TY - JOUR
T1 - Ultra-processed food (UPF) intake in pregnancy and maternal and neonatal outcomes
AU - Ben-Avraham, Sivan
AU - Kohn, Elkana
AU - Tepper, Sigal
AU - Lubetzky, Ronit
AU - Mandel, Dror
AU - Berkovitch, Matitiahu
AU - Shahar, Danit R.
N1 - Publisher Copyright:
© 2023, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.
PY - 2023/4/1
Y1 - 2023/4/1
N2 - Purpose: Ultra-processed food (UPF), as defined by the NOVA classification, is related to lower diet quality, which may adversely affect maternal health and neonatal outcomes. This study aims to describe nutrient intake of pregnant women by the share of UPF in the diet and to identify associations between UPF intake and maternal and neonatal outcomes. Methods: In this cross-sectional study, pregnant women (n = 206) were recruited upon arrival to the obstetrics ward for delivery, and asked to complete a Food Frequency Questionnaire (FFQ), and questionnaires regarding environmental exposures, and socio-demographic characteristics. Neonatal measurements and clinical data were obtained following delivery. UPF energy intake was expressed as absolute and in terms of percent from total energy. Women with high intake of energy from UPF were compared to those with low intake. Results: Among 206 pregnant women, dietary intake of UPF ranged from 15.6% to 43.4% of total energy in the first and fourth quartiles of UPF consumption, respectively. Women in the fourth quartile of energy from UPF had lower intakes of vitamin C, beta-carotene, vitamin B6, and potassium, which is indicative of inferior diet quality. Percent energy from UPF was associated with maternal obesity (BMI ≥ 30) (OR = 1.06, 95% CI: 1.06, 1.10, p = 0.008) and shorter male infant ano-genital distance (AGD) (B = −1.9, 95% CI: −3.5, −0.24, p = 0.02). Conclusions: UPF intake during pregnancy is associated with undesirable maternal and neonatal outcomes and more research is needed to confirm these findings.
AB - Purpose: Ultra-processed food (UPF), as defined by the NOVA classification, is related to lower diet quality, which may adversely affect maternal health and neonatal outcomes. This study aims to describe nutrient intake of pregnant women by the share of UPF in the diet and to identify associations between UPF intake and maternal and neonatal outcomes. Methods: In this cross-sectional study, pregnant women (n = 206) were recruited upon arrival to the obstetrics ward for delivery, and asked to complete a Food Frequency Questionnaire (FFQ), and questionnaires regarding environmental exposures, and socio-demographic characteristics. Neonatal measurements and clinical data were obtained following delivery. UPF energy intake was expressed as absolute and in terms of percent from total energy. Women with high intake of energy from UPF were compared to those with low intake. Results: Among 206 pregnant women, dietary intake of UPF ranged from 15.6% to 43.4% of total energy in the first and fourth quartiles of UPF consumption, respectively. Women in the fourth quartile of energy from UPF had lower intakes of vitamin C, beta-carotene, vitamin B6, and potassium, which is indicative of inferior diet quality. Percent energy from UPF was associated with maternal obesity (BMI ≥ 30) (OR = 1.06, 95% CI: 1.06, 1.10, p = 0.008) and shorter male infant ano-genital distance (AGD) (B = −1.9, 95% CI: −3.5, −0.24, p = 0.02). Conclusions: UPF intake during pregnancy is associated with undesirable maternal and neonatal outcomes and more research is needed to confirm these findings.
KW - Diet quality
KW - Neonatal outcomes
KW - Pregnancy outcomes
KW - Prenatal diet
KW - Ultra-processed food
UR - http://www.scopus.com/inward/record.url?scp=85145725140&partnerID=8YFLogxK
U2 - 10.1007/s00394-022-03072-x
DO - 10.1007/s00394-022-03072-x
M3 - Article
C2 - 36604324
AN - SCOPUS:85145725140
SN - 1436-6207
VL - 62
SP - 1403
EP - 1413
JO - European Journal of Nutrition
JF - European Journal of Nutrition
IS - 3
ER -