Staff View: Relation of preconception eating behaviours to dietary pattern trajectories and gestational weight gain from preconception to late pregnancy

Relation of preconception eating behaviours to dietary pattern trajectories and gestational weight gain from preconception to late pregnancy

Studies examining preconception eating behaviours with longitudinal dietary patterns from preconception to late pregnancy as well as gestational weight gain (GWG) are limited. We derived dietary pattern trajectories from preconception to late-pregnancy, and related preconception eating behaviours to...

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Main Authors:	Loh, Jason, Loy, See Ling, Appannah, Geeta, Colega, Marjorelee T., Godfrey, Keith M., Yap, Fabian, Chong, Yap Seng, Eriksson, Johan G., Chan, Jerry K.Y., Chan, Shiao-yng, Chong, Mary F.F., Lai, Jun S.
Format:	Article
Published:	Academic Press 2024
Online Access:	http://psasir.upm.edu.my/id/eprint/112774/ https://www.sciencedirect.com/science/article/abs/pii/S0195666324001375?via%3Dihub
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id	my.upm.eprints.112774
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spelling	my.upm.eprints.1127742024-11-12T07:21:43Z http://psasir.upm.edu.my/id/eprint/112774/ Relation of preconception eating behaviours to dietary pattern trajectories and gestational weight gain from preconception to late pregnancy Loh, Jason Loy, See Ling Appannah, Geeta Colega, Marjorelee T. Godfrey, Keith M. Yap, Fabian Chong, Yap Seng Eriksson, Johan G. Chan, Jerry K.Y. Chan, Shiao-yng Chong, Mary F.F. Lai, Jun S. Studies examining preconception eating behaviours with longitudinal dietary patterns from preconception to late pregnancy as well as gestational weight gain (GWG) are limited. We derived dietary pattern trajectories from preconception to late-pregnancy, and related preconception eating behaviours to these trajectories and GWG. Preconception eating behaviours were assessed using the Three-Factor Eating Questionnaire measuring cognitive restraint (CR) – conscious restriction of food intake, emotional eating (EE) – overeating in response to negative emotions, and uncontrolled eating (UE) – overeating with a feeling of lack of control. Dietary intakes were measured at preconception, 20–21 and 34–36 weeks' gestation with food frequency questionnaires. Dietary patterns were determined using factor analysis, and trajectories derived using group-based trajectory modelling. Inadequate and excessive GWG were defined according to Institute of Medicine guidelines based on weights at preconception and the last antenatal visit (median: 38 weeks' gestation). Two dietary patterns were derived: ‘Fast Food, Fried Snacks and Desserts (FFD)’ and ‘Soup, Fish and Vegetables (SFV)’. Adherence trajectories from preconception to late-pregnancy were characterised as consistently high (“stable-high”) and low (“stable-low”). Women with higher UE scores had higher odds of being in the “stable-high” trajectory (n = 34) of the FFD pattern [Odds Ratio (OR): 1.25, 95% Confidence Interval (CI): 1.03, 1.51], compared to “stable-low” (n = 260). Percentages of women with inadequate, adequate or excessive GWG were 21.7% (n = 70), 25.8% (n = 83), and 52.5% (n = 169), respectively; women with higher EE scores had a higher likelihood of excessive GWG [Relative Risk Ratio (RRR): 1.35, 95% CI: 1.02, 1.80], but this association was attenuated after adjusting for preconception body mass index. Eating behaviour interventions to improve dietary patterns among pregnant women may need to start as early as preconception, incorporating strategies to manage UE. Academic Press 2024 Article PeerReviewed Loh, Jason and Loy, See Ling and Appannah, Geeta and Colega, Marjorelee T. and Godfrey, Keith M. and Yap, Fabian and Chong, Yap Seng and Eriksson, Johan G. and Chan, Jerry K.Y. and Chan, Shiao-yng and Chong, Mary F.F. and Lai, Jun S. (2024) Relation of preconception eating behaviours to dietary pattern trajectories and gestational weight gain from preconception to late pregnancy. Appetite, 198. art. no. 107336. pp. 1-9. ISSN 0195-6663; eISSN: 1095-8304 https://www.sciencedirect.com/science/article/abs/pii/S0195666324001375?via%3Dihub 10.1016/j.appet.2024.107336
institution	Universiti Putra Malaysia
