Skip to main content
Erschienen in: European Journal of Nutrition 7/2015

01.10.2015 | Original Contribution

Adherence to Mediterranean diet during pregnancy and serum lipid, lipoprotein and homocysteine concentrations at birth

verfasst von: Eva Gesteiro, Sara Bastida, Beatriz Rodríguez Bernal, Francisco J. Sánchez-Muniz

Erschienen in: European Journal of Nutrition | Ausgabe 7/2015

Einloggen, um Zugang zu erhalten

Abstract

Background

Mediterranean diet consumption is associated to low prevalence of major degenerative diseases. Low Mediterranean-diet-adherence (MDA) score has been related to high insulin and homeostatic model assessment-insulin resistance levels at birth. The relationship between maternal MDA and offspring lipoprotein profile at birth has been scarcely reported.

Methods

Cross-sectional study aimed to study the relationship between pregnancy diet quality and serum lipid, arylesterase and homocysteine values at birth. Cord blood of the offspring of 35 women whose diets were classified as “adequate” or “inadequate” according to their 13-point MDA-score (≥7 or <7, respectively) were studied.

Results

MDA-scores did not significantly change through pregnancy. Low-MDA-score diets presented a higher atherogenic index, contained less fiber and folates, and had a lower (polyunsaturated + monounsaturated)/saturated fatty acids (PUFA + MUFA/SFA) ratio, more cholesterol, and higher SFA/carbohydrates (SFA/CHO) and ω-6/ω-3 PUFA ratios than their respective high-MDA-score counterparts. Mothers at the low MDA-score delivered neonates with high LDL-c (P = 0.049), Apo B (P = 0.040), homocysteine (P = 0.026) and Apo A1/Apo B ratio (P = 0.024).

