A multicenter study of diet quality on birth weight and gestational age in infants of HIV‐infected women
We determined factors associated with diet quality and assessed the relationship between diet quality, birth weight, and gestational age in a prospective national multicenter cohort study. We evaluated diet quality with the Healthy Eating Index (HEI, scale 0–100) in the third trimester of pregnancy...
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Published in | Maternal and child nutrition Vol. 13; no. 4 |
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Main Authors | , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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England
John Wiley and Sons Inc
01.10.2017
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Abstract | We determined factors associated with diet quality and assessed the relationship between diet quality, birth weight, and gestational age in a prospective national multicenter cohort study. We evaluated diet quality with the Healthy Eating Index (HEI, scale 0–100) in the third trimester of pregnancy with three 24‐hr multiple‐pass dietary recalls in 266 HIV+ women enrolled in the Pediatric HIV/AIDS Cohort Study. Covariates included demographics, food security, pre‐pregnancy body mass index, HIV disease severity, substance use, and antiretroviral exposures. A two‐stage multivariate process using classification and regression trees (CART) followed by multiple regression described HEI tendencies, controlled possible confounding effects, and examined the association of HEI with birth weight and gestational age. To assess the stability of the CART solution, both the HEI 2005 and 2010 were evaluated. The mean HEI scores were 56.1 and 47.5 for the 2005 and 2010 HEI, respectively. The first‐stage CART analysis examined the relationship between HEI and covariates. Non‐US born versus US‐born mothers had higher HEI scores (15‐point difference, R2 = 0.28). There was a secondary partition due to alcohol/cigarette/illicit drug usage (3.5‐point difference, R2 = 0.03) among US‐born women. For the second‐stage CART adjusted multiple regression, birth weight z‐score was positively related to HEI 2005 and 2010 (partial r's > 0.13, P's ≤ 0.0398), but not gestational age (r = 0.00). We conclude that diet quality among HIV+ women is associated with higher birth weight. Despite the influence of a large cultural effect and poor prenatal behaviors, interventions to improve diet in HIV+ women may help to increase birth weight. |
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AbstractList | We determined factors associated with diet quality and assessed the relationship between diet quality, birth weight, and gestational age in a prospective national multicenter cohort study. We evaluated diet quality with the Healthy Eating Index (HEI, scale 0–100) in the third trimester of pregnancy with three 24‐hr multiple‐pass dietary recalls in 266 HIV+ women enrolled in the Pediatric HIV/AIDS Cohort Study. Covariates included demographics, food security, pre‐pregnancy body mass index, HIV disease severity, substance use, and antiretroviral exposures. A two‐stage multivariate process using classification and regression trees (CART) followed by multiple regression described HEI tendencies, controlled possible confounding effects, and examined the association of HEI with birth weight and gestational age. To assess the stability of the CART solution, both the HEI 2005 and 2010 were evaluated. The mean HEI scores were 56.1 and 47.5 for the 2005 and 2010 HEI, respectively. The first‐stage CART analysis examined the relationship between HEI and covariates. Non‐US born versus US‐born mothers had higher HEI scores (15‐point difference, R2 = 0.28). There was a secondary partition due to alcohol/cigarette/illicit drug usage (3.5‐point difference, R2 = 0.03) among US‐born women. For the second‐stage CART adjusted multiple regression, birth weight z‐score was positively related to HEI 2005 and 2010 (partial r's > 0.13, P's ≤ 0.0398), but not gestational age (r = 0.00). We conclude that diet quality among HIV+ women is associated with higher birth weight. Despite the influence of a large cultural effect and poor prenatal behaviors, interventions to improve diet in HIV+ women may help to increase birth weight. We determined factors associated with diet quality and assessed the relationship between diet quality, birth weight, and gestational age in a prospective national multicenter cohort study. We evaluated diet quality with the Healthy Eating Index (HEI, scale 0–100) in the third trimester of pregnancy with three 24‐hr multiple‐pass dietary recalls in 266 HIV+ women enrolled in the Pediatric HIV/AIDS Cohort Study. Covariates included demographics, food security, pre‐pregnancy body mass index, HIV disease severity, substance use, and antiretroviral exposures. A two‐stage multivariate process using classification and regression trees (CART) followed by multiple regression described HEI tendencies, controlled possible confounding effects, and examined the association of HEI with birth weight and gestational age. To assess the stability of the CART solution, both the HEI 2005 and 2010 were evaluated. The mean HEI scores were 56.1 and 47.5 for the 2005 and 2010 HEI, respectively. The first‐stage CART analysis examined the relationship between HEI and covariates. Non‐US born versus US‐born mothers had higher HEI scores (15‐point difference, R 2 = 0.28). There was a secondary partition due to alcohol/cigarette/illicit drug usage (3.5‐point difference, R 2 = 0.03) among US‐born women. For the second‐stage CART adjusted multiple regression, birth weight z‐score was positively related to HEI 2005 and 2010 (partial r 's > 0.13, P 's ≤ 0.0398), but not gestational age ( r = 0.00). We conclude that diet quality among HIV+ women is associated with higher birth weight. Despite the influence of a large cultural effect and poor prenatal behaviors, interventions to improve diet in HIV+ women may help to increase birth weight. We determined