| Effect of a Mediterranean Diet during Pregnancy on Fetal Growth and Preterm Delivery: Results From a French Caribbean Mother-Child Cohort Study (TIMOUN). Auteur(s) : Saunders, Lauren Guldner, Laurence Costet, Nathalie Kadhel, Philippe Rouget, Florence Monfort, Christine Thomé, Jean-Pierre Multigner, Luc Auteurs secondaires : Institut de recherche, santé, environnement et travail [Rennes] (Irset) ; Université d'Angers (UA) - Université des Antilles et de la Guyane (UAG) - Université de Rennes 1 (UR1) - École des Hautes Études en Santé Publique [EHESP] (EHESP) - Institut National de la Santé et de la Recherche Médicale (INSERM) - Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ) Département santé environnement ; Institut de Veille Sanitaire Laboratory of Animal Ecology and Ecotoxicology ; Université de Liège This study was made possible by the support of the French National Health Directorate, French Ministry of Environment, French Agency for Environmental and Occupational Safety, National Agency for Research, French Institute for Public Health Surveillance, Regional Council of Guadeloupe. Éditeur(s) : HAL CCSD Wiley Résumé : International audience BACKGROUND: Recent studies suggest that a Mediterranean dietary pattern during pregnancy may influence pregnancy outcomes. The aim of this study was to evaluate the effect of adherence to a Mediterranean diet (MD) during pregnancy on fetal growth restriction (FGR) and preterm delivery (PTD) in a French Caribbean island where the population is largely of African descent and presents dietary patterns similar to MD. METHODS: Using data from the TIMOUN Mother-Child Cohort Study conducted in Guadeloupe (French West Indies) between 2004 and 2007, we analysed data for 728 pregnant women who delivered liveborn singletons without any major congenital malformations. Degree of adherence to MD during pregnancy was evaluated with a semi-quantitative food frequency questionnaire based on nine dietary criteria. Multiple logistic regression models were used to analyse birth outcomes while taking potential confounders into account. RESULTS: Overall there was no association between MD adherence during pregnancy and the risk of PTD or FGR. However, pre-pregnancy body mass index was a strong effect modifier, and MD adherence was associated with a decreased risk of PTD specifically in overweight and obese women (adjusted odds ratio 0.7, 95% confidence interval 0.6, 0.9) (P heterogeneity <0.01). CONCLUSIONS: These results suggest that Caribbean diet during pregnancy may carry some benefits of MD and may contribute to reduce the risk of PTD in overweight and obese pregnant women. ISSN: 0269-5022 hal-00988172 https://hal-univ-rennes1.archives-ouvertes.fr/hal-00988172 DOI : 10.1111/ppe.12113 PUBMED : 24754337 | Partager
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