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Tytuł pozycji:

Congenital diaphragmatic hernia and maternal dietary nutrient pathways and diet quality.

Tytuł:
Congenital diaphragmatic hernia and maternal dietary nutrient pathways and diet quality.
Autorzy:
Carmichael SL; Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.; Division of Maternal-Fetal Medicine and Obstetrics, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California, USA.
Ma C; Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Witte JS; Department of Epidemiology and Biostatistics, University of California, San Francisco, California, USA.
Yang W; Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Rasmussen SA; Department of Pediatrics, University of Florida College of Medicine, Gainesville, Florida, USA.; Department of Epidemiology, University of Florida College of Public Health and Health Professions and College of Medicine, Gainesville, Florida, USA.
Brunelli L; Division of Neonatology, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Nestoridi E; Center for Birth Defects Research and Prevention, Massachusetts Department of Public Health, Boston, Massachusetts, USA.
Shaw GM; Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Feldkamp ML; Division of Medical Genetics, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Corporate Authors:
National Birth Defects Prevention Study
Źródło:
Birth defects research [Birth Defects Res] 2020 Nov; Vol. 112 (18), pp. 1475-1483. Date of Electronic Publication: 2020 Aug 03.
Typ publikacji:
Journal Article; Research Support, U.S. Gov't, P.H.S.
Język:
English
Imprint Name(s):
Original Publication: Hoboken, N.J. : John Wiley & Sons, Inc.
MeSH Terms:
Hernias, Diaphragmatic, Congenital*
Bayes Theorem ; Case-Control Studies ; Diet ; Female ; Humans ; Nutrients ; Pregnancy
References:
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Grant Information:
U01 DD001224 United States DD NCBDD CDC HHS; PA #02081 Centers for Disease Control and Prevention (CDC); NOFO #DD18-001 Centers for Disease Control and Prevention (CDC); U01 DD001226 United States DD NCBDD CDC HHS; FOA #DD09-001 Centers for Disease Control and Prevention (CDC); PA #96043 Centers for Disease Control and Prevention (CDC); FOA #DD13-003 Centers for Disease Control and Prevention (CDC)
Contributed Indexing:
Keywords: congenital diaphragmatic hernia; diet quality; maternal nutrition; nutritional factors
Entry Date(s):
Date Created: 20200804 Date Completed: 20210818 Latest Revision: 20221128
Update Code:
20240105
DOI:
10.1002/bdr2.1770
PMID:
32744808
Czasopismo naukowe
Introduction: We examined the association of congenital diaphragmatic hernia (CDH) with maternal dietary intake, using semi-Bayes hierarchical models and principal components analysis to consider intake of nutrients that contribute to one-carbon metabolism and oxidative stress pathways, and a diet quality index.
Methods: We included data on 825 cases and 11,108 nonmalformed controls born from 1997-2011 whose mother participated in the National Birth Defects Prevention Study (NBDPS), a multisite, population-based case-control study. Exposure data were from maternal telephone interviews, which included a food frequency questionnaire. Adjusted odds ratios (aOR) and 95% confidence intervals (CI) were generated from logistic regression models that included nutritional factors as continuous variables and were adjusted for maternal energy intake, race-ethnicity, parity, and vitamin supplement intake.
Results: In the semi-Bayes hierarchical model that included all nutrients and confounders, riboflavin was the only nutrient for which the 95% CI excluded 1.0; the aOR for a 1 SD increase was 0.83. The aORs were 0.79 (95% CI 0.69-0.91) for the one-carbon metabolism pathway score, 0.90 (95% CI 0.80-1.01) for oxidative stress, and 0.85 (95% CI 0.77-0.93) for diet quality (the aORs correspond to a 1 SD increase).
Conclusions: The findings from this study provide some support for the hypothesis that better prepregnancy nutrition is associated with reduced risk for CDH. These results provide etiologic clues but should be interpreted with caution given the novelty of the investigation.
(© 2020 Wiley Periodicals LLC.)

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