Dietary patterns before and during pregnancy and small for gestational age in Japan: a prospective birth cohort study

被引：5

作者：

Yamashita, Takahiro ^{[1
,2
]}

Obara, Taku ^{[1
,3
,4
]}

Yonezawa, Yudai ^{[1
,2
]}

Takahashi, Ippei ^{[3
]}

Ishikuro, Mami ^{[1
,3
]}

Murakami, Keiko ^{[1
,3
]}

Ueno, Fumihiko ^{[1
,3
]}

Noda, Aoi ^{[1
,3
,4
]}

Onuma, Tomomi ^{[1
,3
]}

Iwama, Noriyuki ^{[1
,5
]}

Hamada, Hirotaka ^{[5
]}

Sugawara, Junichi ^{[5
,6
]}

Suzuki, Shigenori ^{[2
]}

Suganuma, Hiroyuki ^{[2
]}

Saito, Masatoshi ^{[5
]}

Yaegashi, Nobuo ^{[5
,7
]}

Kuriyama, Shinichi ^{[1
,3
,8
]}

机构：

[1] Tohoku Univ, Dept Prevent Med & Epidemiol, Div Mol Epidemiol, Tohoku Med Megabank Org,Aoba Ku, 2-1 Seiryo Machi, Sendai, Miyagi 9808573, Japan

[2] KAGOME CO LTD, Innovat Div, Nasushiobara, Japan

[3] Tohoku Univ, Environm & Genome Res Ctr, Grad Sch Med, Div Mol Epidemiol, Sendai, Miyagi, Japan

[4] Tohoku Univ Hosp, Dept Pharmaceut Sci, Sendai, Miyagi, Japan

[5] Tohoku Univ, Grad Sch Med, Dept Gynecol & Obstet, Sendai, Miyagi, Japan

[6] Tohoku Univ, Dept Community Med Supports, Tohoku Med Megabank Org, Sendai, Miyagi, Japan

[7] Tohoku Univ, Tohoku Med Megabank Org, Sendai, Miyagi, Japan

[8] Tohoku Univ, Int Res Inst Disaster Sci, Div Disaster Publ Hlth, Sendai, Miyagi, Japan

来源：

NUTRITION JOURNAL | 2022年 / 21卷 / 01期

关键词：

Birth weight; Dietary patterns; Partial least squares; Maternal nutrition; Pregnancy; Principal component analysis; Prospective birth cohort studies; Reduced rank regression; Small for gestational age; REDUCED-RANK REGRESSION; FETAL-GROWTH; OXIDATIVE STRESS; MILK CONSUMPTION; PRETERM BIRTH; WEIGHT; ANTIOXIDANT; OUTCOMES; ASSOCIATION; METABOLISM;

D O I：

10.1186/s12937-022-00808-7

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 ;

摘要：

Background Although small for gestational age (SGA) is a serious problem worldwide, the association of dietary patterns before and during pregnancy with SGA risk is unclear. We evaluated this association among Japanese pregnant women using three methods: reduced rank regression (RRR) and partial least squares (PLS), methods for extracting dietary patterns that can explain the variation of response variables, and principal component analysis (PCA), a method for extracting dietary patterns of the population. Methods Between July 2013 and March 2017, 22,493 pregnant women were recruited to the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study, a population-based prospective birth cohort study in Japan. Information on dietary intake was obtained using food frequency questionnaires, and dietary patterns were extracted using RRR, PLS, and PCA. Information on birth weight was obtained from obstetric records, and the birth weight SD score and SGA were defined by the method of the Japan Pediatric Society. The associations of dietary patterns with birth weight SD score and SGA risk were investigated using multiple linear regression and multiple logistic regression, respectively. Results A total of 17,728 mother-child pairs were included. The birth weight SD score was 0.15 +/- 0.96, and the prevalence of SGA was 6.3%. The dietary patterns extracted by RRR and PLS were similar and characterized by a high intake of cereals and fruits and a low intake of alcoholic and non-alcoholic beverages in both pre- to early pregnancy and from early to mid-pregnancy. Higher adoption of the RRR and PLS patterns in both periods was associated with an increased birth weight SD score and lower risk of SGA. In contrast, the PCA1 pattern was not associated with birth weight SD score or SGA risk in either period. Although the PCA2 pattern was associated with increased birth weight SD score from early to mid-pregnancy, no other associations with birth weight SD score or SGA risk were observed. Conclusions The dietary pattern with a high intake of cereals and fruits and a low intake of alcoholic and non-alcoholic beverages before and during pregnancy was associated with a decreased SGA risk in Japan.

引用

页数：13

共 54 条

[1] Thiamine supplementation to prevent induction of low birth weight by conventional therapy for gestational diabetes mellitus [J].