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大加那利岛孕妇对地中海饮食的依从性与超重和肥胖之间的关联。

Association between the adherence to the Mediterranean diet and overweight and obesity in pregnant women in Gran Canaria.

作者信息

Silva-del Valle Miguel Angel, Sánchez-Villegas Almudena, Serra-Majem Lluís

机构信息

Pediatrics Department, University Hospital Materno Infantil, Las Palmas de Gran Canaria, Spain.

出版信息

Nutr Hosp. 2013 May-Jun;28(3):654-9. doi: 10.3305/nh.2013.28.3.6377.

Abstract

OBJECTIVE

To evaluate the impact of the Mediterranean diet (MD) on weight gain and obesity in pregnant women in Gran Canaria.

METHODS

Cross sectional study in 170 pregnant women We measured the adherence to the MD before and during pregnancy by a food frequency questionnaire. Body mass index (BMI) was determined in the first prenatal visit. Appropriate weight gain was calculated according to the recommendations set by the American Institute of Medicine. We established the association between the degree of compliance with the MD and the increase in BMI (regression coefficients [b] and their confidence intervals (CI) ([95% CI]) and weight gain (Odds ratios [OR] and their 95% CI) during pregnancy.

RESULTS

Women with a high baseline adherence to the Mediterranean diet gained less weight during pregnancy (b -1.54; CI 95% -2.53 to -0.56) than women with poor adherence. One point increase in the adherence to this diet during pregnancy was associated with an enhanced probability of appropriate weight gain (OR 1.39; CI 95%1.06 to 1.82).

CONCLUSIONS

A high baseline adherence to the MD may protect against overweight and obesity during pregnancy. Intensifying this habit during gestation can increase the probability of an appropriate weight gain.

摘要

目的

评估地中海饮食(MD)对大加那利岛孕妇体重增加及肥胖的影响。

方法

对170名孕妇进行横断面研究。我们通过食物频率问卷在怀孕前及孕期测量对MD的依从性。在首次产前检查时测定体重指数(BMI)。根据美国医学研究所设定的建议计算适当的体重增加量。我们确定了孕期MD依从程度与BMI增加(回归系数[b]及其置信区间(CI)([95%CI]))以及体重增加(优势比[OR]及其95%CI)之间的关联。

结果

孕期基线对地中海饮食依从性高的女性比依从性差的女性体重增加更少(b -1.54;CI 95% -2.53至-0.56)。孕期对这种饮食的依从性每增加1分,适当体重增加的可能性就会提高(OR 1.39;CI 95% 1.06至1.82)。

结论

孕期基线对MD的高依从性可能预防超重和肥胖。孕期强化这种习惯可增加适当体重增加的可能性。

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