Association between modes of delivery and postpartum dietary patterns: A cross-sectional study in Northwest China
ObjectivePuerperae’ dietary patterns (DPs) during the puerperium may be influenced by the mode of delivery, but population studies on this topic are scarce. This study aims to explore the relationship between DPs and different modes of delivery among puerperae.MethodsA cross-sectional study was cond...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Nutrition |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2022.985941/full |
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| author | Lingxi Zhao Lingxi Zhao Lingxi Zhao Lianlian Wang Wenling Wang Zumin Shi Yuzhao Zhu Yuzhao Zhu Yuzhao Zhu Shengping Li Shengping Li Shengping Li Tiankun Wang Tiankun Wang Tiankun Wang Yu Su Yu Su Yu Su Zhourong Li Zhourong Li Zhourong Li Yaqi Wen Yaqi Wen Yaqi Wen Laixi Zhang Laixi Zhang Laixi Zhang Qi Xu Qi Xu Qi Xu Manoj Sharma Yong Zhao Yong Zhao Yong Zhao Yong Zhao |
| author_facet | Lingxi Zhao Lingxi Zhao Lingxi Zhao Lianlian Wang Wenling Wang Zumin Shi Yuzhao Zhu Yuzhao Zhu Yuzhao Zhu Shengping Li Shengping Li Shengping Li Tiankun Wang Tiankun Wang Tiankun Wang Yu Su Yu Su Yu Su Zhourong Li Zhourong Li Zhourong Li Yaqi Wen Yaqi Wen Yaqi Wen Laixi Zhang Laixi Zhang Laixi Zhang Qi Xu Qi Xu Qi Xu Manoj Sharma Yong Zhao Yong Zhao Yong Zhao Yong Zhao |
| author_sort | Lingxi Zhao |
| collection | DOAJ |
| description | ObjectivePuerperae’ dietary patterns (DPs) during the puerperium may be influenced by the mode of delivery, but population studies on this topic are scarce. This study aims to explore the relationship between DPs and different modes of delivery among puerperae.MethodsA cross-sectional study was conducted on 3,345 parturients in Lanzhou, China. The postpartum food intake was measured by a food frequency questionnaire (FFQ). Factor analysis was used to determine the DPs. Multiple linear regression was employed to examine the association between the mode of delivery and DP.ResultsIn this study, two DPs, i.e., traditional and modern DPs, were identified. Traditional DP was characterized by high energy-adjusted intake of tubers, coarse cereals, rice, whole grains, fishery products, and eggs. Modern DP included a high intake of coffee, non-sugary drinks, wine, tea, and fishery products. Compared with participants with vaginal delivery (reference category), cesarean section had an inverse association with modern DP (β: −0.11, 95% CI: −0.36, −0.09). A significant interaction was found between education level, monthly household income, alcohol drinking, and modes of delivery. The inverse association between cesarean section and modern DP or the intake of coffee was significant among puerperae with higher or lower monthly household income. However, the inverse association between cesarean section and traditional DP was only found among puerperae with higher monthly household income. Moreover, among the participants with high education, cesarean section was positively associated with intake of vegetables.ConclusionCesarean puerperae with higher levels of education and those with lower and higher monthly household income had less unhealthy foods intake than those who had vaginal delivery. They need to be accounted for in educational programs and interventions focused on healthy diet recommendations in puerperium. |
| first_indexed | 2024-04-13T21:57:05Z |
| format | Article |
| id | doaj.art-2ce31962b491409fb089f76d8b32bd0d |
| institution | Directory Open Access Journal |
| issn | 2296-861X |
| language | English |
| last_indexed | 2024-04-13T21:57:05Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Nutrition |
| spelling | doaj.art-2ce31962b491409fb089f76d8b32bd0d2022-12-22T02:28:13ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2022-11-01910.3389/fnut.2022.985941985941Association between modes of delivery and postpartum dietary patterns: A cross-sectional study in Northwest ChinaLingxi Zhao0Lingxi Zhao1Lingxi Zhao2Lianlian Wang3Wenling Wang4Zumin Shi5Yuzhao Zhu6Yuzhao Zhu7Yuzhao Zhu8Shengping Li9Shengping Li10Shengping Li11Tiankun Wang12Tiankun Wang13Tiankun Wang14Yu Su15Yu Su16Yu Su17Zhourong Li18Zhourong Li19Zhourong Li20Yaqi Wen21Yaqi Wen22Yaqi Wen23Laixi Zhang24Laixi Zhang25Laixi Zhang26Qi Xu27Qi Xu28Qi Xu29Manoj Sharma30Yong Zhao31Yong Zhao32Yong Zhao33Yong Zhao34College of Public Health, Chongqing Medical University, Chongqing, ChinaResearch Center for Medicine and Social Development, Chongqing Medical University, Chongqing, ChinaResearch Center for Public Health Security, Chongqing Medical University, Chongqing, ChinaDepartment of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaPerinatology Center, Gansu Provincial Maternity and Child-Care Hospital, Lanzhou, ChinaDepartment of Human Nutrition, College of Health Sciences, QU Health, Qatar University, Doha, QatarCollege of Public Health, Chongqing Medical University, Chongqing, ChinaResearch Center for Medicine and Social Development, Chongqing Medical University, Chongqing, ChinaResearch Center for Public Health Security, Chongqing Medical University, Chongqing, ChinaCollege of Public Health, Chongqing Medical University, Chongqing, ChinaResearch Center for Medicine and Social Development, Chongqing Medical University, Chongqing, ChinaResearch Center for Public Health Security, Chongqing Medical University, Chongqing, ChinaCollege of Public Health, Chongqing Medical University, Chongqing, ChinaResearch Center for Medicine and Social Development, Chongqing Medical University, Chongqing, ChinaResearch Center for