Demographic and health characteristics associated with fish and n-3 fatty acid supplement intake during pregnancy: results from pregnancy cohorts in the ECHO programme
Abstract Objective: n-3 fatty acid consumption during pregnancy is recommended for optimal pregnancy outcomes and offspring health. We examined characteristics associated with self-reported fish or n-3 supplement intake. Design: Pooled pregnancy cohort studies. Setting: Cohorts participating i...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2024-01-01
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| Series: | Public Health Nutrition |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S136898002400051X/type/journal_article |
| _version_ | 1797242763161370624 |
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| author | Emily Oken Matthew Westlake Kennedy Gachigi Judy L Aschner Kathrine L Barnes Theresa M Bastain Claudia Buss Carlos A Camargo Jose F Cordero Dana Dabelea Anne L Dunlop Akhgar Ghassabian Alison E Hipwell Christine W Hockett Margaret R Karagas Claudia Lugo-Candelas Amy E Margolis Thomas G O’Connor Coral L Shuster Jennifer K Straughen Kristen Lyall |
| author_facet | Emily Oken Matthew Westlake Kennedy Gachigi Judy L Aschner Kathrine L Barnes Theresa M Bastain Claudia Buss Carlos A Camargo Jose F Cordero Dana Dabelea Anne L Dunlop Akhgar Ghassabian Alison E Hipwell Christine W Hockett Margaret R Karagas Claudia Lugo-Candelas Amy E Margolis Thomas G O’Connor Coral L Shuster Jennifer K Straughen Kristen Lyall |
| author_sort | Emily Oken |
| collection | DOAJ |
| description |
Abstract
Objective:
n-3 fatty acid consumption during pregnancy is recommended for optimal pregnancy outcomes and offspring health. We examined characteristics associated with self-reported fish or n-3 supplement intake.
Design:
Pooled pregnancy cohort studies.
Setting:
Cohorts participating in the Environmental influences on Child Health Outcomes (ECHO) consortium with births from 1999 to 2020.
Participants:
A total of 10 800 pregnant women in twenty-three cohorts with food frequency data on fish consumption; 12 646 from thirty-five cohorts with information on supplement use.
Results:
Overall, 24·6 % reported consuming fish never or less than once per month, 40·1 % less than once a week, 22·1 % 1–2 times per week and 13·2 % more than twice per week. The relative risk (RR) of ever (v. never) consuming fish was higher in participants who were older (1·14, 95 % CI 1·10, 1·18 for 35–40 v. <29 years), were other than non-Hispanic White (1·13, 95 % CI 1·08, 1·18 for non-Hispanic Black; 1·05, 95 % CI 1·01, 1·10 for non-Hispanic Asian; 1·06, 95 % CI 1·02, 1·10 for Hispanic) or used tobacco (1·04, 95 % CI 1·01, 1·08). The RR was lower in those with overweight v. healthy weight (0·97, 95 % CI 0·95, 1·0). Only 16·2 % reported n-3 supplement use, which was more common among individuals with a higher age and education, a lower BMI, and fish consumption (RR 1·5, 95 % CI 1·23, 1·82 for twice-weekly v. never).
Conclusions:
One-quarter of participants in this large nationwide dataset rarely or never consumed fish during pregnancy, and n-3 supplement use was uncommon, even among those who did not consume fish.
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| first_indexed | 2024-03-07T21:23:08Z |
| format | Article |
| id | doaj.art-9311079ee53d4f048d4041f03a6352c3 |
| institution | Directory Open Access Journal |
| issn | 1368-9800 1475-2727 |
| language | English |
| last_indexed | 2024-04-24T18:44:23Z |
| publishDate | 2024-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Public Health Nutrition |
| spelling | doaj.art-9311079ee53d4f048d4041f03a6352c32024-03-27T08:27:25ZengCambridge University PressPublic Health Nutrition1368-98001475-27272024-01-012710.1017/S136898002400051XDemographic and health characteristics associated with fish and n-3 fatty acid supplement intake during pregnancy: results from pregnancy cohorts in the ECHO programmeEmily Oken0https://orcid.org/0000-0003-2513-3339Matthew Westlake1Kennedy Gachigi2Judy L Aschner3Kathrine L Barnes4Theresa M Bastain5Claudia Buss6Carlos A Camargo7Jose F Cordero8Dana Dabelea9Anne L Dunlop10Akhgar Ghassabian11Alison E Hipwell12Christine W Hockett13Margaret R Karagas14Claudia Lugo-Candelas15Amy E Margolis16Thomas G O’Connor17Coral L Shuster18Jennifer K Straughen19Kristen Lyall20Division of Chronic Disease research across the Lifecourse, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, 401 Park Drive, Suite 401 East, Boston, MA, USARTI International, Raleigh, NC, USAJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USADepartment of Pediatrics, Joseph M. Sanzari Children’s Hospital, Hackensack Meridian School of Medicine, Nutley, NJ, USA Albert Einstein College of Medicine, Bronx, NY, USAMarshfield Clinic Research Institute, Marshfield, WI, USADepartment of Population and Public Health Sciences, University of Southern California, Los