OBJECTIVES: The aim of this study was to identify dietary patterns in a Czech pregnancy cohort established in the early postcommunist era and investigate associations between dietary patterns, maternal characteristics and birth outcomes. METHODS: Pregnant women were recruited for the Czech part of the European Longitudinal Study of Pregnancy and Childhood. A self-reported questionnaire answered in late pregnancy was used to assess information about the weekly intake of 43 food items. Information about birth outcomes (birth weight, height, ponderal index, head circumference, cephalisation index, gestational length and Apgar score) was obtained from the National Registry of Newborns. Complete details on diet and birth outcomes were available for 4320 mother-infant pairs. RESULTS AND CONCLUSION: The food items were aggregated into 28 variables and used for extraction of two dietary patterns by principal component factor analysis. The patterns were denoted 'unhealthy' and 'healthy/traditional' based on the food items with the highest factor loadings on each pattern. The 'unhealthy' pattern had high positive loadings on meat, processed food and confectionaries. In contrast, the 'healthy/traditional' pattern had high positive loadings on vegetables, dairy, fruits and wholemeal bread. Following adjustment for covariates, we found that high adherence to the unhealthy pattern (expressed as beta for 1 unit increase in pattern score), that is, the higher consumption of less healthy foods, was associated with lower birth weight: -23.8 g (95% CI -44.4 to -3.2) and length: -0.10 cm (95% CI -0.19 to -0.01) and increased cephalisation index: 0.91 μm/g (95% CI 0.23 to 1.60). The 'healthy/traditional' pattern was not associated with any birth outcomes. This study supports the recommendation to eat a healthy and balanced diet during pregnancy.
- MeSH
- dieta * MeSH
- dítě MeSH
- kohortové studie MeSH
- lidé MeSH
- longitudinální studie MeSH
- novorozenec MeSH
- porodní hmotnost MeSH
- těhotenství MeSH
- zelenina * MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- novorozenec MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
Background: The relationship between low iodine status and pregnancy-associated comorbidities has been known for decades. The relationship between iodine intake and placental pathologies is, however, far less clear. This study was designed to examine the relationship between dietary iodine intake and placental size while also focusing on typical adverse pregnancy outcomes. Method: The dietary iodine intake of 4711 pregnant women enrolled in the Czech part of the European Longitudinal Study of Pregnancy and Childhood (ELSPAC) in 1990-1991 was established using a 145-item food frequency questionnaire. Multivariate linear regression models were used to estimate the relationship between dietary iodine intake during pregnancy and placental weight. Additional models were constructed to investigate the relationship between estimated dietary iodine intake and adverse birth outcomes. Results: The estimated average iodine intake in the ELSPAC cohort was 106.6 μg/day. In the fully adjusted model, estimated dietary iodine intake was found to be significantly negatively associated with placental weight (β = -0.025, 95% CI: -0.044; -0.006,p = 0.011). Moreover, estimated dietary iodine intake was found to be significantly positively associated with the birth weight / placental weight ratio in the fully adjusted model (β = -0.024, 95% CI: 0.004; 0.043,p = 0.016). Conclusions: This study provides evidence of a relationship between estimated dietary iodine intake and placental weight and the birth weight / placental weight ratio. Additional research is warranted to provide more insight into the role of iodine in early as well as late placentation.
- Publikační typ
- časopisecké články MeSH
Rozšíření informačních technologií v České republice má dlouhodobě vzrůstající charakter. S rozvojem informačních technologií se zvyšují i možnosti zdravotní péče. Nástupem sociálních médií se otevřely nové možnosti komunikace a distribuce informací, na které mohou reagovat instituce ve zdravotnictví. Ty mají k dispozici nástroje, které nemají v současné době pevná pravidla užití a nabízí velké možnosti i velká rizika. V České republice je využití sociálních médií ve zdravotnictví ve srovnání se zahraničím sporadické a neinteraktivní, informace pro pacienty jsou příliš složité a jsou poskytovány nevhodným způsobem. Srovnání dobrých a špatných příkladů využití sociálních médií umožní hledání nových možností v českém prostředí. Při respektu požadavků kladených na formu informace ze strany pacientů je možné zajistit jejich vyšší míru spolupráce a tak dosáhnout lepších výsledků léčby a současně úspor ve zdravotnictví.
Expansion of information technology in the Czech Republic has a growing character over a long period. The possibilities of health care increase together with the development of information technology. The arrival of social media has offered new possibilities for communication and information distribution, to which health care institutions can react. Those have a tool that is not currently adjusted by fixed rules and offers great opportunities and great risks. In the Czech Republic is the use of social media in health care, in the comparison to other countries, too sporadic and non-interactive, pieces of information for patients are too complex and are provided in an inappropriate manner. The comparison of good and bad examples of the use of social media enables searching for new possibilities in the Czech Republic. In respect of requirements for information from patients, it is possible to ensure their greater compliance and to achieve better treatment outcomes, while achieving savings in the health care.
Zdravá rodina
1. vyd. 132 s. : il., tab. ; 21 cm
- MeSH
- chemické látky - účinky a užití MeSH
- fyziologické účinky léků MeSH
- fyziologie výživy v mateřství MeSH
- fyziologie výživy v těhotenství MeSH
- kojení MeSH
- komplikace těhotenství farmakoterapie MeSH
- léčivé přípravky kontraindikace MeSH
- poporodní období MeSH
- těhotné ženy MeSH
- Publikační typ
- populární práce MeSH
- příručky MeSH
