Meal frequency patterns and glycemic properties of maternal diet in relation to preterm delivery: Results from a large prospective cohort study
Dietary habits are linked to high maternal glucose levels, associated with preterm delivery. The aim of this study was to examine the associations between meal frequency and glycemic properties of maternal diet in relation to preterm delivery. This prospective cohort study included 66,000 women from...
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description | Dietary habits are linked to high maternal glucose levels, associated with preterm delivery. The aim of this study was to examine the associations between meal frequency and glycemic properties of maternal diet in relation to preterm delivery.
This prospective cohort study included 66,000 women from the Norwegian Mother and Child Cohort Study (MoBa). Meal frequency and food intake data were obtained from a validated food frequency questionnaire during mid-pregnancy. Principal component factor analysis was used with a data-driven approach, and three meal frequency patterns were identified: "snack meal", "main meal", and "evening meal". Pattern scores were ranked in quartiles. Glycemic index and glycemic load were estimated from table values. Intakes of carbohydrates, added sugar, and fiber were reported in grams per day and divided into quartiles. Gestational age was obtained from the Medical Birth Registry of Norway. Preterm delivery was defined as birth at |
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This prospective cohort study included 66,000 women from the Norwegian Mother and Child Cohort Study (MoBa). Meal frequency and food intake data were obtained from a validated food frequency questionnaire during mid-pregnancy. Principal component factor analysis was used with a data-driven approach, and three meal frequency patterns were identified: "snack meal", "main meal", and "evening meal". Pattern scores were ranked in quartiles. Glycemic index and glycemic load were estimated from table values. Intakes of carbohydrates, added sugar, and fiber were reported in grams per day and divided into quartiles. Gestational age was obtained from the Medical Birth Registry of Norway. Preterm delivery was defined as birth at <37 gestational weeks. A Cox regression model was used to assess associations with preterm delivery.
After adjustments, the "main meal" pattern was associated with a reduced risk of preterm delivery, with hazard ratios (HRs) of 0.89 (95% confidence interval (CI): 0.80, 0.98) and 0.90 (95% CI: 0.81, 0.99) for the third and fourth quartiles, respectively, and p for trend of 0.028. This was mainly attributed to the group of women with BMI ≥25 kg/m2, with HRs of 0.87 (95% CI: 0.79, 0.96) and 0.89 (95% CI: 0.80, 0.98) for the third and fourth quartiles, respectively, and p for trend of 0.010. There was no association between glycemic index, glycemic load, carbohydrates, added sugar, fiber, or the remaining meal frequency patterns and preterm delivery.
Regular consumption of main meals (breakfast, lunch, dinner) was associated with a lower risk of preterm delivery. Diet should be further studied as potential contributing factors for preterm delivery.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0172896</identifier><identifier>PMID: 28249018</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; amniotic-fluid ; Analysis ; Bioinformatics ; Biology and Life Sciences ; Birth ; Body mass ; Carbohydrates ; child cohort ; Cohort analysis ; Cohort Studies ; Confidence intervals ; Cytokines ; Delivery (Childbirth) ; Diabetes ; Diet ; Disease control ; Epidemiology ; Factor analysis ; Feeding Behavior ; Female ; Food ; Food intake ; Gestational age ; Glucose ; Glycemic Index ; Gynecology ; Habits ; Health aspects ; Health risk assessment ; Hospitals ; Humans ; Infant, Newborn ; Infant, Premature ; Infections ; Insulin resistance ; labor ; Male ; Maternal Nutritional Physiological Phenomena ; Meals ; Medicine and Health Sciences ; moba ; Mother-infant relations ; multiple-proteins ; norwegian mother ; Nutrition research ; Obstetrics ; Obstetrics, Gynecology and Reproductive Medicine ; People and Places ; Physical Sciences ; Plasma ; Population ; Pregnancy ; pregnant-women ; Premature birth ; Premature Birth - epidemiology ; Principal components analysis ; Prospective Studies ; Public health ; Quartiles ; Questionnaires ; Regression analysis ; Regression models ; Reproduktionsmedicin och gynekologi ; Research and Analysis Methods ; risk ; Risk reduction ; Science & Technology - Other Topics ; Statistical analysis ; Studies ; Sugar ; Womens health</subject><ispartof>PloS one, 2017-03, Vol.12 (3), p.e0172896-e0172896</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Englund-Ögge et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2017 Englund-Ögge et al 2017 Englund-Ögge et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c829t-269a2bdb42a0f3d2f8fa4c6d6240a73803eeb814991f0dda1202b8fd0e985ef43</citedby><cites>FETCH-LOGICAL-c829t-269a2bdb42a0f3d2f8fa4c6d6240a73803eeb814991f0dda1202b8fd0e985ef43</cites><orcidid>0000-0001-8334-2070</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5332093/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5332093/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28249018$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://gup.ub.gu.se/publication/251596$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><contributor>Vassalle, Cristina</contributor><creatorcontrib>Englund-Ögge, Linda</creatorcontrib><creatorcontrib>Birgisdottir, Bryndis Eva</creatorcontrib><creatorcontrib>Sengpiel, Verena</creatorcontrib><creatorcontrib>Brantsæter, Anne Lise</creatorcontrib><creatorcontrib>Haugen, Margareta</creatorcontrib><creatorcontrib>Myhre, Ronny</creatorcontrib><creatorcontrib>Meltzer, Helle Margrete</creatorcontrib><creatorcontrib>Jacobsson, Bo</creatorcontrib><title>Meal frequency patterns and glycemic properties of maternal diet in relation to preterm delivery: Results from a large prospective cohort study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Dietary habits are linked to high maternal glucose levels, associated with preterm delivery. The aim of this study was to examine the associations between meal frequency and glycemic properties of maternal diet in relation to preterm delivery.
