Maternal Dietary Protein Patterns in Pregnancy and Risk of Infant Eczema
Abstract Objectives To study the relationship between maternal dietary protein patterns in pregnancy and the risk of infant eczema. Methods A total of 714 mother-child pairs from a birth cohort in Guangzhou, China were studied. Maternal dietary intake was collected by a face-to-face food frequency questionnaire(FFQ) at 20–28 weeks' gestation, and protein intake of each food group was calculated for subsequent K-means cluster analysis to determine dietary protein patterns. Telephone interviews were used to collect parent-reported infant eczema data at age 6 months. The association between maternal dietary protein patterns and infant eczema was tested by using logistic regression models, after adjustment for potential confounders. Results Cumulative incidence of eczema by 6 months of age was 51.26%. Four dietary protein patterns were identified according to the dietary protein sources, including poultry pattern (characterized by a relatively higher protein intake from poultry), plant pattern (characterized by a relatively higher protein intake from grain, soybean, vegetables, nuts and seeds), dairy and egg pattern (characterized by a relatively higher protein intake from dairy, eggs, and fruits), and red meat and seafood pattern (characterized by a relatively higher protein intake from red meat, fish and seafood). Compared to the poultry dietary pattern, plant pattern and dairy and egg pattern were associated with a reduced risk of developing infant eczema: the adjusted odds ratios (95% confidence interval) were 0.572(0.330–0.992) and 0.288(0.279–0.854) respectively. No such association was observed in red meat and seafood pattern. Conclusions The maternal plant and dairy and egg dietary protein patterns in pregnancy may be preventive against infant eczema. Funding Sources This work was supported by the National Natural Science Foundation of China (81,602,862) and the Sanming Project of Medicine in Shenzhen (SZSM201803061).