A periconceptional energy‐rich dietary pattern is associated with early fetal growth: the Generation R study

Objective To identify periconceptional maternal dietary patterns associated with crown–rump length (CRL), estimated fetal weight (EFW) and birthweight. Design Population‐based prospective birth cohort study. Setting Rotterdam, the Netherlands. Participants For this study, 847 pregnant Dutch women we...

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Veröffentlicht in:BJOG : an international journal of obstetrics and gynaecology 2013-03, Vol.120 (4), p.435-445
Hauptverfasser: Bouwland‐Both, MI, Steegers‐Theunissen, RPM, Vujkovic, M, Lesaffre, EMEH, Mook‐Kanamori, DO, Hofman, A, Lindemans, J, Russcher, H, Jaddoe, VWV, Steegers, EAP
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container_end_page 445
container_issue 4
container_start_page 435
container_title BJOG : an international journal of obstetrics and gynaecology
container_volume 120
creator Bouwland‐Both, MI
Steegers‐Theunissen, RPM
Vujkovic, M
Lesaffre, EMEH
Mook‐Kanamori, DO
Hofman, A
Lindemans, J
Russcher, H
Jaddoe, VWV
Steegers, EAP
description Objective To identify periconceptional maternal dietary patterns associated with crown–rump length (CRL), estimated fetal weight (EFW) and birthweight. Design Population‐based prospective birth cohort study. Setting Rotterdam, the Netherlands. Participants For this study, 847 pregnant Dutch women were eligible. Women were included between 2001 and 2005. Methods Information on nutritional intake was collected by a semiquantitative food frequency questionnaire. For extracting dietary patterns, principal component factor analysis was used. Fetal growth was assessed using ultrasound measurements. Information on birth outcomes was retrieved from medical records. Multivariate regression analyses were used. Main outcome measures Crown‐to‐rump length, estimated fetal weight in second and third trimester and birthweight. Results An ‘energy‐rich dietary pattern’ was identified, characterised by high intakes of bread, margarine and nuts. A significant association was shown between a high adherence to this dietary pattern (difference, mm: 2.15, 95% confidence interval 0.79–3.50) and CRL (linear trend analyses P = 0.015). No association was revealed between increasing adherence to this dietary pattern and EFW in second or third trimester, or birthweight. Conclusion This study suggests that increasing adherence to an energy‐rich dietary pattern is associated with increased CRL in the first trimester.
doi_str_mv 10.1111/1471-0528.12086
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Design Population‐based prospective birth cohort study. Setting Rotterdam, the Netherlands. Participants For this study, 847 pregnant Dutch women were eligible. Women were included between 2001 and 2005. Methods Information on nutritional intake was collected by a semiquantitative food frequency questionnaire. For extracting dietary patterns, principal component factor analysis was used. Fetal growth was assessed using ultrasound measurements. Information on birth outcomes was retrieved from medical records. Multivariate regression analyses were used. Main outcome measures Crown‐to‐rump length, estimated fetal weight in second and third trimester and birthweight. Results An ‘energy‐rich dietary pattern’ was identified, characterised by high intakes of bread, margarine and nuts. A significant association was shown between a high adherence to this dietary pattern (difference, mm: 2.15, 95% confidence interval 0.79–3.50) and CRL (linear trend analyses P = 0.015). No association was revealed between increasing adherence to this dietary pattern and EFW in second or third trimester, or birthweight. Conclusion This study suggests that increasing adherence to an energy‐rich dietary pattern is associated with increased CRL in the first trimester.</description><identifier>ISSN: 1470-0328</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/1471-0528.12086</identifier><identifier>PMID: 23194298</identifier><identifier>CODEN: BIOGFQ</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Body Mass Index ; Cohort study ; Crown-Rump Length ; Diet ; Energy Intake ; Female ; Fetal Development - physiology ; fetal growth ; first‐trimester growth ; Humans ; maternal nutrition ; Maternal Nutritional Physiological Phenomena - physiology ; Preconception Care - methods ; Pregnancy ; Pregnancy Trimester, First ; Pregnancy Trimester, Second ; Prenatal development ; Prospective Studies</subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 2013-03, Vol.120 (4), p.435-445</ispartof><rights>2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG</rights><rights>2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG.