Emily Bergling, Divyani Pendleton, Emily Shore, Scott Harpin, Nancy Whitesell, Jini Puma
Implementation Factors and Teacher Experience of the Integrated Nutrition Education Program: A Mixed Methods Program Evaluation
The Journal of school health
study dietary patterns pregnancy may great importance determining potential risk obesity childhood assessed prospective association maternal adherence mediterranean diet meddiet pregnancy risk childhood overweightobesity 4 years prospective analysis involved 272 motherchild pairs eclipses study maternal diet pregnancy assessed using validated 45item foodfrequency questionnaire relative wholepregnancy meddiet score rmeddiet calculated childrens weight height measured age 4 primary outcome childhood overweightobesity based age andsexspecific bmi zscore 85th percentile using child growth standards mean maternal rmeddiet score pregnancy 98 standard deviation 23 257 children overweightobese significant differences anthropometric measurements weight height bmi found according sex higher scores boys controlling potential confounders greater maternal adherence rmeddiet pregnancy associated lower risk childhood overweightobesity highest vs lowest quartile 034 95 ci 012090 ptrend 0037 similar trends regarding association per 1point increase rmeddiet score observed stratification advanced maternal age maternal early pregnancy bmi education socioeconomic status smoking gestational weight gain findings suggest closer adherence meddiet pregnancy may protect risk offspring overweightobesity 4 years research needed explore whether associations persist across life course