Daneshzad Elnaz, Moradi Maedeh, Maracy Mohammad R, Brett Neil R, Bellissimo Nick, Azadbakht Leila
Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.
Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran.
Health Promot Perspect. 2020 Mar 30;10(2):152-161. doi: 10.34172/hpp.2020.25. eCollection 2020.
Studies are needed to further understand how different plant-based dietary patterns of mothers relate to infant growth. Thus, we investigated the association between maternal plant-based diets and infant growth in breastfed infants during the first 4 months of life. This cross-sectional study included 290 Iranian mothers and infants. Maternal dietary intake was assessed using a 168-question validated semi-quantitative food frequency questionnaire (FFQ). Three plant-based diet indices (PDIs) were then created to evaluate dietary intakes. Eighteen food groups were classified in three main categories by scoring method: wholeplant diet, healthy plant diet, and animal and unhealthy plant diet. Participants in the top tertile of unhealthy PDI (uPDI) had a lower intake of potassium,phosphorus, zinc, magnesium, calcium, folate and vitamin C, B1, B2, and B3. The upper tertileof uPDI was associated with stunting at 4-month in infants (uPDI: odds ratio [OR] = 3.27, 95%CI= 1.32, 8.10). There were no significant associations between plant-based diet scores and anthropometric indices, including weight, weight status and head circumference (P > 0.05). In conclusion, higher adherence to uPDI may be associated with stuntingamong Iranian infants. Other PDIs were not associated with anthropometric measures. Future studies are needed to further understand the association between plant-based diets and infant growth.
需要开展研究以进一步了解母亲不同的植物性饮食模式与婴儿生长之间的关系。因此，我们调查了母乳喂养婴儿出生后头4个月内母亲的植物性饮食与婴儿生长之间的关联。这项横断面研究纳入了290名伊朗母亲和婴儿。使用一份经过验证的包含168个问题的半定量食物频率问卷（FFQ）评估母亲的饮食摄入量。然后创建了三种植物性饮食指数（PDI）来评估饮食摄入量。通过评分方法将18个食物组分为三大类：全植物性饮食、健康植物性饮食以及动物性和不健康植物性饮食。不健康植物性饮食指数（uPDI）处于最高三分位数的参与者钾、磷、锌、镁、钙、叶酸以及维生素C、B1、B2和B3的摄入量较低。uPDI的最高三分位数与婴儿4个月时发育迟缓有关（uPDI：比值比[OR]=3.27，95%置信区间[CI]=1.32，8.10）。植物性饮食得分与人体测量指标，包括体重、体重状况和头围之间无显著关联（P>0.05）。总之，较高的uPDI依从性可能与伊朗婴儿发育迟缓有关。其他PDI与人体测量指标无关。需要进一步开展研究以深入了解植物性饮食与婴儿生长之间的关联。
