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Published in: European Journal of Nutrition 8/2023

Open Access 30-08-2023 | Original Contribution

Maternal diet quality and associations with plasma lipid profiles and pregnancy-related cardiometabolic health

Authors: Paige F. van der Pligt, Konsita Kuswara, Sarah A. McNaughton, Gavin Abbott, Sheikh Mohammed Shariful Islam, Kevin Huynh, Peter J. Meikle, Aya Mousa, Stacey J. Ellery

Published in: European Journal of Nutrition | Issue 8/2023

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Abstract

Purpose

To assess the relationship of early pregnancy maternal diet quality (DQ) with maternal plasma lipids and indicators of cardiometabolic health, including blood pressure (BP), gestational diabetes mellitus (GDM) and gestational weight gain (GWG).

Methods

Women (n = 215) aged 18–40 years with singleton pregnancies were recruited at 10–20 weeks gestation. Diet quality was assessed by the Dietary Guideline Index, calculated at early ([mean ± SD]) (15 ± 3 weeks) and late (35 ± 2 weeks) pregnancy. Lipidomic analysis was performed, and 698 species across 37 lipid classes were measured from plasma blood samples collected at early (15 ± 3 weeks) and mid (27 ± 3 weeks)-pregnancy. Clinical measures (BP, GDM diagnosis, weight) and blood samples were collected across pregnancy. Multiple linear and logistic regression models assessed associations of early pregnancy DQ with plasma lipids at early and mid-pregnancy, BP at three antenatal visits, GDM diagnosis and total GWG.

Results

Maternal DQ scores ([mean ± SD]) decreased significantly from early (70.7 ± 11.4) to late pregnancy (66.5 ± 12.6) (p < 0.0005). At a false discovery rate of 0.2, early pregnancy DQ was significantly associated with 13 plasma lipids at mid-pregnancy, including negative associations with six triglycerides (TGs); TG(54:0)[NL-18:0] (neutral loss), TG(50:1)[NL-14:0], TG(48:0)[NL-18:0], TG(52:1)[NL-18:0], TG(54:1)[NL-18:1], TG(50:0)[NL-18:0]. No statistically significant associations were found between early pregnancy DQ and BP, GDM or GWG.

Conclusion

Maternal diet did not adhere to Australian Dietary Guidelines. Diet quality was inversely associated with multiple plasma TGs. This study provides novel insights into the relationship between DQ, lipid biomarkers and cardiometabolic health during pregnancy.
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Metadata
Title
Maternal diet quality and associations with plasma lipid profiles and pregnancy-related cardiometabolic health
Authors
Paige F. van der Pligt
Konsita Kuswara
Sarah A. McNaughton
Gavin Abbott
Sheikh Mohammed Shariful Islam
Kevin Huynh
Peter J. Meikle
Aya Mousa
Stacey J. Ellery
Publication date
30-08-2023
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Nutrition / Issue 8/2023
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-023-03244-3

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