文章基本信息

标题：Mediterranean-Style Diet and Birth Outcomes in an Urban, Multiethnic, and Low-Income US Population
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作者：Dong Keun Rhee ; Yuelong Ji ; Xiumei Hong 等
期刊名称：Nutrients
电子版ISSN：2072-6643
出版年度：2021
卷号：13
期号：4
页码：1188
DOI：10.3390/nu13041188
出版社：MDPI Publishing
摘要：Findings on the role of Mediterranean-style diet (MSD) on duration of pregnancy and birth weight have been inconsistent and based largely on Non-Hispanic white populations, making it unclear as to whether they could extend to African Americans who are at a higher risk of unfavorable birth outcomes. Our study addresses this gap using a large urban, multiethnic, predominantly low-income cohort of mother-infant dyads from Boston, MA, USA. Dietary information was obtained via food frequency questionnaires; health information including birth outcomes were extracted from medical records. A Mediterranean-style diet score (MSDS) was formulated based on intake history, and linear and log-binomial regressions were performed to assess its association with birth outcomes. After adjustment, the lowest MSDS quintile from the overall sample was found to be associated with an increased relative risk (RR) of overall preterm birth (RR 1.18; 95% CI: 1.06–1.31), spontaneous preterm birth (1.28; 1.11–1.49), late preterm birth (1.21; 1.05–1.39), and low birth weight (1.11; 1.01–1.22), compared to the highest quintile. The findings were similar for the African American sample. Our study adds to the current understanding of the diet’s influence on birth outcomes by demonstrating that adherence to MSD may improve birth outcomes for African American women.
关键词：nutrition; maternal diet; Mediterranean diet; diet counseling; pregnancy; birth outcomes; preterm birth; low birth weight; African Americans; public health nutrition ; maternal diet ; Mediterranean diet ; diet counseling ; pregnancy ; birth outcomes ; preterm birth ; low birth weight ; African Americans ; public health