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母亲孕期饮食质量与3岁后代饮食质量之间的关联:一项基于医院的前瞻性出生队列研究。

Association between diet quality during pregnancy of mothers and that of 3-year-old offspring: a prospective hospital-based birth cohort study.

作者信息

Tada Yuki, Ishitsuka Kazue, Piedvache Aurélie, Tanaka Hisako, Ogawa Kohei, Kobayashi Minatsu, Horikawa Reiko, Fujiwara Takeo, Morisaki Naho

机构信息

Department of Nutritional Science, Faculty of Applied Bioscience, Tokyo University of Agriculture, Tokyo, Japan.

Department of Social Medicine, National Center for Child Health and Development, Tokyo, Japan.

出版信息

J Nutr Sci. 2024 Aug 2;13:e26. doi: 10.1017/jns.2024.24. eCollection 2024.

DOI:10.1017/jns.2024.24
PMID:39776520
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11704931/
Abstract

Children's eating habits are established early in life and parents play a major role therein. Pregnancy is a teachable moment for the promotion of healthy eating because many women are concerned about their babies' health and have frequent contact with healthcare providers. We aimed to investigate the association between diet quality during pregnancy and the offspring. A total of 691 sets of data on pregnant mothers and their 3-year-old offspring were obtained from the Seiiku Boshi cohort study. Dietary intake was assessed using a validated food frequency questionnaire for mothers in mid-to-late pregnancy and a validated diet history questionnaire for Japanese preschool children at the 36-month checkup. Diet quality was scored using the Japanese Food Guide Spinning Top. Maternal diet quality score was categorised into quartiles, and the association between offspring and maternal diet quality score, adjusted for socioeconomic factors, was assessed using multiple linear regression. The total offspring diet quality score showed a linear trend with the maternal diet quality score (the mean increments (confidential intervals) for each quartile were -0.12 (-1.32-1.08), 1.54 (0.34-2.73), and 1.22 (0.03-2.42)). In particular, offspring vegetable dishes scored higher in all quartiles of maternal vegetable dish scores than in the lowest quartile (0.69 (0.21-1.17), 0.97 (0.50-1.45), and 1.36 (0.88-1.83)). A high diet quality score during pregnancy was positively associated with that of offspring, suggesting the importance of nutritional education in pregnant women to improve their diet quality.

摘要

儿童的饮食习惯在生命早期就已形成,父母在其中起着主要作用。怀孕是促进健康饮食的一个可教育时机,因为许多女性关心婴儿的健康,并且经常与医疗保健提供者接触。我们旨在研究孕期饮食质量与后代之间的关联。从Seiiku Boshi队列研究中获得了总共691组关于怀孕母亲及其3岁后代的数据。使用经过验证的食物频率问卷评估孕中期至晚期母亲的饮食摄入量,并在36个月体检时使用经过验证的饮食史问卷评估日本学龄前儿童的饮食摄入量。饮食质量使用日本食物指南旋转陀螺进行评分。将母亲的饮食质量得分分为四分位数,并使用多元线性回归评估在调整社会经济因素后后代与母亲饮食质量得分之间的关联。后代的总饮食质量得分与母亲的饮食质量得分呈线性趋势(每个四分位数的平均增量(置信区间)分别为-0.12(-1.32至1.08)、1.54(0.34至2.73)和1.22(0.03至2.42))。特别是,在母亲蔬菜菜肴得分的所有四分位数中,后代的蔬菜菜肴得分均高于最低四分位数(0.69(0.21至1.17)、0.97(0.50至1.45)和1.36(0.88至1.83))。孕期高饮食质量得分与后代的得分呈正相关,这表明对孕妇进行营养教育以改善其饮食质量很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d965/11704931/12c110babf4b/S2048679024000247_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d965/11704931/12c110babf4b/S2048679024000247_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d965/11704931/12c110babf4b/S2048679024000247_fig1.jpg

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