Dietary Patterns, Their Nutrients, and Associations with Socio-Demographic and Lifestyle Factors in Older New Zealand Adults

Dietary patterns analyse combinations of foods eaten. This cross-sectional study identified dietary patterns and their nutrients. Associations between dietary patterns and socio-demographic and lifestyle factors were examined in older New Zealand adults. Dietary data (109-item food frequency questionnaire) from the Researching Eating, Activity and Cognitive Health (REACH) study (n = 367, 36% male, mean age = 70 years) were collapsed into 57 food groups. Using principal component analysis, three dietary patterns explained 18% of the variation in diet. Dietary pattern associations with sex, age, employment, living situation, education, deprivation score, physical activity, alcohol, and smoking, along with energy-adjusted nutrient intakes, were investigated using regression analysis. Higher ‘Mediterranean’ dietary pattern scores were associated with being female, higher physical activity, and higher education (p < 0.001, R2 = 0.07). Higher ‘Western’ pattern scores were associated with being male, higher alcohol intake, living with others, and secondary education (p < 0.001, R2 = 0.16). Higher ‘prudent’ pattern scores were associated with higher physical activity and lower alcohol intake (p < 0.001, R2 = 0.15). There were positive associations between beta-carotene equivalents, vitamin E, and folate and ‘Mediterranean’ dietary pattern scores (p < 0.0001, R2 ≥ 0.26); energy intake and ‘Western’ scores (p < 0.0001, R2 = 0.43); and fibre and carbohydrate and ‘prudent’ scores (p < 0.0001, R2 ≥ 0.25). Socio-demographic and lifestyle factors were associated with dietary patterns. Understanding relationships between these characteristics and dietary patterns can assist in health promotion.

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Clustering of Dietary Patterns and Lifestyles Among Spanish Children in the EsNuPI Study †

Nutrients ◽

10.3390/nu12092536 ◽

2020 ◽

Vol 12 (9) ◽

pp. 2536

Author(s):

Julio Plaza-Díaz ◽

Esther Molina-Montes ◽

María José Soto-Méndez ◽

Casandra Madrigal ◽

Ángela Hernández-Ruiz ◽

...

Keyword(s):

Dietary Patterns ◽

Dietary Pattern ◽

Parental Education ◽

Dietary Habits ◽

Pediatric Population ◽

Age Groups ◽

Principal Component ◽

Lifestyle Factors ◽

Study Cohort ◽

Food Groups

Dietary patterns (DPs) are known to be tied to lifestyle behaviors. Understanding DPs and their relationships with lifestyle factors can help to prevent children from engaging in unhealthy dietary practices. We aimed to describe DPs in Spanish children aged 1 to <10 years and to examine their associations with sociodemographic and lifestyle variables. The consumption of toddler and young children milk formulas, enriched and fortified milk within the Spanish pediatric population is increasing, and there is a lack of evidence whether the consumption of this type of milk is causing an impact on nutrient intakes and if they are helping to reach the nutrient recommendations. Within the Nutritional Study in the Spanish Pediatric Population (EsNuPI), we considered two study cohorts and three different age groups in three year-intervals in each of them. The study cohort included 740 children in a representative sample of the urban non-vegan Spanish population and 772 children in a convenience cohort of adapted milk consumers (AMS) (including follow-on formula, toddler’s milk, growing up milk, and fortified and enriched milks) who provided information about sociodemographics, lifestyle, and dietary habits; a food frequency questionnaire was used for the latter. Principal component analysis was performed to identify DPs from 18 food groups. Food groups and sociodemographic/lifestyle variables were combined through a hierarchical cluster algorithm. Three DPs predominated in every age group and study sample: a palatable energy-dense food dietary pattern, and two Mediterranean-like DPs. However, children from the AMS showed a predominant dietary pattern markedly related to the Mediterranean diet, with high consumption of cereals, fruits and vegetables, as well as milk and dairy products. The age of children and certain lifestyle factors, namely level of physical activity, parental education, and household income, correlated closely with the dietary clusters. Thus, the findings provide insight into designing lifestyle interventions that could reverse the appearance of unhealthy DPs in the Spanish child population.