This prospective cohort study included 66,000 women from the Norwegian Mother and Child Cohort Study (MoBa). Meal frequency and food intake data were obtained from a validated food frequency questionnaire during mid-pregnancy. Principal component factor analysis was used with a data-driven approach, and three meal frequency patterns were identified: "snack meal", "main meal", and "evening meal". Pattern scores were ranked in quartiles. Glycemic index and glycemic load were estimated from table values. Intakes of carbohydrates, added sugar, and fiber were reported in grams per day and divided into quartiles. Gestational age was obtained from the Medical Birth Registry of Norway. Preterm delivery was defined as birth at <37 gestational weeks. A Cox regression model was used to assess associations with preterm delivery.
After adjustments, the "main meal" pattern was associated with a reduced risk of preterm delivery, with hazard ratios (HRs) of 0.89 (95% confidence interval (CI): 0.80, 0.98) and 0.90 (95% CI: 0.81, 0.99) for the third and fourth quartiles, respectively, and p for trend of 0.028. This was mainly attributed to the group of women with BMI ≥25 kg/m2, with HRs of 0.87 (95% CI: 0.79, 0.96) and 0.89 (95% CI: 0.80, 0.98) for the third and fourth quartiles, respectively, and p for trend of 0.010. There was no association between glycemic index, glycemic load, carbohydrates, added sugar, fiber, or the remaining meal frequency patterns and preterm delivery.
Regular consumption of main meals (breakfast, lunch, dinner) was associated with a lower risk of preterm delivery. Diet should be further studied as potential contributing factors for preterm delivery.</description><subject>Adult</subject><subject>amniotic-fluid</subject><subject>Analysis</subject><subject>Bioinformatics</subject><subject>Biology and Life Sciences</subject><subject>Birth</subject><subject>Body mass</subject><subject>Carbohydrates</subject><subject>child cohort</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Confidence intervals</subject><subject>Cytokines</subject><subject>Delivery (Childbirth)</subject><subject>Diabetes</subject><subject>Diet</subject><subject>Disease control</subject><subject>Epidemiology</subject><subject>Factor analysis</subject><subject>Feeding Behavior</subject><subject>Female</subject><subject>Food</subject><subject>Food intake</subject><subject>Gestational age</subject><subject>Glucose</subject><subject>Glycemic Index</subject><subject>Gynecology</subject><subject>Habits</subject><subject>Health aspects</subject><subject>Health risk assessment</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infections</subject><subject>Insulin resistance</subject><subject>labor</subject><subject>Male</subject><subject>Maternal Nutritional Physiological Phenomena</subject><subject>Meals</subject><subject>Medicine and Health Sciences</subject><subject>moba</subject><subject>Mother-infant relations</subject><subject>multiple-proteins</subject><subject>norwegian mother</subject><subject>Nutrition research</subject><subject>Obstetrics</subject><subject>Obstetrics, Gynecology and Reproductive Medicine</subject><subject>People and Places</subject><subject>Physical Sciences</subject><subject>Plasma</subject><subject>Population</subject><subject>Pregnancy</subject><subject>pregnant-women</subject><subject>Premature birth</subject><subject>Premature Birth - epidemiology</subject><subject>Principal components analysis</subject><subject>Prospective Studies</subject><subject>Public health</subject><subject>Quartiles</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Reproduktionsmedicin och gynekologi</subject><subject>Research and Analysis Methods</subject><subject>risk</subject><subject>Risk reduction</subject><subject>Science & Technology - Other Topics</subject><subject>Statistical analysis</subject><subject>Studies</subject><subject>Sugar</subject><subject>Womens 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frequency patterns and glycemic properties of maternal diet in relation to preterm delivery: Results from a large prospective cohort study</title><author>Englund-Ögge, Linda ; Birgisdottir, Bryndis Eva ; Sengpiel, Verena ; Brantsæter, Anne Lise ; Haugen, Margareta ; Myhre, Ronny ; Meltzer, Helle Margrete ; Jacobsson, Bo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c829t-269a2bdb42a0f3d2f8fa4c6d6240a73803eeb814991f0dda1202b8fd0e985ef43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>amniotic-fluid</topic><topic>Analysis</topic><topic>Bioinformatics</topic><topic>Biology and Life Sciences</topic><topic>Birth</topic><topic>Body mass</topic><topic>Carbohydrates</topic><topic>child