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首页> 外文期刊>International Journal of Environmental Research and Public Health >Pre-Pregnancy BMI Influences the Association of Dietary Quality and Gestational Weight Gain: The SECOST Study
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Pre-Pregnancy BMI Influences the Association of Dietary Quality and Gestational Weight Gain: The SECOST Study

机译：怀孕前的BMI影响饮食质量和妊娠体重增加的关​​联：SECOST研究

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Poor diet quality in pregnancy could impact gestational weight gain (GWG) and consequently fetal growth and development. But today there is limited data available on gestational diet quality. This study investigated the association between diet quality in each pregnancy trimester and GWG in Malaysian women. Diet quality was assessed using the modified Healthy Eating Index for Malaysians (HEI). Total GWG was defined as the difference between measured weight at last prenatal visit and pre-pregnancy weight. About one-fourth of women (23.3%) had excessive total GWG. There were significant differences in the HEI component score across trimesters, except for fruits. Overall, overweight/obese women had lower total HEI score (51.49–55.40) during pregnancy compared to non-overweight/obese women (53.38–56.50). For non-overweight/obese women, higher total HEI scores in the second and third trimesters were significantly associated with lower risk of inadequate GWG (aOR = 0.97, 95% CI = 0.95–0.99, p = 0.01) and higher risk of excessive GWG (aOR = 1.04, 95% CI = 1.01–1.07, p = 0.03), respectively. Overweight/obese women with higher total HEI scores in the second (aOR = 1.04, 95% CI = 1.01–1.07, p = 0.02) and third trimester (aOR = 1.04, 95% CI = 1.01–1.08, p = 0.02) were significantly at higher risk for excessive GWG. Pregnant women had relatively low diet quality throughout pregnancy. Diet quality and GWG association differed according to pre-pregnancy BMI with excessive GWG more likely to be associated with higher total HEI scores in the third trimester.
机译：妊娠期饮食质量差会影响妊娠体重增加（GWG），进而影响胎儿的生长发育。但是今天，关于妊娠期饮食质量的数据有限。这项研究调查了每个怀孕三个月的饮食质量与马来西亚女性的GWG之间的关系。使用改良的马来西亚人健康饮食指数（HEI）评估饮食质量。总GWG定义为上次产前访问时测得的体重与怀孕前体重之间的差。约四分之一的妇女（23.3％）的总GWG过多。除水果外，整个三个月的HEI评分均存在显着差异。总体而言，与非超重/肥胖妇女（53.38-56.50）相比，超重/肥胖妇女在怀孕期间的总HEI得分较低（51.49-55.40）。对于非超重/肥胖妇女，中，晚期三个月的总HEI得分较高与GWG不足的较低风险（aOR = 0.97，95％CI = 0.95-0.99，p = 0.01）和较高的GWG较高风险显着相关。 （aOR = 1.04，95％CI = 1.01-1.07，p = 0.03）。在第二（aOR = 1.04，95％CI = 1.01–1.07，p = 0.02）和妊娠中期（aOR = 1.04，95％CI = 1.01–1.08，p = 0.02）的超重/肥胖妇女总HEI得分较高GWG过多的风险较高。孕妇在整个怀孕期间的饮食质量相对较低。饮食质量和GWG关联因孕前BMI而异，其中GWG过多可能与孕晚期的总HEI分数较高有关。

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