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Adherence to the Mediterranean dietary pattern among Balearic Islands adolescents

British Journal Of Nutrition ◽

10.1017/s0007114509993576 ◽

2010 ◽

Vol 103 (11) ◽

pp. 1657-1664 ◽

Cited By ~ 43

Author(s):

Elisa Martínez ◽

Rosa Llull ◽

Maria del Mar Bibiloni ◽

Antoni Pons ◽

Josep A. Tur

Keyword(s):

Physical Activity ◽

Dietary Pattern ◽

Parental Education ◽

Dietary Habits ◽

Economic Status ◽

Lifestyle Factors ◽

Balearic Islands ◽

Cross Sectional ◽

Mediterranean Dietary Pattern ◽

The Mediterranean

The aim of the present work was to assess the prevalence of the Mediterranean dietary pattern (MDP) in Balearic Islands adolescents, and socio-demographic and lifestyle factors that might determine adherence to the MDP. A cross-sectional nutritional survey was carried out in the Balearic Islands between 2007 and 2008. A random sample (n1231) of the adolescent population (12–17 years old) was interviewed. Dietary questionnaires and a general questionnaire incorporating questions related to socio-economic status, parental education level and lifestyle factors were used. Dietary habits were assessed by means of two 24 h recalls and a quantitative FFQ. Adherence to the MDP was defined according to a score constructed considering the consumption of nine MDP characteristic components: high MUFA:SFA ratio, moderate ethanol consumption, high legumes, cereals and roots, fruits, vegetables and fish consumption, and low consumption of meat and milk. Then, socio-demographic, lifestyle and health status variables that could determine a higher or ower adherence were assessed. The mean adherence was 57·9 (sd8·9) % and the median adherence was 57·3 %. Half of the Balearic Islands adolescents (50·5 %) showed an adherence to the MDP comprised between 52·7 and 62·8 %. By multivariate analyses, a high maternal level of education, increased physical activity, reduced alcohol intake and abstinence from smoking were independent associations of better adherence to the MDP. The promotion of not only the MDP but also the Mediterranean lifestyle, including greater physical activity, should be reinforced among the Balearic younger generations.

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Dietary Patterns in New Zealand Women: Evaluating Differences in Body Composition and Metabolic Biomarkers

Nutrients ◽

10.3390/nu11071643 ◽

2019 ◽

Vol 11 (7) ◽

pp. 1643 ◽

Cited By ~ 4

Author(s):

Shakeela N. Jayasinghe ◽

Bernhard H. Breier ◽

Sarah A. McNaughton ◽

Aaron P. Russell ◽

Paul A. Della Gatta ◽

...

Keyword(s):

Body Composition ◽

New Zealand ◽

Dietary Patterns ◽

Dietary Pattern ◽

Principal Component ◽

Food Groups ◽

Total Body ◽

Study Participants ◽

Plasma Leptin ◽

Metabolic Biomarkers

The combinations of food consumed together (dietary patterns) may have a greater influence on health than nutrients or food groups consumed independently. This study investigated the relationship between dietary patterns, body composition and metabolic biomarkers of premenopausal New Zealand women from three ethnic groups. In total, 408 New Zealand European, Māori and Pacific women aged 16–45 years participated in the Women’s EXPLORE (EXamining Predictors Linking Obesity Related Elements) study. Participants completed a 220-item food frequency questionnaire. Several body composition parameters and metabolic biomarkers were measured. Dietary patterns were extracted by principal component analysis and dietary pattern scores were categorised into tertiles to assess links with other measured parameters. Women with higher scores for the ‘refined and processed’ pattern were younger, had higher body mass index, total body fat, plasma leptin and plasma insulin (p < 0.001), and lower plasma ghrelin levels (p < 0.05) than women with lower scores. In addition, more Māori (51%) and Pacific (68%) women followed the ‘refined and processed’ pattern, while more New Zealand European women (40%) followed the ‘sweet and savoury snacking’ pattern. These data show that dietary pattern analysis is a useful tool to assess links between diet and metabolic health. It further reveals interesting ethnic group-specific differences in dietary pattern use.

