Predictors of maternal dietary quality and dietary inflammation during pregnancy: An individual participant data meta-analysis of seven European cohorts from the ALPHABET consortium

Maternal diet during pregnancy is a modifiable behaviour which plays an important role in maternal, neonatal and child health outcomes. Thus, knowledge of predictors of dietary quality and dietary inflammatory potential in European countries may contribute to developing maternal diet-related public...

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Veröffentlicht in:Clinical nutrition (Edinburgh, Scotland) Scotland), 2022-09, Vol.41 (9), p.1991-2002
Hauptverfasser: Aubert, Adrien M., Chen, Ling-Wei, Shivappa, Nitin, Cooper, Cyrus, Crozier, Sarah R., Duijts, Liesbeth, Forhan, Anne, Hanke, Wojciech, Harvey, Nicholas C., Jankowska, Agnieszka, Kelleher, Cecily C., de Lauzon-Guillain, Blandine, McAuliffe, Fionnuala M., Mensink-Bout, Sara M., Polanska, Kinga, Relton, Caroline L., Suderman, Matthew, Hebert, James R., Phillips, Catherine M., Bernard, Jonathan Y., Heude, Barbara
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container_end_page 2002
container_issue 9
container_start_page 1991
container_title Clinical nutrition (Edinburgh, Scotland)
container_volume 41
creator Aubert, Adrien M.
Chen, Ling-Wei
Shivappa, Nitin
Cooper, Cyrus
Crozier, Sarah R.
Duijts, Liesbeth
Forhan, Anne
Hanke, Wojciech
Harvey, Nicholas C.
Jankowska, Agnieszka
Kelleher, Cecily C.
de Lauzon-Guillain, Blandine
McAuliffe, Fionnuala M.
Mensink-Bout, Sara M.
Polanska, Kinga
Relton, Caroline L.
Suderman, Matthew
Hebert, James R.
Phillips, Catherine M.
Bernard, Jonathan Y.
Heude, Barbara
description Maternal diet during pregnancy is a modifiable behaviour which plays an important role in maternal, neonatal and child health outcomes. Thus, knowledge of predictors of dietary quality and dietary inflammatory potential in European countries may contribute to developing maternal diet-related public health policies that target specific at-risk populations in Europe. We used harmonised data from >26,000 pregnant women enrolled in the ALSPAC, EDEN, Generation R, Lifeways, REPRO_PL, ROLO and SWS cohorts, as part of the ALPHABET consortium. Maternal dietary quality and inflammatory potential were assessed using the Dietary Approaches to Stop Hypertension (DASH) and the energy-adjusted Dietary Inflammatory Index (E-DII). We conducted an individual participant data meta-analysis to investigate the maternal sociodemographic, health and behavioural predictors of maternal diet before and during pregnancy. DASH and E-DII scores were moderately correlated: from −0.63 (95% CI: −0.66, −0.59) to −0.48 (95% CI: −0.49, −0.47) across cohorts. Higher maternal age, education, household income, and physical activity during pregnancy were associated with a better dietary quality and a more anti-inflammatory diet. Conversely, multiparity and smoking during pregnancy were associated with a poorer dietary quality and a more proinflammatory diet. Women with obesity had a poorer pregnancy dietary quality than women with a normal body mass index range. The results will help identify population subgroups who may benefit from targeted public health strategies and interventions aimed at improving women's dietary quality during pregnancy.
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Thus, knowledge of predictors of dietary quality and dietary inflammatory potential in European countries may contribute to developing maternal diet-related public health policies that target specific at-risk populations in Europe. We used harmonised data from &gt;26,000 pregnant women enrolled in the ALSPAC, EDEN, Generation R, Lifeways, REPRO_PL, ROLO and SWS cohorts, as part of the ALPHABET consortium. Maternal dietary quality and inflammatory potential were assessed using the Dietary Approaches to Stop Hypertension (DASH) and the energy-adjusted Dietary Inflammatory Index (E-DII). We conducted an individual participant data meta-analysis to investigate the maternal sociodemographic, health and behavioural predictors of maternal diet before and during pregnancy. DASH and E-DII scores were moderately correlated: from −0.63 (95% CI: −0.66, −0.59) to −0.48 (95% CI: −0.49, −0.47) across cohorts. Higher maternal age, education, household income, and physical activity during pregnancy were associated with a better dietary quality and a more anti-inflammatory diet. Conversely, multiparity and smoking during pregnancy were associated with a poorer dietary quality and a more proinflammatory diet. Women with obesity had a poorer pregnancy dietary quality than women with a normal body mass index range. 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Higher maternal age, education, household income, and physical activity during pregnancy were associated with a better dietary quality and a more anti-inflammatory diet. Conversely, multiparity and smoking during pregnancy were associated with a poorer dietary quality and a more proinflammatory diet. Women with obesity had a poorer pregnancy dietary quality than women with a normal body mass index range. 