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The Relationship Between Nutrients Intake and Preeclampsia in Pregnant Women



Goodarzi Khoigani M1 ; Paknahad Z2 ; Mardanian F3
Authors
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Authors Affiliations
  1. 1. Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Nutrition, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Department of Obstetrics and Genecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of Research in Medical Sciences Published:2012

Abstract

BACKGROUND: This Study aimed to investigate the associations between macro-and micronutrients received in the first, second, and third trimesters and risk for preeclampsia considering demographic and reproductive characteristics and physical activity. METHODS: In this prospective cohort study, data was collected by filling a questionnaire through interviews with 700 pregnant women who had no parameters to affect pregnancy outcome (36 parameters). In addition, 48-hour dietary recalls were completed for eligible women at 11th-15th, 26th, and 34th-37th weeks of gestation. Physical activity was also assessed using a standard questionnaire. Data on 48-hour dietary recalls was analyzed using Nutrition-IV software. Data was analyzed in SPSS18 using t-test and logistic regression analysis. RESULTS: The mean value of received saturated fatty acids in the first trimester in subjects who experienced preeclampsia later in pregnancy was higher than the rest of the pregnant women (p = 0.045). Manganese intake in the third trimester was significantly less in preeclamptic subjects compared to the others (p = 0.026). Moreover, vitamin C, vitamin E, fiber, and carbohydrate intakes during the third trimester were significantly less among the women with preeclampsia compared to the rest of the studied population (p = 0.034, p = 0.049, p = 0.046, and p = 0.035, respectively). Higher manganese (OR: 0.88; 95% CI: 0.76-0.90), vitamin C (OR: 0.985; 95% CI: 0.98-0.99), vitamin E (OR: 0.99; 95% CI: 0.984-0.996), fiber (OR: 0.97; 95% CI: 0.96-0.98), saturated fatty acids (OR: 1.028; 95% CI: 1.02-1.036), and carbohydrate (OR: 0.98; 95% CI: 0.97-0.99) intake increased the chance of preeclampsia in pregnant women. CONCLUSIONS: The amounts of received saturated fat in the first trimester and manganese, vitamin C, vitamin E, fiber, and carbohydrate during the third trimester are significantly associated with preeclampsia.
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