Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei 230032, China.
Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, China.
Int J Environ Res Public Health. 2023 Jan 26;20(3):2214. doi: 10.3390/ijerph20032214.
The relation between maternal dietary patterns during pregnancy and offspring behavioral problems is less verified. Therefore, we have aimed to assess the relationship between them and have hypothesized that children of mothers with healthy dietary patterns during pregnancy have better behavior. The 1612 mother-child pairs of the China-Anhui Birth Cohort Study (C-ABCS) have been enrolled as the study population. The dietary behaviors of mothers during early and mid-pregnancy have been investigated using a semi-quantitative food frequency questionnaire. Preschool child behavioral problems have been assessed. Clusters of maternal food groups intakes have been identified using latent class analysis, and the association between maternal dietary patterns and child behavioral problems has been subsequently analyzed using logistic regression. Maternal age at inclusion is 26.56 ± 3.51 years. There has been a preponderance of boys (53.3%). Maternal food groups intakes have been classified into four groups: "High-consumed pattern (HCP)", "Southern dietary pattern (SDP)", "Northern dietary pattern (NDP)", and "Low-consumed pattern (LCP)". The offspring with maternal SDP and NDP have lower emotional symptoms compared to the offspring with maternal LCP in the first trimester ( < 0.05). It has been reported to lower conduct problems in children with maternal SDP than the children with maternal LCP in the second trimester ( < 0.05). In boys, we have detected associations between first-trimester SDP and lower emotional symptoms ( < 0.05) and between second-trimester SDP with decreased peer relationship problems ( < 0.05). In girls, total difficulty scores are lower with second-trimester SDP ( < 0.05). Maternal SDP in early and mid-pregnancy predicts reduced behavioral problems in preschool children, while maternal HCP and NDP during pregnancy may result in fewer developmental benefits.
母亲孕期饮食模式与后代行为问题之间的关系尚未得到充分证实。因此，我们旨在评估两者之间的关系，并假设母亲孕期饮食模式健康的儿童行为表现更好。中国-安徽出生队列研究（C-ABCS）的 1612 对母婴对被纳入研究人群。采用半定量食物频率问卷调查母亲妊娠早、中期的饮食行为。评估学龄前儿童的行为问题。采用潜在类别分析识别母亲食物组摄入量的聚类，随后采用逻辑回归分析母亲饮食模式与儿童行为问题之间的关联。纳入时母亲年龄为 26.56 ± 3.51 岁。男孩居多（53.3%）。母亲食物组摄入量分为四组：“高摄入模式（HCP）”、“南方饮食模式（SDP）”、“北方饮食模式（NDP）”和“低摄入模式（LCP）”。与 LCP 组相比，SDP 和 NDP 组的母亲在孕早期的子女情绪症状较低（<0.05）。与 LCP 组相比，SDP 组的母亲在孕中期的子女品行问题较低（<0.05）。在男孩中，我们发现 SDP 在孕早期与情绪症状较低有关（<0.05），SDP 在孕中期与同伴关系问题减少有关（<0.05）。在女孩中，第二孕期 SDP 与总困难评分较低有关（<0.05）。妊娠早、中期的 SDP 母亲可预测学龄前儿童行为问题减少，而 HCP 和 NDP 母亲可能会减少发育益处。
