A High Adherence to Six Food Targets of the Mediterranean Diet in the Late First Trimester is Associated with a Reduction in the Risk of Materno-Foetal Outcomes: The St. Carlos Gestational Diabetes Mellitus Prevention Study
A prenatal diet affects materno-foetal outcomes. This is a post hoc analysis of the St. Carlos gestational diabetes mellitus (GDM) Prevention Study. It aims to evaluate the effect of a late first-trimester (>12 gestational weeks) degree of adherence to a MedDiet pattern—based on six...
Main Authors: | , , , , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2018-12-01
|
Series: | Nutrients |
Subjects: | |
Online Access: | http://www.mdpi.com/2072-6643/11/1/66 |
id |
doaj-746c42188138491e967869b80900a4b4 |
---|---|
record_format |
Article |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Carla Assaf-Balut Nuria García de la Torre Manuel Fuentes Alejandra Durán Elena Bordiú Laura del Valle Johanna Valerio Inés Jiménez Miguel Angel Herraiz Nuria Izquierdo María José Torrejón María Paz de Miguel Ana Barabash Martín Cuesta Miguel Angel Rubio Alfonso Luis Calle-Pascual |
spellingShingle |
Carla Assaf-Balut Nuria García de la Torre Manuel Fuentes Alejandra Durán Elena Bordiú Laura del Valle Johanna Valerio Inés Jiménez Miguel Angel Herraiz Nuria Izquierdo María José Torrejón María Paz de Miguel Ana Barabash Martín Cuesta Miguel Angel Rubio Alfonso Luis Calle-Pascual A High Adherence to Six Food Targets of the Mediterranean Diet in the Late First Trimester is Associated with a Reduction in the Risk of Materno-Foetal Outcomes: The St. Carlos Gestational Diabetes Mellitus Prevention Study Nutrients pregnancy nutrition MedDiet dietary patterns gestational diabetes maternofoetal outcomes |
author_facet |
Carla Assaf-Balut Nuria García de la Torre Manuel Fuentes Alejandra Durán Elena Bordiú Laura del Valle Johanna Valerio Inés Jiménez Miguel Angel Herraiz Nuria Izquierdo María José Torrejón María Paz de Miguel Ana Barabash Martín Cuesta Miguel Angel Rubio Alfonso Luis Calle-Pascual |
author_sort |
Carla Assaf-Balut |
title |
A High Adherence to Six Food Targets of the Mediterranean Diet in the Late First Trimester is Associated with a Reduction in the Risk of Materno-Foetal Outcomes: The St. Carlos Gestational Diabetes Mellitus Prevention Study |
title_short |
A High Adherence to Six Food Targets of the Mediterranean Diet in the Late First Trimester is Associated with a Reduction in the Risk of Materno-Foetal Outcomes: The St. Carlos Gestational Diabetes Mellitus Prevention Study |
title_full |
A High Adherence to Six Food Targets of the Mediterranean Diet in the Late First Trimester is Associated with a Reduction in the Risk of Materno-Foetal Outcomes: The St. Carlos Gestational Diabetes Mellitus Prevention Study |
title_fullStr |
A High Adherence to Six Food Targets of the Mediterranean Diet in the Late First Trimester is Associated with a Reduction in the Risk of Materno-Foetal Outcomes: The St. Carlos Gestational Diabetes Mellitus Prevention Study |
title_full_unstemmed |
A High Adherence to Six Food Targets of the Mediterranean Diet in the Late First Trimester is Associated with a Reduction in the Risk of Materno-Foetal Outcomes: The St. Carlos Gestational Diabetes Mellitus Prevention Study |
title_sort |
high adherence to six food targets of the mediterranean diet in the late first trimester is associated with a reduction in the risk of materno-foetal outcomes: the st. carlos gestational diabetes mellitus prevention study |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2018-12-01 |
description |
A prenatal diet affects materno-foetal outcomes. This is a post hoc analysis of the St. Carlos gestational diabetes mellitus (GDM) Prevention Study. It aims to evaluate the effect of a late first-trimester (>12 gestational weeks) degree of adherence to a MedDiet pattern—based on six food targets—on a composite of materno-foetal outcomes (CMFCs). The CMFCs were defined as having emergency C-section, perineal trauma, pregnancy-induced hypertension and preeclampsia, prematurity, large-for-gestational-age, and/or small-for-gestational-age. A total of 874 women were stratified into three groups according to late first-trimester compliance with six food targets: >12 servings/week of vegetables, >12 servings/week of fruits, <2 servings/week of juice, >3 servings/week of nuts, >6 days/week consumption of extra virgin olive oil (EVOO), and ≥40 mL/day of EVOO. High adherence was defined as complying with 5–6 targets; moderate adherence 2–4 targets; low adherence 0–1 targets. There was a linear association between high, moderate, and low adherence, and a lower risk of GDM, CMFCs, urinary tract infections (UTI), prematurity, and small-for-gestational-age (SGA) newborns (all p < 0.05). The odds ratios (95% CI) for GDM and CMFCs in women with a high adherence were 0.35((0.18–0.67), p = 0.002) and 0.23((0.11–0.48), p < 0.001), respectively. Late first-trimester high adherence to the predefined six food targets is associated with a reduction in the risk of GDM, CMFCs, UTI, prematurity, and SGA new-borns. |
topic |
pregnancy nutrition MedDiet dietary patterns gestational diabetes maternofoetal outcomes |
url |
http://www.mdpi.com/2072-6643/11/1/66 |
work_keys_str_mv |
