Maternal Dietary Patterns during Pregnancy Are Associated with Child Growth in the First 3 Years of Life

Chantel L Martin1, Anna Maria Siega-Riz2,3, Daniela Sotres-Alvarez4

  • 1Department of Epidemiology and chantelmartin@unc.edu.

The Journal of Nutrition
|September 30, 2016
PubMed

Insights

Maternal diet during pregnancy impacts child weight. A less healthy maternal diet pattern was linked to early childhood weight patterns, highlighting the importance of prenatal nutrition for preventing childhood obesity.

Area of Science:

  • Pediatric Nutrition
  • Maternal Health
  • Childhood Obesity Risk Factors

Background:

  • Childhood obesity is a significant public health concern in the United States.
  • Identifying early-life risk factors is crucial for effective prevention strategies.
  • Maternal diet during pregnancy plays a vital role in fetal development and may influence a child's risk of obesity.

Purpose of the Study:

  • To prospectively investigate the association between maternal dietary patterns during pregnancy and child growth in the first three years of life.
  • To analyze data from 389 mother-child pairs in the "Pregnancy, Infection, and Nutrition" study.
  • To determine how specific maternal dietary habits influence infant and toddler body mass index (BMI) and weight status.

Main Methods:

  • Latent class analysis (LCA) was used to identify distinct maternal dietary patterns based on food-frequency questionnaire data collected during mid-pregnancy (26-29 weeks gestation).
  • Associations between identified maternal dietary patterns and child's BMI-for-age z-score and overweight/obesity status were assessed using linear and log-binomial regression models.
  • Linear mixed models were employed to examine childhood growth trajectories in relation to maternal dietary patterns.

Main Results:

  • Three maternal dietary patterns were identified: Pattern 1 (less healthy, high in processed foods and sweets), Pattern 2 (healthy, rich in fruits, vegetables, and whole grains), and Pattern 3 (mixed, with some healthy and less healthy components).
  • Initially, Pattern 3 showed associations with higher BMI-for-age z-scores at 1 and 3 years and increased risk of overweight/obesity at 3 years compared to Pattern 2.
  • After adjusting for confounding factors, these associations were attenuated, but an inverse association between Pattern 3 and birth BMI-for-age z-score was observed, suggesting a potential protective effect at birth.

Conclusions:

  • A less healthy maternal dietary pattern during pregnancy was associated with specific early childhood weight patterns.
  • These findings underscore the importance of maternal nutrition in prenatal development and its potential long-term impact on child weight trajectories.
  • Further research with adjusted confounding factors is needed to fully elucidate the complex relationship between maternal diet and child obesity risk.
Abstract

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