Centre for Fetal Programming, Department of Epidemiology Research, Statens Serum Institut, Copenhagen S, Denmark.
Public Health Nutr. 2013 Oct;16(10):1810-9. doi: 10.1017/S1368980012004119. Epub 2012 Sep 12.
To develop a basis for building models that can examine the impact of organic food (OF) choices on maternal and offspring health, including identification of factors associated with OF consumption and underlying dietary patterns.
Dietary intake was collected for the preceding month from an FFQ in mid-pregnancy and information on sociodemographic characteristics was collected from telephone interviews during pregnancy. From a question about OF consumption in the FFQ, including six food categories, an OF preference index was calculated. Latent variables that captured the variability in OF choices in relation to dietary intake were defined.
The Danish National Birth Cohort (DNBC), 1996-2002.
Pregnant women from DNBC (n 60,773).
We found that frequent OF use was highly associated with age, occupational status, urbanization, smoking and vegetarianism. By principal components analysis we identified two eating patterns, a ‘Western dietary pattern’ and a ‘Prudent dietary pattern’, that explained 14.2% of the variability in data. Frequent OF users consumed a more ‘prudent’ diet compared with non-users and had significantly higher intakes of vegetables (167%), fibre (113%) and n-3 fatty acids (111%) and less saturated fat (28%).
Frequent OF users seemed to have a healthier lifestyle than non-users. These findings highlight a major challenge in observational studies examining the impact of OF consumption on health due to potentially irremediable confounding factors.
为构建能够考察有机食品(OF)选择对母婴健康影响的模型奠定基础,包括确定与 OF 消费相关的因素和潜在的饮食模式。
在妊娠中期使用食物频率问卷(FFQ)收集了前一个月的饮食摄入量,并通过妊娠期间的电话访谈收集了社会人口特征信息。从 FFQ 中关于 OF 消费的一个问题(包括六个食物类别)中,计算了 OF 偏好指数。定义了捕捉与饮食摄入相关的 OF 选择变化的潜在变量。
丹麦国家出生队列(DNBC),1996-2002 年。
DNBC 的孕妇(n=60773)。
我们发现,经常食用 OF 与年龄、职业状况、城市化程度、吸烟和素食主义高度相关。通过主成分分析,我们确定了两种饮食模式,即“西方饮食模式”和“谨慎饮食模式”,它们解释了数据变异性的 14.2%。与非使用者相比,经常食用 OF 的人饮食更“谨慎”,蔬菜(167%)、纤维(113%)和 n-3 脂肪酸(111%)的摄入量显著更高,而饱和脂肪(28%)的摄入量则较低。
经常食用 OF 的人似乎比非使用者有更健康的生活方式。这些发现突出了由于潜在的无法补救的混杂因素,在观察性研究中考察 OF 消费对健康影响所面临的主要挑战。