Prepregnancy dietary patterns and risk of developing hypertensive disorders of pregnancy: results from the Australian Longitudinal Study on Women’s Health

Abstract

In this population-based study of Australian women, we observed an independent protective dose-response association between prepregnancy consumption of a Mediterranean-style dietary pattern and HDP risk. Additional studies are recommended to confirm our findings by prospectively examining whether the implementation of the Mediterranean-style dietary pattern before pregnancy has a role in the prevention of HDPs.

Dietary patterns and the risk of pregnancy‐associated hypertension in the Danish National Birth Cohort: a prospective longitudinal study

“…Previous studies have adjusted for gestational diabetes in addition to the confounders used in our study. [15][16][17] It is expected that the residual confounding in our study will slightly weaken the estimates, but would not be strong enough to nullify the results because the prevalence of gestational diabetes in our study was~1%.…”

“…First, it was limited by the timing of dietary assessment. As PAH is proposed to start in early pregnancy, 7,17 women are likely to adjust their diet after being aware or warned of an increased risk of PAH. As a result, responses to FFQ in mid-pregnancy may not be completely representative of their habitual dietary patterns.…”

“…8 In order to gain insight into the aetiological mechanisms, modifiable factors such as maternal diet have been studied. [9][10][11][12][13][14][15][16][17] These studies have identified benefits of both nutrients, [9][10][11][12] and food groups. 13,14 However, as nutrients and food groups are not habitually consumed alone, dietary pattern analysis merging habitual food consumption has emerged as a novel way to investigate diet-disease associations.…”

“…13,14 However, as nutrients and food groups are not habitually consumed alone, dietary pattern analysis merging habitual food consumption has emerged as a novel way to investigate diet-disease associations. 7,[15][16][17] Currently, results from dietary pattern studies remain inconsistent. Studies have shown both null 7 and protective 16,17 associations of vegetable-rich diets with PAH.…”

“…7,[15][16][17] Currently, results from dietary pattern studies remain inconsistent. Studies have shown both null 7 and protective 16,17 associations of vegetable-rich diets with PAH. Reasons for discrepancies between studies include variations in population composition that result in population-specific dietary patterns with varied associations with PAH and limit the generalisability of results.…”