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Laura E. Tomedi; Chung-Chou H. Chang; P.K. Newby; Rhobert W. Evans; James F. Luther; Katherine L. Wisner; Lisa M. Bodnar(Profiled Author: Katherine Leah Wisner)
Public Health Nutrition. 2013;16(8):1414-1418.Abstract
Objective Pre-pregnancy obesity has been associated with adverse birth outcomes. Poor essential fatty acid (EFA) and micronutrient status during pregnancy may contribute to these associations. We assessed the associations between pre-pregnancy BMI and nutritional patterns of maternal micronutrient and EFA status during mid-pregnancy. Design A cross-sectional analysis from a prospective cohort study. Women provided non-fasting blood samples at ≤20 weeks' gestation that were assayed for red cell EFA; plasma folate, homocysteine and ascorbic acid; and serum retinol, 25-hydroxyvitamin D, α-tocopherol, soluble transferrin receptors and carotenoids. These nutritional biomarkers were employed in a factor analysis and three patterns were derived: EFA, Micronutrients and Carotenoids. Setting The Antidepressant Use During Pregnancy Study, Pittsburgh, PA, USA. Subjects Pregnant women (n 129). Results After adjustment for parity, race/ethnicity and age, obese pregnant women were 3·0 (95 % CI 1·1, 7·7) times more likely to be in the lowest tertile of the EFA pattern and 4·5 (95 % CI 1·7, 12·3) times more likely to be in the lowest tertile of the Carotenoid pattern compared with their lean counterparts. We found no association between pre-pregnancy obesity and the Micronutrient pattern after confounder adjustment. Conclusions Our results suggest that obese pregnant women have diminished EFA and carotenoid concentrations. Copyright © 2013 The Authors.
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