Conclusions

Neonates whose mothers consumed low MDA diets presented impaired lipoprotein and increased homocysteine levels at birth. A follow-up study on early cardiovascular disease prevention is needed to understand the importance of present findings later in life.
Literatur
1.
Zurück zum Zitat WHO (2011) Global status report on noncommunicable disease 2010. World Health Organization, Geneva WHO (2011) Global status report on noncommunicable disease 2010. World Health Organization, Geneva
2.
Zurück zum Zitat Palinski W, Napoli C (2002) The fetal origins of atherosclerosis: maternal hypercholesterolemia, and cholesterol-lowering or antioxidant treatment during pregnancy influence in utero programming and postnatal susceptibility to atherogenesis. FASEB J 16:1348–1360CrossRef Palinski W, Napoli C (2002) The fetal origins of atherosclerosis: maternal hypercholesterolemia, and cholesterol-lowering or antioxidant treatment during pregnancy influence in utero programming and postnatal susceptibility to atherogenesis. FASEB J 16:1348–1360CrossRef
3.
Zurück zum Zitat Napoli C, Glass CK, Witztum JL, Deutsch R, D’Armiento FP, Palinski W (1999) Influence of maternal hypercholesterolaemia during pregnancy on progression of early atherosclerotic lesions in childhood: fate of Early Lesions in Children (FELIC) study. Lancet 354:1234–1241CrossRef Napoli C, Glass CK, Witztum JL, Deutsch R, D’Armiento FP, Palinski W (1999) Influence of maternal hypercholesterolaemia during pregnancy on progression of early atherosclerotic lesions in childhood: fate of Early Lesions in Children (FELIC) study. Lancet 354:1234–1241CrossRef
4.
Zurück zum Zitat Ross R (1999) Atherosclerosis an inflammatory disease. N Engl J Med 340:115–126CrossRef Ross R (1999) Atherosclerosis an inflammatory disease. N Engl J Med 340:115–126CrossRef
5.
Zurück zum Zitat Srintvasan S, Berenson G (1995) Serum apolipoproteins A1 and B as markers of coronary artery disease risk early in life: the Bogalusa Heart Study. Clin Chem 41:159–164 Srintvasan S, Berenson G (1995) Serum apolipoproteins A1 and B as markers of coronary artery disease risk early in life: the Bogalusa Heart Study. Clin Chem 41:159–164
6.
Zurück zum Zitat Aasvee K, Kurvinen E, Jordania R, Jauhiainen M, Sundvall J (2004) Lipoprotein parameters in relation to other risk factors of atherosclerosis in adults and newborns: Tallinn Young Family Study. Scand J Clin Lab Invest 64:245–253CrossRef Aasvee K, Kurvinen E, Jordania R, Jauhiainen M, Sundvall J (2004) Lipoprotein parameters in relation to other risk factors of atherosclerosis in adults and newborns: Tallinn Young Family Study. Scand J Clin Lab Invest 64:245–253CrossRef
7.
Zurück zum Zitat Bastida S, Sánchez-Muniz FJ, Cuesta C, Perea S, Ureta A (1996) Serum apolipoproteins A-I and B in male and female full-term newborns of the Toledo-Study (Spain). Acta Paediatr 85:750–752CrossRef Bastida S, Sánchez-Muniz FJ, Cuesta C, Perea S, Ureta A (1996) Serum apolipoproteins A-I and B in male and female full-term newborns of the Toledo-Study (Spain). Acta Paediatr 85:750–752CrossRef
8.
Zurück zum Zitat Bastida S, Sánchez-Muniz FJ, Cuesta C, Perea S, Aragonés A (1997) Male and female cord blood lipoprotein profile differences throughout the term-period. J Perinatal Med 27:184–191CrossRef Bastida S, Sánchez-Muniz FJ, Cuesta C, Perea S, Aragonés A (1997) Male and female cord blood lipoprotein profile differences throughout the term-period. J Perinatal Med 27:184–191CrossRef
9.
Zurück zum Zitat Gesteiro E, Bastida S, Sánchez-Muniz FJ (2013) Cord-blood lipoproteins, homocysteine, insulin-sensitivity/resistance marker profile, and concurrence of dysglycaemia and dyslipaemia in full-term neonates of the Mérida Study. Eur J Pediatr 172:883–894CrossRef Gesteiro E, Bastida S, Sánchez-Muniz FJ (2013) Cord-blood lipoproteins, homocysteine, insulin-sensitivity/resistance marker profile, and concurrence of dysglycaemia and dyslipaemia in full-term neonates of the Mérida Study. Eur J Pediatr 172:883–894CrossRef
10.
Zurück zum Zitat Bastida S, Sánchez-Muniz FJ, Cuena R, Aragonés A, Bravo C (2007) Lipid and lipoprotein concentrations at age 4. Association with neonatal and parental levels. Med Clin (Barc) 128:521–528CrossRef Bastida S, Sánchez-Muniz FJ, Cuena R, Aragonés A, Bravo C (2007) Lipid and lipoprotein concentrations at age 4. Association with neonatal and parental levels. Med Clin (Barc) 128:521–528CrossRef
