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Adherence to the Mediterranean diet during pregnancy and behavioural problems at 4 years of age
Esther Cendra-Duarte1,2, Josefa Canals1,3,4, Lucía Iglesias-Vázquez1,3
1Universitat Rovira i Virgili, Nutrition and Mental Health (NUTRISAM) Research Group, Reus, Spain.
Insights
Maternal adherence to the Mediterranean diet during pregnancy significantly reduced the likelihood of behavioral problems in 4-year-old children. This diet supports healthy child development and may prevent issues like ADHD and depression.
Area of Science:
- Maternal and Child Health
- Nutritional Epidemiology
- Developmental Psychology
Background:
- Childhood psychological issues are rising globally.
- Maternal lifestyle, particularly nutrition during pregnancy, influences child behavioral development.
- The Mediterranean diet is associated with numerous health benefits.
Purpose of the Study:
- To investigate the impact of maternal adherence to the Mediterranean diet during pregnancy on behavioral problems in children at age 4.
- To assess specific behavioral outcomes including externalizing, attention, and depressive problems.
Main Methods:
- Assessed 231 mother-child pairs.
- Maternal Mediterranean diet adherence measured using a relative Mediterranean Diet Score (rMED).
- Child behavioral outcomes evaluated via standardized questionnaires (Child Behaviour Checklist, Teacher's Report Form, Behavior Rating Inventory of Executive Function-Preschool Version).
Main Results:
- Higher maternal rMED scores during pregnancy correlated with a lower probability of clinical scores for total behavioral problems (OR=0.42).
- Significant reductions observed in externalizing (OR=0.29), attention (OR=0.32), ADHD (OR=0.36), oppositional defiant (OR=0.06), and depressive problems (OR=0.38).
Conclusions:
- Maternal adherence to the Mediterranean diet during pregnancy is linked to better behavioral outcomes in children.
- The findings underscore the critical role of prenatal nutrition, specifically the Mediterranean diet, in fostering healthy child development.
- This dietary pattern may offer a protective effect against a range of childhood behavioral issues.
Abstract:
There is an increasing prevalence of psychological issues in childhood. Lifestyle factors during pregnancy, including maternal nutrition, have been linked to children's behavioural development. This study aims to assess the impact of adherence to the Mediterranean diet during pregnancy on the behavioural problems of children at the age of 4. A total of 231 mother-child pairs were assessed. Maternal adherence to the Mediterranean diet during pregnancy was estimated using a relative Mediterranean Diet Score (rMED). Behavioural outcomes were evaluated through the Child Behaviour Checklist 1½--5, Teacher's Report Form 1½-5, and Behaviour Rating Inventory of Executive Function-Preschool Version questionnaires. The results indicated that a higher rMED score during pregnancy was associated with a reduced probability of obtaining a clinical score for total problems (OR = 0.42; 95% IC from 0.21 to 0.85), including externalising (OR = 0.29; 95% IC from 0.14 to 0.62), attention problems (OR = 0.32; 95%IC from 0.15 to 0.70), attention-deficit/hyperactivity problems (OR = 0.36; 95% IC from 0.15 to 0.87), oppositional defiant problems (OR = 0.06; 95% IC from 0.06 to 0.75), and depressive problems (OR = 0.38; 95% IC from 0.15 to 0.96). This study highlights the importance of maternal diet, especially Mediterranean diet, during gestation for proper child development.
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