Association between preconception dietary fiber intake and hypertensive disorders of pregnancy: The Japan Environment and Children’s Study
•Hypertensive disorders of pregnancy (HDP) are significant maternal complications.•Preconception dietary fiber intake was associated with the risk of HDP.•Increased dietary fiber intake may offer protection against the onset of HDP.•Preconception care is crucial for preventing the onset of HDP. Hype...
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| Veröffentlicht in: | Pregnancy hypertension 2024-09, Vol.37, p.101139, Article 101139 |
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| creator | Omoto, Takahiro Kyozuka, Hyo Murata, Tsuyoshi Fukuda, Toma Isogami, Hirotaka Okoshi, Chihiro Yasuda, Shun Yamaguchi, Akiko Sato, Akiko Ogata, Yuka Shinoki, Kosei Hosoya, Mitsuaki Yasumura, Seiji Hashimoto, Koichi Nishigori, Hidekazu Fujimori, Keiya |
| description | •Hypertensive disorders of pregnancy (HDP) are significant maternal complications.•Preconception dietary fiber intake was associated with the risk of HDP.•Increased dietary fiber intake may offer protection against the onset of HDP.•Preconception care is crucial for preventing the onset of HDP.
Hypertensive disorders of pregnancy (HDP) are a significant cause of morbidity and mortality. This study aimed to investigate whether preconception dietary fiber intake is associated with new-onset HDP.
We identified 84,873 (primipara, 33,712; multipara, 51,161) normotensive participants from the Japan Environmental Children’s Study database who delivered between 2011 and 2014. The participants were subsequently categorized into five groups based on their preconception dietary fiber intake quintiles (Q1–Q5).
The main obstetric outcome was HDP, and the secondary obstetric outcomes included early-onset (Eo, |
| doi_str_mv | 10.1016/j.preghy.2024.101139 |
| format | Article |
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Hypertensive disorders of pregnancy (HDP) are a significant cause of morbidity and mortality. This study aimed to investigate whether preconception dietary fiber intake is associated with new-onset HDP.
We identified 84,873 (primipara, 33,712; multipara, 51,161) normotensive participants from the Japan Environmental Children’s Study database who delivered between 2011 and 2014. The participants were subsequently categorized into five groups based on their preconception dietary fiber intake quintiles (Q1–Q5).
The main obstetric outcome was HDP, and the secondary obstetric outcomes included early-onset (Eo, <34 weeks)-HDP, late-onset (Lo, ≥34 weeks)-HDP, small for gestational age (SGA) births, and HDP with/without SGA.
Multiple logistic regression analysis showed that in primiparas, the risks of HDP, Lo-HDP, and HDP without SGA were lower in the Q5 group compared with the Q3 group (HDP: adjusted odds ratio [aOR] = 0.73, 95 % confidence intervals [95 % CI] = 0.58–0.93; Lo-HDP: aOR = 0.72, 95 % CI = 0.55–0.94; and HDP without SGA: aOR = 0.68, 95 % CI = 0.53–0.88). However, the risks of Eo-HDP and HDP with SGA were higher in the Q1 group compared with the Q3 group (Eo-HDP: aOR = 1.66, 95 % CI = 1.02–2.70; and HDP with SGA: aOR = 1.81, 95 % CI = 1.04–3.17). In multiparas, the risks of Lo-HDP and SGA were higher in the Q1 group compared with the Q3 group (Lo-HDP: aOR = 1.47, 95 % CI = 1.10–1.97; SGA: aOR = 1.17, 95 % CI = 1.02–1.35).