11.
Zurück zum Zitat Santaliestra-Pasías AM, Mouratidou T, Huybrechts I, Beghin L, Cuenca-García M, Castillo MJ, Galfo M, Hallstrom L, Kafatos A, Manios Y, Marcos A, Molnar D, Plada M, Pedrero-Chamizo R, Widhalm K, De Bourdeaudhuij I, Moreno LA (2014) Increased sedentary behaviour is associated with unhealthy dietary patterns in European adolescents participating in the HELENA study. Eur J Clin Nutr 68:300–308CrossRef Santaliestra-Pasías AM, Mouratidou T, Huybrechts I, Beghin L, Cuenca-García M, Castillo MJ, Galfo M, Hallstrom L, Kafatos A, Manios Y, Marcos A, Molnar D, Plada M, Pedrero-Chamizo R, Widhalm K, De Bourdeaudhuij I, Moreno LA (2014) Increased sedentary behaviour is associated with unhealthy dietary patterns in European adolescents participating in the HELENA study. Eur J Clin Nutr 68:300–308CrossRef
12.
Zurück zum Zitat Varela-Moreiras G, Ruiz E, Valero T, Ávila JM, del Pozo S (2013) The Spanish diet: an update. Nutr Hosp 28(Suppl. 5):13–20 Varela-Moreiras G, Ruiz E, Valero T, Ávila JM, del Pozo S (2013) The Spanish diet: an update. Nutr Hosp 28(Suppl. 5):13–20
13.
Zurück zum Zitat Moreiras O, Carbajal A, Cabrera L, Cuadrado C (2009) Ingestas recomendadas para la población española. In: Tablas de composición de alimentos. 13th Edn. Ediciones Pirámide, Madrid Moreiras O, Carbajal A, Cabrera L, Cuadrado C (2009) Ingestas recomendadas para la población española. In: Tablas de composición de alimentos. 13th Edn. Ediciones Pirámide, Madrid
14.
Zurück zum Zitat Institute of Medicine, Food and Nutrition Board (2006) Dietary reference intakes: the essential guide of nutrient requirements. National Academic Press, Washington Institute of Medicine, Food and Nutrition Board (2006) Dietary reference intakes: the essential guide of nutrient requirements. National Academic Press, Washington
15.
Zurück zum Zitat Trichopoulou A, Bamia C, Trichopoulos D (2005) Mediterranean diet and survival among patients with onary heart disease in Greece. Arch Intern Med 65:929–935CrossRef Trichopoulou A, Bamia C, Trichopoulos D (2005) Mediterranean diet and survival among patients with onary heart disease in Greece. Arch Intern Med 65:929–935CrossRef
16.
Zurück zum Zitat Estruch R, Ros E, Salas-Salvadó J, Covas MI, Corella D, Arós F, Gómez-Gracia E, Ruiz-Gutiérrez V, Fiol M, Lapetra J, Lamuela-Raventos RM, Serra-Majem L, Pintó X, Basora J, Muñoz MA, Sorlí JV, Martínez JA, Martínez-González MA, For the PREDIMED Study Investigators (2013) Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med 368:1279–1290CrossRef Estruch R, Ros E, Salas-Salvadó J, Covas MI, Corella D, Arós F, Gómez-Gracia E, Ruiz-Gutiérrez V, Fiol M, Lapetra J, Lamuela-Raventos RM, Serra-Majem L, Pintó X, Basora J, Muñoz MA, Sorlí JV, Martínez JA, Martínez-González MA, For the PREDIMED Study Investigators (2013) Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med 368:1279–1290CrossRef
17.
Zurück zum Zitat Sánchez-Muniz FJ (2007) Aceite de oliva, clave de vida en la Cuenca Mediterránea. An Real Acad Nac Farm 73:653–692 Sánchez-Muniz FJ (2007) Aceite de oliva, clave de vida en la Cuenca Mediterránea. An Real Acad Nac Farm 73:653–692
18.
Zurück zum Zitat Gesteiro E, Rodríguez-Bernal B, Bastida S, Sánchez-Muniz FJ (2012) Maternal diets with low healthy eating index or mediterranean diet adherence scores are associated with high cord-blood insulin levels and insulin resistance markers at birth. Eur J Clin Nutr 66:1008–1015CrossRef Gesteiro E, Rodríguez-Bernal B, Bastida S, Sánchez-Muniz FJ (2012) Maternal diets with low healthy eating index or mediterranean diet adherence scores are associated with high cord-blood insulin levels and insulin resistance markers at birth. Eur J Clin Nutr 66:1008–1015CrossRef
19.
Zurück zum Zitat The homocysteine Studies Collaboration (2002) Homocysteine and risk of ischemic heart disease and stroke: a meta-analysis. JAMA 288:2015–2022CrossRef The homocysteine Studies Collaboration (2002) Homocysteine and risk of ischemic heart disease and stroke: a meta-analysis. JAMA 288:2015–2022CrossRef
20.
