{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T01:07:45Z","timestamp":1788916065416,"version":"build-2803163510"},"reference-count":53,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"18","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2024,9,17]]},"abstract":"<jats:sec sec-type=\"background\" xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Little is known about the relationship of healthy diets, which are widely recommended to prevent diseases in general populations, with the risk of hypertensive disorders of pregnancy (HDP), particular among non\u2010Western populations with different dietary habits. We aimed to investigate the association between periconceptional diet quality and the risk of HDP among pregnant Japanese women.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">Dietary intake over 1\u2009year before the first trimester of pregnancy was assessed using a validated, self\u2010administered food frequency questionnaire among 81\u2009113 pregnant Japanese women who participated in a prospective cohort of the Japan Environment and Children's Study. Overall diet quality was assessed by the Balanced Diet Score (BDS) based on adherence to the country\u2010specific dietary guidelines and the Dietary Approaches to Stop Hypertension (DASH) score. Cases of HDP were identified by medical record transcription. The association between diet quality and HDP risk was examined using Bayesian logistic regression models with monotonic effects. We identified 2383 (2.9%) cases of HDP. A higher BDS was associated with a lower risk of HDP. When comparing the highest with the lowest quintile of the BDS, the adjusted odds ratio (aOR) of HDP was 0.83 (95% credible interval [CrI], 0.73\u20130.94). The DASH score and HDP risk were inversely associated in a monotonic dose\u2013response manner (aOR per 1\u2010quintile increase in the DASH score, 0.92 [95% CrI, 0.89\u20130.95]).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">A high\u2010quality diet, which is recommended for disease prevention in general populations, before conception may also reduce the risk of HDP among pregnant Japanese women.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.123.033702","type":"journal-article","created":{"date-parts":[[2024,9,11]],"date-time":"2024-09-11T10:46:05Z","timestamp":1726051565000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Association Between Periconceptional Diet Quality and Hypertensive Disorders of Pregnancy: The Japan Environment and Children's Study"],"prefix":"10.1161","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2305-0719","authenticated-orcid":false,"given":"Hitomi","family":"Okubo","sequence":"first","affiliation":[{"name":"Japan Environment and Children\u2019s Study Programme Office National Institute for Environmental Studies Ibaraki Japan"},{"name":"Japan Society for the Promotion of Science Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7772-0389","authenticated-orcid":false,"given":"Shoji F.","family":"Nakayama","sequence":"additional","affiliation":[{"name":"Japan Environment and Children\u2019s Study Programme Office National Institute for Environmental Studies Ibaraki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asako","family":"Mito","sequence":"additional","affiliation":[{"name":"Division of Maternal Medicine, Center for Maternal\u2010Fetal, Neonatal and Reproductive Medicine National Center for Child Health and Development Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2667-7653","authenticated-orcid":false,"given":"Naoko","family":"Arata","sequence":"additional","affiliation":[{"name":"Division of Maternal Medicine, Center for Maternal\u2010Fetal, Neonatal and Reproductive Medicine National Center for Child Health and Development Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michihiro","family":"Kamijima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shin","family":"Yamazaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukihiro","family":"Ohya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reiko","family":"Kishi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuo","family":"Yaegashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichi","family":"Hashimoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chisato","family":"Mori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuichi","family":"Ito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zentaro","family":"Yamagata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidekuni","family":"Inadera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeo","family":"Nakayama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomotaka","family":"Sobue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayuki","family":"Shima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seiji","family":"Kageyama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narufumi","family":"Suganuma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoichi","family":"Ohga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahiko","family":"Katoh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/hr.2016.126"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40292-023-00582-5"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(14)70227-X"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.3390\/biom11111625"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2007.03.003"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-014-0157-7"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.3945\/jn.109.104968"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.05.013"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-006143"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.114.102475"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0195103"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.121.022589"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980018002616"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199704173361601"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200101043440101"},{"key":"e_1_3_2_17_2","unstructured":"United