Fruit and vegetable consumption before and during pregnancy and birth weight of new-borns in Japan: the Tohoku medical megabank project birth and three-generation cohort study

Abstract Background Associations of fruit and vegetable consumption before and during pregnancy with birth weight of new-borns and the risk of low birth weight (LBW) remain unclear. Methods Between July 2013 and March 2017, we recruited 23,406 pregnant women in the Tohoku Medical Megabank Project Bi...

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Main Authors: Yudai Yonezawa, Taku Obara, Takahiro Yamashita, Junichi Sugawara, Mami Ishikuro, Keiko Murakami, Aoi Noda, Fumihiko Ueno, Shigenori Suzuki, Hiroyuki Suganuma, Shinichi Kuriyama
Format: Article
Language:English
Published: BMC 2020-08-01
Series:Nutrition Journal
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12937-020-00595-z
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author Yudai Yonezawa
Taku Obara
Takahiro Yamashita
Junichi Sugawara
Mami Ishikuro
Keiko Murakami
Aoi Noda
Fumihiko Ueno
Shigenori Suzuki
Hiroyuki Suganuma
Shinichi Kuriyama
author_facet Yudai Yonezawa
Taku Obara
Takahiro Yamashita
Junichi Sugawara
Mami Ishikuro
Keiko Murakami
Aoi Noda
Fumihiko Ueno
Shigenori Suzuki
Hiroyuki Suganuma
Shinichi Kuriyama
author_sort Yudai Yonezawa
collection DOAJ
description Abstract Background Associations of fruit and vegetable consumption before and during pregnancy with birth weight of new-borns and the risk of low birth weight (LBW) remain unclear. Methods Between July 2013 and March 2017, we recruited 23,406 pregnant women in the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study (TMM BirThree Cohort Study). Fruit and vegetable consumption before and during pregnancy was calculated using food frequency questionnaires. Information regarding birth weight was obtained from medical records, and LBW was defined as < 2500 g. We used a multivariable linear regression model and a multivariate logistic regression model to assess associations between fruit and vegetable consumption and birth weight/risk of LBW. Results In total, 17,610 women were included in the analysis. Mean birth weight was 3061.8 ± 354.1 g, and 5.4% of the new-borns had LBW. Compared to women in the lowest quartile of fruit consumption between pre- and early pregnancy, women in the highest quartile had heavier new-borns (β = 49.4; 95% CI: 34.1–64.7) and lower risk of LBW (OR: 0.79; 95% CI: 0.65–0.95). Women in the highest quartile of fruit consumption from early to mid-pregnancy also had heavier new-borns (β = 32.3; 95% CI: 17.1–47.6), and they tended to have lower risk of LBW (OR: 0.83; 95% CI: 0.69–1.01). Results of analysing the association between changes in fruit consumption from pre- to mid-pregnancy and birth outcomes revealed that women with continuous high fruit consumption from pre- to mid-pregnancy had heavier new-borns (β = 37.6; 95% CI: 25.0–50.3), but they did not have lower risk of LBW (OR: 0.90; 95% CI: 0.77–1.06). Associations involving vegetable consumption and birth weight/risk of LBW were not observed. Conclusions Fruit consumption before and during pregnancy was positively associated with birth weight of new-borns and negatively associated with risk of LBW.
