A High Adherence to Six Food Targets of the Mediterranean Diet in the Late First Trimester is Associated with a Reduction in the Risk of Materno-Foetal Outcomes: The St. Carlos Gestational Diabetes Mellitus Prevention Study

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Assaf Balut, Carla and García de la Torre, Nuria and Fuentes, Manuel and Durán Rodríguez-Hervada, Alejandra and Bordiú, Elena and Valle, Laura del and Valerio, Johanna and Jiménez, Inés and Herraiz Martínez, Miguel Ángel and Izquierdo Méndez, Nuria and Torrejón, María and Miguel Novoa, Paz de and Barabash, Ana and Cuesta, Martín and Rubio Herrera, Miguel Ángel and Calle Pascual, Alfonso Luis (2018) A High Adherence to Six Food Targets of the Mediterranean Diet in the Late First Trimester is Associated with a Reduction in the Risk of Materno-Foetal Outcomes: The St. Carlos Gestational Diabetes Mellitus Prevention Study. Nutrients, 11 (1). p. 66. ISSN 2072-6643

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Official URL: https://doi.org/10.3390/nu11010066




Abstract

A prenatal diet affects materno-foetal outcomes. This is a post hoc analysis of the St. Carlos gestational diabetes mellitus (GDM) Prevention Study. It aims to evaluate the effect of a late first-trimester (>12 gestational weeks) degree of adherence to a MedDiet pattern—based on six food targets—on a composite of materno-foetal outcomes (CMFCs). The CMFCs were defined as having emergency C-section, perineal trauma, pregnancy-induced hypertension and preeclampsia, prematurity, large-for-gestational-age, and/or small-for-gestational-age. A total of 874 women were stratified into three groups according to late first-trimester compliance with six food targets: >12 servings/week of vegetables, >12 servings/week of fruits, <2 servings/week of juice, >3 servings/week of nuts, >6 days/week consumption of extra virgin olive oil (EVOO), and ≥40 mL/day of EVOO. High adherence was defined as complying with 5–6 targets; moderate adherence 2–4 targets; low adherence 0–1 targets. There was a linear association between high, moderate, and low adherence, and a lower risk of GDM, CMFCs, urinary tract infections (UTI), prematurity, and small-for-gestational-age (SGA) newborns (all p < 0.05). The odds ratios (95% CI) for GDM and CMFCs in women with a high adherence were 0.35((0.18–0.67), p = 0.002) and 0.23((0.11–0.48), p < 0.001), respectively. Late first-trimester high adherence to the predefined six food targets is associated with a reduction in the risk of GDM, CMFCs, UTI, prematurity, and SGA new-borns.


Item Type:Article
Uncontrolled Keywords:pregnancy; nutrition; MedDiet; dietary patterns; gestational diabetes; maternofoetal outcomes
Subjects:Medical sciences > Medicine > Dietetics and Nutrition
Medical sciences > Medicine > Gynecology and Obstetrics
ID Code:65902
Deposited On:02 Jun 2021 14:26
Last Modified:03 Jun 2021 06:29

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