Dietary total antioxidant capacity during pregnancy and birth outcomes

Author(s)

Sartorelli, Daniela Saes ^[1] ; Carvalho, Mariana Rinaldi ^[2] ; Santos, Izabela da Silva ^[3] ; Crivellenti, Livia Castro ^[2] ; Souza, Joao Paulo ^[1] ; Franco, Laercio Joel ^[1]

Affiliation

^[1] Univ Sao Paulo, Ribeirao Preto Med Sch, Dept Social Med, Ave Bandeirantes 3900, Ribeirao Preto 14049900, SP - Brazil

^[2] Univ Sao Paulo, Ribeirao Preto Med Sch, Grad Program Publ Hlth, Ave Bandeirantes 3900, Ribeirao Preto 14049900, SP - Brazil

^[3] Univ Sao Paulo, Ribeirao Preto Med Sch, Grad Program Nutr & Metab, Ave Bandeirantes 3900, Ribeirao Preto 14049900, SP - Brazil

• Document type: Journal article
• Source: EUROPEAN JOURNAL OF NUTRITION; v. 60, n. 1 APR 2020.
• Web of Science Citations: 0

Abstract

Purpose To investigate the effect of maternal dietary total antioxidant capacity (DTAC) and main food sources on the risk of preterm birth (PB) and offspring birth size. Methods Cohort study that included 733 Brazilian mother-child pairs. Two 24 h dietary recalls were obtained during pregnancy and the usual intake was estimated through the Multiple Source Method. Data of the offspring were extracted from the national live births information system. Adjusted multivariable logistic regression models were used to investigate the relationship that energy-adjusted DTAC and food sources have with the outcomes. Results In total, 9.7% of the children were PBs, 6.0% were born with low birth weight (LBW), 6.7% with macrosomia, 9.3% were small for gestational age (SGA) and 16.4% large for gestational age (LGA). The mean energy-adjusted DTAC +/- SD was 4.7 +/- 2.1 mmol. The adjusted OR (95%CI) of PB for each increasing tertile of maternal DTAC were 0.71 (0.41, 1.30) and 0.54 (0.29, 0.98), when compared with the lowest intake. For LBW, these were 0.25 (0.09, 0.65) and 0.63 (0.28, 1.41). A likelihood of lower odds for PB was found for a higher intake of fruits {[}0.66 (0.39, 1.09)]. Women with a higher consumption of milk were less likely to have a child with LBW {[}0.48 (0.23, 1.01)], and children whose mothers reported a higher intake of beans had lower odds of being born LGA {[}0.61 (0.39, 0.93)]. Conclusion The data suggest that a higher intake of foods with antioxidant activity during pregnancy might reduce the chance of adverse birth outcomes. (AU)

• FAPESP's process: 18/06746-8 - Quality of diet during pregnancy and its relationship with birth weight
• Grantee: Izabela da Silva Santos
• Support type: Scholarships in Brazil - Master