Preconception dietary fiber intake is beneficial in preventing HDP onset. Therefore, new recommendations should be considered to encourage higher dietary fiber intake as part of preconception care.</description><identifier>ISSN: 2210-7789</identifier><identifier>ISSN: 2210-7797</identifier><identifier>EISSN: 2210-7797</identifier><identifier>DOI: 10.1016/j.preghy.2024.101139</identifier><identifier>PMID: 38878601</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Birth cohort study ; Dietary fiber intake ; Gut microbiota ; Hypertensive disorders of pregnancy ; Preconception care ; Preeclampsia</subject><ispartof>Pregnancy hypertension, 2024-09, Vol.37, p.101139, Article 101139</ispartof><rights>2024 International Society for the Study of Hypertension in Pregnancy</rights><rights>Copyright © 2024 International Society for the Study of Hypertension in Pregnancy. Published by Elsevier B.V. All rights reserved.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c311t-f1ad34e7eb81ca33337b544582430572f04cb254b3b04f90ba59140fd3f35b163</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S2210778924001661$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38878601$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Omoto, Takahiro</creatorcontrib><creatorcontrib>Kyozuka, Hyo</creatorcontrib><creatorcontrib>Murata, Tsuyoshi</creatorcontrib><creatorcontrib>Fukuda, Toma</creatorcontrib><creatorcontrib>Isogami, Hirotaka</creatorcontrib><creatorcontrib>Okoshi, Chihiro</creatorcontrib><creatorcontrib>Yasuda, Shun</creatorcontrib><creatorcontrib>Yamaguchi, Akiko</creatorcontrib><creatorcontrib>Sato, Akiko</creatorcontrib><creatorcontrib>Ogata, Yuka</creatorcontrib><creatorcontrib>Shinoki, Kosei</creatorcontrib><creatorcontrib>Hosoya, Mitsuaki</creatorcontrib><creatorcontrib>Yasumura, Seiji</creatorcontrib><creatorcontrib>Hashimoto, Koichi</creatorcontrib><creatorcontrib>Nishigori, Hidekazu</creatorcontrib><creatorcontrib>Fujimori, Keiya</creatorcontrib><creatorcontrib>The Japan Environment and Children’s Study Group</creatorcontrib><creatorcontrib>Japan Environment and Children’s Study Group</creatorcontrib><title>Association between preconception dietary fiber intake and hypertensive disorders of pregnancy: The Japan Environment and Children’s Study</title><title>Pregnancy hypertension</title><addtitle>Pregnancy Hypertens</addtitle><description>•Hypertensive disorders of pregnancy (HDP) are significant maternal complications.•Preconception dietary fiber intake was associated with the risk of HDP.•Increased dietary fiber intake may offer protection against the onset of HDP.•Preconception care is crucial for preventing the onset of HDP.
Hypertensive disorders of pregnancy (HDP) are a significant cause of morbidity and mortality. This study aimed to investigate whether preconception dietary fiber intake is associated with new-onset HDP.
We identified 84,873 (primipara, 33,712; multipara, 51,161) normotensive participants from the Japan Environmental Children’s Study database who delivered between 2011 and 2014. The participants were subsequently categorized into five groups based on their preconception dietary fiber intake quintiles (Q1–Q5).
The main obstetric outcome was HDP, and the secondary obstetric outcomes included early-onset (Eo, <34 weeks)-HDP, late-onset (Lo, ≥34 weeks)-HDP, small for gestational age (SGA) births, and HDP with/without SGA.
Multiple logistic regression analysis showed that in primiparas, the risks of HDP, Lo-HDP, and HDP without SGA were lower in the Q5 group compared with the Q3 group (HDP: adjusted odds ratio [aOR] = 0.73, 95 % confidence intervals [95 % CI] = 0.58–0.93; Lo-HDP: aOR = 0.72, 95 % CI = 0.55–0.94; and HDP without SGA: aOR = 0.68, 95 % CI = 0.53–0.88). However, the risks of Eo-HDP and HDP with SGA were higher in the Q1 group compared with the Q3 group (Eo-HDP: aOR = 1.66, 95 % CI = 1.02–2.70; and HDP with SGA: aOR = 1.81, 95 % CI = 1.04–3.17). In multiparas, the risks of Lo-HDP and SGA were higher in the Q1 group compared with the Q3 group (Lo-HDP: aOR = 1.47, 95 % CI = 1.10–1.97; SGA: aOR = 1.17, 95 % CI = 1.02–1.35).
