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The impact of diet during adolescence on the neonatal health of offspring: evidence on the importance of preconception diet. The HUNT study

Published online by Cambridge University Press:  01 December 2020

Wendy Van Lippevelde*
Affiliation:
Department of Marketing, Innovation and Organisation, Faculty of Economics and Business administration, Ghent University, Tweekerkenstraat 2, 9000Ghent, Belgium Department of Nutrition and Public Health, Faculty of Health and Sports Sciences, University of Agder, PO box 422, 4604Kristiansand, Norway
Frøydis N. Vik
Affiliation:
Department of Nutrition and Public Health, Faculty of Health and Sports Sciences, University of Agder, PO box 422, 4604Kristiansand, Norway
Andrew K. Wills
Affiliation:
Bristol Dental School/Bristol Medical School, University of Bristol, 5 Tyndall Avenue, BristolUKBS8 1UD
Sofia T. Strömmer
Affiliation:
MRC Lifecourse Epidemiology Unit, University of Southampton and NIHR Southampton Biomedical Research Centre, Southampton General Hospital, SouthamptonUKSO16 6AN
Mary E. Barker
Affiliation:
MRC Lifecourse Epidemiology Unit, University of Southampton and NIHR Southampton Biomedical Research Centre, Southampton General Hospital, SouthamptonUKSO16 6AN
Marianne Skreden
Affiliation:
Department of Nutrition and Public Health, Faculty of Health and Sports Sciences, University of Agder, PO box 422, 4604Kristiansand, Norway
Ann Anderson Berry
Affiliation:
MRC Lifecourse Epidemiology Unit, University of Southampton and NIHR Southampton Biomedical Research Centre, Southampton General Hospital, SouthamptonUKSO16 6AN
Corinne Hanson
Affiliation:
Medical Nutrition Education, University of Nebraska Medical Center, Buffet Cancer Center, S 42nd St &, Emile St, OmahaNE, USA
Anne Lise Brantsæter
Affiliation:
Department of Environmental Exposure and Epidemiology, Norwegian Institute of Public Health, PO Box 222-Skøyen, N-0213Oslo, Norway
Elisabeth R. Hillesund
Affiliation:
Department of Nutrition and Public Health, Faculty of Health and Sports Sciences, University of Agder, PO box 422, 4604Kristiansand, Norway
Nina C. Øverby
Affiliation:
Department of Nutrition and Public Health, Faculty of Health and Sports Sciences, University of Agder, PO box 422, 4604Kristiansand, Norway
*
Address for correspondence: Wendy Van Lippevelde, Department of Marketing, Innovation and Organisation, Faculty of Economics and Business administration, Ghent University, Tweekerkenstraat 2, 9000Ghent, Belgium. Email: Wendy.VanLippevelde@ugent.be

Abstract

Emerging evidence suggests that parents’ nutritional status before and at the time of conception influences the lifelong physical and mental health of their child. Yet little is known about the relationship between diet in adolescence and the health of the next generation at birth. This study examined data from Norwegian cohorts to assess the relationship between dietary patterns in adolescence and neonatal outcomes. Data from adolescents who participated in the Nord-Trøndelag Health Study (Young-HUNT) were merged with birth data for their offspring through the Medical Birth Registry of Norway. Young-HUNT1 collected data from 8980 adolescents between 1995 and 1997. Linear regression was used to assess associations between adolescents’ diet and later neonatal outcomes of their offspring adjusting for sociodemographic factors. Analyses were replicated with data from the Young-HUNT3 cohort (dietary data collected from 2006 to 2008) and combined with Young-HUNT1 for pooled analyses. In Young-HUNT1, there was evidence of associations between dietary choices, meal patterns, and neonatal outcomes, these were similar in the pooled analyses but were attenuated to the point of nonsignificance in the smaller Young-HUNT3 cohort. Overall, energy-dense food products were associated with a small detrimental impact on some neonatal outcomes, whereas healthier food choices appeared protective. Our study suggests that there are causal links between consumption of healthy and unhealthy food and meal patterns in adolescence with neonatal outcomes for offspring some years later. The effects seen are small and will require even larger studies with more state-of-the-art dietary assessment to estimate these robustly.

Type
Original Article
Copyright
© The Author(s), 2020. Published by Cambridge University Press in association with International Society for Developmental Origins of Health and Disease