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Comparison of two exploratory dietary patterns in association with the metabolic syndrome in a Northern German population

British Journal Of Nutrition ◽

10.1017/s0007114514002098 ◽

2014 ◽

Vol 112 (8) ◽

pp. 1364-1372 ◽

Cited By ~ 33

Author(s):

Janett Barbaresko ◽

Sabine Siegert ◽

Manja Koch ◽

Imke Aits ◽

Wolfgang Lieb ◽

...

Keyword(s):

Metabolic Syndrome ◽

Dietary Patterns ◽

Dietary Pattern ◽

Dietary Guidelines ◽

Processed Meat ◽

German Population ◽

Food Groups ◽

Reduced Rank Regression ◽

Cross Sectional ◽

The Metabolic Syndrome

Diet is related to many chronic disease conditions such as the metabolic syndrome (MetS). We set out to compare behaviour-related with disease-related patterns and their association with the MetS in a German cross-sectional study. A total of 905 participants of a Northern German cohort (aged 25–82 years) completed a FFQ, underwent anthropometric assessments and provided a blood sample. Dietary patterns were derived by principal component analysis (PCA) and reduced-rank regression (RRR) from forty-two food groups. Components of the MetS were used as response variables for the RRR analysis. Simplified patterns comprising ten food groups were generated. Logistic regression analysis was performed to evaluate the likelihood of having the MetS across the quartiles of simplified pattern scores. We identified two similar dietary patterns derived by PCA and RRR characterised by high intakes of potatoes, various vegetables, red and processed meat, fats, sauce and bouillon. Comparing simplified patterns, an increased RRR pattern score was associated with a higher OR (2·18, 95 % CI 1·25, 3·81) of having the MetS than an increased PCA pattern score (OR 1·92, 95 % CI 1·21, 3·03). Comparing concordant food groups by both dietary pattern methods, a diet high in legumes, beef, processed meat and bouillon was also positively associated with the prevalence of the MetS after adjustment for potential confounders (OR 1·71, 95 % CI 1·04, 2·79). We identified a behaviour-related pattern that was positively associated with the MetS. The application of both dietary pattern methods may be advantageous to obtain information for designing and realising dietary guidelines. Prospective studies are needed to confirm the results.

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Influence of Physical Activity on Bone Mineral Content and Density in Overweight and Obese Children with Low Adherence to the Mediterranean Dietary Pattern

Nutrients ◽

10.3390/nu10081075 ◽

2018 ◽

Vol 10 (8) ◽

pp. 1075 ◽

Cited By ~ 3

Author(s):

Victoria Muñoz-Hernandez ◽

Lide Arenaza ◽

Luis Gracia-Marco ◽

Maria Medrano ◽

Elisa Merchan Ramirez ◽

...

Keyword(s):

Physical Activity ◽

Bone Mineral Content ◽

Bone Mineral ◽

Dietary Pattern ◽

Mineral Content ◽

Overweight And Obesity ◽

Moderate Intensity ◽

Obese Children ◽

Mediterranean Dietary Pattern ◽

The Mediterranean

The objective of the present cross-sectional study was to examine the associations of physical activity and the adherence to the Mediterranean dietary pattern (MDP) with bone mineral content (BMC) and density (BMD) in children with overweight and obesity. A total of 177 (n = 80 girls) children with overweight and obesity aged 8 to 12 years old participated in the study. Both BMC and BMD were assessed by Dual-Energy X-ray absorptiometry. Dietary patterns were assessed by the KIDMED questionnaire and two 24-hour recalls. Physical activity was assessed by accelerometers for 7 consecutive days (24 hours/day). Low adherence to the MDP was observed in 82.4% of participants. Higher physical activity levels (of at least moderate intensity) and lower sedentary time were significantly associated with BMC and BMD in children with low adherence to the MDP (all p < 0.05). No associations were observed between physical activity and BMC and BMD in children with high adherence to the MDP. In conclusion, engaging in moderate to vigorous physical activity and reducing the time spent in sedentary behavior might be particularly beneficial for improving bone health in overweight or obese children with poor adherence to the Mediterranean dietary pattern.

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Comparing two methods for deriving dietary patterns associated with risk of metabolic syndrome among middle-aged and elderly Taiwanese adults with impaired kidney function

10.21203/rs.3.rs-29635/v2 ◽

2020 ◽

Author(s):

Adi Lukas Kurniawan ◽

Chien-Yeh Hsu ◽

Hsiu-An Lee ◽

Hsiao-Hsien Rau ◽

Rathi Paramastri ◽

...