Preconception dietary fiber intake is beneficial in preventing HDP onset. Therefore, new recommendations should be considered to encourage higher dietary fiber intake as part of preconception care.</description><subject>Birth cohort study</subject><subject>Dietary fiber intake</subject><subject>Gut microbiota</subject><subject>Hypertensive disorders of pregnancy</subject><subject>Preconception care</subject><subject>Preeclampsia</subject><issn>2210-7789</issn><issn>2210-7797</issn><issn>2210-7797</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9UctuFDEQHCEQiUL-ACEfuexijz1jDwekaBUeUSQOhLPlRzvrZdcebO9Gc-MD-AF-jy_Bm0lypC_dalVVq6ua5jXBS4JJ_26zHBPcrqdli1t2XBE6PGtO25bgBecDf_40i-GkOc95g2uxDgvev2xOqBBc9JicNr8vco7Gq-JjQBrKHUBAVdvEYGC831oPRaUJOa8hIR-K-gFIBYvW0wipQMj-ABWVY7KQMoruKHAbVDDTe3SzBnSlRhXQZTj4FMMOQrmnr9Z-axOEv7_-ZPSt7O30qnnh1DbD-UM_a75_vLxZfV5cf_30ZXVxvTCUkLJwRFnKgIMWxChai-uOsU60jOKOtw4zo9uOaaoxcwPWqhsIw85SRztNenrWvJ11xxR_7iEXufPZwHarAsR9lhT3gndEtKJC2Qw1KeacwMkx-V21QxIsj1HIjZyjkMco5BxFpb15uLDXO7BPpEfjK-DDDID658FDktl4qJ5bX80v0kb__wv_AC2uny8</recordid><startdate>20240901</startdate><enddate>20240901</enddate><creator>Omoto, Takahiro</creator><creator>Kyozuka, Hyo</creator><creator>Murata, Tsuyoshi</creator><creator>Fukuda, Toma</creator><creator>Isogami, Hirotaka</creator><creator>Okoshi, Chihiro</creator><creator>Yasuda, Shun</creator><creator>Yamaguchi, Akiko</creator><creator>Sato, Akiko</creator><creator>Ogata, Yuka</creator><creator>Shinoki, Kosei</creator><creator>Hosoya, Mitsuaki</creator><creator>Yasumura, Seiji</creator><creator>Hashimoto, Koichi</creator><creator>Nishigori, Hidekazu</creator><creator>Fujimori, Keiya</creator><general>Elsevier B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20240901</creationdate><title>Association between preconception dietary fiber intake and hypertensive disorders of pregnancy: The Japan Environment and Children’s Study</title><author>Omoto, Takahiro ; 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Hypertensive disorders of pregnancy (HDP) are a significant cause of morbidity and mortality. This study aimed to investigate whether preconception dietary fiber intake is associated with new-onset HDP.
We identified 84,873 (primipara, 33,712; multipara, 51,161) normotensive participants from the Japan Environmental Children’s Study database who delivered between 2011 and 2014. The participants were subsequently categorized into five groups based on their preconception dietary fiber intake quintiles (Q1–Q5).
The main obstetric outcome was HDP, and the secondary obstetric outcomes included early-onset (Eo, <34 weeks)-HDP, late-onset (Lo, ≥34 weeks)-HDP, small for gestational age (SGA) births, and HDP with/without SGA.
Multiple logistic regression analysis showed that in primiparas, the risks of HDP, Lo-HDP, and HDP without SGA were lower in the Q5 group compared with the Q3 group (HDP: adjusted odds ratio [aOR] = 0.73, 95 % confidence intervals [95 % CI] = 0.58–0.93; Lo-HDP: aOR = 0.72, 95 % CI = 0.55–0.94; and HDP without SGA: aOR = 0.68, 95 % CI = 0.53–0.88). However, the risks of Eo-HDP and HDP with SGA were higher in the Q1 group compared with the Q3 group (Eo-HDP: aOR = 1.66, 95 % CI = 1.02–2.70; and HDP with SGA: aOR = 1.81, 95 % CI = 1.04–3.17). In multiparas, the risks of Lo-HDP and SGA were higher in the Q1 group compared with the Q3 group (Lo-HDP: aOR = 1.47, 95 % CI = 1.10–1.97; SGA: aOR = 1.17, 95 % CI = 1.02–1.35).
Preconception dietary fiber intake is beneficial in preventing HDP onset. Therefore, new recommendations should be considered to encourage higher dietary fiber intake as part of preconception care.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>38878601</pmid><doi>10.1016/j.preghy.2024.101139</doi></addata></record> |
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| subjects | Birth cohort study Dietary fiber intake Gut microbiota Hypertensive disorders of pregnancy Preconception care Preeclampsia |
| title | Association between preconception dietary fiber intake and hypertensive disorders of pregnancy: The Japan Environment and Children’s Study |
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