Associations of Diet with Cardiometabolic and Inflammatory Profiles in Pregnant Women at Risk for Metabolic Complications

Dietary intakes play an important role in the development of metabolic complications during pregnancy. While reported observational studies reveal an inverse association of healthy diets with weight gain, gestational diabetes, and hypertensive complications during pregnancy, there is a paucity of st...

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Autores principales: Kataryna Jaworsky, Jeffrey L. Ebersole, Petar Planinic, Arpita Basu
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Lenguaje:EN
Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:4f15a839552144bfb99b6100ed0562272021-11-11T16:15:19ZAssociations of Diet with Cardiometabolic and Inflammatory Profiles in Pregnant Women at Risk for Metabolic Complications10.3390/ijerph1821111051660-46011661-7827https://doaj.org/article/4f15a839552144bfb99b6100ed0562272021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11105https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Dietary intakes play an important role in the development of metabolic complications during pregnancy. While reported observational studies reveal an inverse association of healthy diets with weight gain, gestational diabetes, and hypertensive complications during pregnancy, there is a paucity of studies conducted among women of specific ethnicities vulnerable to higher risks of pregnancy complications. This is a secondary cross sectional analysis using baseline data from a previously reported clinical trial. We aim to identify associations of maternal habitual dietary intakes with cardiometabolic risks and inflammatory profiles in primarily African American (AA) and Hispanic women in the first half of pregnancy. Fifty-two women met the study criteria and anthropometric, clinical, and dietary data were obtained at baseline. Linear regression analysis was used to determine associations after covariate adjustments. Among the maternal dietary nutrient intakes, total fats were positively associated with maternal body weight, BMI, and serum CRP (β ± SE: 0.25 ± 0.13, 0.28 ± 0.18, and 0.29 ± 0.14, respectively, all <i>p</i> < 0.05), and saturated fats were positively associated with glycated hemoglobin (0.32 ± 0.12). Dietary fiber intake showed a consistent inverse association with body weight (−0.26 ± 0.13), BMI (−0.19 ± 0.15), glycated hemoglobin (−0.22 ± 0.16), as well as serum CRP (−0.19 ± 0.14). Among the maternal food group intakes, dairy intake was inversely associated with systolic blood pressure (−0.18 ± 0.15) and serum IL-6 (−0.22 ± 0.17), and vegetable intake showed an inverse association with serum CRP (−0.17 ± 0.12) all in adjusted analyses (all <i>p</i> < 0.05). Thus, maternal diet modifications, especially decreasing fats and increasing fiber and dairy may help address obesity and inflammation leading to pregnancy complications in AA and Hispanic women.Kataryna JaworskyJeffrey L. EbersolePetar PlaninicArpita BasuMDPI AGarticlepregnancydietobesitytotal fatsfiberinflammationMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11105, p 11105 (2021)
institution DOAJ
collection DOAJ
language EN
topic pregnancy
diet
obesity
total fats
fiber
inflammation
Medicine
R
spellingShingle pregnancy
diet
obesity
total fats
fiber
inflammation
Medicine
R
Kataryna Jaworsky
Jeffrey L. Ebersole
Petar Planinic
Arpita Basu
Associations of Diet with Cardiometabolic and Inflammatory Profiles in Pregnant Women at Risk for Metabolic Complications
description Dietary intakes play an important role in the development of metabolic complications during pregnancy. While reported observational studies reveal an inverse association of healthy diets with weight gain, gestational diabetes, and hypertensive complications during pregnancy, there is a paucity of studies conducted among women of specific ethnicities vulnerable to higher risks of pregnancy complications. This is a secondary cross sectional analysis using baseline data from a previously reported clinical trial. We aim to identify associations of maternal habitual dietary intakes with cardiometabolic risks and inflammatory profiles in primarily African American (AA) and Hispanic women in the first half of pregnancy. Fifty-two women met the study criteria and anthropometric, clinical, and dietary data were obtained at baseline. Linear regression analysis was used to determine associations after covariate adjustments. Among the maternal dietary nutrient intakes, total fats were positively associated with maternal body weight, BMI, and serum CRP (β ± SE: 0.25 ± 0.13, 0.28 ± 0.18, and 0.29 ± 0.14, respectively, all <i>p</i> < 0.05), and saturated fats were positively associated with glycated hemoglobin (0.32 ± 0.12). Dietary fiber intake showed a consistent inverse association with body weight (−0.26 ± 0.13), BMI (−0.19 ± 0.15), glycated hemoglobin (−0.22 ± 0.16), as well as serum CRP (−0.19 ± 0.14). Among the maternal food group intakes, dairy intake was inversely associated with systolic blood pressure (−0.18 ± 0.15) and serum IL-6 (−0.22 ± 0.17), and vegetable intake showed an inverse association with serum CRP (−0.17 ± 0.12) all in adjusted analyses (all <i>p</i> < 0.05). Thus, maternal diet modifications, especially decreasing fats and increasing fiber and dairy may help address obesity and inflammation leading to pregnancy complications in AA and Hispanic women.
format article
author Kataryna Jaworsky
Jeffrey L. Ebersole
Petar Planinic
Arpita Basu
author_facet Kataryna Jaworsky
Jeffrey L. Ebersole
Petar Planinic
Arpita Basu
author_sort Kataryna Jaworsky
title Associations of Diet with Cardiometabolic and Inflammatory Profiles in Pregnant Women at Risk for Metabolic Complications
title_short Associations of Diet with Cardiometabolic and Inflammatory Profiles in Pregnant Women at Risk for Metabolic Complications
title_full Associations of Diet with Cardiometabolic and Inflammatory Profiles in Pregnant Women at Risk for Metabolic Complications
title_fullStr Associations of Diet with Cardiometabolic and Inflammatory Profiles in Pregnant Women at Risk for Metabolic Complications
title_full_unstemmed Associations of Diet with Cardiometabolic and Inflammatory Profiles in Pregnant Women at Risk for Metabolic Complications
title_sort associations of diet with cardiometabolic and inflammatory profiles in pregnant women at risk for metabolic complications
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/4f15a839552144bfb99b6100ed056227
work_keys_str_mv AT katarynajaworsky associationsofdietwithcardiometabolicandinflammatoryprofilesinpregnantwomenatriskformetaboliccomplications
AT jeffreylebersole associationsofdietwithcardiometabolicandinflammatoryprofilesinpregnantwomenatriskformetaboliccomplications
AT petarplaninic associationsofdietwithcardiometabolicandinflammatoryprofilesinpregnantwomenatriskformetaboliccomplications
AT arpitabasu associationsofdietwithcardiometabolicandinflammatoryprofilesinpregnantwomenatriskformetaboliccomplications
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