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Dietary patterns and their associations with postpartum weight retention: results of the MINA cohort study

  • Farah Naja,
  • Mariam Abdulmalik,
  • Jennifer Ayoub,
  • Amira Mahmoud,
  • Lara Nasreddine,
  • Nahla Hwalla,
  • Ghina Ghazeeri,
  • Anwar Nassar,
  • Khalid Yunis,
  • Saadeddine Itani,
  • Al Anoud Al Thani,
  • Zelaikha Bashwar,
  • Hiba Bawadi,
  • Aya Chatila,
  • Chirine Assi,
  • Sarah Batakji,
  • Zeina Mogharbel,
  • Sara Elfasakhany,
  • Zeinab Mahdi

摘要

Purpose

To examine the association of prepregnancy dietary patterns with postpartum weight retention at 6 months (PPWR6) among Lebanese and Qatari women.

Methods

Data for this study were derived from the Mother and Infant Nutrition Assessment (MINA) prospective cohort study conducted in Lebanon and Qatar. Pregnant women were recruited during their first trimester and were followed up for three years. For the purpose of this study, data belonging to sociodemographic characteristics of participants, prepregnancy dietary intake, prepregnancy BMI as well as weight retention at 6 months were used. Dietary intake was examined using a 98-item food frequency questionnaire. Principal component analysis was used for the derivation of dietary patterns. The associations of dietary patterns with PPWR6 were examined using simple and multiple linear regressions.

Results

Data was available for 177 participants (Lebanon: 93; Qatar: 84). Mean PPWR6 was 4.05 ± 5.29 kg. Significantly higher PPWR6 was observed among participants with pre-pregnancy overweight/obesity and among those with excessive gestational weight gain. Two dietary patterns were identified: the “Western” and the “Varied” patterns. After adjustment for confounders, a positive association was observed between the ‘Western’ pattern scores and PPWR6 (ß = 1.27; 95% CI 0.68–1.86; p value: < 0.0001).

Conclusion

Higher adherence to the Western pattern was associated with higher PPWR6 amongst women, hence underscoring the importance of public health interventions aimed at fostering healthier dietary habits during this crucial stage of the lifecycle.