[Home ] [Archive]    
:: Main :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 5, Issue 1 (Jan-Mar 2018) ::
Nutr Food Sci Res 2018, 5(1): 15-21 Back to browse issues page
Nutritional Status in Preeclamptic Women: a Case-Control Study in South East of Iran
Mahdieh Sheikhi , Elham Rezaei , Seyede Hosniye Hosseini , Mahnaz Shahrakipoor , Monire Sheikhi , Sepideh Soltani
Food Security Research Center, Department of Clinical Nutrition, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract:   (227 Views)
Background and Objectives: Beyond the influence of anthropometric, demographic and race, nutrition is considered as one of the most important risk factors for development of preeclampsia (PE). The issue has grown controversial in light of recent reports. This paper, purposes to compare the nutritional and demographic status between PE women and normal pregnancy in south east of Iran.
Materials and Methods: Sixty three normal pregnant and 62 PE women were recruited to be referred to obstetrics and gynecology department of Imam-Ali Hospital, Zahedan, Iran. PE was diagnosed by using international guidelines by the expert gynecologist. Dietary intake, assessed by food frequency questionnaire (FFQ), and anthropometric measurement and medical history were collected by trained gynecologist and dietitians during the second trimester. The logistic regression model was used to assess the correlation between dietary intake and PE risk.
Results: Pregnant PE women compared with normal pregnant women had higher pre-pregnancy body mass index (BMI), cesarean delivery and low birth weight babies. There was an association between grain intake and PE risk (OR= 2.00; 95% CI=1.11-3.61). No association was found between other dietary intakes and PE risk.
Conclusions: Our findings support the association between grain intake and the risk of PE. Further prospective studies are needed to illustrate the link between dietary intake and PE status.
Keywords: Preeclampsia, Nutrition, Diet, Pregnant women
Full-Text [PDF 160 kb]   (64 Downloads)    
Type of Study: Research | Subject: Special
Received: 2017/08/21 | Accepted: 2018/01/24 | Published: 2018/01/24
1. Organization WH. WHO recommendations for prevention and treatment of pre-eclampsia and eclampsia: summary of recommendations. 2011.
2. Rahman M, Abe S, Kanda M, Narita S, Rahman M, Bilano V, et al. Maternal body mass index and risk of birth and maternal health outcomes in low and middle income countries: a systematic review and meta analysis. Obesity Reviews. 2015;16(9):758-70. [DOI:10.1111/obr.12293]
3. Xu H, Shatenstein B, Luo Z-C, Wei S, Fraser W. Role of nutrition in the risk of preeclampsia. Nutrition reviews. 2009;67(11):639-57. [DOI:10.1111/j.1753-4887.2009.00249.x]
4. Allen R, Rogozinska E, Sivarajasingam P, Khan KS, Thangaratinam S. Effect of diet and lifestyle based metabolic risk modifying interventions on preeclampsia: a meta analysis. Acta obstetricia et gynecologica Scandinavica. 2014;93(10):973-85. [DOI:10.1111/aogs.12467]
5. Poorolajal J, Jenabi E. The association between body mass index and preeclampsia: a meta-analysis. The Journal of Maternal-Fetal & Neonatal Medicine. 2016;29(22):3670-6. [DOI:10.3109/14767058.2016.1140738]
6. de Jongh B, Mackley A, Jain N, Locke R, Paul D. Effects of advanced maternal age and race/ethnicity on placental weight and placental weight/birthweight ratio in very low birthweight infants. Maternal and child health journal. 2015;19(7):1553-8. [DOI:10.1007/s10995-014-1662-1]
7. Ng S-K, Cameron CM, Hills AP, McClure RJ, Scuffham PA. Socioeconomic disparities in prepregnancy BMI and impact on maternal and neonatal outcomes and postpartum weight retention: the EFHL longitudinal birth cohort study. BMC pregnancy and childbirth. 2014;14(1):314 [DOI:10.1186/1471-2393-14-314]
8. Direkvand-Moghadam A, Khosravi A, Sayehmiri K. Predictive factors for preeclampsia in pregnant women: a unvariate and multivariate logistic regression analysis. Acta Biochim Pol. 2012 Jan 1;59(4):673-7 .