Public Health Security, Chongqing Medical University, Chongqing, ChinaCollege of Public Health, Chongqing Medical University, Chongqing, ChinaResearch Center for Medicine and Social Development, Chongqing Medical University, Chongqing, ChinaResearch Center for Public Health Security, Chongqing Medical University, Chongqing, ChinaCollege of Public Health, Chongqing Medical University, Chongqing, ChinaResearch Center for Medicine and Social Development, Chongqing Medical University, Chongqing, ChinaResearch Center for Public Health Security, Chongqing Medical University, Chongqing, ChinaCollege of Public Health, Chongqing Medical University, Chongqing, ChinaResearch Center for Medicine and Social Development, Chongqing Medical University, Chongqing, ChinaResearch Center for Public Health Security, Chongqing Medical University, Chongqing, ChinaCollege of Public Health, Chongqing Medical University, Chongqing, ChinaResearch Center for Medicine and Social Development, Chongqing Medical University, Chongqing, ChinaResearch Center for Public Health Security, Chongqing Medical University, Chongqing, ChinaCollege of Public Health, Chongqing Medical University, Chongqing, ChinaResearch Center for Medicine and Social Development, Chongqing Medical University, Chongqing, ChinaResearch Center for Public Health Security, Chongqing Medical University, Chongqing, ChinaDepartment of Environmental and Occupational Health, School of Public Health, University of Nevada, Las Vegas, NV, United StatesCollege of Public Health, Chongqing Medical University, Chongqing, ChinaResearch Center for Medicine and Social Development, Chongqing Medical University, Chongqing, ChinaResearch Center for Public Health Security, Chongqing Medical University, Chongqing, ChinaChongqing Key Laboratory of Child Nutrition and Health, Children’s Hospital of Chongqing Medical University, Chongqing, ChinaObjectivePuerperae’ dietary patterns (DPs) during the puerperium may be influenced by the mode of delivery, but population studies on this topic are scarce. This study aims to explore the relationship between DPs and different modes of delivery among puerperae.MethodsA cross-sectional study was conducted on 3,345 parturients in Lanzhou, China. The postpartum food intake was measured by a food frequency questionnaire (FFQ). Factor analysis was used to determine the DPs. Multiple linear regression was employed to examine the association between the mode of delivery and DP.ResultsIn this study, two DPs, i.e., traditional and modern DPs, were identified. Traditional DP was characterized by high energy-adjusted intake of tubers, coarse cereals, rice, whole grains, fishery products, and eggs. Modern DP included a high intake of coffee, non-sugary drinks, wine, tea, and fishery products. Compared with participants with vaginal delivery (reference category), cesarean section had an inverse association with modern DP (β: −0.11, 95% CI: −0.36, −0.09). A significant interaction was found between education level, monthly household income, alcohol drinking, and modes of delivery. The inverse association between cesarean section and modern DP or the intake of coffee was significant among puerperae with higher or lower monthly household income. However, the inverse association between cesarean section and traditional DP was only found among puerperae with higher monthly household income. Moreover, among the participants with high education, cesarean section was positively associated with intake of vegetables.ConclusionCesarean puerperae with higher levels of education and those with lower and higher monthly household income had less unhealthy foods intake than those who had vaginal delivery. They need to be accounted for in educational programs and interventions focused on healthy diet recommendations in puerperium.https://www.frontiersin.org/articles/10.3389/fnut.2022.985941/fullparturientdietary patterncesarean deliverydietary behaviorpostpartum period |
| spellingShingle | Lingxi Zhao Lingxi Zhao Lingxi Zhao Lianlian Wang Wenling Wang Zumin Shi Yuzhao Zhu Yuzhao Zhu Yuzhao Zhu Shengping Li Shengping Li Shengping Li Tiankun Wang Tiankun Wang Tiankun Wang Yu Su Yu Su Yu Su Zhourong Li Zhourong Li Zhourong Li Yaqi Wen Yaqi Wen Yaqi Wen Laixi Zhang Laixi Zhang Laixi Zhang Qi Xu Qi Xu Qi Xu Manoj Sharma Yong Zhao Yong Zhao Yong Zhao Yong Zhao Association between modes of delivery and postpartum dietary patterns: A cross-sectional study in Northwest China Frontiers in Nutrition parturient dietary pattern cesarean delivery dietary behavior postpartum period |
| title | Association between modes of delivery and postpartum dietary patterns: A cross-sectional study in Northwest China |
| title_full | Association between modes of delivery and postpartum dietary patterns: A cross-sectional study in Northwest China |
| title_fullStr | Association between modes of delivery and postpartum dietary patterns: A cross-sectional study in Northwest China |
| title_full_unstemmed | Association between modes of delivery and postpartum dietary patterns: A cross-sectional study in Northwest China |
| title_short | Association between modes of delivery and postpartum dietary patterns: A cross-sectional study in Northwest China |
| title_sort | association between modes of delivery and postpartum dietary patterns a cross sectional study in northwest china |
| topic | parturient dietary pattern cesarean delivery dietary behavior postpartum period |
| url | https://www.frontiersin.org/articles/10.3389/fnut.2022.985941/full |
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