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Nutrients
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Influence of Dietary Pattern, Quality, and Chrono-Nutrition on Maternal and...
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Influence of Dietary Pattern, Quality, and Chrono-Nutrition on Maternal and Offspring Health Outcomes

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutritional Epidemiology".

Deadline for manuscript submissions: closed (30 November 2022) | Viewed by 19598

Special Issue Editors

Dr. Ling-Wei Chen

E-Mail Website
Guest Editor
Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan
Interests: nutritional epidemiology; lifecourse epidemiology; DOHaD; body composition; maternal and child nutrition
Special Issues, Collections and Topics in MDPI journals
Dr. See Ling Loy

E-Mail Website
Guest Editor
Department of Reproductive Medicine, KK Women’s and Children’s Hospital, Singapore 229899, Singapore
Interests: nutritional epidemiology; life-course epidemiology; chrono-nutrition

Special Issue Information

Dear Colleagues,

There has been a paradigm shift in the field of public health nutrition to focusing on overall dietary pattern/quality, as dietary pattern holistically considers the interactions and potential synergistic influence among nutrients and foods. In addition, it has now been appreciated that non-food dietary factors, such as food timing, can improve prediction of health indicators, including plasma glycemia and lipemia. This relatively new area of research encompassing aspects of food timing, meal frequency, and fasting duration is collectively known as chrono-nutrition. While evidence on how dietary quality and timing affect one’s health in the general population is emerging, there is still a dearth of research investigating whether and how these dietary aspects affect the mothers’ health post-delivery and their offspring health trajectory during the perinatal period.

The objective of this proposed Special Issue “Influence of Dietary Pattern, Quality, and Chrono-Nutrition on Maternal and Offspring Health Outcomes” is to collect high-quality papers assessing the influence of perinatal dietary pattern and chrono-nutrition on offspring or long-term maternal health outcomes. This may include studies examining the relationships of dietary pattern/quality (data-driven or index-based) and/or chrono-nutrition during the peri-conceptional, antenatal, and postnatal periods with maternal and child physical and mental health, including but not limited to growth and metabolic health. Studies investigating determinants/predictors of dietary quality and/or chrono-nutrition will also be within the scope. We will consider submissions of epidemiological investigations, intervention studies in humans, reviews (systematic or narrative), and meta-analyses.

Dr. Ling-Wei Chen
Dr. See Ling Loy
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Nutrients is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • pregnancy
  • pre-pregnancy
  • postpartum
  • dietary pattern
  • dietary quality
  • chrono-nutrition
  • fetal programming
  • obesity
  • cardiometabolic health
  • metabolism

Published Papers (6 papers)

