ArticlePediatric obesity2017
Adherence to the Mediterranean diet during pregnancy and offspring adiposity and cardiometabolic traits in childhood.
Article in Pediatric obesity, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 6 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
74 citing papers in PubMed, 6 syntheses or guidelines pooled it, 114 citations in OpenAlex.
- Association of Pregnancy Diet with Metabolic Adverse Outcomes in Pregnant Women and Their Children: A Systematic Review and Meta-Analysis.Annals of nutrition & metabolism · 2025Pooled it
- The Effect of Dietary Components of the Mediterranean Diet on Food Allergies: A Systematic Review.Nutrients · 2023Pooled it
- Pooled it
- Adherence to the Mediterranean Diet in Pregnancy and Its Benefits on Maternal-Fetal Health: A Systematic Review of the Literature.Frontiers in nutrition · 2022Pooled it
- The Impact of Mediterranean Dietary Patterns During Pregnancy on Maternal and Offspring Health.Nutrients · 2019Pooled it
- Effect of Adherence to Mediterranean Diet during Pregnancy on Children's Health: A Systematic Review.Nutrients · 2019Pooled it
- Effects of Mediterranean diet during pregnancy on the onset of overweight or obesity in the offspring: a randomized trial.International journal of obesity (2005) · 2025Trial
- Trial
- Preconception Lifestyle and Cardiovascular Health in the Offspring of Overweight and Obese Women.Nutrients · 2019Trial
- Maternal Prenatal Diet and Colic and Eczema Among Infants.JAMA network open · 2026Article
- Maternal health behavior during pregnancy mediates the relationship between maternal stress and newborn telomere length.Brain, behavior, & immunity - health · 2026Article
- Dietary patterns are associated with gestational weight gain and nutrient adequacy during pregnancy: the effects of healthy diet in pregnancy.BMC pregnancy and childbirth · 2026Article
- Maternal Mediterranean Diet during Pregnancy and Adiposity from Early Childhood through Preadolescence.Childhood obesity (Print) · 2026Article
- Predictors of infant birth weights: Role of the Lebanese mediterranean diet, psychosocial factors and maternal health status.PloS one · 2026Article
- Associations of Metal Mixtures During Early Pregnancy With Midlife Obesity and Body Composition: A Prospective Study.Obesity (Silver Spring, Md.) · 2025Article
- Early Roots of Childhood Obesity: Risk Factors, Mechanisms, and Prevention Strategies.International journal of molecular sciences · 2025Review
- Mediterranean Diet Outcomes Across the Mother-Milk-Infant Triad: A Narrative Review.Nutrients · 2025Review
- Review
- Mediterranean Diet Adherence beyond Boundaries: Sociodemographic and Pregnancy-Related Determinants among Saudi Women.Nutrients · 2024Article
- Close Adherence to a Mediterranean Diet during Pregnancy Decreases Childhood Overweight/Obesity: A Prospective Study.Nutrients · 2024Article
14 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
14 authors at 4 institutions in 3 countries.
Funding
Abstract
backgroundIn adults, adherence to the Mediterranean diet has been inversely associated with cardiovascular risk, but the extent to which diet in pregnancy is associated with offspring adiposity is unclear. We aimed to investigate the association between adherence to Mediterranean diet in pregnancy and offspring cardiometabolic traits in two pregnancy cohorts.
methodsWe studied 997 mother-child pairs from Project Viva in Massachusetts, USA, and 569 pairs from the Rhea study in Crete, Greece. We estimated adherence to the Mediterranean diet with an a priori defined score (MDS) of nine foods and nutrients (0 to 9). We measured child weight, height, waist circumference, skin-fold thicknesses, blood pressure, and blood levels of lipids, c-reactive protein and adipokines in mid-childhood (median 7.7 years) in Viva, and in early childhood (median 4.2 years) in Rhea. We calculated cohort-specific effects and pooled effects estimates with random-effects models for cohort and child age.
resultsIn Project Viva, the mean (SD, standard deviation) MDS was 2.7 (1.6); in Rhea it was 3.8 (1.7). In the pooled analysis, for each 3-point increment in the MDS, offspring BMI z-score was lower by 0.14 units (95% CI, -0.15 to -0.13), waist circumference by 0.39 cm (95% CI, -0.64 to -0.14), and the sum of skin-fold thicknesses by 0.63 mm (95% CI, -0.98 to -0.28). We also observed lower offspring systolic (-1.03 mmHg; 95% CI, -1.65 to -0.42) and diastolic blood pressure (-0.57 mmHg; 95% CI, -0.98 to -0.16).
conclusionGreater adherence to Mediterranean diet during pregnancy may protect against excess offspring cardiometabolic risk.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.