Maternal diet during pregnancy and infant respiratory morbidity: A prospective study

Maternal diet during pregnancy may impact infant respiratory morbidity. The aim was to determine the association between antenatal maternal diet and respiratory morbidity of their infants during their first 6 months of life. Methods and Study Design: This prospective cohort study included healthy mo...

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Main Authors: Chong, Kai Ning, Chean, Hui E., Zaki, Rafdzah Ahmad, Taib, Siti Hawa Mohd, Majid, Hazreen Abdul, Ng, Ai Kah, Eg, Kah Peng, Hng, Shih Ying, Teh, Cindy Shuan Ju, Razali, Nuguelis, Nathan, Anna Marie, de Bruyne, Jessie Anne
Format: Article
Published: Asia Pacific Clinical Nutrition Society 2021
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Online Access:http://eprints.um.edu.my/35281/
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Summary:Maternal diet during pregnancy may impact infant respiratory morbidity. The aim was to determine the association between antenatal maternal diet and respiratory morbidity of their infants during their first 6 months of life. Methods and Study Design: This prospective cohort study included healthy mother-infant pairs. Maternal diet during the last trimester was determined with a validated food frequency questionnaire. Infant respiratory morbidity was solicited at 1, 3 and 6 months. Results: Three hundred mother-baby pairs were recruited. Maternal consumption of milk and dairy products was associated with reduced respiratory symptoms at 1 month (aOR 0.29 95% CI: 0.10, 0.86], p=0.03) and 3 months old (aOR 0.43 95% CI: 0.20, 0.93], p=0.03), while intake of confectionery items was associated with increased unscheduled doctor visits at 3 months (aOR 2.01 95% CI 1.33, 3.06], p=0.001) and increased nebuliser treatment at both 3 months (aOR 1.88 95% CI 1.12, 3.17], p=0.02) and 6 months (aOR 1.64 95% CI 1.05, 2.54], p=0.03). Finally, at 6 months, hypertensive disorders during pregnancy was associated with increased nebuliser treatment (aOR 17.3 95% CI 1.50, 199], p=0.02) while exclusive breastfeeding was associated with reduced incidence of respiratory symptoms (OR 0.47 95% CI 0.26, 0.83], p=0.01). Conclusions: Increased antenatal maternal consumption of milk and dairy products may reduce respiratory morbidity while increased consumption of confectionery items may increase respiratory morbidity in their infants during the first 6 months of life.