building	UPM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Putra Malaysia
content_source	UPM Institutional Repository
url_provider	http://psasir.upm.edu.my/
description	Studies examining preconception eating behaviours with longitudinal dietary patterns from preconception to late pregnancy as well as gestational weight gain (GWG) are limited. We derived dietary pattern trajectories from preconception to late-pregnancy, and related preconception eating behaviours to these trajectories and GWG. Preconception eating behaviours were assessed using the Three-Factor Eating Questionnaire measuring cognitive restraint (CR) – conscious restriction of food intake, emotional eating (EE) – overeating in response to negative emotions, and uncontrolled eating (UE) – overeating with a feeling of lack of control. Dietary intakes were measured at preconception, 20–21 and 34–36 weeks' gestation with food frequency questionnaires. Dietary patterns were determined using factor analysis, and trajectories derived using group-based trajectory modelling. Inadequate and excessive GWG were defined according to Institute of Medicine guidelines based on weights at preconception and the last antenatal visit (median: 38 weeks' gestation). Two dietary patterns were derived: ‘Fast Food, Fried Snacks and Desserts (FFD)’ and ‘Soup, Fish and Vegetables (SFV)’. Adherence trajectories from preconception to late-pregnancy were characterised as consistently high (“stable-high”) and low (“stable-low”). Women with higher UE scores had higher odds of being in the “stable-high” trajectory (n = 34) of the FFD pattern [Odds Ratio (OR): 1.25, 95% Confidence Interval (CI): 1.03, 1.51], compared to “stable-low” (n = 260). Percentages of women with inadequate, adequate or excessive GWG were 21.7% (n = 70), 25.8% (n = 83), and 52.5% (n = 169), respectively; women with higher EE scores had a higher likelihood of excessive GWG [Relative Risk Ratio (RRR): 1.35, 95% CI: 1.02, 1.80], but this association was attenuated after adjusting for preconception body mass index. Eating behaviour interventions to improve dietary patterns among pregnant women may need to start as early as preconception, incorporating strategies to manage UE.
format	Article
author	Loh, Jason Loy, See Ling Appannah, Geeta Colega, Marjorelee T. Godfrey, Keith M. Yap, Fabian Chong, Yap Seng Eriksson, Johan G. Chan, Jerry K.Y. Chan, Shiao-yng Chong, Mary F.F. Lai, Jun S.
spellingShingle	Loh, Jason Loy, See Ling Appannah, Geeta Colega, Marjorelee T. Godfrey, Keith M. Yap, Fabian Chong, Yap Seng Eriksson, Johan G. Chan, Jerry K.Y. Chan, Shiao-yng Chong, Mary F.F. Lai, Jun S. Relation of preconception eating behaviours to dietary pattern trajectories and gestational weight gain from preconception to late pregnancy
author_facet	Loh, Jason Loy, See Ling Appannah, Geeta Colega, Marjorelee T. Godfrey, Keith M. Yap, Fabian Chong, Yap Seng Eriksson, Johan G. Chan, Jerry K.Y. Chan, Shiao-yng Chong, Mary F.F. Lai, Jun S.
author_sort	Loh, Jason
title	Relation of preconception eating behaviours to dietary pattern trajectories and gestational weight gain from preconception to late pregnancy
title_short	Relation of preconception eating behaviours to dietary pattern trajectories and gestational weight gain from preconception to late pregnancy
title_full	Relation of preconception eating behaviours to dietary pattern trajectories and gestational weight gain from preconception to late pregnancy
title_fullStr	Relation of preconception eating behaviours to dietary pattern trajectories and gestational weight gain from preconception to late pregnancy
title_full_unstemmed	Relation of preconception eating behaviours to dietary pattern trajectories and gestational weight gain from preconception to late pregnancy
title_sort	relation of preconception eating behaviours to dietary pattern trajectories and gestational weight gain from preconception to late pregnancy
publisher	Academic Press
publishDate	2024
url	http://psasir.upm.edu.my/id/eprint/112774/ https://www.sciencedirect.com/science/article/abs/pii/S0195666324001375?via%3Dihub
_version_	1816132715566596096
score	13.226497

Relation of preconception eating behaviours to dietary pattern trajectories and gestational weight gain from preconception to late pregnancy

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