factors associated with diet quality and assessed the relationship between diet quality, birth weight, and gestational age in a prospective national multicenter cohort study. We evaluated diet quality with the Healthy Eating Index (HEI, scale 0-100) in the third trimester of pregnancy with three 24-hr multiple-pass dietary recalls in 266 HIV+ women enrolled in the Pediatric HIV/AIDS Cohort Study. Covariates included demographics, food security, pre-pregnancy body mass index, HIV disease severity, substance use, and antiretroviral exposures. A two-stage multivariate process using classification and regression trees (CART) followed by multiple regression described HEI tendencies, controlled possible confounding effects, and examined the association of HEI with birth weight and gestational age. To assess the stability of the CART solution, both the HEI 2005 and 2010 were evaluated. The mean HEI scores were 56.1 and 47.5 for the 2005 and 2010 HEI, respectively. The first-stage CART analysis examined the relationship between HEI and covariates. Non-US born versus US-born mothers had higher HEI scores (15-point difference, R = 0.28). There was a secondary partition due to alcohol/cigarette/illicit drug usage (3.5-point difference, R = 0.03) among US-born women. For the second-stage CART adjusted multiple regression, birth weight z-score was positively related to HEI 2005 and 2010 (partial r's > 0.13, P's ≤ 0.0398), but not gestational age (r = 0.00). We conclude that diet quality among HIV+ women is associated with higher birth weight. Despite the influence of a large cultural effect and poor prenatal behaviors, interventions to improve diet in HIV+ women may help to increase birth weight. |
Author | Siminski, Suzanne Rich, Kenneth C. Hendricks, Kristy Ludwig, David A. Butler, Laurie Neri, Daniela Gillman, Matthew W. Somarriba, Gabriel Jacobson, Denise L. Landy, David C. Kurtz‐Vraney, Joy Graham, Patricia Miller, Tracie L. |
AuthorAffiliation | 3 Department of Population Medicine Harvard Medical School and Harvard Pilgrim Health Care Institute Boston Massachusetts USA 7 Department of Pediatrics Dartmouth Medical School Lebanon New Hampshire USA 5 Amherst Office Frontier Science Technology Research Foundation INC New York USA 2 Center for Biostatistics in AIDS Research Harvard School of Public Health Boston Massachusetts USA 4 Department of Orthopedic Surgery University of Chicago Medical Center Chicago Illinois USA 6 Department of Pediatrics University of Illinois at Chicago Chicago Illinois USA 1 Division of Pediatric Clinical Research, Department of Pediatrics, Leonard M. Miller School of Medicine University of Miami Miami Florida USA |
AuthorAffiliation_xml | – name: 6 Department of Pediatrics University of Illinois at Chicago Chicago Illinois USA – name: 1 Division of Pediatric Clinical Research, Department of Pediatrics, Leonard M. Miller School of Medicine University of Miami Miami Florida USA – name: 7 Department of Pediatrics Dartmouth Medical School Lebanon New Hampshire USA – name: 5 Amherst Office Frontier Science Technology Research Foundation INC New York USA – name: 4 Department of Orthopedic Surgery University of Chicago Medical Center Chicago Illinois USA – name: 3 Department of Population Medicine Harvard Medical School and Harvard Pilgrim Health Care Institute Boston Massachusetts USA – name: 2 Center for Biostatistics in AIDS Research Harvard School of Public Health Boston Massachusetts USA |
Author_xml | – sequence: 1 givenname: Tracie L. surname: Miller fullname: Miller, Tracie L. email: tmiller2@miami.edu organization: University of Miami – sequence: 2 givenname: Denise L. surname: Jacobson fullname: Jacobson, Denise L. organization: Harvard School of Public Health – sequence: 3 givenname: Gabriel surname: Somarriba fullname: Somarriba, Gabriel organization: University of Miami – sequence: 4 givenname: Daniela surname: Neri fullname: Neri, Daniela organization: University of Miami – sequence: 5 givenname: Joy surname: Kurtz‐Vraney fullname: Kurtz‐Vraney, Joy organization: University of Miami – sequence: 6 givenname: Patricia surname: Graham fullname: Graham, Patricia organization: University of Miami – sequence: 7 givenname: Matthew W. surname: Gillman fullname: Gillman, Matthew W. organization: Harvard Medical School and Harvard Pilgrim Health Care Institute – sequence: 8 givenname: David C. surname: Landy fullname: Landy, David C. organization: University of Chicago Medical Center – sequence: 9 givenname: Suzanne surname: Siminski fullname: Siminski, Suzanne organization: Frontier Science Technology Research Foundation INC – sequence: 10 givenname: Laurie surname: Butler fullname: Butler, Laurie organization: Frontier Science Technology Research Foundation INC – sequence: 11 givenname: Kenneth C. surname: Rich fullname: Rich, Kenneth C. organization: University of Illinois at Chicago – sequence: 12 givenname: Kristy surname: Hendricks fullname: Hendricks, Kristy organization: Dartmouth Medical School – sequence: 13 givenname: David A. surname: Ludwig fullname: Ludwig, David A. organization: University of Miami |
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Keywords | birth weight dietary quality HIV healthy eating index pregnancy |
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SubjectTerms | Adult Antirheumatic Agents - therapeutic use Birth Weight Body Mass Index Diet, Healthy dietary quality Female Gestational Age healthy eating index HIV HIV Infections Humans Infant Maternal Nutritional Physiological Phenomena Mental Recall Original Pregnancy Pregnancy Complications, Infectious Pregnancy Trimesters Prospective Studies Socioeconomic Factors Young Adult |
Title | A multicenter study of diet quality on birth weight and gestational age in infants of HIV‐infected women |
URI | https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fmcn.12378 https://www.ncbi.nlm.nih.gov/pubmed/27863014 https://search.proquest.com/docview/1841803069 https://pubmed.ncbi.nlm.nih.gov/PMC5575978 |
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