Gestational Weight Gain Trajectories over Pregnancy and Their Association with Maternal Diet Quality: Results from the PRINCESA Cohort

Details

• Personal Author:
  Ancira-Moreno M ; Batis C ; Castillo-Castrejón M ; O'Neill MS ; Pasteris J ; Rivera-Dommarco JA ; Sánchez BN ; Vadillo-Ortega F
• Description:
  Objective: The aims of this study were to characterize, among pregnant Mexican women, gestational weight gain (GWG) trajectories; assess associations of maternal dietary quality score (MDQS) with GWG during early-mid pregnancy, middle pregnancy, late pregnancy, and prolonged pregnancy; and evaluate the association between MDQS and adequacy of GWG, throughout pregnancy. We hypothesized that higher MDQS adherence is protective against insufficient or excessive GWG across pregnancy and that the association between MDQS adherence and GWG would vary by prepregnancy body mass index (BMI) category. Methods: We analyzed data from 660 pregnant women participating in the PRINCESA (Pregnancy Research on Inflammation, Nutrition and City Environments: Systematic Analyses) cohort in Mexico City, 2009 to 2014. Repeated measures of dietary intake and mother's weight were obtained during pregnancy. Individual GWG trajectories were modeled in a multilevel regression framework. Associations between MDQS (low, medium, and high adherence) and GWG were investigated using mixed-effect regression models with linear splines. Results: Women with prepregnancy BMI of >/=30 kg/m2 had a slower rate of GWG (RGWG) compared with other categories. A higher adherence to MDQS was protective against an insufficient (odds ratio [OR], 0.63; 95% confidence interval [CI], 0.42-0.95; P = 0.03) and an excessive RGWG (OR, 0.62; 95% CI, 0.41-0.94; P = 0.03) throughout pregnancy, adjusting for prepregnancy BMI, energy intake, maternal age, educational level, parity, fetal sex, marital status, and physical activity. Associations between diet and RGWG differed by gestational period. Conclusion: A better quality diet, as measured by MDQS, was associated with appropriate GWG during pregnancy in the PRINCESA cohort. [Description provided by NIOSH]
• Subjects:
  Body Weight Cohort Studies Diet Epidemiology Occupational Health Pregnancy Race Factors Risk Assessment Risk Factors Safety Women

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• Keywords:
  Author Keywords: Gestational Weight Gain BMI Body Mass Index Body Weight Cohort Studies Dietary Effects Dietary Patterns Diseases Maternal Diet Maternal Diet Quality Score Mexico Models Nutrition Nutritional Disorders Prenatal Exposure PRINCESA Cohort Racial Factors Regression Analysis Risk Factors Weight Factors Weight Measurement

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• ISSN:
  0899-9007
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Michigan ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  158-166
• Volume:
  65
• NIOSHTIC Number:
  nn:20060723
• Citation:
  Nutrition 2019 Sep; 65:158-166
• Contact Point Address:
  Marie S. O'Neill Ph.D., Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA
• Email:
  marieo@umich.edu
• Federal Fiscal Year:
  2019
• Performing Organization:
  University of Michigan, Ann Arbor
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Nutrition
• End Date:
  20280630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:2f6a2b6d55ba922deb8800e946c7c04ab6f6ddd85c22cb1b04f9d0b2052da3c99a401f5a090fe0f43185868efdbac8b4b9dcb7f5f86c521a5b1971986b3f1523
• Download URL:
  https://stacks.cdc.gov/view/cdc/224552/cdc_224552_DS1.pdf
• File Type:
  [PDF - 841.06 KB ]