TY - JOUR
AU1 - Abu-Saad, Kathleen
AU2 - Kaufman-Shriqui, Vered
AU3 - Freedman, Laurence S.
AU4 - Belmaker, Ilana
AU5 - Fraser, Drora
AB - PurposeStudies of the association between maternal nutrition and birth outcomes have investigated differing nutrients, maternal socioeconomic conditions, and timing within the reproductive cycle; and have produced inconsistent results. We evaluated the association of preconceptional maternal dietary intake with birth outcomes among low socioeconomic status ethnic minority women in a high-income country.MethodsIn this prospective cohort study, habitual preconceptional dietary intake was assessed among pregnant Bedouin Arab women in Israel (n = 384), using a short culturally specific, targeted food frequency questionnaire. Multiple nutrients (protein, lysine, calcium, iron, zinc, folate, omega-3 fatty acids) were evaluated simultaneously via a diet quality score derived from principal component analysis. Multivariable logistic regression was used to test associations between the diet quality score and a composite adverse birth outcomes variable, including preterm birth, low birth weight and small for gestational age.ResultsSixty-nine women (18%) had adverse birth outcomes. Women with low preconceptional diet quality scores had low intakes of nutrient-rich plant foods, bioavailable micronutrients, and complete proteins. In multivariable analysis, a woman at the 10th percentile of the diet quality score had a 2.97 higher odds (95% CI 1.28–6.86) of an adverse birth outcome than a woman at the 90th percentile.ConclusionLow diet quality during the preconceptional period was associated with adverse birth outcomes among low socioeconomic status minority women in a high-income country. The results have implications for the development of appropriate intervention strategies to prevent adverse birth outcomes, and the promotion of adequate nutrition throughout the child-bearing years.
TI - Preconceptional diet quality is associated with birth outcomes among low socioeconomic status minority women in a high-income country
JF - European Journal of Nutrition
DO - 10.1007/s00394-020-02221-4
DA - 2020-03-17
UR - https://www.deepdyve.com/lp/springer-journals/preconceptional-diet-quality-is-associated-with-birth-outcomes-among-4z44MBhAQI
SP - 1
EP - 13
VL - OnlineFirst
IS - 
DP - DeepDyve
ER -