Preconceptional diet quality is associated with birth outcomes among low socioeconomic status minority women in a high-income country.

Autor:	Abu-Saad, Kathleen, Kaufman-Shriqui, Vered, Freedman, Laurence S., Belmaker, Ilana, Fraser, Drora
Předmět:	ARABS BIRTH size LOW birth weight CONFIDENCE intervals CULTURE DIET FACTOR analysis PREMATURE infants INGESTION LONGITUDINAL method MINORITIES MOTHERS MULTIVARIATE analysis NUTRITIONAL requirements POVERTY PRECONCEPTION care QUESTIONNAIRES WOMEN DEVELOPED countries MULTIPLE regression analysis SOCIOECONOMIC factors NUTRITIONAL value CHILDBEARING age ODDS ratio PREGNANCY outcomes
Zdroj:	European Journal of Nutrition; Feb2021, Vol. 60 Issue 1, p65-77, 13p, 1 Diagram, 3 Charts, 2 Graphs
Abstrakt:	Purpose: Studies of the association between maternal nutrition and birth outcomes have investigated differing nutrients, maternal socioeconomic conditions, and timing within the reproductive cycle; and have produced inconsistent results. We evaluated the association of preconceptional maternal dietary intake with birth outcomes among low socioeconomic status ethnic minority women in a high-income country. Methods: In this prospective cohort study, habitual preconceptional dietary intake was assessed among pregnant Bedouin Arab women in Israel (n = 384), using a short culturally specific, targeted food frequency questionnaire. Multiple nutrients (protein, lysine, calcium, iron, zinc, folate, omega-3 fatty acids) were evaluated simultaneously via a diet quality score derived from principal component analysis. Multivariable logistic regression was used to test associations between the diet quality score and a composite adverse birth outcomes variable, including preterm birth, low birth weight and small for gestational age. Results: Sixty-nine women (18%) had adverse birth outcomes. Women with low preconceptional diet quality scores had low intakes of nutrient-rich plant foods, bioavailable micronutrients, and complete proteins. In multivariable analysis, a woman at the 10th percentile of the diet quality score had a 2.97 higher odds (95% CI 1.28–6.86) of an adverse birth outcome than a woman at the 90th percentile. Conclusion: Low diet quality during the preconceptional period was associated with adverse birth outcomes among low socioeconomic status minority women in a high-income country. The results have implications for the development of appropriate intervention strategies to prevent adverse birth outcomes, and the promotion of adequate nutrition throughout the child-bearing years. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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