Keyword(s):

Metabolic Syndrome ◽

Kidney Function ◽

Dietary Patterns ◽

Dietary Pattern ◽

Density Lipoprotein ◽

Principal Component ◽

Dietary Guidelines ◽

Food Groups ◽

Reduced Rank Regression ◽

Sugary Drinks

Abstract Background: Dietary patterns were associated with the risk of chronic disease development and outcome-related diseases. In this study, we aimed to compare the correlation between dietary patterns and metabolic syndrome (MetS) using two methods for identifying dietary patterns.Methods: The participants (n = 25,569) aged ≥ 40 years with impaired kidney function were retrieved from Mei Jau (MJ) Health Screening database from 2008 to 2010. Dietary patterns were identified by principal component analysis (PCA) and reduced rank regression (RRR) from twenty-two food groups using PROC FACTOR and PROC PLS functions.Results: We identified two similar dietary pattern characteristics (high intakes of deep fried foods, preserved or processed foods, dipping sauce, meat, sugary drinks, organ meats, jam/honey, fried rice/flour products, instant noodles and eggs) derived by PCA and RRR. Logistic regression analysis revealed that RRR-derived dietary pattern scores were positively associated with an odds ratio (OR = 1.70, 95% CI: 1.56, 1.86) of having MetS than PCA-derived dietary pattern scores (OR = 1.38, 95% CI: 1.27, 1.51). The correlations between RRR-derived dietary pattern scores and elevated systolic and diastolic blood pressure (OR = 1.30 for both) or low high density lipoprotein cholesterol in women (OR = 1.32) were statistically significant but not significant in PCA-derived dietary pattern scores.Conclusions: Our findings suggest that RRR gives better results when studying behavior related dietary patterns in association with MetS. RRR may be more preferable to provide dietary information for developing dietary guidelines among people with MetS. Further studies with prospective measurements are needed to verify whether RRR is a useful analytic tool for the association between dietary patterns and other chronic diseases.

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Adolescent Obesity and its association with socio-demographic profile, lifestyle factors, dietary and physical activity patterns; findings from southwestern Nigeria

10.21203/rs.3.rs-40677/v1 ◽

2020 ◽

Author(s):

Adeleye Abiodun Adeomi ◽

Monday Daniel Olodu ◽

Sodiq Yaya ◽

Adediti Ademiju ◽

Raphael Ajibade

Keyword(s):

Physical Activity ◽

Dietary Patterns ◽

Activity Patterns ◽

Adolescent Obesity ◽

Lifestyle Factors ◽

Southwestern Nigeria ◽

Demographic Profile ◽

Physical Activity Patterns ◽

Number Of Children ◽

The Family

Abstract BackgroundThe prevalence of adolescent obesity is rising in all parts of the world, but only very few studies have considered factors influencing obesity among Nigerian adolescents. This study therefore aimed to determine the prevalence of obesity and its association with socio-demographic profile, lifestyle factors, dietary patterns and physical activity patterns among in-school adolescents in Southwest, Nigeria.MethodA total sample size of 400 in-school adolescents was selected through a multi-stage sampling technique from secondary schools in Ile-Ife. The dietary patterns were assessed using a 92-item QFFQ, while the activity patterns were assessed using the physical activity questionnaire for older children and adolescents. Data were analyzed using IBM SPSS.ResultThere were 211 (52.8%) males and 189 (47.3%) females, with mean ages of 14.8 ± 2.1 and 14.4 ± 1.9 years respectively. The prevalence of overweight/obesity was 12.8%, and the associated factors were age, sex, class, the number of children in the family, birth orders and the dietary pattern dominated by starchy foods, roots and tubers (p < 0.05). However, no significant relationship existed between adolescents’ obesity and lifestyle factors, as well as physical activity patterns (p > 0.05). After controlling for confounders, age, number of children and birth orders remained significant.ConclusionThe prevalence of overweight/obesity was relatively high among the respondents, and this was associated with the age, number of children in the family and the birth order of the adolescents. The findings of this study underscore the importance of family planning to the control of the obesity epidemic in Nigeria.