cohort</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Confidence intervals</topic><topic>Cytokines</topic><topic>Delivery 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Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Englund-Ögge, Linda</au><au>Birgisdottir, Bryndis Eva</au><au>Sengpiel, Verena</au><au>Brantsæter, Anne Lise</au><au>Haugen, Margareta</au><au>Myhre, Ronny</au><au>Meltzer, Helle Margrete</au><au>Jacobsson, Bo</au><au>Vassalle, Cristina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Meal frequency patterns and glycemic properties of maternal diet in relation to preterm delivery: Results from a large prospective cohort study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>12</volume><issue>3</issue><spage>e0172896</spage><epage>e0172896</epage><pages>e0172896-e0172896</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Dietary habits are linked to high maternal glucose levels, associated with preterm delivery. The aim of this study was to examine the associations between meal frequency and glycemic properties of maternal diet in relation to preterm delivery.
This prospective cohort study included 66,000 women from the Norwegian Mother and Child Cohort Study (MoBa). Meal frequency and food intake data were obtained from a validated food frequency questionnaire during mid-pregnancy. Principal component factor analysis was used with a data-driven approach, and three meal frequency patterns were identified: "snack meal", "main meal", and "evening meal". Pattern scores were ranked in quartiles. Glycemic index and glycemic load were estimated from table values. Intakes of carbohydrates, added sugar, and fiber were reported in grams per day and divided into quartiles. Gestational age was obtained from the Medical Birth Registry of Norway. Preterm delivery was defined as birth at <37 gestational weeks. A Cox regression model was used to assess associations with preterm delivery.
After adjustments, the "main meal" pattern was associated with a reduced risk of preterm delivery, with hazard ratios (HRs) of 0.89 (95% confidence interval (CI): 0.80, 0.98) and 0.90 (95% CI: 0.81, 0.99) for the third and fourth quartiles, respectively, and p for trend of 0.028. This was mainly attributed to the group of women with BMI ≥25 kg/m2, with HRs of 0.87 (95% CI: 0.79, 0.96) and 0.89 (95% CI: 0.80, 0.98) for the third and fourth quartiles, respectively, and p for trend of 0.010. There was no association between glycemic index, glycemic load, carbohydrates, added sugar, fiber, or the remaining meal frequency patterns and preterm delivery.
Regular consumption of main meals (breakfast, lunch, dinner) was associated with a lower risk of preterm delivery. Diet should be further studied as potential contributing factors for preterm delivery.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28249018</pmid><doi>10.1371/journal.pone.0172896</doi><tpages>e0172896</tpages><orcidid>https://orcid.org/0000-0001-8334-2070</orcidid><oa>free_for_read</oa></addata></record> |
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identifier | ISSN: 1932-6203 |
ispartof | PloS one, 2017-03, Vol.12 (3), p.e0172896-e0172896 |
issn | 1932-6203 1932-6203 |
language | eng |
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subjects | Adult amniotic-fluid Analysis Bioinformatics Biology and Life Sciences Birth Body mass Carbohydrates child cohort Cohort analysis Cohort Studies Confidence intervals Cytokines Delivery (Childbirth) Diabetes Diet Disease control Epidemiology Factor analysis Feeding Behavior Female Food Food intake Gestational age Glucose Glycemic Index Gynecology Habits Health aspects Health risk assessment Hospitals Humans Infant, Newborn Infant, Premature Infections Insulin resistance labor Male Maternal Nutritional Physiological Phenomena Meals Medicine and Health Sciences moba Mother-infant relations multiple-proteins norwegian mother Nutrition research Obstetrics Obstetrics, Gynecology and Reproductive Medicine People and Places Physical Sciences Plasma Population Pregnancy pregnant-women Premature birth Premature Birth - epidemiology Principal components analysis Prospective Studies Public health Quartiles Questionnaires Regression analysis Regression models Reproduktionsmedicin och gynekologi Research and Analysis Methods risk Risk reduction Science & Technology - Other Topics Statistical analysis Studies Sugar Womens health |
title | Meal frequency patterns and glycemic properties of maternal diet in relation to preterm delivery: Results from a large prospective cohort study |
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