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Nutrients 2015, 7(2), 1318-1332; doi:10.3390/nu7021318

Association between Dietary Patterns during Pregnancy and Birth Size Measures in a Diverse Population in Southern US

1
Department of Global Health, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Avenue, Washington, DC 20037, USA
2
Program in Physical Therapy, Department of Medicine, and Institute for Public Health, Washington University School of Medicine, 4444 Forest Park Avenue, Campus Box 8502, St. Louis, MO 63108, USA
3
Clinical and Developmental Psychology, Department of Psychology, Columbian College of Arts and Sciences, George Washington University, Room 304 Building GG 2125 St. NW, Washington, DC 20052, USA
4
Department of Preventive Medicine, University of Tennessee Health Science Center, 600 Jefferson St. Room 337 Memphis, TN 38105, USA
5
Division of Biostatistics and Epidemiology, Department of Preventive Medicine, College of Medicine, University of Tennessee Health Science Center, 66 N. Pauline Street, Suite-633, Office 619, Memphis, TN 38105, USA
6
Division of General Pediatrics, Department of Pediatrics, Vanderbilt University School of Medicine, 313 Oxford House, Nashville, TN 37232-4313, USA
7
Department of Pediatrics (primary), Department of Preventive Medicine, University of Tennessee Health Science Center, Le Bonheur Children's Hospital, Research Building, 50 North Dunlap Street, Room 477R, Memphis, TN 38103, USA
*
Author to whom correspondence should be addressed.
Received: 29 October 2014 / Revised: 9 December 2014 / Accepted: 19 January 2015 / Published: 16 February 2015
(This article belongs to the Special Issue Nutrition in Pregnancy)
View Full-Text   |   Download PDF [152 KB, uploaded 16 February 2015]

Abstract

Despite increased interest in promoting nutrition during pregnancy, the association between maternal dietary patterns and birth outcomes has been equivocal. We examined maternal dietary patterns during pregnancy as a determinant of offspring’s birth weight-for-length (WLZ), weight-for-age (WAZ), length-for-age (LAZ), and head circumference (HCZ) Z-scores in Southern United States (n = 1151). Maternal diet during pregnancy was assessed by seven dietary patterns. Multivariable linear regression models described the association of WLZ, WAZ, LAZ, and HCZ with diet patterns controlling for other maternal and child characteristics. In bivariate analyses, WAZ and HCZ were significantly lower for processed and processed-Southern compared to healthy dietary patterns, whereas LAZ was significantly higher for these patterns. In the multivariate models, mothers who consumed a healthy-processed dietary pattern had children with significantly higher HCZ compared to the ones who consumed a healthy dietary pattern (HCZ β: 0.36; p = 0.019). No other dietary pattern was significantly associated with any of the birth outcomes. Instead, the major outcome determinants were: African American race, pre-pregnancy BMI, and gestational weight gain. These findings justify further investigation about socio-environmental and genetic factors related to race and birth outcomes in this population. View Full-Text
Keywords: nutrition; pregnancy; birth weight; birth length; birth head circumference; African American; diet patterns nutrition; pregnancy; birth weight; birth length; birth head circumference; African American; diet patterns
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Colón-Ramos, U.; Racette, S.B.; Ganiban, J.; Nguyen, T.G.; Kocak, M.; Carroll, K.N.; Völgyi, E.; Tylavsky, F.A. Association between Dietary Patterns during Pregnancy and Birth Size Measures in a Diverse Population in Southern US. Nutrients 2015, 7, 1318-1332.

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