Maternal diet as a risk factor for primary congenital glaucoma and defects of the anterior segment of the eye in the National Birth Defects Prevention Study.
anterior segment dysgenesis
congenital anomalies
maternal diet
primary congenital glaucoma
Journal
Birth defects research
ISSN: 2472-1727
Titre abrégé: Birth Defects Res
Pays: United States
ID NLM: 101701004
Informations de publication
Date de publication:
01 04 2020
01 04 2020
Historique:
received:
12
09
2019
revised:
10
01
2020
accepted:
18
02
2020
pubmed:
11
3
2020
medline:
19
8
2021
entrez:
11
3
2020
Statut:
ppublish
Résumé
Primary congenital glaucoma (PCG) and anterior segment defects (ASDs) are rare ocular malformations diagnosed early in life which can cause blindness. Pathogenic variants in several genes have been linked to these conditions, but little is known about nongenetic risk factors. We investigated the association between maternal nutrition and PCG and ASDs in the National Birth Defects Prevention Study, a large population-based, multicenter case-control study of major birth defects in the United States. Mothers of cases (n = 152) and control infants without a birth defect (n = 9,178) completed an interview which included a food frequency questionnaire capturing usual dietary intake in the year before pregnancy. Maternal nutrition was assessed through individual nutrient intake, calculating a Diet Quality Index for Pregnancy (DQI-P) score for each mother, and using latent class analysis to empirically derive four dietary patterns. We calculated adjusted odds ratios (aORs) and 95% confidence intervals (CI) using logistic regression. The results for individual nutrients varied, with some having an inverse or U-shaped pattern of association with increasing intake. The DQI-P was not associated with risk of PCG and ASDs (aOR 0.91; CI 0.49-1.66, highest vs. lowest quartile). The dietary pattern analysis suggested lower odds among women with a Prudent and Mexican dietary pattern (aOR 0.82, 95% CI 0.52-1.29; aOR 0.80, 95% CI 0.36-1.78, respectively) compared to those with a Western dietary pattern. We found that higher intake of some nutrients and certain dietary patterns may be inversely associated with PCG and ASDs, though caution is urged due to imprecision of estimates.
Types de publication
Journal Article
Multicenter Study
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
503-514Subventions
Organisme : Centers for Disease Control and Prevention (CDC)
ID : FOA #DD13-003
Pays : International
Organisme : NCBDD CDC HHS
ID : U01 DD001231
Pays : United States
Organisme : Centers for Disease Control and Prevention (CDC)
ID : PA #96043
Pays : International
Organisme : Centers for Disease Control and Prevention (CDC)
ID : PA #02081
Pays : International
Organisme : NCBDD CDC HHS
ID : U01 DD001226
Pays : United States
Organisme : Centers for Disease Control and Prevention (CDC)
ID : NOFO #DD18-001
Pays : International
Organisme : Centers for Disease Control and Prevention (CDC)
ID : FOA #DD09-001
Pays : International
Informations de copyright
© 2020 Wiley Periodicals, Inc.
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