ArticleNutrition (Burbank, Los Angeles County, Calif.)2025
Racial/ethnic-derived maternal diets predict birth outcomes better than a diet derived from a combined sample among Hispanic/Latina and non-Hispanic White pregnant individuals in the ECHO Cohort.
Article in Nutrition (Burbank, Los Angeles County, Calif.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Maternal high-fat diet and risk of cardiovascular disease in offspring: a review of mechanisms, controversies, and interventions.Experimental biology and medicine (Maywood, N.J.) · 2026Review
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9 authors.
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Abstract
Little is known about diet based on maternal fasting blood glucose (FBG) and birth outcomes in diverse populations. We hypothesized that racial/ethnic-derived FBG-based diets would predict birth outcomes better than a diet derived from the overall sample. Pregnant Hispanic/Latina (n = 420) and non-Hispanic White (n = 564) individuals (combined, n=984) from two Environmental influences on Child Health Outcomes (ECHO) cohorts provided ≥ 1 24-h diet recalls. We evaluated primary (birthweight [BW]-for-age, macrosomia, large-for-gestational age, and preterm birth) and secondary (BW, gestational age [GA] at birth, low birthweight (LBW), and small-for-gestational age) birth outcomes. Reduced-rank regression with maternal FBG was used to derive dietary patterns in the combined and racial/ethnic samples. We used multivariable linear and logistic regression to estimate diet associations with birth outcomes. In each racial/ethnic group, seemingly unrelated estimation with clustering was used to test differences in diet coefficients between combined and racial/ethnic-specific models. The overall sample diet was characterized by higher intakes of refined grains and lower intakes of whole grains, solid fats, and nuts and seeds; racial/ethnic-derived diets were similar, with some exceptions. A one-standard deviation increase in the combined pattern was significantly associated with lower BW-for-age (β = -0.08, 95% confidence interval [CI]: -0.16, -0.004), BW (β = -57.5, 95% CI: -94.8, -20.2), and GA at birth (β = -0.13, 95% CI: -0.24, -0.01) and greater odds of preterm birth (OR = 1.41, 95% CI: 1.03, 1.94) and LBW (OR = 1.62, 95% CI: 1.07, 2.46), with pronounced coefficients in racial/ethnic-derived diets. Overall, racial/ethnic-derived FBG diets predicted adverse birth outcomes better than the diet derived from the overall sample in each racial/ethnic group.
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