Periconceptional and First Trimester Ultraprocessed Food Intake and Maternal Cardiometabolic Outcomes
Yisahak SF, Hinkle SN, Mumford SL, Gleason JL, Grantz KL, Zhang C, Grewal J
Diabetes care · 7 citas
Etiquetas de revisión
Cuestionario de frecuencia de consumoSin ajuste declarado por estilo de vidaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Estudio de cohortes (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Eventos clínicos como enfermedad o muerte
- Consumo medido con
- Cuestionario de frecuencia de consumo
Quién lo pagó
- Financiación
- Financiación independiente
- Organización sin fines de lucro
- American Diabetes Association
- Universidad u hospital
- Northwestern University
- Universidad u hospital
- University of South Carolina
- Gobierno
- National Institutes of Health
- Universidad u hospital
- University of California, Irvine
- Gobierno
- National Institute of Child Health and Human Development
- Gobierno
- Eunice Kennedy Shriver National Institute of Child Health and Human Development
- Gobierno
- NICHD NIH HHS
- Subvenciones
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HHSN275200800012C); National Institute of Child Health and Human Development (HHSN275200800013C); Eunice Kennedy Shriver National Institute of Child Health and Human Development (HHSN275200800014C); National Institutes of Health (HHSN27500006); Eunice Kennedy Shriver National Institute of Child Health and Human Development (HHSN275201000009C); National Institutes of Health (HHSN275 200800012C); Eunice Kennedy Shriver National Institute of Child Health and Human Development (HHSN27500006); National Institutes of Health (HHSN275200800028C); National Institute of Child Health and Human Development (HHSN 275200800002I); Eunice Kennedy Shriver National Institute of Child Health and Human Development (HHSN275200800013C); Eunice Kennedy Shriver National Institute of Child Health and Human Development (HHSN275 200800028C); National Institutes of Health (HHSN275200800013C); National Institute of Child Health and Human Development (HHSN27500006); Eunice Kennedy Shriver National Institute of Child Health and Human Development (HHSN275200800002I); National Institutes of Health (HHSN275200800002I); National Institute of Child Health and Human Development (HHSN275200800014C); National Institute of Child Health and Human Development (HHSN275200800028C)
Según 8 financiadores declarados.
Publicación
- Publicado
- 2022-07-19 · Diabetes Care · vol. 45 · número 9 · págs. 2028–2036
- Editorial
- American Diabetes Association
- Citado
- 22 citas · más que el 94% de estudios similares · 3.9× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 37 trabajos
- Acceso
- Lectura gratuita
- Áreas de investigación
- Consumer Attitudes and Food Labeling · Gestational Diabetes Research and Management · Cancer Risks and Factors
- Palabras clave
- Medicine, Pregnancy, Gestational diabetes, Obstetrics, Odds ratio, Quartile, Population, Preeclampsia, Gestational hypertension, Blood pressure, Diabetes mellitus, Body mass index, Glycemic, Gestation, Prospective cohort study, Weight gain, Confounding, Internal medicine, Endocrinology, Confidence interval, Environmental health, Body weight
- MeSH
- humans, diabetes, gestational, hypertension, blood glucose, body mass index, prospective studies, pregnancy, pregnancy trimester, first, eating, female
7 autores
- Samrawit F. Yisahak🇺🇸National Institutes of Health; Office of the Director; Eunice Kennedy Shriver National Institute of Child Health and Human Development
- Stefanie N. Hinkle🇺🇸University of Pennsylvania
- Sunni L. Mumford🇺🇸University of Pennsylvania
- Jessica L. Gleason🇺🇸National Institutes of Health; Eunice Kennedy Shriver National Institute of Child Health and Human Development
- Katherine L. Grantz🇺🇸National Institutes of Health; Eunice Kennedy Shriver National Institute of Child Health and Human Development
- Cuilin Zhang🇸🇬National University of Singapore
- Jagteshwar Grewal🇺🇸 · autor de correspondenciaNational Institutes of Health; Office of the Director; Eunice Kennedy Shriver National Institute of Child Health and Human Development
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
Ultraprocessed foods (UPFs) have been linked with obesity and cardiometabolic diseases in the general population but are understudied in pregnancy. We examined associations of UPF intake with gestational weight gain (GWG), glycemic, and blood pressure outcomes in pregnancy.
Research design and methods
Pregnant women (n = 1,948) in a prospective U.S. cohort self-reported the past 3-month diet using a food frequency questionnaire (FFQ) at 8-13 weeks of gestation. The intake quantity (g/day) of foods and beverages identified as UPFs was ranked into quartiles. Associations of UPFs were evaluated, after adjusting for confounders, with 2nd and 3rd trimester Institute of Medicine (IOM) GWG categories, gestational diabetes mellitus (GDM), and hypertensive disorders of pregnancy (GHTN). Secondary outcomes included GWG rate, glucose challenge test 1-h glucose, and blood pressure trajectories from linear mixed models.
Results
A total of 492 (25.2%) and 699 women (35.9%) had 2nd and 3rd trimester excessive GWG, respectively, and 85 women (4.4%) had GDM and 63 (3.2%) had severe hypertension or preeclampsia. UPF intake was not associated with higher odds of excessive GWG (quartile 4 vs. 1: adjusted odds ratio 0.68 [95% CI 0.44, 1.05], P-trend = 0.10 for 2nd trimester) or GDM risk (quartile 4 vs. 1: adjusted risk ratio 0.99 [95% CI 0.46, 2.11], P-trend = 0.85). Although UPF intake was positively associated with minor differences blood pressure trajectories, associations with GHTN were null.
Conclusions
The expected unfavorable association of higher UPF intake with excessive GWG, GDM, and GHTN was not observed in our cohort of low-risk pregnant women. These results are based on a limited sample size and require replication.
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