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Research

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13 pages, 719 KiB  
Article
Dietary Supplement Intake and Fecundability in a Singapore Preconception Cohort Study
by Chee Wai Ku, Chee Onn Ku, Liza Pui Chin Tay, Hui Kun Xing, Yin Bun Cheung, Keith M. Godfrey, Marjorelee T. Colega, Cherlyen Teo, Karen Mei Ling Tan, Yap-Seng Chong, Lynette Pei-Chi Shek, Kok Hian Tan, Shiao-Yng Chan, Shan Xuan Lim, Mary Foong-Fong Chong, Fabian Yap, Jerry Kok Yen Chan and See Ling Loy
Nutrients 2022, 14(23), 5110; https://doi.org/10.3390/nu14235110 - 01 Dec 2022
Cited by 1 | Viewed by 3171
Abstract
Subfertility is a global problem affecting millions worldwide, with declining total fertility rates. Preconception dietary supplementation may improve fecundability, but the magnitude of impact remains unclear. This prospective cohort study aimed to examine the association of preconception micronutrient supplements with fecundability, measured by [...] Read more.
Subfertility is a global problem affecting millions worldwide, with declining total fertility rates. Preconception dietary supplementation may improve fecundability, but the magnitude of impact remains unclear. This prospective cohort study aimed to examine the association of preconception micronutrient supplements with fecundability, measured by time to pregnancy (TTP). The study was conducted at KK Women’s and Children’s Hospital, Singapore, between February 2015 and October 2017, on 908 women aged 18-45 years old, who were trying to conceive and were enrolled in the Singapore PREconception Study of long-Term maternal and child Outcomes (S-PRESTO). Baseline sociodemographic characteristics and supplement intake were collected through face-to-face interviews. The fecundability ratio (FR) was estimated using discrete-time proportional hazard modelling. Adjusting for potentially confounding variables, folic acid (FA) (FR 1.26, 95% confidence interval 1.03–1.56) and iodine (1.28, 1.00–1.65) supplement users had higher fecundability compared to non-users. Conversely, evening primrose oil supplement users had lower fecundability (0.56, 0.31–0.99) than non-users. In this study, preconception FA and iodine supplementation were associated with shortened TTP, while evening primrose oil use was associated with longer TTP. Nonetheless, the association between supplement use and the magnitude of fecundability changes will need to be further confirmed with well-designed randomised controlled trials. Full article
(This article belongs to the Special Issue Influence of Dietary Pattern, Quality, and Chrono-Nutrition on Maternal and Offspring Health Outcomes)
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10 pages, 255 KiB  
Article
Maternal Consumption of Dairy Products during Pregnancy Is Associated with Decreased Risk of Emotional Problems in 5-Year-Olds: The Kyushu Okinawa Maternal and Child Health Study
by Mai Quynh Nguyen, Yoshihiro Miyake, Keiko Tanaka, Shizuka Hasuo, Keiji Takahashi, Yoshitaka Nakamura, Hitomi Okubo, Satoshi Sasaki and Masashi Arakawa
Nutrients 2022, 14(22), 4713; https://doi.org/10.3390/nu14224713 - 08 Nov 2022
Cited by 3 | Viewed by 2361
Abstract
Milk is a good source of fats, minerals, and vitamins. The present prebirth cohort study examined the association between maternal dairy product intake during pregnancy and the risk of childhood behavioral problems in 5-year-old Japanese children. Study subjects were 1199 mother–child pairs. Dietary [...] Read more.
Milk is a good source of fats, minerals, and vitamins. The present prebirth cohort study examined the association between maternal dairy product intake during pregnancy and the risk of childhood behavioral problems in 5-year-old Japanese children. Study subjects were 1199 mother–child pairs. Dietary intake was assessed using a diet history questionnaire. Emotional problems, conduct problems, hyperactivity problems, peer problems, and low prosocial behavior were assessed using the parent-reported version of the Strengths and Difficulties Questionnaire. Adjustments were made for a priori selected non-dietary confounders and potentially related dietary factors. A significant inverse exposure–response association was observed between maternal total dairy intake during pregnancy and the risk of childhood emotional problems (adjusted odds ratio [OR] between extreme quartiles, 0.62; 95% confidence interval [CI]: 0.36–1.03, p for trend, 0.04). The greater maternal consumption of cow’s milk, but not yogurt or cheese, during pregnancy was independently related to a reduced risk of emotional problems in children (adjusted OR between extreme quartiles, 0.41; 95% CI: 0.23–0.70, p for trend, 0.003). Higher maternal consumption levels of total dairy products, especially cow’s milk, during pregnancy may be associated with a decreased risk of emotional problems in 5-year-old children. Full article
(This article belongs to the Special Issue Influence of Dietary Pattern, Quality, and Chrono-Nutrition on Maternal and Offspring Health Outcomes)
17 pages, 904 KiB  
Article
The Impact of Antenatal Balanced Plate Nutrition Education for Pregnant Women on Birth Weight: A Cluster Randomised Controlled Trial in Rural Bangladesh
by Morseda Chowdhury, Camille Raynes-Greenow, Patrick Kelly, Neeloy Ashraful Alam, Kaosar Afsana, Sk Masum Billah and Michael John Dibley
Nutrients 2022, 14(21), 4687; https://doi.org/10.3390/nu14214687 - 05 Nov 2022
Cited by 2 | Viewed by 3046
Abstract
Low birth weight (LBW) is a global public health problem with the highest prevalence in South Asia. It is strongly associated with maternal undernutrition. In South Asia, intra-household food distribution is inequitable, with lower dietary adequacy in women. Evidence that nutrition education improves [...] Read more.
Low birth weight (LBW) is a global public health problem with the highest prevalence in South Asia. It is strongly associated with maternal undernutrition. In South Asia, intra-household food distribution is inequitable, with lower dietary adequacy in women. Evidence that nutrition education improves diet during pregnancy and reduces LBW is weak. We assessed the impact of nutrition education for pregnant women on birth weight in rural Bangladesh. We conducted a parallel, two-arm, cluster-randomised controlled trial, with 36 clusters allocated equally to intervention (n = 445) or standard care (n = 448). From their first trimester until delivery, intervention participants received education about eating balanced meals to meet daily dietary requirements with diverse food groups. The primary outcome of mean birth weight was 127.5 g higher in the intervention compared to control women, and the intervention reduced the risk of LBW by 57%. Post hoc analyses showed a significantly higher birth weight and a greater reduction in LBW amongst adolescent mothers. The mean number of food groups consumed was significantly higher in the intervention from the third month of pregnancy than in the control. A community-based balanced plate nutrition education intervention effectively increased mean birth weight and reduced LBW, and improved dietary diversity in rural Bangladeshi women. Full article
(This article belongs to the Special Issue Influence of Dietary Pattern, Quality, and Chrono-Nutrition on Maternal and Offspring Health Outcomes)
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10 pages, 651 KiB  
Article
Nocturnal Lifestyle Behaviours and Risk of Poor Sleep during Pregnancy
by Chee Wai Ku, Rachael Si Xuan Loo, Michelle Mei Ying Tiong, Sing Yee Clara Eng, Yin Bun Cheung, Lay See Ong, Kok Hian Tan, Mary Foong-Fong Chong, Jerry Kok Yen Chan, Fabian Yap and See Ling Loy
Nutrients 2022, 14(11), 2348; https://doi.org/10.3390/nu14112348 - 04 Jun 2022
Cited by 4 | Viewed by 2542
Abstract
The extent to which lifestyle practices at night influence sleep quality in pregnant women remains unknown. This study aimed to examine whether nocturnal behaviours were associated with poor sleep during pregnancy. We performed a cross-sectional analysis of a prospective cohort of pregnant women [...] Read more.
The extent to which lifestyle practices at night influence sleep quality in pregnant women remains unknown. This study aimed to examine whether nocturnal behaviours were associated with poor sleep during pregnancy. We performed a cross-sectional analysis of a prospective cohort of pregnant women at 18–24 gestation weeks recruited from KK Women’s and Children’s Hospital, Singapore, between 2019 and 2021. Nocturnal behaviours were assessed with questionnaires, and sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) with a global score ≥5 indicative of poor sleep quality. Modified Poisson regression and linear regression were used to examine the association between nocturnal behaviour and sleep quality. Of 299 women, 117 (39.1%) experienced poor sleep. In the covariate-adjusted analysis, poor sleep was observed in women with nocturnal eating (risk ratio 1.51; 95% confidence interval [CI] 1.12, 2.04) and nocturnal artificial light exposure (1.63; 1.24, 2.13). Similarly, nocturnal eating (β 0.68; 95% CI 0.03, 1.32) and light exposure (1.99; 1.04, 2.94) were associated with higher PSQI score. Nocturnal physical activity and screen viewing before bedtime were not associated with sleep quality. In conclusion, reducing nocturnal eating and light exposure at night could potentially improve sleep in pregnancy. Full article
(This article belongs to the Special Issue Influence of Dietary Pattern, Quality, and Chrono-Nutrition on Maternal and Offspring Health Outcomes)
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Review