Zurück zum Zitat Stover PJ (2011) Polymorphisms in 1-carbon metabolism, epigenetics and folate-related pathologies. J Nutrigent Nutrigenomics 4:293–405CrossRef Stover PJ (2011) Polymorphisms in 1-carbon metabolism, epigenetics and folate-related pathologies. J Nutrigent Nutrigenomics 4:293–405CrossRef
21.
Zurück zum Zitat Aviram M, Rosenblat M, Bisgaier CL, Newton RS, Primo-Parmo SL, La Du BN (1998) Paraoxonase inhibits high density lipoproteins oxidation and preserves its functions. A possible peroxidative role for paraoxonase. J Clin Invest 101:1581–1590CrossRef Aviram M, Rosenblat M, Bisgaier CL, Newton RS, Primo-Parmo SL, La Du BN (1998) Paraoxonase inhibits high density lipoproteins oxidation and preserves its functions. A possible peroxidative role for paraoxonase. J Clin Invest 101:1581–1590CrossRef
22.
Zurück zum Zitat Sánchez-Muniz FJ, Canales A, Nus M, Bastida S, Guillén M, Corella D, Olmedilla-Alonso B, Granado-Lorencio F, Benedí J (2012) The antioxidant status response to low-fat and walnut paste-enriched meat differs in volunteers at high cardiovascular risk carrying different PON-1 polymorphisms. J Am Coll Nutr 31:194–205CrossRef Sánchez-Muniz FJ, Canales A, Nus M, Bastida S, Guillén M, Corella D, Olmedilla-Alonso B, Granado-Lorencio F, Benedí J (2012) The antioxidant status response to low-fat and walnut paste-enriched meat differs in volunteers at high cardiovascular risk carrying different PON-1 polymorphisms. J Am Coll Nutr 31:194–205CrossRef
23.
Zurück zum Zitat Estruch R, Martínez-González MA, Corella D, Salas-Salvadó J, Ruiz-Gutiérrez V, Covas MI, Fiol M, Gómez-Gracia E, López-Sabater MC, Vinyoles E, Arós F, Conde M, Lahoz C, Lapetra J, Sáez G, Ros E, PREDIMED Study Investigators (2006) Effects of a Mediterranean-style diet on cardiovascular risk factors: a randomized trial. Ann Intern Med 145:1–11CrossRef Estruch R, Martínez-González MA, Corella D, Salas-Salvadó J, Ruiz-Gutiérrez V, Covas MI, Fiol M, Gómez-Gracia E, López-Sabater MC, Vinyoles E, Arós F, Conde M, Lahoz C, Lapetra J, Sáez G, Ros E, PREDIMED Study Investigators (2006) Effects of a Mediterranean-style diet on cardiovascular risk factors: a randomized trial. Ann Intern Med 145:1–11CrossRef
24.
Zurück zum Zitat Sánchez-Muniz FJ, Gesteiro E, Esparrago RM, Rodriguez BB, Bastida S (2013) Maternal nutrition during pregnancy conditions the fetal pancreas development, hormonal status and diabetes mellitus and metabolic syndrome biomarkers at birth. Nutr Hosp 28:250–274 Sánchez-Muniz FJ, Gesteiro E, Esparrago RM, Rodriguez BB, Bastida S (2013) Maternal nutrition during pregnancy conditions the fetal pancreas development, hormonal status and diabetes mellitus and metabolic syndrome biomarkers at birth. Nutr Hosp 28:250–274
25.
26.
Zurück zum Zitat Ulbricht TLV, Southgate DAT (1991) Coronary heart disease: seven dietary factors. Lancet 338(8773):985–992CrossRef Ulbricht TLV, Southgate DAT (1991) Coronary heart disease: seven dietary factors. Lancet 338(8773):985–992CrossRef
27.
Zurück zum Zitat Glueck CJ, Steiner P, Leuba U (1973) Cord blood low-density lipoprotein-cholesterol estimation versus measurement with the preparative ultracentrifuge. J Lab Clin Med 82:467–472 Glueck CJ, Steiner P, Leuba U (1973) Cord blood low-density lipoprotein-cholesterol estimation versus measurement with the preparative ultracentrifuge. J Lab Clin Med 82:467–472
28.
Zurück zum Zitat Nus M, Sánchez-Muniz FJ, Sánchez-Montero JM (2006) A new method for the determination of arylesterase activity in human serum using simulated body fluid. Atherosclerosis 188:155–159CrossRef Nus M, Sánchez-Muniz FJ, Sánchez-Montero JM (2006) A new method for the determination of arylesterase activity in human serum using simulated body fluid. Atherosclerosis 188:155–159CrossRef
29.
Zurück zum Zitat Sociedad Española de Nutrición Comunitaria (2004) Guía de la alimentación saludable. SENC, Madrid Sociedad Española de Nutrición Comunitaria (2004) Guía de la alimentación saludable. SENC, Madrid
30.
Zurück zum Zitat Ywaskewycz Benitez LR, Bonneau GA, Castillo Rascón MS (2010) Perfil lipídico por trimestre de gestación en una población de mujeres adultas. Rev Chil Obstet Ginecol 75:227–233CrossRef Ywaskewycz Benitez LR, Bonneau GA, Castillo Rascón MS (2010) Perfil lipídico por trimestre de gestación en una población de mujeres adultas. Rev Chil Obstet Ginecol 75:227–233CrossRef