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spelling doaj.art-3d6f00a75f7546ab88401842e7104e0a2022-12-22T00:08:00ZengBMCNutrition Journal1475-28912020-08-0119111110.1186/s12937-020-00595-zFruit and vegetable consumption before and during pregnancy and birth weight of new-borns in Japan: the Tohoku medical megabank project birth and three-generation cohort studyYudai Yonezawa0Taku Obara1Takahiro Yamashita2Junichi Sugawara3Mami Ishikuro4Keiko Murakami5Aoi Noda6Fumihiko Ueno7Shigenori Suzuki8Hiroyuki Suganuma9Shinichi Kuriyama10Tohoku Medical Megabank Organization, Tohoku UniversityTohoku Medical Megabank Organization, Tohoku UniversityTohoku Medical Megabank Organization, Tohoku UniversityTohoku Medical Megabank Organization, Tohoku UniversityTohoku Medical Megabank Organization, Tohoku UniversityTohoku Medical Megabank Organization, Tohoku UniversityTohoku Medical Megabank Organization, Tohoku UniversityTohoku Medical Megabank Organization, Tohoku UniversityInnovation Division, KAGOME CO., LTD.Innovation Division, KAGOME CO., LTD.Tohoku Medical Megabank Organization, Tohoku UniversityAbstract Background Associations of fruit and vegetable consumption before and during pregnancy with birth weight of new-borns and the risk of low birth weight (LBW) remain unclear. Methods Between July 2013 and March 2017, we recruited 23,406 pregnant women in the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study (TMM BirThree Cohort Study). Fruit and vegetable consumption before and during pregnancy was calculated using food frequency questionnaires. Information regarding birth weight was obtained from medical records, and LBW was defined as < 2500 g. We used a multivariable linear regression model and a multivariate logistic regression model to assess associations between fruit and vegetable consumption and birth weight/risk of LBW. Results In total, 17,610 women were included in the analysis. Mean birth weight was 3061.8 ± 354.1 g, and 5.4% of the new-borns had LBW. Compared to women in the lowest quartile of fruit consumption between pre- and early pregnancy, women in the highest quartile had heavier new-borns (β = 49.4; 95% CI: 34.1–64.7) and lower risk of LBW (OR: 0.79; 95% CI: 0.65–0.95). Women in the highest quartile of fruit consumption from early to mid-pregnancy also had heavier new-borns (β = 32.3; 95% CI: 17.1–47.6), and they tended to have lower risk of LBW (OR: 0.83; 95% CI: 0.69–1.01). Results of analysing the association between changes in fruit consumption from pre- to mid-pregnancy and birth outcomes revealed that women with continuous high fruit consumption from pre- to mid-pregnancy had heavier new-borns (β = 37.6; 95% CI: 25.0–50.3), but they did not have lower risk of LBW (OR: 0.90; 95% CI: 0.77–1.06). Associations involving vegetable consumption and birth weight/risk of LBW were not observed. Conclusions Fruit consumption before and during pregnancy was positively associated with birth weight of new-borns and negatively associated with risk of LBW.http://link.springer.com/article/10.1186/s12937-020-00595-zFruitVegetablesPregnancyBirth weight
spellingShingle Yudai Yonezawa
Taku Obara
Takahiro Yamashita
Junichi Sugawara
Mami Ishikuro
Keiko Murakami
Aoi Noda
Fumihiko Ueno
Shigenori Suzuki
Hiroyuki Suganuma
Shinichi Kuriyama
Fruit and vegetable consumption before and during pregnancy and birth weight of new-borns in Japan: the Tohoku medical megabank project birth and three-generation cohort study
Nutrition Journal
Fruit
Vegetables
Pregnancy
Birth weight
title Fruit and vegetable consumption before and during pregnancy and birth weight of new-borns in Japan: the Tohoku medical megabank project birth and three-generation cohort study
title_full Fruit and vegetable consumption before and during pregnancy and birth weight of new-borns in Japan: the Tohoku medical megabank project birth and three-generation cohort study
title_fullStr Fruit and vegetable consumption before and during pregnancy and birth weight of new-borns in Japan: the Tohoku medical megabank project birth and three-generation cohort study
title_full_unstemmed Fruit and vegetable consumption before and during pregnancy and birth weight of new-borns in Japan: the Tohoku medical megabank project birth and three-generation cohort study
title_short Fruit and vegetable consumption before and during pregnancy and birth weight of new-borns in Japan: the Tohoku medical megabank project birth and three-generation cohort study
title_sort fruit and vegetable consumption before and during pregnancy and birth weight of new borns in japan the tohoku medical megabank project birth and three generation cohort study
topic Fruit
Vegetables
Pregnancy
Birth weight
url http://link.springer.com/article/10.1186/s12937-020-00595-z
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