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13 pages, 634 KiB  
Review
Habitual Choline Intakes across the Childbearing Years: A Review
by Emma Derbyshire, Rima Obeid and Christiane Schön
Nutrients 2021, 13(12), 4390; https://doi.org/10.3390/nu13124390 - 08 Dec 2021
Cited by 9 | Viewed by 2956
Abstract
Choline is an important nutrient during the first 1000 days post conception due to its roles in brain function. An increasing number of studies have measured choline intakes at the population level. We collated the evidence focusing on habitual choline intakes in the [...] Read more.
Choline is an important nutrient during the first 1000 days post conception due to its roles in brain function. An increasing number of studies have measured choline intakes at the population level. We collated the evidence focusing on habitual choline intakes in the preconceptual, pregnancy, and lactation life stages. We conducted a review including studies published from 2004 to 2021. Twenty-six relevant publications were identified. After excluding studies with a high choline intake (>400 mg/day; two studies) or low choline intake (<200 mg/day; one study), average choline intake in the remaining 23 studies ranged from 233 mg/day to 383 mg/day, even with the inclusion of choline from supplements. Intakes were not higher in studies among pregnant and lactating women compared with studies in nonpregnant women. To conclude, during the childbearing years and across the globe, habitual intakes of choline from foods alone and foods and supplements combined appear to be consistently lower than the estimated adequate intakes for this target group. Urgent measures are needed to (1) improve the quality of choline data in global food composition databases, (2) encourage the reporting of choline intakes in dietary surveys, (3) raise awareness about the role(s) of choline in foetal–maternal health, and (4) consider formally advocating the use of choline supplements in women planning a pregnancy, pregnant, or lactating. Full article
(This article belongs to the Special Issue Influence of Dietary Pattern, Quality, and Chrono-Nutrition on Maternal and Offspring Health Outcomes)
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Other

