{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T22:39:59Z","timestamp":1793399999926,"version":"4.5.0"},"reference-count":56,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"24","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2024,12,17]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Inflammatory diets may influence risk of cardiovascular disease. Subsequent cardiovascular disease is also influenced by adverse pregnancy outcomes (APOs) such as preterm birth, small\u2010for\u2010gestational\u2010age birth, gestational diabetes, and hypertensive disorders of pregnancy. However, the associations between inflammatory diet, APOs, and cardiometabolic health remain unclear.<\/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\">\n              We used data from the nuMoM2b (Nulliparous Pregnancy Outcomes Study Monitoring Mothers\u2010to\u2010Be) HHS (Heart Health Study) to assess the relationship between dietary quality and cardiometabolic health. We calculated Energy\u2010Adjusted Dietary Inflammatory Index scores representing the inflammatory burden in a person's diet. We used linear regression to determine the association between Energy\u2010Adjusted Dietary Inflammatory Index score and cardiometabolic outcomes. We performed stratified analyses for outcomes with a significant interaction between Energy\u2010Adjusted Dietary Inflammatory Index and APO. Data were available from 3249 participants at a median of 3.1\u2009years after delivery. Higher Energy\u2010Adjusted Dietary Inflammatory Index scores were associated with higher body mass index (B=0.29\u2009kg\/m\n              <jats:sup>2<\/jats:sup>\n              [95% CI, 0.16\u20130.42]), waist circumference (0.66\u2009cm [95% CI, 0.39\u20130.93]), diastolic blood pressure (0.26\u2009mm\u2009Hg [95% CI, 0.09\u20130.44]), mean arterial pressure (0.23\u2009mm\u2009Hg [95% CI, 0.06\u20130.40]), triglycerides (2.11\u2009mg\/dL [95% CI, 1.05\u20133.18]), creatinine (2.78\u2009mg\/dL [95% CI, 1.13\u20134.44]), insulin (exp[B]=1.04 [95% CI, 1.03\u20131.05]) and C\u2010reactive protein (exp[B]=1.07 [95% CI, 1.04\u20131.10]), and lower high\u2010density lipoprotein cholesterol (\u22120.41 mg\/dL [95% CI, \u22120.66 to \u22120.37]) (all\n              <jats:italic>P<\/jats:italic>\n              &lt;0.01). Significant interactions with APO (\n              <jats:italic>P<\/jats:italic>\n              &lt;0.05) were identified for body mass index and waist circumference, with stratified analysis revealing stronger associations for individuals with APOs.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">A more proinflammatory diet was associated with worse cardiometabolic health measures, and these relationships differed by a person's APO history. Further investigation should establish how dietary modifications after pregnancy may potentially mitigate cardiovascular disease risk.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.124.035391","type":"journal-article","created":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T12:03:56Z","timestamp":1733832236000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Dietary Inflammatory Index Is Differentially Associated With Cardiometabolic Health After Pregnancy on the Basis of Adverse Pregnancy Outcome Exposure"],"prefix":"10.1161","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0654-7539","authenticated-orcid":false,"given":"McKenzie K.","family":"Jancsura","sequence":"first","affiliation":[{"name":"College of Nursing The Ohio State University Columbus OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael 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