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Clustering of lifestyle factors in Spanish university students: the relationship between smoking, alcohol consumption, physical activity and diet quality

Public Health Nutrition ◽

10.1017/s1368980012000080 ◽

2012 ◽

Vol 15 (11) ◽

pp. 2131-2139 ◽

Cited By ~ 57

Author(s):

Carlos Moreno-Gómez ◽

Dora Romaguera-Bosch ◽

Pedro Tauler-Riera ◽

Miquel Bennasar-Veny ◽

Jordi Pericas-Beltran ◽

...

Keyword(s):

Physical Activity ◽

Alcohol Consumption ◽

University Students ◽

Diet Quality ◽

Dietary Pattern ◽

Dietary Habits ◽

Lifestyle Factors ◽

Balearic Islands ◽

Dietary Guidelines ◽

Processed Meat

AbstractObjectiveTo ascertain the prevalence of and association between main lifestyle factors (diet, physical activity, alcohol consumption and smoking) in students from the Balearic Islands University.DesignA cross-sectional, descriptive study. A questionnaire including questions on lifestyle, dietary habits and physical activity habits was administered to the students. Four different diet quality scores were calculated (Diet Diversity Score, Mediterranean Diet Score, Dietary Guidelines Score and Global Dietary Guidelines Score).SettingA sample of students from the Balearic Islands University.SubjectsNine hundred and eighty-seven students (45·5 % males; mean age 21·5 (sd 3·3) years).ResultsThe dietary pattern of the student population was characterized by a low consumption of cereals and tubers, fruits, vegetables, olive oil, legumes and nuts, and a high consumption of processed meat, sweets, snacks, soft drinks and pastries. Linear, positive and statistically significant correlations were found between the number of meals consumed daily and all of the diet quality scores determined. Determinants of diet quality, both in the univariate and multivariate analyses, were physical activity practice, sex, age and number of meals consumed daily.ConclusionsRisk factors such as smoking, diet and physical inactivity had a tendency of clustering among Spanish university students. Overall diet quality was low, due to important departures from dietary recommendations and loss of the traditional Mediterranean dietary pattern. Nutritional education campaigns that include promotion of physical activity practice are needed to improve the overall health status of this population.

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Maternal Dietary Patterns during Pregnancy and Their Association with Gestational Weight Gain and Nutrient Adequacy

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17217908 ◽

2020 ◽

Vol 17 (21) ◽

pp. 7908

Author(s):

Naomi Cano-Ibáñez ◽

Juan Miguel Martínez-Galiano ◽

Miguel Angel Luque-Fernández ◽

Sandra Martín-Peláez ◽

Aurora Bueno-Cavanillas ◽

...

Keyword(s):

Weight Gain ◽

Dietary Intake ◽

Pregnant Women ◽

Gestational Weight Gain ◽

Dietary Patterns ◽

Dietary Pattern ◽

Mediterranean Dietary Pattern ◽

Nutrient Adequacy ◽

Gestational Weight ◽

The Mediterranean

Several epidemiologic studies have shown an association between Gestational Weight Gain (GWG) and offspring complications. The GWG is directly linked to maternal dietary intake and women’s nutritional status during pregnancy. The aim of this study was (1) to assess, in a sample of Spanish pregnant women, the association between maternal dietary patterns and GWG and (2) to assess maternal dietary patterns and nutrient adequate intake according to GWG. A retrospective study was conducted in a sample of 503 adult pregnant women in five hospitals in Eastern Andalusia (Spain). Data on demographic characteristics, anthropometric values, and dietary intake were collected from clinical records by trained midwives. Usual food intake was gathered through a validated Food Frequency Questionnaire (FFQ), and dietary patterns were obtained by principal component analysis. Nutrient adequacy was defined according to European dietary intake recommendations for pregnant women. Regression models adjusted by confounding factors were constructed to study the association between maternal dietary pattern and GWG, and maternal dietary patterns and nutritional adequacy. A negative association was found between GWG and the Mediterranean dietary pattern (crude β = −0.06, 95% CI: −0.11, −0.04). Independent of maternal dietary pattern, nutrient adequacy of dietary fiber, vitamin B9, D, E, and iodine was related to a Mediterranean dietary pattern (p < 0.05). A Mediterranean dietary pattern is related to lower GWG and better nutrient adequacy. The promotion of healthy dietary behavior consistent with the general advice promoted by the Mediterranean Diet (based on legumes, vegetables, nuts, olive oil, and whole cereals) will offer healthful, sustainable, and practical strategies to control GWG and ensure adequate nutrient intake during pregnancy.

