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![loading](/sites/all/modules/hf_eds/images/loading.gif)
Preconceptional diet quality is associated with birth outcomes among low socioeconomic status minority women in a high-income country.
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- Author(s): Abu-Saad, Kathleen; Kaufman-Shriqui, Vered; Freedman, Laurence S.; Belmaker, Ilana; Fraser, Drora
- Source:
European Journal of Nutrition. Feb2021, Vol. 60 Issue 1, p65-77. 13p. 1 Diagram, 3 Charts, 2 Graphs. - Source:
- Additional Information
- Subject Terms: ARABS; BIRTH size; LOW birth weight; CONFIDENCE intervals; CULTURE; DIET; FACTOR analysis; PREMATURE infants; INGESTION; LONGITUDINAL method; MINORITIES; MOTHERS; MULTIVARIATE analysis; NUTRITIONAL requirements; POVERTY; PRECONCEPTION care; QUESTIONNAIRES; WOMEN; DEVELOPED countries; MULTIPLE regression analysis; SOCIOECONOMIC factors; NUTRITIONAL value; CHILDBEARING age; ODDS ratio; PREGNANCY outcomes
- Subject Terms:
- Abstract: Purpose: Studies of the association between maternal nutrition and birth outcomes have investigated differing nutrients, maternal socioeconomic conditions, and timing within the reproductive cycle; and have produced inconsistent results. We evaluated the association of preconceptional maternal dietary intake with birth outcomes among low socioeconomic status ethnic minority women in a high-income country. Methods: In this prospective cohort study, habitual preconceptional dietary intake was assessed among pregnant Bedouin Arab women in Israel (n = 384), using a short culturally specific, targeted food frequency questionnaire. Multiple nutrients (protein, lysine, calcium, iron, zinc, folate, omega-3 fatty acids) were evaluated simultaneously via a diet quality score derived from principal component analysis. Multivariable logistic regression was used to test associations between the diet quality score and a composite adverse birth outcomes variable, including preterm birth, low birth weight and small for gestational age. Results: Sixty-nine women (18%) had adverse birth outcomes. Women with low preconceptional diet quality scores had low intakes of nutrient-rich plant foods, bioavailable micronutrients, and complete proteins. In multivariable analysis, a woman at the 10th percentile of the diet quality score had a 2.97 higher odds (95% CI 1.28–6.86) of an adverse birth outcome than a woman at the 90th percentile. Conclusion: Low diet quality during the preconceptional period was associated with adverse birth outcomes among low socioeconomic status minority women in a high-income country. The results have implications for the development of appropriate intervention strategies to prevent adverse birth outcomes, and the promotion of adequate nutrition throughout the child-bearing years. [ABSTRACT FROM AUTHOR]
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