{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:31:20Z","timestamp":1787023880131,"version":"build-2736575974"},"reference-count":33,"publisher":"Ordem dos Medicos","issue":"6","license":[{"start":{"date-parts":[[2023,3,6]],"date-time":"2023-03-06T00:00:00Z","timestamp":1678060800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>Introduction: Preterm birth is increasing worldwide, representing a major cause of death and long-term loss of human potential among survivors. Some morbidities during pregnancy are well-known risk factors for preterm labor, but it is not yet known whether deviations from adequate dietary patterns are associated with preterm delivery. Diet may be an important modulator of chronic inflammation, and pro-inflammatory diets during pregnancy were reported to be associated with preterm birth. The aim of this study was to assess the food consumption during pregnancy of Portuguese women giving birthvery prematurely and the association between the food consumption and the major maternal morbidities during pregnancy related with preterm delivery.Material and Methods: A single-center cross-sectional observational study including consecutive Portuguese women giving birth before 33 weeks of gestation was conducted. Recall of eating habits during pregnancy was obtained within the first week after delivery, using a semi quantitative food frequency questionnaire validated for Portuguese pregnant women.Results: Sixty women with a median age of 36.0 years were included. Of these, 35% were obese or overweight at the beginning of pregnancy, 41.7% and 25.0% gained excessive or insufficient weight during pregnancy, respectively. Pregnancy-induced hypertension was present in 21.7% of cases, gestational diabetes in 18.3%, chronic hypertension in 6.7%, and type 2 diabetes mellitus in 5.0%. Pregnancy-induced hypertension was significantly associated with increased daily consumption of pastry products (31.2 vs 10.0 g, p = 0.022), fast food (39.6 vs 29.7 g, p = 0.028), bread (90.0 vs 50.0 g, p = 0.005), pasta, rice and potatoes (225.7 vs 154.3 g, p = 0.012). In a multivariate analysis, only bread consumption maintained a significant, albeit weak,association (OR = 1.021; 1.003 \u2013 1.038, p = 0.022).Conclusion: Pregnancy-induced hypertension was associated with increased consumption of pastry products, fast food, bread, pasta, rice, and potatoes, although only bread consumption had a weak but statistically significant association with pregnancy-induced hypertension in a multivariate analysis.<\/jats:p>","DOI":"10.20344\/amp.18419","type":"journal-article","created":{"date-parts":[[2023,3,6]],"date-time":"2023-03-06T16:42:27Z","timestamp":1678120947000},"page":"401-407","source":"Crossref","is-referenced-by-count":1,"title":["Eating Habits During Pregnancy of Women Giving Birth Very Prematurely: An Exploratory Analysis"],"prefix":"10.20344","volume":"36","author":[{"given":"Beatriz","family":"Teixeira","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuela","family":"Cardoso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cla\u00fadia Camila","family":"Dias","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu\u00eds","family":"Pereira-da-Silva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"E Silva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"8464","published-online":{"date-parts":[[2023,3,6]]},"reference":[{"key":"2646","doi-asserted-by":"publisher","DOI":"10.1186\/1742-4755-10-S1-S2"},{"key":"2647","unstructured":"Manuck TA, Rice MM, Bailit JL, Grobman WA, Reddy UM, Wapner RJ, et al. Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Preterm neonatal morbidity and mortality by gestational age: a contemporary cohort. Am J Obstet Gynecol. 2016;215:103.e1-14."},{"key":"2648","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2018-315778"},{"key":"2649","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3016.2001.00007.x"},{"key":"2650","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-nutr-072610-145141"},{"key":"2651","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-015-1719-9"},{"key":"2652","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-016-0204-2"},{"key":"2653","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000021172"},{"key":"2654","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S282251"},{"key":"2655","doi-asserted-by":"publisher","DOI":"10.1186\/s12937-018-0377-3"},{"key":"2656","doi-asserted-by":"publisher","DOI":"10.3945\/jn.109.114488"},{"key":"2657","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2011.579209"},{"key":"2658","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2017.02.013"},{"key":"2659","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-62447-4"},{"key":"2660","doi-asserted-by":"publisher","DOI":"10.1079\/NRR2005107"},{"key":"2661","doi-asserted-by":"publisher","DOI":"10.1080\/15592294.2017.1347241"},{"key":"2662","doi-asserted-by":"publisher","DOI":"10.3390\/nu13093130"},{"key":"2663","doi-asserted-by":"publisher","DOI":"10.1111\/j.1740-8709.2009.00199.x"},{"key":"2664","unstructured":"Teixeira D, Marinho R, Mota I, Castela C, Morais J, Pestana D, et al. Alimenta\u00e7\u00e3o e nutri\u00e7\u00e3o na gravidez. Lisboa: Dire\u00e7\u00e3o Geral de Sa\u00fade; 2021."},{"key":"2665","unstructured":"World Health Organization. Obesity: preventions and managing the global epidemic. Report on a consultive meeting. Geneva: WHO; 1997."},{"key":"2666","unstructured":"Quetelet A. Physique sociale, ou essai sur le d\u00e9veloppement des facult\u00e9s de l\u2019homme. Bruxelles: C. Muquardt; 1869."},{"key":"2667","unstructured":"Institute of Medicine (US) and National Research Council (US) Committee to Reexamine IOM Pregnancy Weight Guidelines. Weight gain during pregnancy: reexamining the guidelines. Washington: National Academies Press; 2009."},{"key":"2668","unstructured":"Teixeira D, Marinho R, Mota I, Castela C, Morais J, Pestana D, et al. Food and nutrition in pregnancy. Lisboa: Dire\u00e7\u00e3o-Geral da Sa\u00fade; 2021."},{"key":"2669","unstructured":"Lopes C, Torres D, Oliveira A, Severo M, Alarc\u00e3o V, Guiomar S, et al. Inqu\u00e9rito alimentar nacional e de atividade f\u00edsica, IAN-AF 2015-2016: relat\u00f3rio de resultados. 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