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24 pages, 3975 KiB  
Systematic Review
Chrononutrition during Pregnancy and Its Association with Maternal and Offspring Outcomes: A Systematic Review and Meta-Analysis of Ramadan and Non-Ramadan Studies
by Yu-En Chen, See Ling Loy and Ling-Wei Chen
Nutrients 2023, 15(3), 756; https://doi.org/10.3390/nu15030756 - 02 Feb 2023
Cited by 3 | Viewed by 4826
Abstract
Much evidence suggests that food intakes and eating patterns are major determinants of the phase of peripheral circadian clocks, and desynchronization between them is thought to contribute to the development of metabolic disorders. However, much remains to be understood about how different dimensions [...] Read more.
Much evidence suggests that food intakes and eating patterns are major determinants of the phase of peripheral circadian clocks, and desynchronization between them is thought to contribute to the development of metabolic disorders. However, much remains to be understood about how different dimensions of chrononutrition during pregnancy affect pregnant women’s and their offspring’s health outcomes. Therefore, we systematically reviewed and integrated all emerging evidence on chrononutrition during pregnancy (including meal skipping, meal frequency, night eating, and (Ramadan) fasting) and their relationships with maternal and offspring outcomes. The results suggest that meal skipping and night eating during pregnancy were generally associated with adverse pregnancy and birth outcomes, whereas no strong conclusion could be reached for meal frequency. In our meta-analysis, Ramadan fasting did not seem to be related with birth weight or gestational age at birth, but evidence for other mother–offspring outcomes was inconsistent. To further elucidate the effect of chrononutrition factors on maternal and offspring health outcomes, larger and well-conducted prospective cohort and interventional studies are needed. In addition, information on covariates such as physical activity, sleep, diet quality and quantity, fasting days, fasting period per day, and trimester exposure should also be collected and considered during analysis. Full article
(This article belongs to the Special Issue Influence of Dietary Pattern, Quality, and Chrono-Nutrition on Maternal and Offspring Health Outcomes)
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