Association between Preconception Dietary Fiber Intake and Preterm Birth: The Japan Environment and Children’s Study

Preterm birth (PTB) is a leading cause of neonatal morbidity and mortality. Therefore, this study aimed to determine whether preconception dietary fiber intake is associated with PTB. This was a prospective cohort Japan Environmental and Children’s Study (JECS). The study population comprised 85,116...

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Main Authors: Takahiro Omoto, Hyo Kyozuka, Tsuyoshi Murata, Toma Fukuda, Hirotaka Isogami, Chihiro Okoshi, Shun Yasuda, Akiko Yamaguchi, Akiko Sato, Yuka Ogata, Yuichi Nagasaka, Mitsuaki Hosoya, Seiji Yasumura, Koichi Hashimoto, Hidekazu Nishigori, Keiya Fujimori, The Japan Environment and Children’s Study Group
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/16/5/713
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author Takahiro Omoto
Hyo Kyozuka
Tsuyoshi Murata
Toma Fukuda
Hirotaka Isogami
Chihiro Okoshi
Shun Yasuda
Akiko Yamaguchi
Akiko Sato
Yuka Ogata
Yuichi Nagasaka
Mitsuaki Hosoya
Seiji Yasumura
Koichi Hashimoto
Hidekazu Nishigori
Keiya Fujimori
The Japan Environment and Children’s Study Group
author_facet Takahiro Omoto
Hyo Kyozuka
Tsuyoshi Murata
Toma Fukuda
Hirotaka Isogami
Chihiro Okoshi
Shun Yasuda
Akiko Yamaguchi
Akiko Sato
Yuka Ogata
Yuichi Nagasaka
Mitsuaki Hosoya
Seiji Yasumura
Koichi Hashimoto
Hidekazu Nishigori
Keiya Fujimori
The Japan Environment and Children’s Study Group
author_sort Takahiro Omoto
collection DOAJ
description Preterm birth (PTB) is a leading cause of neonatal morbidity and mortality. Therefore, this study aimed to determine whether preconception dietary fiber intake is associated with PTB. This was a prospective cohort Japan Environmental and Children’s Study (JECS). The study population comprised 85,116 singleton live-birth pregnancies from the JECS database delivered between 2011 and 2014. The participants were categorized into five groups based on their preconception dietary fiber intake quintiles (Q1 and Q5 were the lowest and highest groups, respectively). Multiple logistic regression analysis was performed to determine the association between preconception dietary fiber intake and PTB. Multiple logistic regression analysis revealed that the risk for PTB before 34 weeks was lower in the Q3, Q4, and Q5 groups than in the Q1 group (Q3: adjusted odds ratio [aOR] 0.78, 95% confidence interval [CI] 0.62–0.997; Q4: aOR 0.74, 95% CI 0.57–0.95; Q5: aOR 0.68, 95% CI 0.50–0.92). However, there was no significant difference between preconception dietary fiber intake and PTB before 37 weeks. In conclusion, higher preconception dietary fiber intake correlated with a reduced the risk for PTB before 34 weeks. Therefore, new recommendations on dietary fiber intake as part of preconception care should be considered.
