Vegetable dietary pattern associated with low risk of preeclampsia possibly through reducing proteinuria

Mi, Baibing; Wen, Xiaozhong; Li, Shanshan; Liu, Danmeng; Lei, Fangliang; Liu, Ruru; Shen, Yuan Li; Chen, Yue; Zeng, Lingxia; Liu, Xin; Dang, Shaonong; Yan, Hong

doi:10.1016/j.preghy.2019.04.001

Cited by 24 publications

(23 citation statements)

References 44 publications

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“…A previous study stated that a diet high in bread, confectioneries, and soft drinks and low in fish and vegetables during pregnancy might be associated with low birth weight [ 12 ]. Another study reported that adherence to vegetable dietary patterns may be associated with a lower risk of preeclampsia [ 15 ]. A recent review reported that a high consumption of vegetables and fruits is associated with lower risks of preterm birth and low birth weight [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

“…Recently, comprehensive assessments of maternal diets have been conducted using the Healthy Eating Index, Alternate Healthy Eating Index, and Dietary Approaches to Stop Hypertension (DASH) [ 9 , 10 , 11 ], as well as by the application of dietary pattern analysis to identify the effects of diet on various pregnancy outcomes [ 12 , 13 , 14 , 15 , 16 ]. However, these studies have mainly focused on certain foods or food groups.…”

Section: Introductionmentioning

confidence: 99%

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Application of the Nutrient-Rich Food Index 9.3 and the Dietary Inflammatory Index for Assessing Maternal Dietary Quality in Japan: A Single-Center Birth Cohort Study

et al. 2021

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The maternal diet can potentially influence the life-course health of the child. A poor-quality maternal diet creates nutrient deficiencies and affects immune–metabolic regulation during pregnancy. The nutrient-based overall dietary quality can be assessed using the Nutrient-Rich Food Index 9.3 (NRF9.3), which measures adherence to the national reference daily values of nutrient intake. Pro- and anti-inflammatory nutrient intake can be assessed using the energy-adjusted dietary inflammatory index (E-DII), a comprehensive index of diet-derived inflammatory capacity. Using these indices, we assessed the overall dietary quality and inflammatory potential of pregnant women during mid-gestation in an urban area of Japan (n = 108) and found that there was a strong inverse correlation between the NRF9.3 and E-DII scores. Comparison of the scores among the tertiles of NRF9.3 or E-DII indicated that dietary fiber, vitamin C, vitamin A, and magnesium mainly contributed to the variability of both indices. Intake of vegetables and fruits was positively associated with high NRF9.3 scores and negatively associated with high E-DII scores, after adjustment for maternal age, pre-pregnancy body mass index, and educational level. Consistent with the previous studies that used dietary pattern analysis, this study also demonstrated that vegetables and fruits were the food groups chiefly associated with high dietary quality and low inflammatory potential among pregnant Japanese women.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Application of the Nutrient-Rich Food Index 9.3 and the Dietary Inflammatory Index for Assessing Maternal Dietary Quality in Japan: A Single-Center Birth Cohort Study

et al. 2021

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“…The dietary patterns have a relationship with the risk of PE ( 63 ). Vegetables and Mediterranean diets are more protective against PE, while high meat/salt/fat diets increase the risk of PE ( 64 , 65 ).…”

Section: Dietmentioning

confidence: 99%

Differences in epidemiology of patients with preeclampsia between China and the US (Review)

et al. 2021

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“…[29] Magnesium and Calcium deficiencies, as a result of high DAL, are associated with a higher risk of both gestational hypertension and pre-eclampsia known as hypertensive disorders of pregnancy (HDP) . [30] Mi et al [31] reported that maternal plant-based dietary pattern correlated with a lower risk of proteinuria (one of the pre-eclampsia's features) and pre-eclampsia. The majority of fruits and vegetables are base producing; thus, the plant-based dietary pattern resulted in a low DAL, which is consistent with our findings.…”

Section: Discussionmentioning

confidence: 99%

Association between maternal dietary acid load during the early pregnancy and pregnancy-related complications

Hajianfar

Mollaghasemi

Mihan

et al. 2020

International Journal of Food Properties

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Epidemiological studies have suggested that there is an association between dietary acid load (DAL) with complications and outcomes of pregnancy. The current study aimed to explore the impact of DAL on theses parameters through a prospective cohort of Iranian pregnant women. In this prospective cohort study, 812 singleton pregnant women without any medical condition, use of medications, and without following a specific diet were included. Dietary intake of participants was examined using a 117-item semiquantitative food-frequency questionnaire (FFQ). Net endogenous acid production (NEAP) and potential renal acid load (PRAL) parameters were used to explore potential DAL using the suggested formula. Multinomial logistic regression analysis was used and odds ratio (OR) and 95% corresponding confidence interval (CI) were reported. DAL (NEAP and PRAL) was not associated with pregnancy outcomes including birth weight, birth height and birth head circumference (all P values > .05). NEAP was associated with preeclampsia (Model 3: OR = 0.48, 95%CI (0.25, 0.94); P trend = 0.05), systolic blood pressure (SBP) (Model 2: OR = 3.99, 95%CI (1.09, 14.53); P trend = 0.04), diastolic blood pressure (DBP) (Model 3: OR = 2.45, 95%CI (1.05, 5.72); P trend = 0.03), and intra-uterine growth restriction (IUGR) (Model 3: OR = 2.82, 95%CI (1.02, 7.78); P trend = 0.01). Moreover, PRAL was related with risk of pre-eclampsia (Model 3: OR = 0.41, 95%CI (0.19, 0.86); P trend = 0.003), SBP (Model 2: OR = 6.07, 95%CI (1.23, 29.94); P trend = 0.03), DBP (Model 3: OR = 3.62, 95% CI (1.23, 10.65); P trend = 0.03), and IUGR (Model 2: OR = 2.63, 95%CI (0.93, 7.44); P trend = 0.02). Our study focused on DAL which showed a significant association with pregnancy-related complications including higher SBP, DBP, IUGR, and pre-eclampsia. Further research with larger sample sizes in different populations might be required to evaluate the compatibility of DAL during pregnancy ARTICLE HISTORY

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Vegetable dietary pattern associated with low risk of preeclampsia possibly through reducing proteinuria

Cited by 24 publications

References 44 publications

Application of the Nutrient-Rich Food Index 9.3 and the Dietary Inflammatory Index for Assessing Maternal Dietary Quality in Japan: A Single-Center Birth Cohort Study

Application of the Nutrient-Rich Food Index 9.3 and the Dietary Inflammatory Index for Assessing Maternal Dietary Quality in Japan: A Single-Center Birth Cohort Study

Differences in epidemiology of patients with preeclampsia between China and the US (Review)

Association between maternal dietary acid load during the early pregnancy and pregnancy-related complications

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