产前饮食多样性可能会影响乌干达一个出生队列中婴儿的低体重情况。

Prenatal dietary diversity may influence underweight in infants in a Ugandan birth-cohort.

作者信息

Madzorera Isabel, Ghosh Shibani, Wang Molin, Fawzi Wafaie, Isanaka Sheila, Hertzmark Ellen, Namirembe Grace, Bashaasha Bernard, Agaba Edgar, Turyashemererwa Florence, Webb Patrick, Duggan Christopher

机构信息

Department of Nutrition, Harvard TH Chan School of Public Health, Boston, Massachusetts, USA.

Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts, USA.

出版信息

Matern Child Nutr. 2021 Jul;17(3):e13127. doi: 10.1111/mcn.13127. Epub 2021 Feb 17.

Abstract

Growth faltering in early childhood is prevalent in many low resource countries. Poor maternal dietary diversity during pregnancy has been linked with increased risk of fetal growth failure and adverse birth outcomes but may also influence subsequent infant growth. Our aim is to assess the role of prenatal maternal dietary diversity in infant growth in rural Uganda. Data from 3291 women and infant pairs enrolled in a birth cohort from 2014 to 2016 were analysed (NCT04233944). Maternal diets were assessed using dietary recall in the second or third trimesters of pregnancy. Maternal dietary diversity scores (DDS) were calculated using the FAO Minimum Dietary Diversity for Women (MDD-W). Cox regression models were used to evaluate associations of the DDS with the incidence of underweight, stunting and wasting in infants from 3 to 12 months, adjusting for confounding factors. The median DDS for women was low, at 3.0 (interquartile range 3.0-4.0), relative to the threshold of consuming five or more food groups daily. Infants of women in highest quartile of DDS (diverse diets) were less likely to be underweight (adjusted hazard ratio: 0.70, 95% confidence interval: 0.61, 0.80) compared with infants of women in Quartile 1 (p for trend <0.001) in models controlling for maternal factors. There was no significant association between DDS and stunting or wasting. Our findings suggest a relationship between higher maternal dietary diversity and lower risk of underweight in infancy. These findings suggest that programmes to improve infant growth could additionally consider strengthening prenatal dietary diversity to improve child outcomes globally.

摘要

幼儿期生长发育迟缓在许多资源匮乏的国家普遍存在。孕期母亲饮食多样性差与胎儿生长发育不良及不良出生结局风险增加有关,但也可能影响随后婴儿的生长。我们的目的是评估乌干达农村地区产前母亲饮食多样性在婴儿生长中的作用。分析了2014年至2016年纳入出生队列的3291对母婴的数据(NCT04233944)。通过孕期第二或第三个月的饮食回忆评估母亲的饮食。使用联合国粮食及农业组织的妇女最低饮食多样性(MDD-W)计算母亲饮食多样性得分(DDS)。采用Cox回归模型评估DDS与3至12个月婴儿体重不足、发育迟缓及消瘦发生率之间的关联,并对混杂因素进行校正。相对于每天食用五个或更多食物组的阈值,女性的DDS中位数较低,为3.0(四分位间距3.0-4.0)。在控制母亲因素的模型中,与第一四分位组(趋势p<0.001)的女性所生婴儿相比,DDS处于最高四分位组(饮食多样)的女性所生婴儿体重不足的可能性较小(校正风险比:0.70,95%置信区间:0.61,0.80)。DDS与发育迟缓或消瘦之间无显著关联。我们的研究结果表明,母亲饮食多样性较高与婴儿期体重不足风险较低之间存在关联。这些发现表明,旨在改善婴儿生长的项目可额外考虑加强产前饮食多样性,以改善全球儿童的健康结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8886/8189249/08f40a6f4a56/MCN-17-e13127-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索