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A 'vegetable, fruit and white rice' dietary pattern during pregnancy is associated with lower risk of preterm birth and larger birth size in a multi-ethnic Asian cohort: the GUSTO study

A 'vegetable, fruit and white rice' dietary pattern during pregnancy is associated with lower risk of preterm birth and larger birth size in a multi-ethnic Asian cohort: the GUSTO study
A 'vegetable, fruit and white rice' dietary pattern during pregnancy is associated with lower risk of preterm birth and larger birth size in a multi-ethnic Asian cohort: the GUSTO study
Background: maternal dietary patterns during pregnancy have been shown to influence infant birth outcomes. However, to our knowledge, only a few studies have examined the associations in Asian populations.

Objective: we characterized maternal dietary patterns in Asian pregnant women and examined their associations with the risk of preterm birth and offspring birth size.

Design: at 26–28 wk of gestation, 24-h recalls and 3-d food diaries were collected from the women in the Growing Up in Singapore Towards healthy Outcomes mother-offspring cohort. Dietary patterns were derived from exploratory factor analysis. Gestational age was determined by a dating ultrasound scan in the first trimester, and infant birth anthropometric measurements were obtained from hospital records. Associations were assessed by logistic and linear regressions with adjustment for confounding factors.

Results: three maternal dietary patterns were identified: vegetable, fruit, and white rice (VFR); seafood and noodle (SfN); and pasta, cheese, and processed meat (PCP). Of 923 infants, 7.6% were born preterm, 13.4% were born small for gestational age, and 14.7% were born large for gestational age. A greater adherence to the VFR pattern (per SD increase in VFR score) was associated with a lower risk of preterm births (OR: 0.67; 95% CI: 0.50, 0.91), higher ponderal index (?: 0.26 kg/m3; 95% CI: 0.06, 0.45 kg/m3), and increased risk of a large-for-gestational-age birth (RR: 1.31; 95% CI: 1.06, 1.62). No associations were observed for the SfN and PCP patterns in relation to birth outcomes.

Conclusions: the VFR pattern is associated with a lower incidence of preterm birth and with larger birth size in an Asian population. The findings related to larger birth size warrant further confirmation in independent studies. This trial was registered at clinicaltrials.gov as NCT01174875
0002-9165
1-8
Chia, A.R.
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de Seymour, J.V.
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Colega, M.
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Chen, L.W.
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Chan, Y.H.
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Aris, I.M.
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Tint, M.T.
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Quah, P.L.
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Godfrey, Keith
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Yap, F.
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Saw, S.M.
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Baker, P.N.
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Chong, Y.S.
b50c99c9-4d83-46c5-a1c7-23f9a553ab8a
van Dam, R.M.
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Lee, Y.S.
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Chong, M.F.F.
dff84213-f61f-47ce-853f-ab929d31d15f
Chia, A.R.
46edd0e6-90c1-4371-8dc8-4d9c7a405fdf
de Seymour, J.V.
0172bdec-5909-4bcf-b8a0-a67f3d98a92d
Colega, M.
222d8007-2da2-4240-b08a-636dd99879e1
Chen, L.W.
59362eef-bb95-4927-ab2d-f8a4495d90a4
Chan, Y.H.
e0bbae11-84f4-42b4-81be-bdd85f50cb3b
Aris, I.M.
ee15a46e-ead3-4b4a-a208-d39038a85480
Tint, M.T.
02d6a006-3b94-4328-b3c3-147a618d66c3
Quah, P.L.
8fae651e-c572-4d04-8708-e66af6caec7e
Godfrey, Keith
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
Yap, F.
2c155211-be02-4dd5-9528-16a714e77452
Saw, S.M.
0684517e-f27e-49f0-98c3-7630e8fd1bbd
Baker, P.N.
1d00e69e-8fa8-4bd2-ac5e-32ccc5776e19
Chong, Y.S.
b50c99c9-4d83-46c5-a1c7-23f9a553ab8a
van Dam, R.M.
700e43e5-256c-46d4-8540-0ee709fd9d78
Lee, Y.S.
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Chong, M.F.F.
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Chia, A.R., de Seymour, J.V., Colega, M., Chen, L.W., Chan, Y.H., Aris, I.M., Tint, M.T., Quah, P.L., Godfrey, Keith, Yap, F., Saw, S.M., Baker, P.N., Chong, Y.S., van Dam, R.M., Lee, Y.S. and Chong, M.F.F. (2016) A 'vegetable, fruit and white rice' dietary pattern during pregnancy is associated with lower risk of preterm birth and larger birth size in a multi-ethnic Asian cohort: the GUSTO study. American Journal of Clinical Nutrition, 1-8. (doi:10.3945/?ajcn.116.133892). (In Press)

Record type: Article

Abstract

Background: maternal dietary patterns during pregnancy have been shown to influence infant birth outcomes. However, to our knowledge, only a few studies have examined the associations in Asian populations.

Objective: we characterized maternal dietary patterns in Asian pregnant women and examined their associations with the risk of preterm birth and offspring birth size.

Design: at 26–28 wk of gestation, 24-h recalls and 3-d food diaries were collected from the women in the Growing Up in Singapore Towards healthy Outcomes mother-offspring cohort. Dietary patterns were derived from exploratory factor analysis. Gestational age was determined by a dating ultrasound scan in the first trimester, and infant birth anthropometric measurements were obtained from hospital records. Associations were assessed by logistic and linear regressions with adjustment for confounding factors.

Results: three maternal dietary patterns were identified: vegetable, fruit, and white rice (VFR); seafood and noodle (SfN); and pasta, cheese, and processed meat (PCP). Of 923 infants, 7.6% were born preterm, 13.4% were born small for gestational age, and 14.7% were born large for gestational age. A greater adherence to the VFR pattern (per SD increase in VFR score) was associated with a lower risk of preterm births (OR: 0.67; 95% CI: 0.50, 0.91), higher ponderal index (?: 0.26 kg/m3; 95% CI: 0.06, 0.45 kg/m3), and increased risk of a large-for-gestational-age birth (RR: 1.31; 95% CI: 1.06, 1.62). No associations were observed for the SfN and PCP patterns in relation to birth outcomes.

Conclusions: the VFR pattern is associated with a lower incidence of preterm birth and with larger birth size in an Asian population. The findings related to larger birth size warrant further confirmation in independent studies. This trial was registered at clinicaltrials.gov as NCT01174875

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Accepted/In Press date: 25 October 2016
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 402083
URI: http://eprints.soton.ac.uk/id/eprint/402083
ISSN: 0002-9165
PURE UUID: 93c08535-8c44-4eee-8bbd-fc37ba121c83
ORCID for Keith Godfrey: ORCID iD orcid.org/0000-0002-4643-0618

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Date deposited: 31 Oct 2016 10:05
Last modified: 07 Oct 2020 01:35

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Contributors

Author: A.R. Chia
Author: J.V. de Seymour
Author: M. Colega
Author: L.W. Chen
Author: Y.H. Chan
Author: I.M. Aris
Author: M.T. Tint
Author: P.L. Quah
Author: Keith Godfrey ORCID iD
Author: F. Yap
Author: S.M. Saw
Author: P.N. Baker
Author: Y.S. Chong
Author: R.M. van Dam
Author: Y.S. Lee
Author: M.F.F. Chong

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