States Department of Health and Human Services National Institutes of Health National Heart Lung and Blood Institute . Your guide to lowering your blood pressure with DASH. NIH Publication No. 06\u20104082. Originally Printed 1998. Revised 2006. Accessed November 11 2023. https:\/\/www.nhlbi.nih.gov\/files\/docs\/public\/heart\/new_dash.pdf."},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.168.7.713"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/nqaa214"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/nxz197"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12744"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.120.017503"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41430-017-0068-8"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-65912-2"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12654"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006254-200009000-00023"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1097\/GCO.0000000000000419"},{"key":"e_1_3_2_28_2","unstructured":"Ministry of Health Labour and Welfare Japan . Japanese Food Guide Spinning Top. 2005. Accessed April 20 2023. https:\/\/www.mhlw.go.jp\/bunya\/kenkou\/eiyou\u2010syokuji.html (In Japanese)."},{"key":"e_1_3_2_29_2","unstructured":"Ministry of Agriculture Forestry and Fisheries Japan . Japanese Food Guide Spinning Top. 2005. Accessed April 20 2023. https:\/\/www.maff.go.jp\/j\/balance_guide\/ (In Japanese)."},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-4887.2007.tb00294.x"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00394-018-1762-6"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2009.06.367"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i1209"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.envint.2023.107808"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114515002214"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-25"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.2188\/jea.JE20170018"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.2188\/jea.JE20150064"},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu14132594"},{"key":"e_1_3_2_40_2","volume-title":"Standard Tables of Food Composition in Japan 2010","author":"Council for Science and Technology; Ministry of Education, Culture, Sports, Science and Technology, Japan","year":"2010","unstructured":"Council for Science and Technology; Ministry of Education, Culture, Sports, Science and Technology, Japan . Standard Tables of Food Composition in Japan 2010. Official Gazette Cooperation of Japan; 2010. (In Japanese)."},{"key":"e_1_3_2_41_2","doi-asserted-by":"publisher","DOI":"10.1017\/jns.2016.36"},{"key":"e_1_3_2_42_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.envres.2023.115649"},{"key":"e_1_3_2_43_2","doi-asserted-by":"publisher","DOI":"10.14390\/jsshp.1.3"},{"key":"e_1_3_2_44_2","first-page":"1","article-title":"International standardization of physical activity level: reliability and validity study of the Japanese version of the International Physical Activity Questionnaire (IPAQ)","volume":"49","author":"Murase N","year":"2003","unstructured":"Murase N. International standardization of physical activity level: reliability and validity study of the Japanese version of the International Physical Activity Questionnaire (IPAQ). J Health Welfare Statistics (Kosei no Shihyo). 2003;49:1\u20139.","journal-title":"J Health Welfare Statistics (Kosei no Shihyo)"},{"key":"e_1_3_2_45_2","doi-asserted-by":"publisher","DOI":"10.1249\/01.MSS.0000078924.61453.FB"},{"key":"e_1_3_2_46_2","doi-asserted-by":"publisher","DOI":"10.1201\/b16018"},{"key":"e_1_3_2_47_2","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v080.i01"},{"key":"e_1_3_2_48_2","doi-asserted-by":"publisher","DOI":"10.1111\/bmsp.12195"},{"key":"e_1_3_2_49_2","doi-asserted-by":"publisher","DOI":"10.1214\/08-AOAS191"},{"key":"e_1_3_2_50_2","doi-asserted-by":"publisher","DOI":"10.1201\/9780429029608"},{"key":"e_1_3_2_51_2","doi-asserted-by":"publisher","DOI":"10.1038\/hr.2016.76"},{"key":"e_1_3_2_52_2","doi-asserted-by":"publisher","DOI":"10.5551\/jat.57802"},{"key":"e_1_3_2_53_2","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/5581570"},{"key":"e_1_3_2_54_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-022-01485-9"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.123.033702","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,28]],"date-time":"2024-11-28T12:41:43Z","timestamp":1732797703000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.123.033702"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,17]]},"references-count":53,"journal-issue":{"issue":"18","published-print":{"date-parts":[[2024,9,17]]}},"alternative-id":["10.1161\/JAHA.123.033702"],"URL":"https:\/\/doi.org\/10.1161\/jaha.123.033702","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,17]]},"assertion":[{"value":"2024-02-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e033702"}}