Universität zu Köln

Ehrhardt, Christina, Deibert, Clara, Floeck, Anne, Merz, Waltraut M., Gembruch, Ulrich ORCID: 0000-0001-8284-4669, Bockler, Adeline, Doetsch, Joerg, Joisten, Christine and Ferrari, Nina (2022). Impact of Diet Quality during Pregnancy on Gestational Weight Gain and Selected Adipokines-Results of a German Cross-Sectional Study. Nutrients, 14 (7). BASEL: MDPI. ISSN 2072-6643

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Abstract

While nutrition during pregnancy is critical for the health of both mother and child, little is known about the diet quality of women during pregnancy, its correlation with gestational weight gain (GWG)/body composition, and chosen maternal adipokines. Therefore, we evaluated the Healthy Eating Index (HEI) of 110 pregnant women and analyzed its correlation with GWG/body composition, physical activity, leptin, resistin, adiponectin, and interleukin 6 (IL-6), respectively. Diet quality was medium in 63% of women, characterized by a high intake of animal-based products. HEI was negatively influenced by pre-pregnancy obesity (beta = -0.335, p = 0.004), and positively influenced by higher age (>35 yrs., beta = 0.365, p <= 0.001), upper arm circumference (beta = 0.222, p = 0.052), and total activity during the third trimester (beta = 0.258, p = 0.008). GWG was associated with pre-pregnancy obesity (beta = -0.512, p <= 0.001), thigh circumference (beta = 0.342, p = 0.007), upper arm fat area (beta = 0.208, p = 0.092), and maternal age group (>35 yrs. beta = -0.166, p = 0.082), but not with HEI. Leptin and IL-6 displayed associations with variables representative of body composition, such as pre-pregnancy BMI, thigh circumference, upper arm fat area, and upper arm circumference, but were not influenced by HEI. Neither were adiponectin and resistin. IL-6 was also associated with total activity. In conclusion, GWG, leptin, and IL-6 were influenced by nutritional status (body composition/pre-pregnancy BMI), not by maternal diet. Physical activity level also had an impact on IL-6. Thus, efforts should be intensified to improve diet quality and participation in sports before and during pregnancy, particularly in overweight or obese women.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ehrhardt, Christina UNSPECIFIED UNSPECIFIED UNSPECIFIED Deibert, Clara UNSPECIFIED UNSPECIFIED UNSPECIFIED Floeck, Anne UNSPECIFIED UNSPECIFIED UNSPECIFIED Merz, Waltraut M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Gembruch, Ulrich UNSPECIFIED orcid.org/0000-0001-8284-4669 UNSPECIFIED Bockler, Adeline UNSPECIFIED UNSPECIFIED UNSPECIFIED Doetsch, Joerg UNSPECIFIED UNSPECIFIED UNSPECIFIED Joisten, Christine UNSPECIFIED UNSPECIFIED UNSPECIFIED Ferrari, Nina UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-680342
DOI:	10.3390/nu14071515
Journal or Publication Title:	Nutrients
Volume:	14
Number:	7
Date:	2022
Publisher:	MDPI
Place of Publication:	BASEL
ISSN:	2072-6643
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PHYSICAL-ACTIVITY; PLACENTAL FUNCTION; MATERNAL OBESITY; WOMEN; RECOMMENDATIONS; NUTRITION; BARRIERS; INDEX; MET Multiple languages Nutrition & Dietetics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/68034