| 李春刚,严双琴,高国朋,李小真,樊诗琦,蔡智玲,曹慧,陈茂林,陶芳标.母亲孕期饮食模式与儿童早期BMI变化轨迹关联的队列研究[J].中华流行病学杂志,2023,44(11):1769-1775 |
| 母亲孕期饮食模式与儿童早期BMI变化轨迹关联的队列研究 |
| A cohort study of relationship between maternal dietary patterns during pregnancy and early childhood BMI change trajectory |
| 收稿日期:2023-03-02 出版日期:2023-11-17 |
| DOI：10.3760/cma.j.cn112338-20230302-00116 |
| 中文关键词: 孕期饮食模式 生命早期 BMI变化轨迹 队列研究 |
| 英文关键词: Diet pattern during pregnancy Early life BMI change trajectory Cohort study |
| 基金项目:母婴营养与健康研究项目（2020FYH003） |
| 作者 | 单位 | E-mail | | 李春刚 | 安徽医科大学公共卫生学院儿少卫生与妇幼保健学系/出生人口健康教育部重点实验室/人口健康与优生安徽省重点实验室, 合肥 230032 | | | 严双琴 | 安徽医科大学公共卫生学院儿少卫生与妇幼保健学系/出生人口健康教育部重点实验室/人口健康与优生安徽省重点实验室, 合肥 230032
马鞍山市妇幼保健院, 马鞍山 243000 | 470862302@qq.com | | 高国朋 | 马鞍山市妇幼保健院, 马鞍山 243000 | | | 李小真 | 安徽医科大学公共卫生学院儿少卫生与妇幼保健学系/出生人口健康教育部重点实验室/人口健康与优生安徽省重点实验室, 合肥 230032 | | | 樊诗琦 | 安徽医科大学公共卫生学院儿少卫生与妇幼保健学系/出生人口健康教育部重点实验室/人口健康与优生安徽省重点实验室, 合肥 230032 | | | 蔡智玲 | 马鞍山市妇幼保健院, 马鞍山 243000 | | | 曹慧 | 马鞍山市妇幼保健院, 马鞍山 243000 | | | 陈茂林 | 马鞍山市妇幼保健院, 马鞍山 243000 | | | 陶芳标 | 安徽医科大学公共卫生学院儿少卫生与妇幼保健学系/出生人口健康教育部重点实验室/人口健康与优生安徽省重点实验室, 合肥 230032 | |
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| 中文摘要: |
| 目的 探讨母亲孕期饮食模式与儿童早期BMI变化轨迹的关联。方法 研究对象为马鞍山母婴健康队列1 241对母子。使用食物频率问卷收集母亲孕期饮食数据，分别在儿童出生时、3、6、12、18和24月龄6个时间段随访，收集队列儿童身高和体重数据。使用主成分分析确定母亲孕期饮食模式类别，利用组基多轨迹模型拟合儿童早期BMI变化轨迹，采用多分类logistic回归模型评估母亲孕期饮食模式与儿童早期BMI变化轨迹的关联。结果 母亲孕期饮食模式记为蛋白型、健康型、素食型、加工型和饮料型5种饮食模式，可解释总饮食变异的50.04%，其中蛋白型饮食模式能解释21.34%，为主要饮食模式。儿童早期BMI变化轨迹记为偏瘦型、一般型和偏胖型变化轨迹，分别占42.9%、45.6%和11.5%。控制潜在混杂因素后，发现健康型和饮料型饮食模式与儿童早期BMI变化轨迹有统计学关联（P<0.05）。偏瘦型与一般型变化轨迹相比，健康型饮食模式低水平组儿童在生命早期更倾向于偏瘦型变化轨迹（OR=1.286，95%CI：1.002~1.651）。偏胖型与一般型变化轨迹相比，饮料型饮食模式高水平组儿童在生命早期更倾向于偏胖型变化轨迹（OR=0.565，95%CI：0.342~0.935）。其他饮食模式与儿童早期BMI变化轨迹无统计学关联。结论 母亲孕期饮食模式会影响儿童早期BMI变化轨迹，其中低水平健康型饮食模式为偏瘦型变化轨迹的独立危险因素，高水平饮料型饮食模式为偏胖型变化轨迹的独立危险因素。 |
| 英文摘要: |
| Objective To explore the relationship between the maternal dietary patterns during pregnancy and the early childhood BMI change trajectory. Methods The subjects were 1 241 pairs of pregnant women and their children in Ma'anshan maternal and infant health cohort. The food frequency questionnaire was used to collect the maternal diet data during pregnancy. The cohort children were followed up at birth, month 3, 6, 12, 18 and 24, respectively. The body height and weight data of the cohort children were collected. The principal component analysis was used to determine the categories of maternal dietary patterns during pregnancy, group-based multi-trajectory modeling was used to fit the early childhood BMI change trajectory, and the multiple classification logistic regression model was used to evaluate the relationship between the maternal dietary patterns during pregnancy and the early childhood BMI change trajectory. Results The maternal dietary patterns during pregnancy included protein type, healthy type, vegetarian type, processing type and beverage type, which could explain 50.04% of the total dietary variation. Among them, the protein type, main dietary pattern, could explain 21.34% of the total dietary variation. The early childhood BMI change trajectory was from thinnish stature to average stature, then to mild obesity, accounting for 42.9%, 45.6% and 11.5% respectively. After controlling the potential confounding factors, it was found that there was a statistical correlation between healthy type and beverage type of maternal dietary patterns during pregnancy and early childhood BMI change trajectory (P<0.05). Comparison of change trajectories between thinnish type and average stature type, children in the low-level group of healthy diet pattern tended to have a thinnish type change trajectory in early life (OR=1.286, 95%CI:1.002-1.651). Comparison of change trajectories between mild obesity type and average stature type, children in the high-level group of beverage diet pattern tended to have a mild obesity type change trajectory in early life (OR=0.565, 95%CI:0.342-0.935). The other dietary patterns had no statistical correlation with the early childhood BMI change trajectory. Conclusions Maternal dietary patterns during pregnancy can affect the early childhood BMI change trajectory, and the low-level healthy type diet is an independent risk factor for thinnish type change trajectory, and the high-level beverage type diet is an independent risk factor for the mild obesity type change trajectory. |
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