9. Pluta R, Ułamek-Kozioł M, Furmaga-Jabłońska W, Czuczwar SJ. Preeclampsia in the 21st century: Unresolved questions concerning etiology. Nutrition. 2015;31(9):1179-81.‏ [DOI:10.1016/j.nut.2015.04.016]
10. Bernardi F, Guolo F, Bortolin T, Petronilho F, Dal Pizzol F. Oxidative stress and inflammatory markers in normal pregnancy and preeclampsia. Journal of Obstetrics and Gynaecology Research. 2008 Dec 1;34(6):948-51. [DOI:10.1111/j.1447-0756.2008.00803.x]
11. Nucci LB, Schmidt MI, Duncan BB, Fuchs SC, Fleck ET, Britto MM. Nutritional status of pregnant women: prevalence and associated pregnancy outcomes. Revista de saude publica. 2001 Dec;35(6):502-7. [DOI:10.1590/S0034-89102001000600002]
12. Dodd J, Thangaratinam S. Researchers' position statement on tackling obesity in pregnancy: the International Weight Management in Pregnancy (IWIP) collaboration pleads for public health intervention. BJOG: An International Journal of Obstetrics & Gynaecology. 2016 Jan 1;123(2):163-4. [DOI:10.1111/1471-0528.13766]
13. Dodd JM, O'Brien C, Grivell RM. Preventing pre-eclampsia-are dietary factors the key?. BMC medicine. 2014 Sep 22;12(1):176. [DOI:10.1186/s12916-014-0176-4]
14. Grieger JA, Grzeskowiak LE, Clifton VL. Preconception dietary patterns in human pregnancies are associated with preterm delivery. The Journal of nutrition. 2014 Jul 1;144(7):1075-80. [DOI:10.3945/jn.114.190686]
15. Englund-Ögge L, Brantsæter AL, Sengpiel V, Haugen M, Birgisdottir BE, Myhre R, Meltzer HM, Jacobsson B. Maternal dietary patterns and preterm delivery: results from large prospective cohort study. Bmj. 2014 Mar 4;348:g1446. [DOI:10.1136/bmj.g1446]
16. Colón-Ramos U, Racette SB, Ganiban J, Nguyen TG, Kocak M, Carroll KN, Völgyi E, Tylavsky FA. Association between dietary patterns during pregnancy and birth size measures in a diverse population in Southern US. Nutrients. 2015 Feb 16;7(2):1318-32. [DOI:10.3390/nu7021318]
17. Borgen I, Aamodt G, Harsem N, Haugen M, Meltzer HM, Brantsaeter AL. Maternal sugar consumption and risk of preeclampsia in nulliparous Norwegian women. European journal of clinical nutrition. 2012 Aug 1;66(8):920-5. [DOI:10.1038/ejcn.2012.61]
18. Schoenaker DA, Soedamah-Muthu SS, Mishra GD. The association between dietary factors and gestational hypertension and pre-eclampsia: a systematic review and meta-analysis of observational studies. BMC medicine. 2014 Sep 22;12(1):157. [DOI:10.1186/s12916-014-0157-7]
19. Brantsæter AL, Haugen M, Samuelsen SO, Torjusen H, Trogstad L, Alexander J, Magnus P, Meltzer HM. A dietary pattern characterized by high intake of vegetables, fruits, and vegetable oils is associated with reduced risk of preeclampsia in nulliparous pregnant Norwegian women. The Journal of nutrition. 2009 Jun 1;139(6):1162-8. [DOI:10.3945/jn.109.104968]
20. Frederick IO, Williams MA, Dashow E, Kestin M, Zhang C, Leisenring WM. Dietary fiber, potassium, magnesium and calcium in relation to the risk of preeclampsia. The Journal of reproductive medicine. 2005 May;50(5):332-44.
21. Bobic MV, Habek D, Habek JC. Perinatal epidemiological risk factors for preeclampsia. Acta clinica Croatica. 2015 Mar;54(1):9-13. PubMed PMID: 26058236.
22. Kazemian E, Dorosti-Motlagh AR, Sotoudeh G, Eshraghian MR, Ansary S, Omidian M. Nutritional Status of Women with Gestational Hypertension Compared to Normal Pregnant Women. Hypertens Pregnancy. 2013 May;32(2):146-56. [DOI:10.3109/10641955.2013.784782]
23. Imami Afshar N, Jalilvand P, Delavar B, Radpoian L, Azemikhah A, Motlagh M. National maternal mortality surveillance sys tem. Tehran: Tandis Publication. 2010:13-4.
24. Kirbas A, Ersoy AO, Daglar K, Dikici T, Biberoglu EH, Kirbas O, et al. Prediction of Preeclampsia by First Trimester Combined Test and Simple Complete Blood Count Parameters. Journal of clinical and diagnostic research : JCDR. 2015 Nov;9(11):QC20-3. [DOI:10.7860/JCDR/2015/15397.6833]
25. Esmaillzadeh A, Azadbakht L. Major dietary patterns in relation to general obesity and central adiposity among Iranian women. J Nutr 2008 ;138(2):358-63. [DOI:10.1093/jn/138.2.358]
26. Mirmiran P, Azadbakht L, Azizi F. Dietary behaviour of Tehranian adolescents does not accord with their nutritional knowledge. Public Health Nutr 2007;10:897-901. [DOI:10.1017/S1368980007246701]
27. Willett W. Nutritional epidemiology. USA: Oxford University Press; 1998. [DOI:10.1093/acprof:oso/9780195122978.001.0001]
28. Sheykhi M, Paknahad Z, Hasanzadeh A. Dietary nutrient intake and antioxidant status in preeclamptic women. Adv Biomed Res 2015;4:183.
