孕期食物摄入时间模式与妊娠期体重增加之间的关系。

IF 3 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Marquis S Hawkins, Daisy Duan, Namhyun Kim, Mariska G Goswami, Kaleab Z Abebe, Christina M Scifres, Tina Costacou, Patrick Catalano, Hyagriv Simhan, Steve Orris, Dara Mendez, Michele M Levine, Daniel J Buysse, Esa M Davis
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引用次数: 0

摘要

背景:本文旨在描述妊娠中期食物时序特征,并研究其与妊娠体重增加(GWG)的关系。材料和方法:本研究对两种妊娠期糖尿病筛查方法的随机对照试验进行了二次数据分析,包括641名患者的主要暴露和结局数据。食物时间指标(即第一次和最后一次进食时间,热量中点时间和总进食窗口)通过在妊娠中期进行的两次24小时饮食回顾来评估。基于这些指标,使用潜在剖面分析来识别不同的食物时间剖面。回归分析探讨了个体食物摄入时间指标、食物摄入时间概况和GWG之间的关系。结果:我们确定了四种食物时间特征:延长窗口进食(n = 133;首次进食时间最早、进食窗口最长)、限制进食窗口(n = 120;最近一次进食事件和最短进食窗口),早期进食(n = 188;最早热量中点)和典型饮食(n = 200;食物摄入量与样本中位数一致)。限制窗口进食模式的参与者(与典型饮食模式相比)GWG不足的风险增加(未调整相对风险[RR] = 1.85, 95%可信区间[CI] 1.12, 3.05)。最后一次进食时间每增加一小时,GWG增加0.39 kg(0.03, 0.75)。在调整后的模型中,这两种关联都减弱了,在调整后的模型中不再具有统计学意义。结论:我们确定了四种不同的孕期饮食时间特征,但这些特征与GWG没有独立的关联。这些发现表明,怀孕中期的饮食时间可能不会在GWG中起主要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Association Between Midpregnancy Food Intake Timing Patterns and Gestational Weight Gain.

Background: This article aims to characterize midpregnancy food timing profiles and examine their association with gestational weight gain (GWG). Materials and Methods: This secondary data analysis of a randomized controlled trial of two gestational diabetes screening approaches included 641 individuals with primary exposures and outcomes data. Food timing indicators (i.e., first and last eating episode time, caloric midpoint time, and the total eating window) were assessed using two 24-hour dietary recalls conducted in midpregnancy. Latent profile analysis was used to identify distinct food timing profiles based on these indicators. Regression analyses explored the associations between individual food intake timing indicators, food timing profiles, and GWG. Results: We identified four food timing profiles: extended window eating (n = 133; earliest first eating episode and the longest eating window), restricted window eating (n = 120; latest first eating episode and shortest eating window), early eating (n = 188; earliest caloric midpoint), and typical eating (n = 200; food intake aligning with the sample median). Participants with a restricted window eating profile (vs. typical eating profile) had an increased risk of insufficient GWG (unadjusted relative risk [RR] = 1.85, 95% confidence interval [CI] 1.12, 3.05). Each hour increase in the timing of the last eating episode was associated with 0.39 kg (0.03, 0.75) higher GWG. Both associations were attenuated in adjusted models and no longer statistically significant in adjusted models. Conclusions: We identified four distinct midpregnancy food timing profiles, but these profiles were not independently associated with GWG. These findings suggest that midpregnancy food timing may not play a major role in GWG.

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来源期刊
Journal of women's health
Journal of women's health 医学-妇产科学
CiteScore
6.60
自引率
5.70%
发文量
197
审稿时长
2 months
期刊介绍: Journal of Women''s Health is the primary source of information for meeting the challenges of providing optimal health care for women throughout their lifespan. The Journal delivers cutting-edge advancements in diagnostic procedures, therapeutic protocols for the management of diseases, and innovative research in gender-based biology that impacts patient care and treatment. Journal of Women’s Health coverage includes: -Internal Medicine Endocrinology- Cardiology- Oncology- Obstetrics/Gynecology- Urogynecology- Psychiatry- Neurology- Nutrition- Sex-Based Biology- Complementary Medicine- Sports Medicine- Surgery- Medical Education- Public Policy.
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