Adherence to the Mediterranean Diet and Determinants Among Pregnant Women: The NELA Cohort
The Mediterranean diet represents one of the most studied dietary patterns; however, there is no single tool for measuring the grade of adherence and no single set of criteria for adapting these indices to pregnant women. We characterized the adherence to the Mediterranean diet (MDA) of pregnant wom...
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MDPI AG
2021-04-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/13/4/1248 |
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| author | Clara Suárez-Martínez Genoveva Yagüe-Guirao Marina Santaella-Pascual Patricia Peso-Echarri Jesús Vioque Eva Morales Luis García-Marcos Carmen Martínez-Graciá The NELA Study Group |
| author_facet | Clara Suárez-Martínez Genoveva Yagüe-Guirao Marina Santaella-Pascual Patricia Peso-Echarri Jesús Vioque Eva Morales Luis García-Marcos Carmen Martínez-Graciá The NELA Study Group |
| author_sort | Clara Suárez-Martínez |
| collection | DOAJ |
| description | The Mediterranean diet represents one of the most studied dietary patterns; however, there is no single tool for measuring the grade of adherence and no single set of criteria for adapting these indices to pregnant women. We characterized the adherence to the Mediterranean diet (MDA) of pregnant women participating in the NELA (Nutrition in Early Life and Asthma) cohort and identified the sociodemographic determinants and lifestyle habits associated with a higher risk of a low MDA. Maternal diet during gestation was assessed by a validated Food Frequency Questionnaire (FFQ) (<i>n</i> = 665). We estimated the Relative Mediterranean Diet score (rMED), Alternative Mediterranean Diet score (aMED), and the Alternate Healthy Eating Index-2010 (AHEI-2010). Multivariate regression models were performed to identify the sociodemographic and lifestyle factors associated with each index. Mothers with a lower age and more previous deliveries had a greater probability of low MDA (<i>p</i> < 0.05). For the aMED index only, mothers with university education and/or who practiced sport activities for two or more hours per week had a lower probability of a low MDA (<i>p</i> < 0.01). The three indices classified the NELA cohort as having a medium level of adherence. These results may be improved by designing intervention strategies and dietary recommendations for both maternal and offspring health. |
| first_indexed | 2024-03-10T12:27:34Z |
| format | Article |
| id | doaj.art-f4f4016816344106bebffdadfde83fae |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T12:27:34Z |
| publishDate | 2021-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-f4f4016816344106bebffdadfde83fae2023-11-21T14:59:00ZengMDPI AGNutrients2072-66432021-04-01134124810.3390/nu13041248Adherence to the Mediterranean Diet and Determinants Among Pregnant Women: The NELA CohortClara Suárez-Martínez0Genoveva Yagüe-Guirao1Marina Santaella-Pascual2Patricia Peso-Echarri3Jesús Vioque4Eva Morales5Luis García-Marcos6Carmen Martínez-Graciá7The NELA Study GroupBiomedical Research Institute of Murcia (IMIB-Arrixaca), 30120 Murcia, SpainBiomedical Research Institute of Murcia (IMIB-Arrixaca), 30120 Murcia, SpainBiomedical Research Institute of Murcia (IMIB-Arrixaca), 30120 Murcia, SpainBiomedical Research Institute of Murcia (IMIB-Arrixaca), 30120 Murcia, SpainHealth and Biomedical Research Institute of Alicante (ISABIAL-UMH), 46020 Alicante, SpainBiomedical Research Institute of Murcia (IMIB-Arrixaca), 30120 Murcia, SpainBiomedical Research Institute of Murcia (IMIB-Arrixaca), 30120 Murcia, SpainBiomedical Research Institute of Murcia (IMIB-Arrixaca), 30120 Murcia, SpainThe Mediterranean diet represents one of the most studied dietary patterns; however, there is no single tool for measuring the grade of adherence and no single set of criteria for adapting these indices to pregnant women. We characterized the adherence to the Mediterranean diet (MDA) of pregnant women participating in the NELA (Nutrition in Early Life and Asthma) cohort and identified the sociodemographic determinants and lifestyle habits associated with a higher risk of a low MDA. Maternal diet during gestation was assessed by a validated Food Frequency Questionnaire (FFQ) (<i>n</i> = 665). We estimated the Relative Mediterranean Diet score (rMED), Alternative Mediterranean Diet score (aMED), and the Alternate Healthy Eating Index-2010 (AHEI-2010). Multivariate regression models were performed to identify the sociodemographic and lifestyle factors associated with each index. Mothers with a lower age and more previous deliveries had a greater probability of low MDA (<i>p</i> < 0.05). For the aMED index only, mothers with university education and/or who practiced sport activities for two or more hours per week had a lower probability of a low MDA (<i>p</i> < 0.01). The three indices classified the NELA cohort as having a medium level of adherence. These results may be improved by designing intervention strategies and dietary recommendations for both maternal and offspring health.https://www.mdpi.com/2072-6643/13/4/1248dietary patternMediterranean diethealthy dietpregnancylifestylesociodemographic factors |
| spellingShingle | Clara Suárez-Martínez Genoveva Yagüe-Guirao Marina Santaella-Pascual Patricia Peso-Echarri Jesús Vioque Eva Morales Luis García-Marcos Carmen Martínez-Graciá The NELA Study Group Adherence to the Mediterranean Diet and Determinants Among Pregnant Women: The NELA Cohort Nutrients dietary pattern Mediterranean diet healthy diet pregnancy lifestyle sociodemographic factors |
| title | Adherence to the Mediterranean Diet and Determinants Among Pregnant Women: The NELA Cohort |
| title_full | Adherence to the Mediterranean Diet and Determinants Among Pregnant Women: The NELA Cohort |
| title_fullStr | Adherence to the Mediterranean Diet and Determinants Among Pregnant Women: The NELA Cohort |
| title_full_unstemmed | Adherence to the Mediterranean Diet and Determinants Among Pregnant Women: The NELA Cohort |
| title_short | Adherence to the Mediterranean Diet and Determinants Among Pregnant Women: The NELA Cohort |
| title_sort | adherence to the mediterranean diet and determinants among pregnant women the nela cohort |
| topic | dietary pattern Mediterranean diet healthy diet pregnancy lifestyle sociodemographic factors |
| url | https://www.mdpi.com/2072-6643/13/4/1248 |
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