A Priori and a Posteriori Dietary Patterns during Pregnancy and Gestational Weight Gain: The Generation R Study
AbstractAbnormal gestational weight gain (GWG) is associated with adverse pregnancy outcomes. We examined whether dietary patterns are associated with GWG. Participants included 3374 pregnant women from a population-based cohort in the Netherlands. Dietary intake during pregnancy was assessed with food-frequency questionnaires. Three a posteriori-derived dietary patterns were identified using principal component analysis: a “Vegetable, oil and fish”, a “Nuts, high-fiber cereals and soy”, and a “Margarine, sugar and snacks” pattern. The a priori-defined dietary pattern was based on national dietary recommendations. Weight was repeatedly measured around 13, 20 and 30 weeks of pregnancy; pre-pregnancy and maximum weight were self-reported. Normal weight women with high adherence to the “Vegetable, oil and fish” pattern had higher early-pregnancy GWG than those with low adherence (43 g/week (95% CI 16; 69) for highest vs. lowest quartile (Q)). Adherence to the “Margarine, sugar and snacks” pattern was associated with a higher prevalence of excessive GWG (OR 1.45 (95% CI 1.06; 1.99) Q4 vs. Q1). Normal weight women with higher scores on the “Nuts, high-fiber cereals and soy” pattern had more moderate GWG than women with lower scores (−0.01 (95% CI −0.02; −0.00) per SD). The a priori-defined pattern was not associated with GWG. To conclude, specific dietary patterns may play a role in early pregnancy but are not consistently associated with GWG. View Full-Text
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Tielemans, M.J.; Erler, N.S.; Leermakers, E.T.M.; van den Broek, M.; Jaddoe, V.W.V.; Steegers, E.A.P.; Kiefte-de Jong, J.C.; Franco, O.H. A Priori and a Posteriori Dietary Patterns during Pregnancy and Gestational Weight Gain: The Generation R Study. Nutrients 2015, 7, 9383-9399.
Tielemans MJ, Erler NS, Leermakers ETM, van den Broek M, Jaddoe VWV, Steegers EAP, Kiefte-de Jong JC, Franco OH. A Priori and a Posteriori Dietary Patterns during Pregnancy and Gestational Weight Gain: The Generation R Study. Nutrients. 2015; 7(11):9383-9399.Chicago/Turabian Style
Tielemans, Myrte J.; Erler, Nicole S.; Leermakers, Elisabeth T.M.; van den Broek, Marion; Jaddoe, Vincent W.V.; Steegers, Eric A.P.; Kiefte-de Jong, Jessica C.; Franco, Oscar H. 2015. "A Priori and a Posteriori Dietary Patterns during Pregnancy and Gestational Weight Gain: The Generation R Study." Nutrients 7, no. 11: 9383-9399.