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Dias LM, Schmidt MI, Vigo Á, Drehmer M. Dietary Patterns in Pregnancy and the Postpartum Period and the Relationship with Maternal Weight up to One Year after Pregnancy Complicated by Gestational Diabetes. Nutrients 2023; 15:4258. [PMID: 37836542 PMCID: PMC10574553 DOI: 10.3390/nu15194258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Revised: 09/12/2023] [Accepted: 09/12/2023] [Indexed: 10/15/2023] Open
Abstract
This multicentric cohort study aimed to describe changes in dietary patterns during pregnancy and postpartum and the association with BMI variation at six and twelve months postpartum in women with gestational diabetes mellitus (GDM). Between 2014 and 2018, we enrolled women with GDM in prenatal clinics of the Brazilian National Health System and followed them for one year postpartum. The dietary patterns during pregnancy and the postpartum period were obtained by factorial analysis. The relationship between these patterns and variation in postpartum BMI was evaluated by Poisson regression with robust variance adjusted for confounders. We identified three dietary patterns in 584 women, two healthy (generally healthy and Dash type), which were associated with less weight gain (RR 0.77 CI 95% 0.62-0.96 and RR 0.71 CI 95% 0.57-0.88, respectively). The high-risk pattern (based on ultra-processed, high-calorie foods and sweetened drinks) was associated with weight gain (RR 1.31 CI 95% 1.07-1.61 and RR 1.26 CI 95% 1.01-1.59) in six and twelve months postpartum, respectively. Although the participants learned about healthy dieting during pregnancy, dietary habits worsened from pregnancy to postpartum, especially, with lower consumption of fruits and dairy and higher consumption of sweetened beverages, with consequent weight gain postpartum. Postpartum support is needed to prevent weight gain and obesity.
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Affiliation(s)
- Letícia Machado Dias
- Postgraduate Studies Program in Epidemiology, Department of Social Medicine, School of Medicine, Federal University of Rio Grande do Sul, 2400 Ramiro Barcelos St., 2nd Floor, Porto Alegre 90035-003, Brazil; (L.M.D.); (M.I.S.); (Á.V.)
| | - Maria Inês Schmidt
- Postgraduate Studies Program in Epidemiology, Department of Social Medicine, School of Medicine, Federal University of Rio Grande do Sul, 2400 Ramiro Barcelos St., 2nd Floor, Porto Alegre 90035-003, Brazil; (L.M.D.); (M.I.S.); (Á.V.)
- Hospital de Clínicas de Porto Alegre, Porto Alegre 90035-903, Brazil
| | - Álvaro Vigo
- Postgraduate Studies Program in Epidemiology, Department of Social Medicine, School of Medicine, Federal University of Rio Grande do Sul, 2400 Ramiro Barcelos St., 2nd Floor, Porto Alegre 90035-003, Brazil; (L.M.D.); (M.I.S.); (Á.V.)
| | - Michele Drehmer
- Postgraduate Studies Program in Epidemiology, Department of Social Medicine, School of Medicine, Federal University of Rio Grande do Sul, 2400 Ramiro Barcelos St., 2nd Floor, Porto Alegre 90035-003, Brazil; (L.M.D.); (M.I.S.); (Á.V.)
- Hospital de Clínicas de Porto Alegre, Porto Alegre 90035-903, Brazil
- Postgraduate Studies Program in Food, Nutrition and Health, Department of Nutrition, School of Medicine, Federal University of Rio Grande do Sul, Porto Alegre 90035-003, Brazil
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Mosquera PS, Villamor E, Malta MB, Cardoso MA. Gestational weight gain and breastfeeding practices in relation to offspring body mass index among Amazonian young children. Am J Hum Biol 2023; 35:e23824. [PMID: 36301153 DOI: 10.1002/ajhb.23824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Revised: 08/22/2022] [Accepted: 10/02/2022] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVE Excessive weight gain during childhood has been considered an early life risk factor for chronic disease in the long term. We examined the role of excessive gestational weight gain (GWG) and breastfeeding (BF) practices with the offspring's body mass index-for-age z-score (zBMI) at 2 years. METHODS Data from 743 Amazonian young children of the MINA-Brazil population-based birth cohort study were used. Linear regression models were run to estimate the associations between excessive GWG and BF practices (exclusive breastfeeding, EBF <3 months of age and BF <1 year) with zBMI. RESULTS Excessive GWG and BF <1 year were associated with an adjusted 0.24 units (95% CI: 0.08, 0.41) and 0.28 units (95% CI: 0.12, 0.44) higher zBMI at age 2 years, respectively. CONCLUSIONS Gain excessive weight during pregnancy and shorter BF duration (<1y) were associated with a higher body mass index at 2 years of age among Brazilian Amazonian children.
