Associations between Maternal Dietary Patterns and Infant Birth Weight in the NISAMI Cohort: A Structural Equation Modeling Analysis

The mother’s diet during pregnancy is associated with maternal and child health. However, there are few studies with moderation analysis on maternal dietary patterns and infant birth weight. We aim to analyse the association between dietary patterns during pregnancy and birth weight. A prospective c...

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Autores principales: Jerusa da Mota Santana, Valterlinda Alves de Oliveira Queiroz, Marcos Pereira, Enny S. Paixão, Sheila Monteiro Brito, Djanilson Barbosa dos Santos, Ana Marlucia Oliveira
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:3be4234640f94ac691be5da76e1753c92021-11-25T18:36:23ZAssociations between Maternal Dietary Patterns and Infant Birth Weight in the NISAMI Cohort: A Structural Equation Modeling Analysis10.3390/nu131140542072-6643https://doaj.org/article/3be4234640f94ac691be5da76e1753c92021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/4054https://doaj.org/toc/2072-6643The mother’s diet during pregnancy is associated with maternal and child health. However, there are few studies with moderation analysis on maternal dietary patterns and infant birth weight. We aim to analyse the association between dietary patterns during pregnancy and birth weight. A prospective cohort study was performed with pregnant women registered with the prenatal service (Bahia, Brazil). A food frequency questionnaire was used to evaluate dietary intake. Birth weight was measured by a prenatal service team. Statistical analyses were performed using factor analysis with a principal component extraction technique and structural equation modelling. The mean age of the pregnant women was 27 years old (SD: 5.5) and the mean birth weight was 3341.18 g. It was observed that alcohol consumption (<i>p</i> = 0.05) and weight-gain during pregnancy (<i>p</i> = 0.05) were associated with birth weight. Four patterns of dietary consumption were identified for each trimester of the pregnancy evaluated. Adherence to the “Meat, Eggs, Fried Snacks and Processed foods” dietary pattern (pattern 1) and the “Sugars and Sweets” dietary pattern (pattern 4) in the third trimester directly reduced birth weight, by 98.42 g (Confidence interval (CI) 95%: 24.26, 172.59) and 92.03 g (CI 95%: 39.88, 165.30), respectively. It was also observed that insufficient dietary consumption in the third trimester increases maternal complications during pregnancy, indirectly reducing birth weight by 145 g (CI 95%: −21.39, −211.45). Inadequate dietary intake in the third trimester appears to have negative results on birth weight, directly and indirectly, but more studies are needed to clarify these causal paths, especially investigations of the influence of the maternal dietary pattern on the infant gut microbiota and the impacts on perinatal outcomes.Jerusa da Mota SantanaValterlinda Alves de Oliveira QueirozMarcos PereiraEnny S. PaixãoSheila Monteiro BritoDjanilson Barbosa dos SantosAna Marlucia OliveiraMDPI AGarticlepregnancyinfantdietary patternsbirth weightfactor analysiscohortNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 4054, p 4054 (2021)
institution DOAJ
collection DOAJ
language EN
topic pregnancy
infant
dietary patterns
birth weight
factor analysis
cohort
Nutrition. Foods and food supply
TX341-641
spellingShingle pregnancy
infant
dietary patterns
birth weight
factor analysis
cohort
Nutrition. Foods and food supply
TX341-641
Jerusa da Mota Santana
Valterlinda Alves de Oliveira Queiroz
Marcos Pereira
Enny S. Paixão
Sheila Monteiro Brito
Djanilson Barbosa dos Santos
Ana Marlucia Oliveira
Associations between Maternal Dietary Patterns and Infant Birth Weight in the NISAMI Cohort: A Structural Equation Modeling Analysis
description The mother’s diet during pregnancy is associated with maternal and child health. However, there are few studies with moderation analysis on maternal dietary patterns and infant birth weight. We aim to analyse the association between dietary patterns during pregnancy and birth weight. A prospective cohort study was performed with pregnant women registered with the prenatal service (Bahia, Brazil). A food frequency questionnaire was used to evaluate dietary intake. Birth weight was measured by a prenatal service team. Statistical analyses were performed using factor analysis with a principal component extraction technique and structural equation modelling. The mean age of the pregnant women was 27 years old (SD: 5.5) and the mean birth weight was 3341.18 g. It was observed that alcohol consumption (<i>p</i> = 0.05) and weight-gain during pregnancy (<i>p</i> = 0.05) were associated with birth weight. Four patterns of dietary consumption were identified for each trimester of the pregnancy evaluated. Adherence to the “Meat, Eggs, Fried Snacks and Processed foods” dietary pattern (pattern 1) and the “Sugars and Sweets” dietary pattern (pattern 4) in the third trimester directly reduced birth weight, by 98.42 g (Confidence interval (CI) 95%: 24.26, 172.59) and 92.03 g (CI 95%: 39.88, 165.30), respectively. It was also observed that insufficient dietary consumption in the third trimester increases maternal complications during pregnancy, indirectly reducing birth weight by 145 g (CI 95%: −21.39, −211.45). Inadequate dietary intake in the third trimester appears to have negative results on birth weight, directly and indirectly, but more studies are needed to clarify these causal paths, especially investigations of the influence of the maternal dietary pattern on the infant gut microbiota and the impacts on perinatal outcomes.
format article
author Jerusa da Mota Santana
Valterlinda Alves de Oliveira Queiroz
Marcos Pereira
Enny S. Paixão
Sheila Monteiro Brito
Djanilson Barbosa dos Santos
Ana Marlucia Oliveira
author_facet Jerusa da Mota Santana
Valterlinda Alves de Oliveira Queiroz
Marcos Pereira
Enny S. Paixão
Sheila Monteiro Brito
Djanilson Barbosa dos Santos
Ana Marlucia Oliveira
author_sort Jerusa da Mota Santana
title Associations between Maternal Dietary Patterns and Infant Birth Weight in the NISAMI Cohort: A Structural Equation Modeling Analysis
title_short Associations between Maternal Dietary Patterns and Infant Birth Weight in the NISAMI Cohort: A Structural Equation Modeling Analysis
title_full Associations between Maternal Dietary Patterns and Infant Birth Weight in the NISAMI Cohort: A Structural Equation Modeling Analysis
title_fullStr Associations between Maternal Dietary Patterns and Infant Birth Weight in the NISAMI Cohort: A Structural Equation Modeling Analysis
title_full_unstemmed Associations between Maternal Dietary Patterns and Infant Birth Weight in the NISAMI Cohort: A Structural Equation Modeling Analysis
title_sort associations between maternal dietary patterns and infant birth weight in the nisami cohort: a structural equation modeling analysis
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/3be4234640f94ac691be5da76e1753c9
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