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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Veröffentlicht in:PloS one 2017-03, Vol.12 (3), p.e0172896-e0172896
Hauptverfasser: Englund-Ögge, Linda, Birgisdottir, Bryndis Eva, Sengpiel, Verena, Brantsæter, Anne Lise, Haugen, Margareta, Myhre, Ronny, Meltzer, Helle Margrete, Jacobsson, Bo
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creator Englund-Ögge, Linda
Birgisdottir, Bryndis Eva
Sengpiel, Verena
Brantsæter, Anne Lise
Haugen, Margareta
Myhre, Ronny
Meltzer, Helle Margrete
Jacobsson, Bo
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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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 &lt;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 &amp; 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. 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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 &lt;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 &amp; 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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 &lt;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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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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