Influence of the degree of adherence to the mediterranean diet and its components on cardiometabolic risk during pregnancy. The GESTAFIT project
Metadatos
Afficher la notice complèteAuteur
De la Flor Alemany, Marta; Acosta Manzano, Pedro; Marín Jiménez, Nuria; Baena García, Laura; Aranda Ramírez, Pilar; Aparicio García-Molina, VirginiaEditorial
Elsevier
Materia
Cardiometabolic risk Dietary intake Gestation Mediterranean diet
Date
2021-05-04Referencia bibliográfica
Marta Flor-Alemany... [et al.]. Influence of the degree of adherence to the mediterranean diet and its components on cardiometabolic risk during pregnancy. The GESTAFIT project, Nutrition, Metabolism and Cardiovascular Diseases, Volume 31, Issue 8, 2021, Pages 2311-2318, ISSN 0939-4753, [https://doi.org/10.1016/j.numecd.2021.04.019]
Patrocinador
Regional Ministry of Health of the Junta de Andalucia PI-0395-2016; University of Granada, Unit of Excellence on Exercise and Health (UCEES); Spanish Ministry of Education, Culture and Sports FPU17/03715Résumé
Background and aims: Studies regarding dietary patterns and cardiometabolic risk
markers during pregnancy are scarce. The aim of the present study was to analyse whether
different degrees of adherence to the Mediterranean diet (MD) and the MD components were
associated with cardiometabolic markers and a clustered cardiometabolic risk during pregnancy.
Methods and results: This study comprised 119 pregnant women from the GEStation and FITness
(GESTAFIT) project. Dietary habits were assessed with a food frequency questionnaire at the 16th
and 34th gestational weeks (g.w.). The Mediterranean Diet Score was employed to assess MD
adherence. The following cardiometabolic markers were assessed: pre-pregnancy body mass index
(BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), fasting glucose, triglycerides
and high-density lipoprotein cholesterol (HDL-C). A greater MD adherence was associated
with a better cardiometabolic status in cross-sectional (16th g.w. and 34th g.w.) and prospective
analyses (MD adherence at the 16th g.w. and cardiometabolic markers at the 34th g.w.; SBP, DBP
and HDL-C; all, p < 0.05). Participants with the highest MD adherence (Tertile 3) had a lower
clustered cardiometabolic risk than those with the lowest MD adherence (Tertile 1) at the
16th and 34th g.w. (both, p < 0.05). A higher intake of fruits, vegetables and fish and a lower
intake of refined cereals and red meat and subproducts were associated with a lower cardiometabolic
risk during pregnancy (all, p < 0.05).
Conclusion: A higher MD adherence, a greater intake of fruits, vegetables and fish and a lower
intake of refined cereals and red meat and subproducts showed a cardioprotective effect
throughout gestation.