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Affiliation(s)
- Paola Soledad Mosquera
- Department of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil
| | - Eduardo Villamor
- Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan, USA
| | - Maíra Barreto Malta
- Department of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil
| | - Marly Augusto Cardoso
- Department of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil
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Tanigawa K, Kawanishi Y, Ikehara S, Kimura T, Ueda K, Kimura T, Ozono K, Iso H. Association between gestational weight gain and risk of overweight at 3 years old: The Japan Environment and Children's Study. Pediatr Obes 2023; 18:e12978. [PMID: 36102849 DOI: 10.1111/ijpo.12978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Revised: 08/06/2022] [Accepted: 08/15/2022] [Indexed: 01/09/2023]
Abstract
BACKGROUND It is unclear if gestational weight gain (GWG) increases the risk of children with overweight. OBJECTIVES We examined the association between GWG and the risk of overweight in 3-year-old children in the Japanese nationwide birth cohort study. METHODS Among 64 336 singleton births, we calculated the risk ratios (RRs) and 95% confidence intervals (95% CIs) of the association between GWG categories and children with overweight, following an adjustment of the confounding variables. RESULTS GWG was positively associated with the risk of overweight among 3-year-old children. The multivariable RR (95% CI) was 1.21 (1.17-1.25) per 5 kg increase of the GWG. The multivariable RR (95% CI) for excessive GWG was 1.20 (1.12-1.28) and 1.27 (1.16-1.39) based on the modified Japanese and IOM criteria, respectively, compared to adequate GWG. The multivariable RR (95% CI) of overweight with children for inadequate versus adequate GWG was 0.83 (0.78-0.88) and 0.84 (0.79-0.89) based on the modified Japanese and IOM criteria, respectively. CONCLUSIONS GWG was positively associated with a high risk of overweight at 3 years of age. The risk of offspring overweight was 20%-27% higher and 16%-17% lower with excessive GWG and inadequate GWG, respectively, compared to adequate GWG, based on the aforementioned criteria.
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Affiliation(s)
- Kanami Tanigawa
- Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.,Osaka Maternal and Child Health Information Center, Osaka Women's and Children's Hospital, Osaka, Japan.,Osaka Regional Center for Japan Environment and Children's Study (JECS), Osaka University, Osaka, Japan
| | - Yoko Kawanishi
- Osaka Regional Center for Japan Environment and Children's Study (JECS), Osaka University, Osaka, Japan.,Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Satoyo Ikehara
- Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.,Osaka Regional Center for Japan Environment and Children's Study (JECS), Osaka University, Osaka, Japan
| | - Takashi Kimura
- Faculty of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan
| | - Kimiko Ueda
- Osaka Maternal and Child Health Information Center, Osaka Women's and Children's Hospital, Osaka, Japan
| | - Tadashi Kimura
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Keiichi Ozono
- Department of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Hiroyasu Iso
- Osaka Regional Center for Japan Environment and Children's Study (JECS), Osaka University, Osaka, Japan.,Institute for Global Health Policy Research, Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan
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Mosquera PS, Malta MB, de Araújo Damasceno AA, Neves PAR, Matijasevich A, Cardoso MA. Associations of Gestational Weight Gain with Perinatal Outcomes in Western Brazilian Amazon. Matern Child Health J 2022; 26:2030-2039. [PMID: 35908240 DOI: 10.1007/s10995-022-03480-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/17/2022] [Indexed: 10/16/2022]
Abstract
OBJECTIVE To investigate the association between gestational weight gain (GWG) and perinatal outcomes in pregnant Amazonian women. METHODS Data from 1305 mother-child pairs from the MINA-Brazil population-based birth cohort study were used. GWG was classified according to two methods, the Institute of Medicine (IOM) guidelines and INTERGROWTH-21st standards. Poisson and linear regression analyses were conducted to evaluate associations with perinatal outcomes. RESULTS Following IOM guidelines (n = 1305), the rates of insufficient and excessive GWG were found to be similar (32%). Excessive GWG was associated with higher new-born birthweight (BW) z-scores; increased risks of macrosomia, large for gestational age (LGA), and caesarean delivery; and lower risks of low birthweight (LBW) and being small for gestational age (SGA). Insufficient GWG was associated with lower new-born BW z-scores. Among women with normal pre-pregnancy body mass indices (BMIs, n = 658), inappropriate GWG was high following both methods (IOM: 41.2% insufficient, 24.8% excessive; INTERGROWTH-21st: 25.2% below - 1 z-score, 16.9% above 1 z-score). Both methods also indicated that new-borns of women with excessive GWG had higher BW z-scores and increased risk of macrosomia and LGA. Women with GWG below the INTERGROWTH-21st standards were more likely to deliver an infant SGA and with lower BW z-scores. CONCLUSIONS Inappropriate GWG remains a health concern irrespective of the method used to classify weight gain. GWG above the recommendations of both methods and below the INTERGROWTH-21st standard was associated with adverse perinatal outcomes. Therefore, INTERGROWTH-21st standards seem to be a better fit for healthy women in this population.
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Affiliation(s)
- Paola Soledad Mosquera
- Department of Nutrition, School of Public Health, Universidade de São Paulo, Av Dr Arnaldo 715, São Paulo, 01246-904, Brazil
| | - Maíra Barreto Malta
- Department of Nutrition, School of Public Health, Universidade de São Paulo, Av Dr Arnaldo 715, São Paulo, 01246-904, Brazil
| | - Ana Alice de Araújo Damasceno
- Department of Nutrition, School of Public Health, Universidade de São Paulo, Av Dr Arnaldo 715, São Paulo, 01246-904, Brazil
| | - Paulo Augusto Ribeiro Neves
- Department of Nutrition, School of Public Health, Universidade de São Paulo, Av Dr Arnaldo 715, São Paulo, 01246-904, Brazil.,Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - Alicia Matijasevich
- Departamento de Medicina Preventiva, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil
| | - Marly Augusto Cardoso
- Department of Nutrition, School of Public Health, Universidade de São Paulo, Av Dr Arnaldo 715, São Paulo, 01246-904, Brazil.
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Belcastro L, Ferreira CS, Saraiva MA, Mucci DB, Murgia A, Lai C, Vigor C, Oger C, Galano JM, Pinto GDA, Griffin JL, Torres AG, Durand T, Burton GJ, Sardinha FLC, El-Bacha T. Decreased Fatty Acid Transporter FABP1 and Increased Isoprostanes and Neuroprostanes in the Human Term Placenta: Implications for Inflammation and Birth Weight in Maternal Pre-Gestational Obesity. Nutrients 2021; 13:2768. [PMID: 34444927 PMCID: PMC8398812 DOI: 10.3390/nu13082768] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Revised: 08/06/2021] [Accepted: 08/07/2021] [Indexed: 12/26/2022] Open
Abstract
The rise in prevalence of obesity in women of reproductive age in developed and developing countries might propagate intergenerational cycles of detrimental effects on metabolic health. Placental lipid metabolism is disrupted by maternal obesity, which possibly affects the life-long health of the offspring. Here, we investigated placental lipid metabolism in women with pre-gestational obesity as a sole pregnancy complication and compared it to placental responses of lean women. Open profile and targeted lipidomics were used to assess placental lipids and oxidised products of docosahexaenoic (DHA) and arachidonic acid (AA), respectively, neuroprostanes and isoprostanes. Despite no overall signs of lipid accumulation, DHA and AA levels in placentas from obese women were, respectively, 2.2 and 2.5 times higher than those from lean women. Additionally, a 2-fold increase in DHA-derived neuroprostanes and a 1.7-fold increase in AA-derived isoprostanes were seen in the obese group. These changes correlated with a 70% decrease in placental FABP1 protein. Multivariate analyses suggested that neuroprostanes and isoprostanes are associated with maternal and placental inflammation and with birth weight. These results might shed light on the molecular mechanisms associated with altered placental fatty acid metabolism in maternal pre-gestational obesity, placing these oxidised fatty acids as novel mediators of placental function.
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Affiliation(s)
- Livia Belcastro
- Laboratory of Nutritional Biochemistry, Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Rio de Janeiro 21941-902, Brazil; (L.B.); (M.A.S.); (D.B.M.)
| | - Carolina S. Ferreira
- LeBioME-Bioactives, Mitochondria and Placental Metabolism Core, Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Rio de Janeiro 21941-902, Brazil; (C.S.F.); (G.D.A.P.); (A.G.T.)
| | - Marcelle A. Saraiva
- Laboratory of Nutritional Biochemistry, Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Rio de Janeiro 21941-902, Brazil; (L.B.); (M.A.S.); (D.B.M.)
| | - Daniela B. Mucci
- Laboratory of Nutritional Biochemistry, Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Rio de Janeiro 21941-902, Brazil; (L.B.); (M.A.S.); (D.B.M.)
| | - Antonio Murgia
- Department of Biochemistry, University of Cambridge, Cambridge CB2 1QW, UK; (A.M.); (J.L.G.)
| | - Carla Lai
- Department of Environmental and Life Sciences, University of Cagliari, 09124 Cagliari, Italy;
| | - Claire Vigor
- Institut des Biomolécules Max Mousseron (IBMM), UMR 5247, Université de Montpellier, CNRS, ENSCM, Bâtiment Balard, 1919 Route de Mende, 34293 Montpellier, France; (C.V.); (C.O.); (J.-M.G.); (T.D.)
| | - Camille Oger
- Institut des Biomolécules Max Mousseron (IBMM), UMR 5247, Université de Montpellier, CNRS, ENSCM, Bâtiment Balard, 1919 Route de Mende, 34293 Montpellier, France; (C.V.); (C.O.); (J.-M.G.); (T.D.)
| | - Jean-Marie Galano
- Institut des Biomolécules Max Mousseron (IBMM), UMR 5247, Université de Montpellier, CNRS, ENSCM, Bâtiment Balard, 1919 Route de Mende, 34293 Montpellier, France; (C.V.); (C.O.); (J.-M.G.); (T.D.)
| | - Gabriela D. A. Pinto
- LeBioME-Bioactives, Mitochondria and Placental Metabolism Core, Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Rio de Janeiro 21941-902, Brazil; (C.S.F.); (G.D.A.P.); (A.G.T.)
| | - Julian L. Griffin
- Department of Biochemistry, University of Cambridge, Cambridge CB2 1QW, UK; (A.M.); (J.L.G.)
- Department of Metabolism, Digestion and Reproduction, Imperial College London, London SW7 2BX, UK
| | - Alexandre G. Torres
- LeBioME-Bioactives, Mitochondria and Placental Metabolism Core, Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Rio de Janeiro 21941-902, Brazil; (C.S.F.); (G.D.A.P.); (A.G.T.)
- Lipid Biochemistry and Lipidomics Laboratory, Institute of Chemistry, Federal University of Rio de Janeiro, Rio de Janeiro 21941-598, Brazil
| | - Thierry Durand
- Institut des Biomolécules Max Mousseron (IBMM), UMR 5247, Université de Montpellier, CNRS, ENSCM, Bâtiment Balard, 1919 Route de Mende, 34293 Montpellier, France; (C.V.); (C.O.); (J.-M.G.); (T.D.)
| | - Graham J. Burton
- Centre for Trophoblast Research, Department of Physiology, Development and Neuroscience, University of Cambridge, Cambridge CB2 3EG, UK;
| | - Fátima L. C. Sardinha
- Laboratory of Nutritional Biochemistry, Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Rio de Janeiro 21941-902, Brazil; (L.B.); (M.A.S.); (D.B.M.)
| | - Tatiana El-Bacha
- LeBioME-Bioactives, Mitochondria and Placental Metabolism Core, Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Rio de Janeiro 21941-902, Brazil; (C.S.F.); (G.D.A.P.); (A.G.T.)
- Centre for Trophoblast Research, Department of Physiology, Development and Neuroscience, University of Cambridge, Cambridge CB2 3EG, UK;
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