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

Reference Stuebe 2009Dietary patterns Meat: red and processed meatsStudy typeProspective cohort study (Project Viva)Level of evidence II (aetiology)Setting8 urban and suburban obstetric offices of a multispecialty group practice in eastern Massachusetts, USAFundingUS NIH, Harvard Medical School, Harvard Pilgrim Health Care FoundationParticipants1338 women giving birth to a live singleton infant, < 22 weeks gestation at study entry; 379 (27%) were overweight (BMI ≥ 26); 703 (51%) experiencedexcessive weight gainExclusions: not fluent in EnglishBaseline comparisons See confounding belowDietary assessment FFQTimingAdministered in first and second trimesters of pregnancyComparisonRed and processed meats (serves per day)Outcomes Excessive gestational weight gain (IOM 1990)ResultsExcessive gestational weight gain: red and processed meatServes per day, medianaOR (95% CI)Inadequate/adequate GWG excessive GWGMeat 0.53 [SD0.40] 0.56 [SD0.39] 1.00 (0.74 to 1.34)FollowupConfoundingRisk of biasRelevanceOther commentsTo birthAdjusted for pre-pregnancy BMI, maternal age, race/ethnicity, smoking status, gestational age at birth, nausea in first trimester in pregnancyLow risk of bias: Of 2083 eligible women, 1388 (67%) of women had data available for analysis (31 had missing information on pre-pregnancy BMI andgestational weight gain; 226 had missing covariate information and 438 had missing data on either first or second-trimester diet and mid-pregnancyphysical activity); included women were less likely to be African-American or Hispanic, to be younger, multiparous and obeseLikely to be relevant to Australian womenDietary guidelines for pregnant and breastfeeding women: evidence report456