29. Sheikhi M, Sharifi-Zahabi E, Paknahad Z. Dietary Antioxidant Capacity and Its Association with Preeclampsia. Clinical nutrition research. 2017 Jan 1;6(1):47-54. [DOI:10.7762/cnr.2017.6.1.47]
30. Longo-Mbenza B, Tshimanga KB, Buassa-bu-Tsumbu B, Kabangu MJ. Diets rich in vegetables and physical activity are associated with a decreased risk of pregnancy induced hypertension among rural women from Kimpese, DR Congo. Niger J Med 2008;17:265-9. https://doi.org/10.4314/njm.v17i3.37393 [DOI:10.4314/njm.v17i1.37354]
31. Xu H, Shatenstein B, Luo Z-C, Wei S, Fraser W. Role of nutrition in the risk of preeclampsia. Nutrition reviews. 2014;67(11):639-57. [DOI:10.1111/j.1753-4887.2009.00249.x]
32. Chappell LC, Seed PT, Briley AL, Kelly FJ, Lee R, Hunt BJ, Parmar K, Bewley SJ, Shennan AH, Steer PJ, Poston L. Effect of antioxidants on the occurrence of pre-eclampsia in women at increased risk: a randomised trial. The Lancet. 1999 Sep 4;354(9181):810-6. https://doi.org/10.1016/S0140-6736(99)08016-2 [DOI:10.1016/S0140-6736(99)80010-5]
33. Rumbold AR, Maats FH, Crowther CA. Dietary intake of vitamin C and vitamin E and the development of hypertensive disorders of pregnancy. Eur J Obstet Gynecol Reprod Biol 2005;119:67-71. [DOI:10.1016/j.ejogrb.2004.06.027]
34. Limberaki E, Eleftheriou P, Vagdatli E, Kostoglou V, Petrou Ch. Serum antioxidant status among young, middle-aged and elderly people before and after antioxidant rich diet. Hippokratia 2012;16:118-23.
35. Zhang C, Williams MA, King IB, Dashow EE, Sorensen TK, Frederick IO, et al. Vitamin C and the risk of preeclampsia-results from dietary questionnaire and plasma assay. Epidemiology 2002;13:409-16. [DOI:10.1097/00001648-200207000-00008]
36. Klemmensen A, Tabor A, Osterdal ML, Knudsen VK, Halldorsson TI, Mikkelsen TB, et al. Intake of vitamin C and E in pregnancy and risk of pre-eclampsia: Prospective study among 57 346 women. BJOG 2009;116:964-74. [DOI:10.1111/j.1471-0528.2009.02150.x]
37. Rumbold A, Duley L, Crowther C, Haslam R. Antioxidants for preventing pre-eclampsia. Cochrane Database Syst Rev. 2005;4. [DOI:10.1002/14651858.CD004227.pub2]
38. Basaran A, Basaran M, Topatan B. Combined vitamin C and E supplementation for the prevention of preeclampsia: a systematic review and meta-analysis. Obstetrical & gynecological survey. 2010 Oct 1;65(10):653-67. [DOI:10.1097/OGX.0b013e3182095366]
39. Cohen JM, Beddaoui M, Kramer MS, Platt RW, Basso O, Kahn SR. Maternal antioxidant levels in pregnancy and risk of preeclampsia and small for gestational age birth: A systematic review and meta-analysis. PloS one. 2015 Aug 6;10(8). [DOI:10.1371/journal.pone.0135192]
Add your comments about this article
Your username or Email:

Write the security code in the box >

XML     Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Sheikhi M, Rezaei E, Hosseini S H, Shahrakipoor M, Sheikhi M, Soltani S. Nutritional Status in Preeclamptic Women: a Case-Control Study in South East of Iran. Nutr Food Sci Res. 2018; 5 (1) :15-21
URL: http://nfsr.sbmu.ac.ir/article-1-259-en.html

Volume 5, Issue 1 (Jan-Mar 2018) Back to browse issues page
Nutrition and Food Sciences Research
Persian site map - English site map - Created in 0.048 seconds with 853 queries by yektaweb 3604