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Does maternal diet during pregnancy and lactation affect outcomes in offspring? A systematic review of food-based approaches.

Abstract

OBJECTIVES

The aim of this study was to investigate the relationship between maternal diet during pregnancy and lactation and development of atopic disorders in childhood.

METHODS

We included studies published up to August 2011 that assessed food-based maternal dietary interventions or that examined associations between maternal dietary intake during pregnancy and/or lactation and allergic outcomes (eczema, asthma, hay fever, and sensitization) in their children.

RESULTS

We included 42 studies (>40 000 children): 11 intervention studies (including 7 randomized control trials), 26 prospective cohort studies, 4 retrospective cohort studies, and 1 case-control study. In the randomized control trials, no significant difference was noted overall in the prevalence of eczema and asthma in the offspring of women on diets free from common food allergens during pregnancy. The prospective cohorts investigated a large number of potential associations, but reported few significant associations between maternal dietary intake and development of allergy. Maternal diets rich in fruits and vegetables, fish, and foods containing vitamin D and Mediterranean dietary patterns were among the few consistent associations with lower risk for allergic disease in their children. Foods associated with higher risk included vegetable oils and margarine, nuts, and fast food.

CONCLUSION

This review did not find widespread or consistent links between mothers' dietary intake and atopic outcomes in their children. However, maternal consumption of Mediterranean dietary patterns, diets rich in fruits and vegetables, fish, and vitamin D-containing foods were suggestive of benefit, requiring further evaluation.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Child Nutrition Research Centre, Women's and Children's Health Research Institute, North Adelaide, SA, Australia; School of Paediatrics and Reproductive Health, The University of Adelaide, Adelaide, SA, Australia.

    ,

    School of Paediatrics and Reproductive Health, The University of Adelaide, Adelaide, SA, Australia; ARCH: Australian Research Centre for Health of Women and Babies, The Robinson Institute, The University of Adelaide, North Adelaide, SA, Australia.

    Child Nutrition Research Centre, Women's and Children's Health Research Institute, North Adelaide, SA, Australia; School of Paediatrics and Reproductive Health, The University of Adelaide, Adelaide, SA, Australia; South Australian Health Medical Research Institute, Adelaide, SA, Australia. Electronic address: maria.makrides@health.sa.gov.au.

    Source

    MeSH

    Asthma
    Breast Feeding
    Dermatitis, Atopic
    Diet
    Feeding Behavior
    Female
    Food Hypersensitivity
    Humans
    Hypersensitivity, Immediate
    Lactation
    Maternal Nutritional Physiological Phenomena
    Pregnancy

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't
    Review
    Systematic Review

    Language

    eng

    PubMed ID

    25280403

    Citation

    Netting, Merryn J., et al. "Does Maternal Diet During Pregnancy and Lactation Affect Outcomes in Offspring? a Systematic Review of Food-based Approaches." Nutrition (Burbank, Los Angeles County, Calif.), vol. 30, no. 11-12, 2014, pp. 1225-41.
    Netting MJ, Middleton PF, Makrides M. Does maternal diet during pregnancy and lactation affect outcomes in offspring? A systematic review of food-based approaches. Nutrition. 2014;30(11-12):1225-41.
    Netting, M. J., Middleton, P. F., & Makrides, M. (2014). Does maternal diet during pregnancy and lactation affect outcomes in offspring? A systematic review of food-based approaches. Nutrition (Burbank, Los Angeles County, Calif.), 30(11-12), pp. 1225-41. doi:10.1016/j.nut.2014.02.015.
    Netting MJ, Middleton PF, Makrides M. Does Maternal Diet During Pregnancy and Lactation Affect Outcomes in Offspring? a Systematic Review of Food-based Approaches. Nutrition. 2014;30(11-12):1225-41. PubMed PMID: 25280403.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Does maternal diet during pregnancy and lactation affect outcomes in offspring? A systematic review of food-based approaches. AU - Netting,Merryn J, AU - Middleton,Philippa F, AU - Makrides,Maria, Y1 - 2014/03/12/ PY - 2013/12/06/received PY - 2014/02/04/revised PY - 2014/02/12/accepted PY - 2014/10/5/entrez PY - 2014/10/5/pubmed PY - 2015/6/2/medline KW - Allergy KW - Atopy KW - Diet KW - Lactation KW - Pregnancy KW - Sensitization Eczema Asthma SP - 1225 EP - 41 JF - Nutrition (Burbank, Los Angeles County, Calif.) JO - Nutrition VL - 30 IS - 11-12 N2 - OBJECTIVES: The aim of this study was to investigate the relationship between maternal diet during pregnancy and lactation and development of atopic disorders in childhood. METHODS: We included studies published up to August 2011 that assessed food-based maternal dietary interventions or that examined associations between maternal dietary intake during pregnancy and/or lactation and allergic outcomes (eczema, asthma, hay fever, and sensitization) in their children. RESULTS: We included 42 studies (>40 000 children): 11 intervention studies (including 7 randomized control trials), 26 prospective cohort studies, 4 retrospective cohort studies, and 1 case-control study. In the randomized control trials, no significant difference was noted overall in the prevalence of eczema and asthma in the offspring of women on diets free from common food allergens during pregnancy. The prospective cohorts investigated a large number of potential associations, but reported few significant associations between maternal dietary intake and development of allergy. Maternal diets rich in fruits and vegetables, fish, and foods containing vitamin D and Mediterranean dietary patterns were among the few consistent associations with lower risk for allergic disease in their children. Foods associated with higher risk included vegetable oils and margarine, nuts, and fast food. CONCLUSION: This review did not find widespread or consistent links between mothers' dietary intake and atopic outcomes in their children. However, maternal consumption of Mediterranean dietary patterns, diets rich in fruits and vegetables, fish, and vitamin D-containing foods were suggestive of benefit, requiring further evaluation. SN - 1873-1244 UR - https://www.unboundmedicine.com/medline/citation/25280403/Does_maternal_diet_during_pregnancy_and_lactation_affect_outcomes_in_offspring_A_systematic_review_of_food_based_approaches_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0899-9007(14)00120-8 DB - PRIME DP - Unbound Medicine ER -