Mediterranean diet adherence during pregnancy and fetal growth: INMA (Spain) and RHEA (Greece) mother–child cohort studies
Year: 2011
Type: article
Study design: Observational Study
Abstract: Dietary intake of specific nutrients or food groups during pregnancy could influence fetal growth, but scant evidence is available on effects of dietary patterns. The aim of this study was to evaluate the impact of Mediterranean diet (MD) adherence during pregnancy on fetal growth in two population-based mother-child cohorts in Spain and Greece. We studied 2461 mother-newborn pairs from the Spanish multi-centre 'INMA' study (Atlantic area: INMA-Atlantic; Mediterranean area: INMA-Mediterranean), and 889 pairs from the 'RHEA' study in Crete, Greece. Maternal diet during pregnancy was assessed by FFQ and MD adherence was evaluated through an a priori score. Fetal growth restriction was based on a customised model, and multivariate log-binomial and linear regression models were used to adjust for several confounders. MD scores differ significantly between the cohorts with women in INMA-Atlantic reporting higher intakes of fish and dairy products, while women in the Mediterranean area reported higher intakes of cereals, vegetables and fruits. Women with high MD adherence had a significantly lower risk of delivering a fetal growth-restricted infant for weight (risk ratios: 0·5; 95 % CI 0·3, 0·9) in the INMA-Mediterranean cohort. Stratified analysis by smoking revealed that higher MD adherence increased birth weight and birth length in smoking mothers, whereas this effect was not apparent in non-smoking mothers. The results of the present study show that several types of MD exist across European Mediterranean regions. High MD adherence may modify the detrimental effect of smoking on birth size, but overall effects of diet were not universal for the studies in this analysis.
Source: British Journal Of Nutrition
Institutions: University of Crete, Center for Research in Environmental Epidemiology, Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública, Basque Government, Biogipuzkoa Health Research Institute, Universidad de Oviedo, University of the Basque Country, Universitat de Miguel Hernández d'Elx, National School of Public Health, Municipal Institute for Medical Research, Universitat Pompeu Fabra
Language: English
Topic: Nutritional Studies and Diet
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
Awards: G115623121, G1265736553, G1505059817, G1632783612, G1682873984, G1742557123, G1929206383, G1948750425, G1990797403, G2006013149, G220360187, G2206155153, G2231152896, G2323630418, G2412846689, G2746566435, G2856770376, G3120621417, G3158803353, G3233413551, G3563496093, G3662005835, G3741174706, G4108940488, G4242524022, G4332878075, G4368935133, G4442566642, G4558884256, G460046111, G4619193523, G4623156685, G4733413009, G4749042089, G4849428099, G4942477976, G5000828053, G5185833053, G5204753571, G5222799811, G582682078, G586812122, G6033091583, G6174287943, G6233695497, G6330786264, G6978661046, G7121628977, G7426531139, G7465068618, G7589046250, G7812052072, G7933776563, G8037007141, G8485686930, G903740175, G97295993
OpenAlex ID: W2106433653