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Associations between maternal healthy lifestyle score and offspring birth outcomes and childhood obesity: results from the Lifeways Cross-Generation Cohort Study

Proceedings of The Nutrition Society ◽

10.1017/s0029665120005467 ◽

2020 ◽

Vol 79 (OCE2) ◽

Author(s):

Pilar Navarro ◽

John Mehegan ◽

Celine Murrin ◽

Cecily Kelleher ◽

Catherine Phillips

Keyword(s):

Physical Activity ◽

Childhood Obesity ◽

Birth Outcomes ◽

Head Circumference ◽

Alcohol Intake ◽

Healthy Lifestyle ◽

Lifestyle Factors ◽

Healthy Eating Index ◽

Dietary Quality ◽

Reduced Risk

AbstractMaternal adherence to healthy lifestyle behaviours during pregnancy has been associated with reduced risk of obesity in the offspring. Our objective is to examine the association between a composite healthy lifestyle score (HLS) derived from body mass index (BMI), dietary quality, physical activity, smoking and alcohol intake, in expectant mothers and adverse offspring birth outcomes and childhood obesity. The Lifeways Cross-Generation Study comprises 1082 mother-child pairs. We defined five healthy lifestyle factors during pregnancy including: high dietary quality (top 40% of the Healthy Eating Index (HEI)-2015), moderate to vigorous physical activity (MVPA), healthy pre-pregnancy BMI (18.5–24.9 Kg/m2), never smoker, and no/moderate alcohol intake. A composite HLS was calculated (scored 0–5). Birthweight, length and head circumference were abstracted from hospital records. Waist circumference and BMI was determined when the child was 5 and 9 years. Logistic regression analyses were used to test HLS and individual HLS component associations with offspring birth and childhood outcomes. Offspring birthweight, length and head circumference were positively associated with the number of maternal healthy lifestyle factors (p < 0.001), whereas child BMI and incidence of overweight/obesity at age 5 and 9 were negatively associated with the maternal HLS (p < 0.05). In multivariable models, a lower maternal HLS (0–2 healthy lifestyle factors) was associated with increased risk of low birthweight (LBW) (OR:1.17, 95% CI:1.01–2.69, p = 0.043) and lower likelihood of macrosomia (OR:0.73, 95% CI:0.24–0.99, p = 0.034), relative to those with 5 healthy lifestyle factors. Examination of the individual HLS components revealed that, poor maternal dietary quality, smoking and alcohol intake were associated with higher risk of LBW (OR:1.61, 95%CI:1.01–7.85, p = 0.043, OR: 2.54, 95%CI:1.26–5.12, p = 0.025 and OR:2.30, 95%CI:1.01–5.26, p = 0.031, respectively). Likelihood of macrosomia and combined overweight/obesity at age 5 and 9 years was greater among mothers with a pre-pregnancy BMI in the obese range (OR:2.18, 95%CI:1.23–3.85, p = 0.042, OR:2.19, 95%CI:1.01–5.08, p = 0.03 and OR:3.89, 95%CI:1.00–10.59, p = 0.04, respectively). Smoking during pregnancy was also linked to greater risk of childhood overweight/obesity (OR:1.91, 95%CI:1.01–3.61, p = 0.04 at age 5 and OR:2.14, 95%CI:1.01–4.11, p = 0.03 at age 9). Our findings suggest that maternal adherence to a healthy lifestyle during pregnancy, in particular having a good quality diet, not smoking and no/low alcohol intake in combination with a healthy pre-pregnancy BMI, is associated with reduced risk of adverse offspring birth outcomes and childhood obesity. These findings highlight the potential benefits of implementing maternal based multifactorial interventions to improve offspring birth outcomes and combat childhood adiposity.

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