Use of dietary supplements in pregnant women in relation to sociodemographic factors - a report from The Environmental Determinants of Diabetes in the Young (TEDDY) study

被引：40

作者：

Aronsson, Carin Andren ^{[1
,24
]}

Vehik, Kendra ^{[2
,26
]}

Yang, Jimin ^{[2
,26
]}

Uusitalo, Ulla ^{[2
,26
]}

Hay, Kristen ^{[3
]}

Joslowski, Gesa ^{[4
]}

Riikonen, Anne ^{[5
,18
,19
]}

Ballard, Lori ^{[2
,26
]}

Virtanen, Suvi M. ^{[5
,6
,18
,19
,23
]}

Norris, Jill M. ^{[7
]}

Rewers, Marian ^{[8
]}

Barriga, Katherine ^{[8
]}

Bautista, Kimberly ^{[8
]}

Baxter, Judith ^{[8
]}

Eisenbarth, George ^{[8
]}

Frank, Nicole ^{[8
]}

Gesualdo, Patricia ^{[8
]}

Hoffman, Michelle ^{[8
]}

Ide, Lisa ^{[8
]}

Karban, Rachel ^{[8
]}

Liu, Edwin ^{[8
]}

Norris, Jill ^{[8
]}

Waugh, Kathleen ^{[8
]}

Samper-Imaz, Adela ^{[8
]}

Steck, Andrea ^{[8
]}

She, Jin-Xiong ^{[9
]}

Schatz, Desmond ^{[10
]}

Hopkins, Diane ^{[9
]}

Steed, Leigh ^{[9
]}

Thomas, Jamie ^{[10
]}

Silvis, Katherine ^{[9
]}

Haller, Michael ^{[10
]}

Shankar, Meena ^{[10
]}

English, Kim ^{[9
]}

McIndoe, Richard ^{[9
]}

Liu, Haitao ^{[11
]}

Nechtman, John ^{[11
]}

Sharma, Ashok ^{[9
]}

Williams, Joshua ^{[9
]}

Foghis, Gabriela ^{[9
]}

Anderson, Stephen W. ^{[12
]}

Ziegler, Anette G. ^{[13
]}

Achenbach, Alexandra ^{[14
]}

Beyerlein, Andreas ^{[13
]}

Bonifacio, Ezio ^{[14
]}

Bruckmeier, Nadine ^{[13
]}

Bunk, Melanie ^{[13
]}

Dietrich, Vanessa ^{[13
]}

Huppert, Anna ^{[13
]}

Harsunen, Minna ^{[13
]}

机构：

[1] Lund Univ, CRC, Dept Clin Sci, Bldg 60 11,Jan Waldenstroms Gata 35, SE-20502 Malmo, Sweden

[2] Univ S Florida, Pediat Epidemiol Ctr, Tampa, FL 33620 USA

[3] Pacific Northwest Diabet Res Inst, Seattle, WA USA

[4] Res Inst Child Nutr, Dortmund, Germany

[5] Natl Inst Hlth & Welf, Nutr Unit, Helsinki, Finland

[6] Pirkanmaa Hosp Dist, Sci Ctr, Tampere, Finland

[7] Univ Colorado, Colorado Sch Publ Hlth, Denver, CO 80202 USA

[8] Univ Colorado, Barbara Davis Ctr Childhood Diabet, Boulder, CO 80309 USA

[9] Georgia Hlth Sci Univ, Augusta, GA USA

[10] Univ Florida, Gainesville, FL 32611 USA

[11] Jinfiniti Biosci LLC, Augusta, GA USA

[12] Pediat Endocrine Associates, Atlanta, GA USA

[13] Helmholtz Zentrum Munchen, Forschergrp Diabet eV, Munich, Germany

[14] Tech Univ Dresden, Ctr Regenerat Therapies, Dresden, Germany

[15] Ludwig Maximillians Univ Munich, Dept Gastroenterol, Dr von Hauner Childrens Hosp, Munich, Germany

[16] Univ Turku, Turku, Finland

[17] Turku Univ Hosp, Turku, Finland

[18] Univ Tampere, Tampere, Finland

[19] Tampere Univ Hosp, Tampere, Finland

[20] Univ Kuopio, Kuopio, Finland

[21] Univ Oulu, Oulu, Finland

[22] Oulu Univ Hosp, Oulu, Finland

[23] Natl Inst Hlth & Welf, Helsinki, Finland

[24] Lund Univ, Lund, Sweden

[25] Univ Pittsburgh, Med Ctr, Childrens Hosp Pittsburgh, Pittsburgh, PA 15260 USA

[26] Univ S Florida, Tampa, FL 33620 USA

[27] NIDDK, Bethesda, MD 20892 USA

[28] NIAID, Bethesda, MD 20892 USA

[29] Columbia Univ, New York, NY 10027 USA

[30] Childrens Hosp Oakland Res Inst, Oakland, CA USA

[31] Florida State Univ, Tallahassee, FL 32306 USA

[32] Ctr Dis Control & Prevent, Atlanta, GA USA

来源：

PUBLIC HEALTH NUTRITION | 2013年 / 16卷 / 08期

关键词：

Dietary supplements; Pregnancy; TEDDY; Vitamin D; Fatty acids; COD-LIVER OIL; VITAMIN-D; AUTOIMMUNITY; ASSOCIATION; EXPOSURES; RISK;

D O I：

10.1017/S1368980013000293

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objectives The aim of the present study was to examine the prevalence and associated factors of dietary supplement use, particularly supplements containing vitamin D and fatty acids, in pregnant women enrolled in a multi-national study. Design The Environmental Determinants of Diabetes in the Young (TEDDY) study is a prospective longitudinal cohort study. Maternal dietary supplement use was self-reported through questionnaires at month 3 to 4 postpartum. Setting Six clinical research centres; three in the USA (Colorado, Georgia/Florida and Washington) and three in Europe (Sweden, Finland and Germany). Subjects Mothers (n 7326) to infants screened for high-risk HLA-DQ genotypes of type 1 diabetes. Results Ninety-two per cent of the 7326 women used one or more types of supplement during pregnancy. Vitamin D supplements were taken by 65 % of the women, with the highest proportion of users in the USA (80 center dot 5 %). Overall, 16 % of the women reported taking fatty acid supplements and a growing trend was seen in all countries between 2004 and 2010 (P < 0 center dot 0001). The use was more common in Germany (32 %) and the USA (24 %) compared with Finland (8 center dot 5 %) and Sweden (7 center dot 0 %). Being pregnant with the first child was a strong predictor for any supplement use in all countries. Low maternal age (<25 years), higher education, BMI >= 25 center dot 0 kg/m(2) and smoking during pregnancy were factors associated with supplement use in some but not all countries. Conclusions The majority of the women used dietary supplements during pregnancy. The use was associated with sociodemographic and behavioural factors, such as parity, maternal age, education, BMI and maternal smoking.

引用

页码：1390 / 1402

页数：13

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