The Grown in Wales Study: Examining dietary patterns, custom birthweight centiles and the risk of delivering a small-for-gestational age (SGA) infant

Autor: Lorna Sumption, Rosalind M. John, Anna B. Janssen, Katrina A. Savory, Richard Penketh, Samantha M. Garay
Rok vydání: 2018
Předmět:
Male
Cross-sectional study
Maternal Nutritional Physiological Phenomena
Physiology
Maternal Health
Geographical locations
Cohort Studies
Families
Labor and Delivery
0302 clinical medicine
Mathematical and Statistical Techniques
Pregnancy
Risk Factors
Medicine and Health Sciences
Birth Weight
Public and Occupational Health
030212 general & internal medicine
Young adult
Children
2. Zero hunger
030219 obstetrics & reproductive medicine
Multidisciplinary
Statistics
Pregnancy Outcome
Obstetrics and Gynecology
Socioeconomic Aspects of Health
Europe
Physiological Parameters
Cohort
Infant
Small for Gestational Age
Physical Sciences
Medicine
Regression Analysis
Female
Infants
Cohort study
Research Article
Adult
Adolescent
Birth weight
Science
Linear Regression Analysis
Research and Analysis Methods
Diet Surveys
03 medical and health sciences
Young Adult
medicine
Humans
European Union
Statistical Methods
Nutrition
Wales
business.industry
Body Weight
Infant
Newborn
Biology and Life Sciences
medicine.disease
United Kingdom
Diet
Health Care
Cross-Sectional Studies
Age Groups
People and Places
Birth
Small for gestational age
Women's Health
Population Groupings
business
Mathematics
Demography
Zdroj: PLoS ONE
PLoS ONE, Vol 14, Iss 3, p e0213412 (2019)
ISSN: 1932-6203
Popis: Objectives\ud Maternal lifestyles, including diet, have been linked to infant birthweight. However, customised birthweight centiles (CBWC), which more accurately identify small babies that have increased fetal growth restriction and are at higher risk of newborn morbidity and later life health complications, are rarely considered when studying maternal diet. This study investigated maternal dietary patterns and their impact on infant CBWC within a cohort of women living in South Wales.\ud \ud Methods\ud This study utilised cross-sectional data from the longitudinal Grown in Wales (GiW) cohort. Women 18–45 years old were recruited the morning prior to an elective caesarean section (ELCS). Women completed a food frequency questionnaire (FFQ). Additional data on pregnancy and birth outcomes was extracted from medical notes. Data from 303 participants was analysed.\ud \ud Results\ud ‘Western’ and ‘Health conscious dietary patterns were identified. The ‘Health Conscious’ dietary pattern was significantly associated with maternal BMI, age, education, income and exercise. Adjusted regression analyses indicated that greater adherence to a ‘Health Conscious’ dietary pattern was significantly associated with increased CBWC (AOR = 4.75 [95% CI: 1.17, 8.33] p = .010) and reduced risk of delivering a small-for-gestational age (SGA) infant (AOR = .51 [95% CI: .26, .99] p = .046).\ud \ud Conclusion\ud A healthier diet was significantly associated with higher birthweight using CBWC and a reduced risk of delivering an SGA infant suggesting that birthweight will be improved in areas of Wales by focused support encouraging healthier dietary habits.
Databáze: OpenAIRE
Externí odkaz: