Adherence to the Caffeine Intake Guideline during Pregnancy and Birth Outcomes: A Prospective Cohort Study
Peacock A, Hutchinson D, Wilson J, McCormack C, Bruno R, Olsson CA, Allsop S, Elliott E, Burns L, Mattick RP
Nutrients · 11 citas
Cómo se estudió
- Diseño
- Estudio de cohortes (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Eventos clínicos como enfermedad o muerte
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- Australian Government
- Universidad u hospital
- University of New South Wales
- Universidad u hospital
- Curtin University of Technology
- Universidad u hospital
- National Drug Research Institute
- Gobierno
- Medical Research Council
- Gobierno
- National Health and Medical Research Council
- Universidad u hospital
- National Drug and Alcohol Research Centre
- Subvenciones
- National Health and Medical Research Council (630517); National Health and Medical Research Council (1021480); National Health and Medical Research Council (AAP1009381); National Health and Medical Research Council (AAP1064893)
Según 7 financiadores declarados y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2018-03-07 · Nutrients · vol. 10 · número 3 · pág. 319
- Editorial
- Multidisciplinary Digital Publishing Institute
- Citado
- 272 citas · más que el 100% de estudios similares · 41.7× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 41 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY
- Áreas de investigación
- Coffee research and impacts · Maternal Mental Health During Pregnancy and Postpartum · Breastfeeding Practices and Influences
- Palabras clave
- Prospective cohort study, Medicine, Pregnancy, Guideline, Obstetrics, Cohort study, Caffeine, Cohort, Environmental health, Internal medicine, Biology
- MeSH
- humans, birth weight, caffeine, pregnancy outcome, follow-up studies, prospective studies, patient compliance, maternal exposure, fetal development, pregnancy, pregnancy trimesters, nutrition policy, socioeconomic factors, adult, infant, newborn, infant, low birth weight, infant, small for gestational age, australia, female, surveys and questionnaires
10 autores
- Amy Peacock🇦🇺University of Tasmania; UNSW Sydney; National Drug and Alcohol Research Centre
- Delyse M. Hutchinson🇦🇺Royal Children's Hospital; Deakin University; UNSW Sydney; National Drug and Alcohol Research Centre
- Judy Wilson🇦🇺UNSW Sydney; National Drug and Alcohol Research Centre
- Clare A. McCormack🇺🇸🇦🇺Columbia University Irving Medical Center; UNSW Sydney; National Drug and Alcohol Research Centre
- Raimondo Bruno🇦🇺University of Tasmania; UNSW Sydney; National Drug and Alcohol Research Centre
- Craig A. Olsson🇦🇺Royal Children's Hospital; Deakin University
- STEVE J. ALLSOP🇦🇺Curtin University; National Drug Research Institute
- Elizabeth Jane Elliott🇦🇺Children's Hospital at Westmead
- Lucy Burns🇦🇺UNSW Sydney; National Drug and Alcohol Research Centre
- Richard Phillip Mattick🇦🇺UNSW Sydney; National Drug and Alcohol Research Centre
Resumen
El texto original del estudio, en el idioma en que se publicó.
The aims of this study were to identify: (i) the proportion of women exceeding the caffeine intake guideline (>200 mg/day) during each trimester, accounting for point of pregnancy awareness; (ii) guideline adherence trajectories across pregnancy; (iii) maternal characteristics associated with trajectories; and (iv) association between adherence and growth restriction birth outcomes. Typical and maximal intake per consumption day for the first trimester (T1; pre- and post-pregnancy awareness), second (T2), and third trimester (T3) were recorded for a prospective cohort of pregnant Australian women with singleton births (n = 1232). Birth outcomes were birth weight, small for gestational age, and head circumference. For each period, participants were classified as abstinent, within (≤200 mg), or in excess (>200 mg). Latent class growth analyses identified guideline adherence trajectories; regression analyses identified associations between adherence in each trimester and birth outcomes. The percentage of participants who reported caffeine use declined between T1 pre- and post-pregnancy awareness (89% to 68%), and increased in T2 and T3 (79% and 80%). Trajectories were: 'low consumption' (22%): low probability of any use; 'within-guideline' (70%): high probability of guideline adherence; and 'decreasing heavy use' (8%): decreasing probability of excess use. The latter two groups were more likely to report alcohol and tobacco use, and less likely to report planning pregnancy and fertility problems. Exceeding the guideline T1 pre-pregnancy awareness was associated with lower birth weight after covariate control (b = -143.16, p = 0.011). Overall, high caffeine intake pre-pregnancy awareness occurs amongst a significant minority of women, and continued excess use post-pregnancy awareness is more common where pregnancy is unplanned. Excess caffeine consumption pre-pregnancy awareness may increase the risk for lower birth weight. Increasing awareness of the guideline in pregnancy and preconception health care may be warranted.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
Confianza de la comunidad
Cargando…
¿Cuánto confías en los hallazgos de este estudio?
Comentarios
¿Algo está mal aquí?
Señala este estudio si su información, etiquetas o financiación parecen incorrectas. Un editor revisa cada señalamiento.
Información educativa sobre investigación publicada. No es consejo médico ni una recomendación para empezar o dejar nada.