Characterization of dietary patterns in the Danish national birth cohort in relation to preterm birth

Dietary patterns better reflect eating habits as opposed to single dietary components. However, the use of dietary pattern analysis in nutritional epidemiology has been hampered by the complexity of interpreting and presenting multidimensional dietary data. This study extracts and visualizes dietary...

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Veröffentlicht in:PloS one 2014-04, Vol.9 (4), p.e93644-e93644
Hauptverfasser: Rasmussen, Morten Arendt, Maslova, Ekaterina, Halldorsson, Thorhallur Ingi, Olsen, Sjurdur Frodi
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Maslova, Ekaterina
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Olsen, Sjurdur Frodi
description Dietary patterns better reflect eating habits as opposed to single dietary components. However, the use of dietary pattern analysis in nutritional epidemiology has been hampered by the complexity of interpreting and presenting multidimensional dietary data. This study extracts and visualizes dietary patterns from self-reported dietary data collected in mid-pregnancy (25th week of gestation) from nearly 60,000 mother-child pairs part of a prospective, longitudinal cohort (Danish National Birth Cohort) and further examines their associations with spontaneous and induced preterm birth (gestational age
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However, the use of dietary pattern analysis in nutritional epidemiology has been hampered by the complexity of interpreting and presenting multidimensional dietary data. This study extracts and visualizes dietary patterns from self-reported dietary data collected in mid-pregnancy (25th week of gestation) from nearly 60,000 mother-child pairs part of a prospective, longitudinal cohort (Danish National Birth Cohort) and further examines their associations with spontaneous and induced preterm birth (gestational age&lt;259 days (&lt;37 weeks)). A total of seven dietary patterns were extracted by principal component analysis, characterized and visualized by color-coded spider plots, and referred to as: Vegetables/Prudent, Alcohol, Western, Nordic, Seafood, Candy and Rice/Pasta/Poultry. A consistent dose-response association with preterm birth was only observed for Western diet with an odds ratio of 1.30 (95% CI: 1.13, 1.49) comparing the highest to the lowest quintile. This association was primarily driven by induced preterm deliveries (odds ratio = 1.66, 95% CI: 1.30, 2.11, comparing the highest to the lowest quintile) while the corresponding odds ratio for spontaneous preterm deliveries was more modest (odds ratio = 1.18, 95% CI: 0.99, 1.39). All based on adjusted analyses. In conclusion, this study presented a simple and novel framework for visualizing correlation structures between overall consumption of foods group and their relation to nutrient intake and maternal characteristics. 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However, the use of dietary pattern analysis in nutritional epidemiology has been hampered by the complexity of interpreting and presenting multidimensional dietary data. This study extracts and visualizes dietary patterns from self-reported dietary data collected in mid-pregnancy (25th week of gestation) from nearly 60,000 mother-child pairs part of a prospective, longitudinal cohort (Danish National Birth Cohort) and further examines their associations with spontaneous and induced preterm birth (gestational age&lt;259 days (&lt;37 weeks)). A total of seven dietary patterns were extracted by principal component analysis, characterized and visualized by color-coded spider plots, and referred to as: Vegetables/Prudent, Alcohol, Western, Nordic, Seafood, Candy and Rice/Pasta/Poultry. A consistent dose-response association with preterm birth was only observed for Western diet with an odds ratio of 1.30 (95% CI: 1.13, 1.49) comparing the highest to the lowest quintile. This association was primarily driven by induced preterm deliveries (odds ratio = 1.66, 95% CI: 1.30, 2.11, comparing the highest to the lowest quintile) while the corresponding odds ratio for spontaneous preterm deliveries was more modest (odds ratio = 1.18, 95% CI: 0.99, 1.39). All based on adjusted analyses. In conclusion, this study presented a simple and novel framework for visualizing correlation structures between overall consumption of foods group and their relation to nutrient intake and maternal characteristics. Our results suggest that Western-type diet, high in meat and fats and low in fruits and vegetables, is associated with increased odds of induced preterm birth.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24747715</pmid><doi>10.1371/journal.pone.0093644</doi><oa>free_for_read</oa></addata></record>
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subjects Adult
Alcoholic beverages
Analysis
Biology and Life Sciences
Childbirth & labor
Clinical trials
Cohort analysis
Cohort Studies
Confectionery
Denmark - epidemiology
Diet
Diet Surveys
Eating
Epidemiology
Fats
Female
Food and nutrition
Food consumption
Food habits
Gestation
Gestational age
Habits
Health aspects
Health risk assessment
Humans
Infants (Premature)
Longitudinal Studies
Meat
Medicine and Health Sciences
Mothers
Multidimensional methods
Nutrition research
Pattern analysis
Physical Sciences
Preeclampsia
Pregnancy
Premature birth
Premature Birth - epidemiology
Principal Component Analysis
Principal components analysis
Prospective Studies
Research and Analysis Methods
Seafood
Vegetables
Womens health
Young Adult
title Characterization of dietary patterns in the Danish national birth cohort in relation to preterm birth
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