Dietary Inflammatory Index during Pregnancy and the Risk of Intrapartum Fetal Asphyxia: The Japan Environment and Children’s Study
| Autor: | Hyo Kyozuka, Tsuyoshi Murata, Toma Fukuda, Akiko Yamaguchi, Aya Kanno, Shun Yasuda, Akiko Sato, Yuka Ogata, Masahito Kuse, Mitsuaki Hosoya, Seiji Yasumura, Koichi Hashimoto, Hidekazu Nishigori, Keiya Fujimori, the Japan Environment and Children’s Study (JECS) Group |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty lcsh:TX341-641 Article Cohort Studies 03 medical and health sciences Asphyxia 0302 clinical medicine Japan Pregnancy Risk Factors medicine.artery Odds Ratio Medicine Humans 030212 general & internal medicine umbilical artery pH Risk factor Inflammation Fetus 030219 obstetrics & reproductive medicine Nutrition and Dietetics business.industry Obstetrics Vaginal delivery Pregnancy Outcome Umbilical artery Odds ratio Maternal Nutritional Physiological Phenomena Hydrogen-Ion Concentration medicine.disease Delivery Obstetric pro-inflammatory diet Confidence interval Diet Pregnancy Complications Logistic Models dietary inflammatory index Female Fetal Heart Rate Pattern fetal acidosis business Acidosis lcsh:Nutrition. Foods and food supply Food Science |
| Zdroj: | Nutrients Nutrients, Vol 12, Iss 3482, p 3482 (2020) Volume 12 Issue 11 |
| ISSN: | 2072-6643 |
| Popis: | We aimed to examine the impact of a daily pro-inflammatory diet during pregnancy on intrapartum fetal acidemia using a large birth cohort study in Japan. We used data on singleton pregnancies in the Japan Environment and Children’s Study (JECS) involving births from 2011 to 2014 through vaginal delivery to calculate the maternal dietary inflammatory index (DII). Participants were categorized according to DII quintiles. A multiple logistic regression model was used to estimate the risk of a pro-inflammatory diet on fetal umbilical artery pH. In total, 56,490 participants were eligible for this study. Multiple regression analysis showed that nulliparous women who had undergone vaginal delivery and were consuming a pro-inflammatory diet had an increased risk of pH < 7.10 (adjusted odds ratio [aOR]: 1.64, 95% confidence interval [CI]: 1.12–2.39). Among these women, the risk of pH < 7.10 was not affected by the duration of labor (aOR: 1.64, 95% CI: 1.11–2.42). In conclusion, following a pro-inflammatory diet during pregnancy is a risk factor for fetal acidosis among nulliparous women undergoing vaginal delivery. A high DII diet during pregnancy may modify the intrapartum fetal heart rate pattern via intrauterine inflammation. |
| Databáze: | OpenAIRE |
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