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References

World Health Organisation. Global Action Plan for The Prevention and Control of Non-Communicable Diseases 2013-2020, 2013. WHO, Geneva, Switzerland.Google Scholar
Godfrey, KM, Reynolds, RM, Prescott, SL, et al. Influence of maternal obesity on the long-term health of offspring. Lancet Diabetes Endocrinol. 2016; 5(1): 5364.CrossRefGoogle ScholarPubMed
Stephenson, J, Heslehurst, N, Hall, J, et al. Before the beginning: nutrition and lifestyle in the preconception period and its importance for future health. Lancet 2018; 391(10132): 18301841.CrossRefGoogle ScholarPubMed
Fleming, TP, Watkins, AJ, Velazquez, MA, et al. Origins of lifetime health around the time of conception: causes and consequences. Lancet 2018; 391: 18421852.CrossRefGoogle ScholarPubMed
Lane, M, Robker, RL, Robertson, SA. Parenting from before conception. Science 2014; 345(6198): 756770.CrossRefGoogle ScholarPubMed
Steegers, EAP, Barker, ME, Steegers-Theunissen, RPM, Williams, MA. Societal valorisation of new knowledge to improve perinatal health: time to act. Paediatr Perinat Epidemiol. 2016; 30(2): 201204.CrossRefGoogle Scholar
King, JC. A summary of pathways or mechanisms linking preconception maternal nutrition with birth outcomes. J Nutr. 2016; 146(7): 1437S1444S.CrossRefGoogle ScholarPubMed
Poston, L, Caleyachetty, R, Cnattingius, S, et al. Preconceptional and maternal obesity: epidemiology and health consequences. Lancet Diabetes Endocrinolo. 2016; 4(12): 10251036.CrossRefGoogle ScholarPubMed
Barker, M, Dombrowski, SU, Colbourn, T, et al. Intervention strategies to improve nutrition and health behaviours before conception. Lancet. 2018; 391: 18531864.CrossRefGoogle ScholarPubMed
Spear, BA. Adolescent growth and development. J Am Diet Assoc. 2002; 102: S23S29.CrossRefGoogle ScholarPubMed
Diethelm, K, Janckovic, N, Moreno, LA, et al. Food intake of European adolescents in the light of different food-based dietary guidelines: results of the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study. Public Health Nutr. 2012; 15: 386398.CrossRefGoogle ScholarPubMed
Lien, N, Lytle, LA, Klepp, KI. Stability in consumption of fruit, vegetables, and sugary foods in a cohort from age 14 to age 21. Prev Med. 2001; 33(3): 217226.CrossRefGoogle Scholar
Patton, GC, Olsson, CA, Skirbekk, V, et al. Adolescence and the next generation. Nature. 2018; 554(7693): 458466.CrossRefGoogle ScholarPubMed
Holmen, TL, Bratberg, G, Krokstad, S, et al. Cohort profile of the Young-HUNT Study of Norway: a population-based study of adolescents. Int J Epidemiol. 2014; 43: 536544.CrossRefGoogle ScholarPubMed
Krokstad, S, Westin, S. Health inequalities by socioeconomic status among men in the Nord-Trøndelag Health Study, Norway. Scand J Public Health. 2002; 30: 113124.Google ScholarPubMed
Irgens, LM. The medical birth registry of Norway. Epidemiological research and surveillance througout 30 years. Acta Obstetricia et Gyneacologica Scandinavica. 2000; 79: 435439.Google Scholar
Wendt, A, Gibbs, CM, Peters, S, Hogue, CJ. Impact of increasing interpregnancy interval on maternal and infant health. Paediatr Perinat Epidemiol. 2012; 26(S1): 239258.CrossRefGoogle Scholar
Vereecken, CA, Maes, L. A Belgian study on the reliability and relative validity of the Health Behaviour in School-Aged Children food-frequency questionnaire. Public Health Nutr. 2003; 6: 581588.CrossRefGoogle Scholar
Craig, LC, McNeill, G, Macdiarmid, JI, Masson, LF, Holmes, BA. Dietary patterns of school-age children in Scotland: association with socio-economic indicators, physical activity and obesity. Br J Nutr. 2010; 103(3): 319334.CrossRefGoogle ScholarPubMed
Piernas, C, Popkin, BM. Trends in snacking among US children. Health Affairs. 2010; 29(3): 398404.CrossRefGoogle Scholar
Wold, B, Hetland, J, Aarø, LE, Samdal, O, Torsheim, T. Trends in health and lifestyle in children and adolescents in Norway, Sweden, Hungary and Wales. Results from nationwide surveys in Health Behaviour in School-aged Children, a WHO Cross-National Study (HBSC) (in norwegian). HEMIL report no 1. Bergen, Norway: Research Centre for Health Promotion, University of Bergen, 2000.Google Scholar
Stok, FM, Hoffmann, S, Volkert, D, et al. The DONE framework: creation, evaluation, and updating of an interdisciplinary, dynamic framework 2.0 of determinants of nutrition and eating. PLoS One. 2017; 12(2): e0171077.CrossRefGoogle ScholarPubMed
Lien, N, Kumar, BN, Holmboe-Ottesen, G, Klepp, KI, Wandel, M. Assessing social differences in overweight among 15- to 16-year-old ethnic Norwegians from Oslo by register data and adolescent self-reported measures of socio-economic status. Int J Obes (Lond). 2007; 31(1): 3038.CrossRefGoogle ScholarPubMed
de Onis, M, Onyango, AW, Borghi, E, Siyam, A, Nishida, C, Siekmann, J. Development of a WHO growth reference for school-aged children and adolescents. Bull. World Health Organ. 2007; 85: 660667.Google ScholarPubMed
Xie, Y, Madkour, AS, Harville, EW. Preconception nutrition, physical activity, and birth outcomes in adolescent girls. J Pediatr Adolesc Gynecol. 2015; 28(6): 471476.CrossRefGoogle ScholarPubMed
Grieger, JA, Grzeskowiak, LE, Clifton, VL. Preconception dietary patterns in human pregnancies are associated with preterm delivery. J Nutr. 2014; 144(7): 10751080.CrossRefGoogle ScholarPubMed
Gresham, E, Collins, CE, Mishra, GD, Byles, JE, Hure, AJ. Diet quality before or during pregnancy and the relationship with pregnancy and birth outcomes: the Australian Longitudinal Study on Women’s Health. Public Health Nutr. 2016; 19(16): 29752983.CrossRefGoogle ScholarPubMed
OECD/EU. Health at a Glance: Europe 2018: State of Health in the EU Cycle, 2018, OECD Publishing, Paris/EU, Brussels. doi: 10.1787/health_glance_eur-2018-en.Google Scholar
Willet, W. Nutritional Epidemiology. Third Edition, 2013. Oxford University Press, Oxford.Google Scholar
Todhunter, EN. A Guide to Nutrition Terminology for Indexing and Retrieval. National Institutes of Health, Public Health Service, U.S. Department of Health, Education, and Welfare, Bethesda, 1970.Google Scholar
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