Abstract
Purpose
The maternal diet has a critical role in epigenetic changes in the fetus, which has been associated with fetal brain tissue development and later onset of behavioral disorder. However, pre-pregnancy diet quality has not been examined in relation to offspring behavioral problems.
Methods
1554 mother–child dyads with mothers from the Australian longitudinal study on women’s health (ALSWH) and children from the mothers and their children’s health Study (MatCH). The healthy eating index (HEI-2015) score was used to explore maternal diet quality before pregnancy. Childhood total behavioral difficulties, internalizing (emotional and peer) and externalizing problems (hyperactivity and conduct) were assessed using the Strengths and Difficulties Questionnaire (SDQ). Multivariable logistic regression was used.
Results
211 children experienced a greater SDQ-score on total behavioral difficulties (13.6%) among the 1554 children. Better pre-pregnancy diet quality was associated with lower odds of offspring total behavioral difficulties after adjustment for potential confounders, highest vs lowest tertile (AOR = 0.52, 95% CI 0.32, 0.85) at p = 0.009. Greater adherence to the HEI-2015 score before pregnancy was also inversely associated with lower odds of offspring externalizing problems (AOR = 0.64, 95% CI 0.43, 0.94). Among the four subscales, hyperactivity and peer problems were negatively associated with better diet quality, (AOR = 0.67, 95% CI 0.47, 0.96) and (AOR = 0.63, 95% CI 0.42, 0.96), respectively.
Conclusions
We found that adherence to a diet of better quality in pre-pregnancy was associated with a lower risk of behavioral disorders in the offspring. Large prospective studies are warranted to confirm the findings.
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Abbreviations
- ALSWH:
-
Australian longitudinal study on women’s health
- ANOVA:
-
Analysis of variance
- AOR:
-
Adjusted odds ratio
- CDQ:
-
Children’s dietary questionnaire
- COR:
-
Crude odds ratio
- FFQ:
-
Food frequency questionary
- GDM:
-
Gestational diabetes mellitus
- GOF:
-
Goodness of fit
- HDP:
-
Hypertensive disorder in pregnancy
- HEI-2015:
-
Healthy eating index
- LBW:
-
Low birth weight
- MET:
-
Metabolic equivalent
- MatCH:
-
Mothers’ and their children’s health
- SDQ:
-
Strengths and difficulties questionnaire
- TEI:
-
Total energy intake
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Acknowledgments
The research on which this paper is based was conducted as part of the Australian Longitudinal Study on Women’s Health by the University of Queensland and The University of Newcastle. We are grateful to the Australian Government Department of Health for funding and to the women who provided the survey data.
Funding
DGG is supported by the UQ Research Training Scholarship. GDM holds the Australian Health and Medical Research Council Principal Research Fellowship APP1121844.
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The authors’ contributions were as follows: DGG, MW, and GDM designed the study; DGG analyzed the data and wrote the manuscript; GDM and MW critically reviewed the manuscript.
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All authors read and approved the final manuscript. The authors declare no competing interests.
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Gete, D.G., Waller, M. & Mishra, G.D. Pre-pregnancy diet quality and its association with offspring behavioral problems. Eur J Nutr 60, 503–515 (2021). https://doi.org/10.1007/s00394-020-02264-7
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DOI: https://doi.org/10.1007/s00394-020-02264-7