</rights><rights>BJOG © 2013 RCOG</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3716-4ff59d138c49545f49f89ca273440134e19a968decd05b76d51ecfbf306daf7a3</citedby><cites>FETCH-LOGICAL-c3716-4ff59d138c49545f49f89ca273440134e19a968decd05b76d51ecfbf306daf7a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1471-0528.12086$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1471-0528.12086$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23194298$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bouwland‐Both, MI</creatorcontrib><creatorcontrib>Steegers‐Theunissen, RPM</creatorcontrib><creatorcontrib>Vujkovic, M</creatorcontrib><creatorcontrib>Lesaffre, EMEH</creatorcontrib><creatorcontrib>Mook‐Kanamori, DO</creatorcontrib><creatorcontrib>Hofman, A</creatorcontrib><creatorcontrib>Lindemans, J</creatorcontrib><creatorcontrib>Russcher, H</creatorcontrib><creatorcontrib>Jaddoe, VWV</creatorcontrib><creatorcontrib>Steegers, EAP</creatorcontrib><title>A periconceptional energy‐rich dietary pattern is associated with early fetal growth: the Generation R study</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>BJOG</addtitle><description>Objective To identify periconceptional maternal dietary patterns associated with crown–rump length (CRL), estimated fetal weight (EFW) and birthweight. Design Population‐based prospective birth cohort study. Setting Rotterdam, the Netherlands. Participants For this study, 847 pregnant Dutch women were eligible. Women were included between 2001 and 2005. Methods Information on nutritional intake was collected by a semiquantitative food frequency questionnaire. For extracting dietary patterns, principal component factor analysis was used. Fetal growth was assessed using ultrasound measurements. Information on birth outcomes was retrieved from medical records. Multivariate regression analyses were used. Main outcome measures Crown‐to‐rump length, estimated fetal weight in second and third trimester and birthweight. Results An ‘energy‐rich dietary pattern’ was identified, characterised by high intakes of bread, margarine and nuts. A significant association was shown between a high adherence to this dietary pattern (difference, mm: 2.15, 95% confidence interval 0.79–3.50) and CRL (linear trend analyses P = 0.015). No association was revealed between increasing adherence to this dietary pattern and EFW in second or third trimester, or birthweight. 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Steegers‐Theunissen, RPM ; Vujkovic, M ; Lesaffre, EMEH ; Mook‐Kanamori, DO ; Hofman, A ; Lindemans, J ; Russcher, H ; Jaddoe, VWV ; Steegers, EAP</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3716-4ff59d138c49545f49f89ca273440134e19a968decd05b76d51ecfbf306daf7a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Body Mass Index</topic><topic>Cohort study</topic><topic>Crown-Rump Length</topic><topic>Diet</topic><topic>Energy Intake</topic><topic>Female</topic><topic>Fetal Development - physiology</topic><topic>fetal growth</topic><topic>first‐trimester growth</topic><topic>Humans</topic><topic>maternal nutrition</topic><topic>Maternal Nutritional Physiological Phenomena - physiology</topic><topic>Preconception Care - methods</topic><topic>Pregnancy</topic><topic>Pregnancy Trimester, First</topic><topic>Pregnancy Trimester, Second</topic><topic>Prenatal development</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bouwland‐Both, MI</creatorcontrib><creatorcontrib>Steegers‐Theunissen, RPM</creatorcontrib><creatorcontrib>Vujkovic, M</creatorcontrib><creatorcontrib>Lesaffre, EMEH</creatorcontrib><creatorcontrib>Mook‐Kanamori, DO</creatorcontrib><creatorcontrib>Hofman, A</creatorcontrib><creatorcontrib>Lindemans, J</creatorcontrib><creatorcontrib>Russcher, H</creatorcontrib><creatorcontrib>Jaddoe, VWV</creatorcontrib><creatorcontrib>Steegers, EAP</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; 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Design Population‐based prospective birth cohort study. Setting Rotterdam, the Netherlands. Participants For this study, 847 pregnant Dutch women were eligible. Women were included between 2001 and 2005. Methods Information on nutritional intake was collected by a semiquantitative food frequency questionnaire. For extracting dietary patterns, principal component factor analysis was used. Fetal growth was assessed using ultrasound measurements. Information on birth outcomes was retrieved from medical records. Multivariate regression analyses were used. Main outcome measures Crown‐to‐rump length, estimated fetal weight in second and third trimester and birthweight. Results An ‘energy‐rich dietary pattern’ was identified, characterised by high intakes of bread, margarine and nuts. A significant association was shown between a high adherence to this dietary pattern (difference, mm: 2.15, 95% confidence interval 0.79–3.50) and CRL (linear trend analyses P = 0.015). No association was revealed between increasing adherence to this dietary pattern and EFW in second or third trimester, or birthweight. Conclusion This study suggests that increasing adherence to an energy‐rich dietary pattern is associated with increased CRL in the first trimester.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>23194298</pmid><doi>10.1111/1471-0528.12086</doi><tpages>11</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Body Mass Index
Cohort study
Crown-Rump Length
Diet
Energy Intake
Female
Fetal Development - physiology
fetal growth
first‐trimester growth
Humans
maternal nutrition
Maternal Nutritional Physiological Phenomena - physiology
Preconception Care - methods
Pregnancy
Pregnancy Trimester, First
Pregnancy Trimester, Second
Prenatal development
Prospective Studies
title A periconceptional energy‐rich dietary pattern is associated with early fetal growth: the Generation R study
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