Department of Nutrition, Federal University of Minas Gerais, Minas Gerais, Brazil.
Department of Nutrition, Federal University of Minas Gerais, Minas Gerais, Brazil.
Nutrition. 2021 Nov-Dec;91-92:111444. doi: 10.1016/j.nut.2021.111444. Epub 2021 Aug 10.
The objective of this study was to examine the influence of maternal nutrient intake during pregnancy on the baby's birth weight at term.
A cross-sectional study design was used to evaluate a sample of women aged 18 to 44 y in the postpartum period in a public maternity department (2018-2019), with dietary intake collected by a validated food frequency questionnaire (n = 626 mother-offspring pairs). A multivariable linear regression model was used to identify the influence of nutrient intake during pregnancy on the baby's birth weight at term. The model was adjusted for maternal energy intake, education level, gestational age, physical activity, and supplementation during pregnancy.
Maternal intake of vitamins B and C was associated with an increase in birth weight (respectively, β = 0.01; 95% confidence interval [CI], 0.01-0.02; P = 0.01; and β = 0.01; 95% CI, 0.01-0.02; P = 0.02). Prepregnancy body mass index (β = 0.01; 95% CI, 0.01-0.02; P = 0.001), gestational weight gain (β = 0.02; 95% CI, 0.01-0.02; P < 0.001), parity (β = 0.05; 95% CI, 0.02-0.09; P = 0.001), and male babies (β = 0.08; 95% CI, 0.01-0.02; P = 0.02) also contributed to increase birth weight. These variables explained about 27% of the variation of this outcome (adjusted R = 0.27, P < 0.001).
Our findings provide evidence that maternal intake of vitamins B and C influences increased birth weight. In addition, prepregnancy body mass index, gestational weight gain, parity, and male babies contribute to the same outcome.
本研究旨在探讨孕妇营养摄入对足月婴儿出生体重的影响。
采用横断面研究设计,评估 2018-2019 年在公立产科门诊产后 18-44 岁女性(n=626 对母婴)的膳食摄入量,采用经过验证的食物频率问卷进行评估。采用多变量线性回归模型,确定妊娠期间营养摄入对足月婴儿出生体重的影响。模型调整了母体能量摄入、教育水平、孕龄、体力活动和妊娠期间的补充。
维生素 B 和 C 的摄入与出生体重增加相关(分别为β=0.01;95%置信区间[CI]:0.01-0.02;P=0.01;和β=0.01;95%CI:0.01-0.02;P=0.02)。孕前体重指数(β=0.01;95%CI:0.01-0.02;P=0.001)、妊娠增重(β=0.02;95%CI:0.01-0.02;P<0.001)、产次(β=0.05;95%CI:0.02-0.09;P=0.001)和男婴(β=0.08;95%CI:0.01-0.02;P=0.02)也增加了出生体重。这些变量解释了该结果约 27%的变异(调整 R²=0.27,P<0.001)。
本研究结果表明,孕妇维生素 B 和 C 的摄入会影响出生体重的增加。此外,孕前体重指数、妊娠增重、产次和男婴也会影响这一结果。