Maternal dietary indexes are not linked to early childhood wheezing or atopic eczema

Elina Sivula1, Heidi Puharinen1, Sari Hantunen2

  • 1School of Medicine, University of Eastern Finland, Kuopio, Finland.

Insights

Maternal diet during pregnancy, assessed by the Alternative Healthy Eating Index for Pregnancy (AHEI-P) and Dietary Inflammatory Index (DII), showed no association with wheezing or atopic eczema in children during their first year of life.

Area of Science:

  • Pediatric Allergy and Immunology
  • Nutritional Epidemiology
  • Perinatal Health

Background:

  • Maternal diet during pregnancy is increasingly studied for its impact on child health.
  • The protective effects of specific pregnancy dietary patterns against childhood wheezing and atopic diseases are not well-established.
  • This study examines the relationship between two key dietary indices and infant respiratory and skin conditions.

Purpose of the Study:

  • To investigate the association between The Alternative Healthy Eating Index for Pregnancy (AHEI-P) and the Dietary Inflammatory Index (DII) during pregnancy.
  • To determine the risk of wheezing and atopic eczema in children during the first year of life based on maternal diet.
  • To clarify whether specific maternal dietary patterns offer protection against infant wheezing and atopic diseases.

Main Methods:

  • A cohort of 1330 mother-child pairs from the Kuopio Birth Cohort (KuBiCo) was analyzed.
  • Dietary data from the last trimester of pregnancy were collected.
  • Maternal AHEI-P and DII scores were compared with physician-diagnosed atopic eczema and reported wheezing in infants up to one year of age.

Main Results:

  • No statistically significant association was found between AHEI-P and infant wheezing (OR, 0.99; 95% CI, 0.98-1.01).
  • No significant association was observed between AHEI-P and infant atopic eczema (OR, 1.01; 95% CI, 0.99-1.02).
  • Neither the Dietary Inflammatory Index (DII) nor AHEI-P showed a link with wheezing or atopic eczema in children when analyzed continuously or by tertiles.

Conclusions:

  • This cohort study found no association between maternal Alternative Healthy Eating Index for Pregnancy (AHEI-P) scores and infant wheezing or atopic eczema.
  • Maternal Dietary Inflammatory Index (DII) during pregnancy was not associated with the risk of wheezing or atopic eczema in offspring.
  • The findings suggest that these specific measures of maternal diet during late pregnancy do not predict wheezing or atopic eczema in the first year of life.
Abstract

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