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spelling doaj.art-abb23a158f894a919002e3717b40422c2024-03-12T16:52:19ZengMDPI AGNutrients2072-66432024-02-0116571310.3390/nu16050713Association between Preconception Dietary Fiber Intake and Preterm Birth: The Japan Environment and Children’s StudyTakahiro Omoto0Hyo Kyozuka1Tsuyoshi Murata2Toma Fukuda3Hirotaka Isogami4Chihiro Okoshi5Shun Yasuda6Akiko Yamaguchi7Akiko Sato8Yuka Ogata9Yuichi Nagasaka10Mitsuaki Hosoya11Seiji Yasumura12Koichi Hashimoto13Hidekazu Nishigori14Keiya Fujimori15The Japan Environment and Children’s Study GroupFukushima Regional Center for the Japan Environmental and Children’s Study, Fukushima 960-1295, JapanFukushima Regional Center for the Japan Environmental and Children’s Study, Fukushima 960-1295, JapanFukushima Regional Center for the Japan Environmental and Children’s Study, Fukushima 960-1295, JapanFukushima Regional Center for the Japan Environmental and Children’s Study, Fukushima 960-1295, JapanFukushima Regional Center for the Japan Environmental and Children’s Study, Fukushima 960-1295, JapanFukushima Regional Center for the Japan Environmental and Children’s Study, Fukushima 960-1295, JapanFukushima Regional Center for the Japan Environmental and Children’s Study, Fukushima 960-1295, JapanFukushima Regional Center for the Japan Environmental and Children’s Study, Fukushima 960-1295, JapanFukushima Regional Center for the Japan Environmental and Children’s Study, Fukushima 960-1295, JapanFukushima Regional Center for the Japan Environmental and Children’s Study, Fukushima 960-1295, JapanFukushima Regional Center for the Japan Environmental and Children’s Study, Fukushima 960-1295, JapanFukushima Regional Center for the Japan Environmental and Children’s Study, Fukushima 960-1295, JapanFukushima Regional Center for the Japan Environmental and Children’s Study, Fukushima 960-1295, JapanFukushima Regional Center for the Japan Environmental and Children’s Study, Fukushima 960-1295, JapanFukushima Regional Center for the Japan Environmental and Children’s Study, Fukushima 960-1295, JapanFukushima Regional Center for the Japan Environmental and Children’s Study, Fukushima 960-1295, JapanPreterm birth (PTB) is a leading cause of neonatal morbidity and mortality. Therefore, this study aimed to determine whether preconception dietary fiber intake is associated with PTB. This was a prospective cohort Japan Environmental and Children’s Study (JECS). The study population comprised 85,116 singleton live-birth pregnancies from the JECS database delivered between 2011 and 2014. The participants were categorized into five groups based on their preconception dietary fiber intake quintiles (Q1 and Q5 were the lowest and highest groups, respectively). Multiple logistic regression analysis was performed to determine the association between preconception dietary fiber intake and PTB. Multiple logistic regression analysis revealed that the risk for PTB before 34 weeks was lower in the Q3, Q4, and Q5 groups than in the Q1 group (Q3: adjusted odds ratio [aOR] 0.78, 95% confidence interval [CI] 0.62–0.997; Q4: aOR 0.74, 95% CI 0.57–0.95; Q5: aOR 0.68, 95% CI 0.50–0.92). However, there was no significant difference between preconception dietary fiber intake and PTB before 37 weeks. In conclusion, higher preconception dietary fiber intake correlated with a reduced the risk for PTB before 34 weeks. Therefore, new recommendations on dietary fiber intake as part of preconception care should be considered.https://www.mdpi.com/2072-6643/16/5/713birth cohort studydietary fiberpreterm birthgut microbiotavaginal microbiotapreconception care
spellingShingle Takahiro Omoto
Hyo Kyozuka
Tsuyoshi Murata
Toma Fukuda
Hirotaka Isogami
Chihiro Okoshi
Shun Yasuda
Akiko Yamaguchi
Akiko Sato
Yuka Ogata
Yuichi Nagasaka
Mitsuaki Hosoya
Seiji Yasumura
Koichi Hashimoto
Hidekazu Nishigori
Keiya Fujimori
The Japan Environment and Children’s Study Group
Association between Preconception Dietary Fiber Intake and Preterm Birth: The Japan Environment and Children’s Study
Nutrients
birth cohort study
dietary fiber
preterm birth
gut microbiota
vaginal microbiota
preconception care
title Association between Preconception Dietary Fiber Intake and Preterm Birth: The Japan Environment and Children’s Study
title_full Association between Preconception Dietary Fiber Intake and Preterm Birth: The Japan Environment and Children’s Study
title_fullStr Association between Preconception Dietary Fiber Intake and Preterm Birth: The Japan Environment and Children’s Study
title_full_unstemmed Association between Preconception Dietary Fiber Intake and Preterm Birth: The Japan Environment and Children’s Study
title_short Association between Preconception Dietary Fiber Intake and Preterm Birth: The Japan Environment and Children’s Study
title_sort association between preconception dietary fiber intake and preterm birth the japan environment and children s study
topic birth cohort study
dietary fiber
preterm birth
gut microbiota
vaginal microbiota
preconception care
url https://www.mdpi.com/2072-6643/16/5/713
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