Nutr] 2024 Feb 27; Vol. 27 (1), pp. e94. Date of Electronic Publication: 2024 Feb 27.
DOI:	10.1017/S136898002400051X
Abstrakt:	Objective: n -3 fatty acid consumption during pregnancy is recommended for optimal pregnancy outcomes and offspring health. We examined characteristics associated with self-reported fish or n -3 supplement intake. Design: Pooled pregnancy cohort studies. Setting: Cohorts participating in the Environmental influences on Child Health Outcomes (ECHO) consortium with births from 1999 to 2020. Participants: A total of 10 800 pregnant women in twenty-three cohorts with food frequency data on fish consumption; 12 646 from thirty-five cohorts with information on supplement use. Results: Overall, 24·6 % reported consuming fish never or less than once per month, 40·1 % less than once a week, 22·1 % 1-2 times per week and 13·2 % more than twice per week. The relative risk (RR) of ever ( v . never) consuming fish was higher in participants who were older (1·14, 95 % CI 1·10, 1·18 for 35-40 v . <29 years), were other than non-Hispanic White (1·13, 95 % CI 1·08, 1·18 for non-Hispanic Black; 1·05, 95 % CI 1·01, 1·10 for non-Hispanic Asian; 1·06, 95 % CI 1·02, 1·10 for Hispanic) or used tobacco (1·04, 95 % CI 1·01, 1·08). The RR was lower in those with overweight v . healthy weight (0·97, 95 % CI 0·95, 1·0). Only 16·2 % reported n -3 supplement use, which was more common among individuals with a higher age and education, a lower BMI, and fish consumption (RR 1·5, 95 % CI 1·23, 1·82 for twice-weekly v . never). Conclusions: One-quarter of participants in this large nationwide dataset rarely or never consumed fish during pregnancy, and n -3 supplement use was uncommon, even among those who did not consume fish.
Databáze:	MEDLINE
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