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Fat intake and the risk of gastroschisis
Anna Maria Siega-Riz1, Andy F Olshan, Martha M Werler
1Department of Nutrition, School of Public Health, University of North Carolina, Chapel Hill, 27516, USA. am_siegariz@unc.edu
Insights
Higher maternal intake of total and saturated fats may weakly increase gastroschisis risk. This study did not explain why younger mothers have higher risks for this birth defect.
Area of Science:
- Reproductive epidemiology
- Nutritional science
- Birth defect research
Background:
- Young maternal age is linked to higher gastroschisis risk.
- Gastroschisis pathogenesis may involve vascular disruption.
- Dietary fats are potential contributors due to vasoconstrictive properties.
Purpose of the Study:
- To investigate the association between maternal dietary fat intake and gastroschisis.
- To determine if maternal age modifies the relationship between dietary fats and gastroschisis.
Main Methods:
- Utilized data from the National Birth Defects Prevention Study (NBDPS).
- Included 304 gastroschisis cases and 3313 controls.
- Assessed dietary intake via food frequency questionnaire, focusing on fats and cholesterol.
- Employed logistic regression, testing age and smoking as effect modifiers.
Main Results:
- Gastroschisis cases showed higher mean intakes of total fat, saturated fat, and cholesterol.
- Increased total and saturated fat intake was weakly associated with higher gastroschisis odds.
- No significant association found for monounsaturated or polyunsaturated fats.
- Cholesterol intake showed a potential inverse association with gastroschisis risk.
- No evidence of maternal age or smoking as effect modifiers was observed.
Conclusions:
- A potential weak association exists between higher total or saturated fat intake and increased gastroschisis risk.
- The study did not elucidate the reason for the higher gastroschisis risk in younger mothers.
- Further research is needed to understand the complex etiology of gastroschisis.
Background:
Young age has been associated with an increased risk of gastroschisis. It has been suggested that the pathogenesis of gastroschisis may be related to vascular disruption. Nutrients that may be associated with vasoconstriction include dietary fat and its subtypes. The objective of this study was to examine the association between dietary fats and gastroschisis and whether maternal age modified this association.
Methods:
Data came from the National Birth Defects Prevention Study (NBDPS), which included 304 isolated gastroschisis cases and 3313 controls. Dietary intake in the year prior to conception was ascertained using a food frequency questionnaire, and included total, saturated, monosaturated, and polyunsaturated fat and cholesterol. Unconditional logistic regression was used to estimate the odds ratios (ORs) and 95% confidence intervals (CIs), adjusting for confounders. Age and smoking were tested as effect modifiers.
Results:
Higher mean intakes of total energy, total fat, and cholesterol as well as the subtypes of fats were found for gastroschisis cases compared to controls. Cases were more likely to be in the middle (adjusted OR [AOR], 1.3; 95% CI, 0.9-1.9) and highest (AOR, 1.2; 95% CI, 0.8-1.7) tertile of total fat intake compared to controls. This pattern was also true for saturated fat intake. No association was found for mono or polyunsaturated fat. Cases were less likely to be in the middle (AOR, 0.6; 95% CI, 0.4-0.9) and highest (AOR, 0.8; 95% CI, 0.6-1.2) tertiles for cholesterol. There was no evidence of effect modification.
Conclusions:
A possible weak effect of increased risk of gastroschisis associated with higher intakes of total fat or saturated fat was found in the NBDPS; however, this did not help to explain why younger aged women are at greater risk of having an infant with this type of birth defect.
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