AT carlaassafbalut ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT nuriagarciadelatorre ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT manuelfuentes ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT alejandraduran ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT elenabordiu ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT lauradelvalle ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT johannavalerio ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT inesjimenez ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT miguelangelherraiz ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT nuriaizquierdo ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT mariajosetorrejon ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT mariapazdemiguel ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT anabarabash ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT martincuesta ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT miguelangelrubio ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT alfonsoluiscallepascual ahighadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT carlaassafbalut highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT nuriagarciadelatorre highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT manuelfuentes highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT alejandraduran highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT elenabordiu highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT lauradelvalle highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT johannavalerio highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT inesjimenez highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT miguelangelherraiz highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT nuriaizquierdo highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT mariajosetorrejon highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT mariapazdemiguel highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT anabarabash highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT martincuesta highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT miguelangelrubio highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy AT alfonsoluiscallepascual highadherencetosixfoodtargetsofthemediterraneandietinthelatefirsttrimesterisassociatedwithareductionintheriskofmaternofoetaloutcomesthestcarlosgestationaldiabetesmellituspreventionstudy |
_version_ |
1725493415097925632 |
spelling |
doaj-746c42188138491e967869b80900a4b42020-11-24T23:46:31ZengMDPI AGNutrients2072-66432018-12-011116610.3390/nu11010066nu11010066A High Adherence to Six Food Targets of the Mediterranean Diet in the Late First Trimester is Associated with a Reduction in the Risk of Materno-Foetal Outcomes: The St. Carlos Gestational Diabetes Mellitus Prevention StudyCarla Assaf-Balut0Nuria García de la Torre1Manuel Fuentes2Alejandra Durán3Elena Bordiú4Laura del Valle5Johanna Valerio6Inés Jiménez7Miguel Angel Herraiz8Nuria Izquierdo9María José Torrejón10María Paz de Miguel11Ana Barabash12Martín Cuesta13Miguel Angel Rubio14Alfonso Luis Calle-Pascual15Endocrinology and Nutrition Department, Hospital Clínico San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, SpainPreventive Medicine Department, Hospital Clínico Universitario San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, SpainFaculty of Medicine, Universidad Complutense de Madrid, 28040 Madrid, SpainFaculty of Medicine, Universidad Complutense de Madrid, 28040 Madrid, SpainClinical Laboratory Department, Hospital Clínico Universitario San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, SpainA prenatal diet affects materno-foetal outcomes. This is a post hoc analysis of the St. Carlos gestational diabetes mellitus (GDM) Prevention Study. It aims to evaluate the effect of a late first-trimester (>12 gestational weeks) degree of adherence to a MedDiet pattern—based on six food targets—on a composite of materno-foetal outcomes (CMFCs). The CMFCs were defined as having emergency C-section, perineal trauma, pregnancy-induced hypertension and preeclampsia, prematurity, large-for-gestational-age, and/or small-for-gestational-age. A total of 874 women were stratified into three groups according to late first-trimester compliance with six food targets: >12 servings/week of vegetables, >12 servings/week of fruits, <2 servings/week of juice, >3 servings/week of nuts, >6 days/week consumption of extra virgin olive oil (EVOO), and ≥40 mL/day of EVOO. High adherence was defined as complying with 5–6 targets; moderate adherence 2–4 targets; low adherence 0–1 targets. There was a linear association between high, moderate, and low adherence, and a lower risk of GDM, CMFCs, urinary tract infections (UTI), prematurity, and small-for-gestational-age (SGA) newborns (all p < 0.05). The odds ratios (95% CI) for GDM and CMFCs in women with a high adherence were 0.35((0.18–0.67), p = 0.002) and 0.23((0.11–0.48), p < 0.001), respectively. Late first-trimester high adherence to the predefined six food targets is associated with a reduction in the risk of GDM, CMFCs, UTI, prematurity, and SGA new-borns.http://www.mdpi.com/2072-6643/11/1/66pregnancynutritionMedDietdietary patternsgestational diabetesmaternofoetal outcomes |