Literature Review: Pregnant and breastfeeding ... - Eat For Health

Reference Sausenthaler 2007Food groupsFruitsStudy typeProspective cohort study: from the LISA birth cohortLevel of evidence II (aetiology)Setting4 German cities (Munich, Leipzig, Wesel, Bad Honnef)FundingFederal Ministry for Education, Science, Research and Technology, GermanyParticipants2641 children at 2 years of ageBaseline comparisons See Confounding belowDietary assessment FFQTimingMaternal diet during the last 4 weeks of pregnancy (obtained shortly after birth, median 3 days)VariableLow intake group as reference group compared with high intake group: Citrus high intake = 3-4 times/week Apples high intake = ≥ 4 times/week Exotic fruit high intake = 3-4 times/week Bananas high intake = ≥ 4 times/week Strawberries high intake = 1-2 times/week Fruit juice high intake = 3-4 times/weekOutcomesResultsLength of followupConfoundingRisk of biasRelevanceOther commentsAllergic sensitisation, eczema at 2 yrsDoctor-diagnosed Any allergenInhalantFood allergenseczemasensitisationallergensFruitAdjusted OR (95% CI)Citrus 1.03 (0.78, 1.35) 1.82 (1.29, 2.56) 1.73 (1.18, 2.53) 1.72 (1.02, 2.92)Apples 0.92 (0.72, 1.21) 1.07 (0.77, 1.49) 1.01 (0.70, 1.46) 0.87 (0.52, 1.47)Exotic fruit 0.85 (0.66, 1.11) 0.77 (0.55, 1.07) 0.84 (0.58, 1.23) 0.64 (0.39, 1.07)Bananas 1.03 (0.77, 1.38) 1.08 (0.75, 1.55) 1.14 (0.75, 1.72) 1.10 (0.63, 1.93)Strawberries 1.02 (0.77, 1.35) 1.06 (0.75, 1.51) 0.90 (0.60, 1.34) 1.46 (0.87, 2.47)Fruit juice 1.18 (0.90, 1.54) 1.03 (0.73, 1.46) 1.12 (0.76, 1.65) 0.78 (0.47, 1.30)2 yearsCrude and adjusted results reported (adjusted for study area, sex, maternal age, maternal smoking, level of parental education, exclusive breastfeeding≥ 4 months, parental history of atopic diseases, season of birth and all dietary variablesTwo year data available for 2641/3097 children (85%): 433 lost to follow-up, 9 excluded due to chronic disease, 14 missing maternal FFQLikely to be reasonably similar to dietary intakes of Australian women in AustraliaDietary guidelines for pregnant and breastfeeding women: evidence report378