Angeles, CA, USADepartment of Medical Psychology, Charité University of Medicine Berlin, Berlin, Germany Development, Health, Disease Research Program, University of California Irvine, Irvine, CA, USADepartment of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USADepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, GA, USALifecourse Epidemiology of Adiposity and Diabetes (LEAD) Center, University of Colorado Anschutz Medical Campus, Aurora, CO, USADepartment of Gynecology & Obstetrics, Emory University School of Medicine, Atlanta, GA, USADepartment of Pediatrics, New York University Grossman School of Medicine, New York, NY, USADepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USAAvera Research Institute, Sioux Falls, SD, USADepartment of Epidemiology, Geisel School of Medicine at Dartmouth, Lebanon, NH, USANew York State Psychiatric Institute, New York, NY, USAColumbia University Irving Medical center, New York, NY, USADepartments of Psychiatry, Psychology, Neuroscience, Obstetrics and Gynecology, University of Rochester, Rochester, NY, USABrown Center for the Study of Children at Risk, Women and Infants Hospital, Providence, RI, USADepartment of Public Health Sciences, Henry Ford Health System, Detroit, MI, USAAJ Drexel Autism Institute, Philadelphia, PA, USA Abstract Objective: n-3 fatty acid consumption during pregnancy is recommended for optimal pregnancy outcomes and offspring health. We examined characteristics associated with self-reported fish or n-3 supplement intake. Design: Pooled pregnancy cohort studies. Setting: Cohorts participating in the Environmental influences on Child Health Outcomes (ECHO) consortium with births from 1999 to 2020. Participants: A total of 10 800 pregnant women in twenty-three cohorts with food frequency data on fish consumption; 12 646 from thirty-five cohorts with information on supplement use. Results: Overall, 24·6 % reported consuming fish never or less than once per month, 40·1 % less than once a week, 22·1 % 1–2 times per week and 13·2 % more than twice per week. The relative risk (RR) of ever (v. never) consuming fish was higher in participants who were older (1·14, 95 % CI 1·10, 1·18 for 35–40 v. <29 years), were other than non-Hispanic White (1·13, 95 % CI 1·08, 1·18 for non-Hispanic Black; 1·05, 95 % CI 1·01, 1·10 for non-Hispanic Asian; 1·06, 95 % CI 1·02, 1·10 for Hispanic) or used tobacco (1·04, 95 % CI 1·01, 1·08). The RR was lower in those with overweight v. healthy weight (0·97, 95 % CI 0·95, 1·0). Only 16·2 % reported n-3 supplement use, which was more common among individuals with a higher age and education, a lower BMI, and fish consumption (RR 1·5, 95 % CI 1·23, 1·82 for twice-weekly v. never). Conclusions: One-quarter of participants in this large nationwide dataset rarely or never consumed fish during pregnancy, and n-3 supplement use was uncommon, even among those who did not consume fish. https://www.cambridge.org/core/product/identifier/S136898002400051X/type/journal_articlePregnancyFishDHAn-3 fatty acid |
| spellingShingle | Emily Oken Matthew Westlake Kennedy Gachigi Judy L Aschner Kathrine L Barnes Theresa M Bastain Claudia Buss Carlos A Camargo Jose F Cordero Dana Dabelea Anne L Dunlop Akhgar Ghassabian Alison E Hipwell Christine W Hockett Margaret R Karagas Claudia Lugo-Candelas Amy E Margolis Thomas G O’Connor Coral L Shuster Jennifer K Straughen Kristen Lyall Demographic and health characteristics associated with fish and n-3 fatty acid supplement intake during pregnancy: results from pregnancy cohorts in the ECHO programme Public Health Nutrition Pregnancy Fish DHA n-3 fatty acid |
| title | Demographic and health characteristics associated with fish and n-3 fatty acid supplement intake during pregnancy: results from pregnancy cohorts in the ECHO programme |
| title_full | Demographic and health characteristics associated with fish and n-3 fatty acid supplement intake during pregnancy: results from pregnancy cohorts in the ECHO programme |
| title_fullStr | Demographic and health characteristics associated with fish and n-3 fatty acid supplement intake during pregnancy: results from pregnancy cohorts in the ECHO programme |
| title_full_unstemmed | Demographic and health characteristics associated with fish and n-3 fatty acid supplement intake during pregnancy: results from pregnancy cohorts in the ECHO programme |
| title_short | Demographic and health characteristics associated with fish and n-3 fatty acid supplement intake during pregnancy: results from pregnancy cohorts in the ECHO programme |
| title_sort | demographic and health characteristics associated with fish and n 3 fatty acid supplement intake during pregnancy results from pregnancy cohorts in the echo programme |
| topic | Pregnancy Fish DHA n-3 fatty acid |
| url | https://www.cambridge.org/core/product/identifier/S136898002400051X/type/journal_article |
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