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Chen, Ling-Wei ; Shivappa, Nitin ; Cooper, Cyrus ; Crozier, Sarah R. ; Duijts, Liesbeth ; Forhan, Anne ; Hanke, Wojciech ; Harvey, Nicholas C. ; Jankowska, Agnieszka ; Kelleher, Cecily C. ; de Lauzon-Guillain, Blandine ; McAuliffe, Fionnuala M. ; Mensink-Bout, Sara M. ; Polanska, Kinga ; Relton, Caroline L. ; Suderman, Matthew ; Hebert, James R. ; Phillips, Catherine M. ; Bernard, Jonathan Y. ; Heude, Barbara</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-50164869e28ecc34f56c63d4e6dcf99991e41484f29c514b1bc0441af73302643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>body mass index</topic><topic>Child</topic><topic>child health</topic><topic>clinical nutrition</topic><topic>Correlates</topic><topic>DASH</topic><topic>Diet</topic><topic>Dietary Approaches To Stop Hypertension</topic><topic>E-DII</topic><topic>education</topic><topic>Europe</topic><topic>Female</topic><topic>food quality</topic><topic>household income</topic><topic>Humans</topic><topic>hypertension</topic><topic>Infant, Newborn</topic><topic>Inflammation</topic><topic>Life Sciences</topic><topic>maternal nutrition</topic><topic>meta-analysis</topic><topic>Obesity</topic><topic>physical activity</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - epidemiology</topic><topic>Prenatal diet</topic><topic>Risk factors</topic><topic>Santé publique et épidémiologie</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aubert, Adrien M.</creatorcontrib><creatorcontrib>Chen, Ling-Wei</creatorcontrib><creatorcontrib>Shivappa, Nitin</creatorcontrib><creatorcontrib>Cooper, Cyrus</creatorcontrib><creatorcontrib>Crozier, Sarah R.</creatorcontrib><creatorcontrib>Duijts, Liesbeth</creatorcontrib><creatorcontrib>Forhan, Anne</creatorcontrib><creatorcontrib>Hanke, Wojciech</creatorcontrib><creatorcontrib>Harvey, Nicholas C.</creatorcontrib><creatorcontrib>Jankowska, Agnieszka</creatorcontrib><creatorcontrib>Kelleher, Cecily C.</creatorcontrib><creatorcontrib>de Lauzon-Guillain, Blandine</creatorcontrib><creatorcontrib>McAuliffe, Fionnuala M.</creatorcontrib><creatorcontrib>Mensink-Bout, Sara M.</creatorcontrib><creatorcontrib>Polanska, Kinga</creatorcontrib><creatorcontrib>Relton, Caroline L.</creatorcontrib><creatorcontrib>Suderman, Matthew</creatorcontrib><creatorcontrib>Hebert, James R.</creatorcontrib><creatorcontrib>Phillips, Catherine M.</creatorcontrib><creatorcontrib>Bernard, Jonathan Y.</creatorcontrib><creatorcontrib>Heude, Barbara</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><jtitle>Clinical nutrition (Edinburgh, Scotland)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aubert, Adrien M.</au><au>Chen, Ling-Wei</au><au>Shivappa, Nitin</au><au>Cooper, Cyrus</au><au>Crozier, Sarah R.</au><au>Duijts, Liesbeth</au><au>Forhan, Anne</au><au>Hanke, Wojciech</au><au>Harvey, Nicholas C.</au><au>Jankowska, Agnieszka</au><au>Kelleher, Cecily C.</au><au>de Lauzon-Guillain, Blandine</au><au>McAuliffe, Fionnuala M.</au><au>Mensink-Bout, Sara M.</au><au>Polanska, Kinga</au><au>Relton, Caroline L.</au><au>Suderman, Matthew</au><au>Hebert, James R.</au><au>Phillips, Catherine M.</au><au>Bernard, Jonathan Y.</au><au>Heude, Barbara</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of maternal dietary quality and dietary inflammation during pregnancy: An individual participant data meta-analysis of seven European cohorts from the ALPHABET consortium</atitle><jtitle>Clinical nutrition (Edinburgh, Scotland)</jtitle><addtitle>Clin Nutr</addtitle><date>2022-09</date><risdate>2022</risdate><volume>41</volume><issue>9</issue><spage>1991</spage><epage>2002</epage><pages>1991-2002</pages><issn>0261-5614</issn><eissn>1532-1983</eissn><abstract>Maternal diet during pregnancy is a modifiable behaviour which plays an important role in maternal, neonatal and child health outcomes. 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Higher maternal age, education, household income, and physical activity during pregnancy were associated with a better dietary quality and a more anti-inflammatory diet. Conversely, multiparity and smoking during pregnancy were associated with a poorer dietary quality and a more proinflammatory diet. Women with obesity had a poorer pregnancy dietary quality than women with a normal body mass index range. 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subjects body mass index
Child
child health
clinical nutrition
Correlates
DASH
Diet
Dietary Approaches To Stop Hypertension
E-DII
education
Europe
Female
food quality
household income
Humans
hypertension
Infant, Newborn
Inflammation
Life Sciences
maternal nutrition
meta-analysis
Obesity
physical activity
Pregnancy
Pregnancy Complications - epidemiology
Prenatal diet
Risk factors
Santé publique et épidémiologie
title Predictors of maternal dietary quality and dietary inflammation during pregnancy: An individual participant data meta-analysis of seven European cohorts from the ALPHABET consortium
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