Premium
Effect of a M editerranean Diet during Pregnancy on Fetal Growth and Preterm Delivery: Results From a F rench Caribbean Mother–Child Cohort Study ( TIMOUN )
Author(s) -
Saunders Lauren,
Guldner Laurence,
Costet Nathalie,
Kadhel Philippe,
Rouget Florence,
Monfort Christine,
Thomé JeanPierre,
Multigner Luc,
Cordier Sylvaine
Publication year - 2014
Publication title -
paediatric and perinatal epidemiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.667
H-Index - 88
eISSN - 1365-3016
pISSN - 0269-5022
DOI - 10.1111/ppe.12113
Subject(s) - medicine , pregnancy , odds ratio , overweight , confidence interval , confounding , generation r , body mass index , obstetrics , logistic regression , cohort , cohort study , population , fetus , mass index , environmental health , genetics , biology
Background Recent studies suggest that a M editerranean dietary pattern during pregnancy may influence pregnancy outcomes. The aim of this study was to evaluate the effect of adherence to a M editerranean diet ( MD ) during pregnancy on fetal growth restriction ( FGR ) and preterm delivery ( PTD ) in a F rench C aribbean island where the population is largely of A frican descent and presents dietary patterns similar to MD . Methods Using data from the TIMOUN Mother–Child Cohort Study conducted in G uadeloupe ( F rench W est I ndies) between 2004 and 2007, we analysed data for 728 pregnant women who delivered liveborn singletons without any major congenital malformations. Degree of adherence to MD during pregnancy was evaluated with a semi‐quantitative food frequency questionnaire based on nine dietary criteria. Multiple logistic regression models were used to analyse birth outcomes while taking potential confounders into account. Results Overall there was no association between MD adherence during pregnancy and the risk of PTD or FGR . However, pre‐pregnancy body mass index was a strong effect modifier, and MD adherence was associated with a decreased risk of PTD specifically in overweight and obese women (adjusted odds ratio 0.7, 95% confidence interval 0.6, 0.9) ( P heterogeneity <0.01). Conclusions These results suggest that C aribbean diet during pregnancy may carry some benefits of MD and may contribute to reduce the risk of PTD in overweight and obese pregnant women.