母亲孕期摄入含糖饮料与婴儿体重状况的关联。

Associations of Maternal Consumption of Sugary Beverages in Pregnancy With Infant Weight Status.

机构信息

Division of General Pediatrics, Department of Pediatrics, Boston Medical Center (KA Egan), Boston University School of Medicine, Boston, Mass; Division of General Academic Pediatrics, Department of Pediatrics (KA Egan and EM Taveras), MassGeneral Hospital for Children, Boston, Mass.

Boston College School of Social Work (BK Lo and KK Davison), Chestnut Hill, Mass.

出版信息

Acad Pediatr. 2023 Jan-Feb;23(1):109-116. doi: 10.1016/j.acap.2022.05.007. Epub 2022 May 13.

DOI:10.1016/j.acap.2022.05.007

PMID:35577285

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9653508/

Abstract

OBJECTIVES

To examine associations of maternal consumption of 100% juice and sugar-sweetened beverages (SSBs) in the third trimester of pregnancy with infant weight status at 6 and 12 months.

METHODS

We studied 379 mother-infant dyads from Rise & SHINE, a prospective cohort study. Exposures were maternal consumption of 100% juice and SSBs in the third trimester. Outcome measures were infant weight-for-length (WFL) z-scores at 6 and 12 months and rapid infant weight gain (RIWG; change in weight-for-age z-score ≥0.67) from birth to 6 and 12 months.

RESULTS

Mean (SD) maternal age was 32.8 (5.1) years; 71.7% reported household income ≥$50,000. In the third trimester, nearly daily or daily consumption of 100% juice and SSBs was 25.9% and 16.6%, respectively. Mean (SD) WFL z-scores at 6 and 12 months were 0.35 (0.96) and 0.50 (0.98). RIWG was present in 30.2% and 36.6% of infants from birth to 6 months and birth to 12 months, respectively. In multivariable models, 100% juice consumption was associated with higher WFL z-score at 6 months (β = 0.26; 95% confidence interval [CI]: 0.03, 0.49) and higher odds of RIWG from birth to 6 months (adjusted odds ratio [aOR] = 2.09; 95%CI: 1.23, 3.56) and birth to 12 months (aOR = 1.85; 95%CI: 1.04, 3.28). 100% juice consumption was not associated with WFL z-score at 12 months and SSB consumption was not associated with any of the outcomes.

CONCLUSIONS

Consumption of 100% juice, but not SSBs, in the third trimester of pregnancy is associated with infant weight status at 6 months and RIWG.

摘要

目的

研究孕妇在妊娠晚期饮用 100%纯果汁和含糖饮料（SSB）与婴儿 6 个月和 12 个月时体重状况的关联。

方法

我们研究了 Rise & SHINE 的 379 对母婴对，这是一项前瞻性队列研究。暴露因素为孕妇在妊娠晚期饮用 100%纯果汁和 SSB。研究结果是婴儿在 6 个月和 12 个月时的体重-身长（WFL）Z 分数，以及从出生到 6 个月和 12 个月时体重-年龄 Z 分数的快速增长（RIWG；体重增长速度大于等于 0.67）。

结果

母亲的平均（标准差）年龄为 32.8（5.1）岁；71.7%的家庭收入≥$50,000。在妊娠晚期，每天或几乎每天饮用 100%纯果汁和 SSB 的比例分别为 25.9%和 16.6%。婴儿在 6 个月和 12 个月时的平均（标准差）WFL Z 分数分别为 0.35（0.96）和 0.50（0.98）。从出生到 6 个月和从出生到 12 个月时，RIWG 分别出现在 30.2%和 36.6%的婴儿中。在多变量模型中，100%果汁的摄入与 6 个月时更高的 WFL Z 分数（β=0.26；95%置信区间 [CI]：0.03，0.49）和更高的 RIWG 风险相关（调整后的比值比[aOR]为 2.09；95%CI：1.23，3.56），以及从出生到 12 个月（aOR=1.85；95%CI：1.04，3.28）。100%果汁的摄入与 12 个月时的 WFL Z 分数无关，SSB 的摄入与任何结果均无关。