Διερεύνηση του ρόλου της διατροφής στον κίνδυνο εμφάνισης επιπλοκών κατά την κύηση
Substantial epidemiological evidence have suggested that maternal weight gain outside the Institute of Medicine (IOM) recommendations increases therisk for potential gestational complications in both the mother and the fetus.Moreover, it is currently well established that higher adherence to the Med...
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| Language: | Greek |
| Published: |
2015
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| Online Access: | http://catalog.lib.aegean.gr/webopac/FullBB.csp?WebAction=ShowFullBB&EncodedRequest=*07*C2*92*CE*29nxH*A8VbK*BE*B7*A2*B9&Profile=Default&OpacLanguage=gre&NumberToRetrieve=50&StartValue=1&WebPageNr=1&SearchTerm1=2014%20.1.107492&SearchT1=&Index1=Keywordsbib&SearchMethod=Find_1&ItemNr=1 http://hdl.handle.net/11610/10714 |
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| Summary: | Substantial epidemiological evidence have suggested that maternal weight gain outside the Institute of Medicine (IOM) recommendations increases therisk for potential gestational complications in both the mother and the fetus.Moreover, it is currently well established that higher adherence to the Mediterraneandiet is associated with reduced risk for cardiovascular disease, certain types of cancerand several chronic disease states. However, the currently available epidemiologicaldata so far concerning the association between the prepregnancy adherence to theMediterranean diet and the maternal weight gain during pregnancy remains scarce.Aims: The present study is aimed to evaluate whether prepregnancy adherence to theMediterranean diet may be associated with the risk of maternal gestational weightgain outside IOM recommendations. Material and Methods: One hundred eighteenconsecutive pregnant women were included in this study. Demographic, social,economic and anthropometric parameters, physical activity, smoking status, medicalrecords and dietary habits before pregnancy were assed by a semi-quantitativequestionnaire. Prepregnacy adherence to the Mediterranean diet was assessed by 11food patterns according to their contribution in the Mediterranean diet pyramid.Statistical analysis was performed by Student’s t-test and one-way ANOVA forcontinuous and chi-square test for categorical variables, respectively. Logisticregression analysis was performed to assess the influence of prepregnacy adherence tothe Mediterranean diet in the maternal weight gain during pregnancy after adjustmentfor potential confounders. Results: Gestational weight gain outside the IOMrecommendations was noted for almost a half of the women under study (44.9%).Maternal weight gain outside the IOM recommendations was significantly associatedwith type of basic job, smoking status and anthropometric characteristics of womenbefore pregnancy, as well as with birthchild anthropometric characteristics. Higherprepregnancy seafood consumption was significantly more frequently observed inwomen presenting gestational weight gain inside the IOM recommendations.Indicative but not significant associations between maternal weight gain outside theIOM recommendations and lower consumption of fruits and legumes, as well as withhigher consumption of read meat were also recorded. Women with low prepregnancy7adherence to the Mediterranean diet were significantly more frequently characterizedby weight gain outside the IOM recommendations compared to those withintermediate or high prepregnancy adherence to the Mediterranean diet. Inmultivariate logistic regression analysis, after adjustment for potential confounders,type of basic job, as well as prepregnacy smoking status, body mass index andadherence to the Mediterranean diet were identified as independent factors associatedwith the risk of gestational weight gain outside the IOM recommendations. |
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