31.
Zurück zum Zitat Crozier SR, Robinson SM, Godfrey KM, Cooper C, Inskip HM (2009) Women’s dietary patterns change little from before to during pregnancy. J Nutr 139:1956–1963CrossRef Crozier SR, Robinson SM, Godfrey KM, Cooper C, Inskip HM (2009) Women’s dietary patterns change little from before to during pregnancy. J Nutr 139:1956–1963CrossRef
32.
Zurück zum Zitat Sánchez-Muniz FJ, Bocanegra de Juana A, Bastida S, Benedí J (2013) Algae in cardiovascular health. In: Functional ingredients from algae for foods and nutraceuticals. Woodhead Publishing, Sawston, pp 369–415 Sánchez-Muniz FJ, Bocanegra de Juana A, Bastida S, Benedí J (2013) Algae in cardiovascular health. In: Functional ingredients from algae for foods and nutraceuticals. Woodhead Publishing, Sawston, pp 369–415
33.
Zurück zum Zitat Serra Majem L, Ribas Barba L, Aranceta Bartrina J, Perez Rodrigo C, Saavedra Santana P, Peña Quintana L (2003) Obesidad infantil y juvenil en España. Resultados del estudio enKid (1998–2000). Med Clin (Barc) 121:725–732CrossRef Serra Majem L, Ribas Barba L, Aranceta Bartrina J, Perez Rodrigo C, Saavedra Santana P, Peña Quintana L (2003) Obesidad infantil y juvenil en España. Resultados del estudio enKid (1998–2000). Med Clin (Barc) 121:725–732CrossRef
35.
Zurück zum Zitat FAO/WHO (2010) The joint FAO/WHO expert consultation on fats and fatty acids in human nutrition. FAO food and nutrition paper 91. Food and Agriculture Organization of the United Nations, Rome, ISSN: 0254-4725 FAO/WHO (2010) The joint FAO/WHO expert consultation on fats and fatty acids in human nutrition. FAO food and nutrition paper 91. Food and Agriculture Organization of the United Nations, Rome, ISSN: 0254-4725
36.
Zurück zum Zitat Noga AA, Stead LM, Zhao Y, Brosnan ME, Brosnan JT, Vance DE. (2003) Plasma homocysteine is regulated by phospholipid methylation. J Biol Chem 278:5952–5955 (Erratum in J Biol Chem 278:14586) Noga AA, Stead LM, Zhao Y, Brosnan ME, Brosnan JT, Vance DE. (2003) Plasma homocysteine is regulated by phospholipid methylation. J Biol Chem 278:5952–5955 (Erratum in J Biol Chem 278:14586)
37.
Zurück zum Zitat Couto FD, Moreira LM, Dos Santos DB, Reis MG, Gonçalves MS (2007) Folate, vitamin B12 and total homocysteine levels in neonates from Brazil. Eur J Clin Nutr 61:382–386CrossRef Couto FD, Moreira LM, Dos Santos DB, Reis MG, Gonçalves MS (2007) Folate, vitamin B12 and total homocysteine levels in neonates from Brazil. Eur J Clin Nutr 61:382–386CrossRef
38.
Zurück zum Zitat Timmermans S, Steegers-Theunissen RP, Vujkovic M, den Breeijen H, Russcher H, Lindemans J, Mackenbach J, Hofman A, Lesaffre EE, Jaddoe VV, Steegers EA (2012) The Mediterranean diet and fetal size parameters: the generation R study. Br J Nutr 108:1399–1409CrossRef Timmermans S, Steegers-Theunissen RP, Vujkovic M, den Breeijen H, Russcher H, Lindemans J, Mackenbach J, Hofman A, Lesaffre EE, Jaddoe VV, Steegers EA (2012) The Mediterranean diet and fetal size parameters: the generation R study. Br J Nutr 108:1399–1409CrossRef
39.
Zurück zum Zitat Alonso Aperte E, Varela Mosquera G (2010) Ácido fólico y Vitamina B12. In: Gil A (ed) Tratado de nutrición. Tomo I. bases fisiológicas y bioquímicas de la nutrición. Sánchez de Medina, F, coordinator). Editorial Médica Panamericana, S.A., Madrid, pp 525–546 Alonso Aperte E, Varela Mosquera G (2010) Ácido fólico y Vitamina B12. In: Gil A (ed) Tratado de nutrición. Tomo I. bases fisiológicas y bioquímicas de la nutrición. Sánchez de Medina, F, coordinator). Editorial Médica Panamericana, S.A., Madrid, pp 525–546
40.
Zurück zum Zitat Wright AJA, Dainty JR, Finglas PM (2007) Folic acid in human subjects revisted: potential implications for proposed mandatory folic acid fortification in the UK. Br J Nutr 98:667–675CrossRef Wright AJA, Dainty JR, Finglas PM (2007) Folic acid in human subjects revisted: potential implications for proposed mandatory folic acid fortification in the UK. Br J Nutr 98:667–675CrossRef
41.
Zurück zum Zitat Herrera E, Amusquivar E, Lopez-Soldado I, Ortega H (2006) Maternal lipid metabolism and placental lipid transfer. Horm Res 65:59–64CrossRef Herrera E, Amusquivar E, Lopez-Soldado I, Ortega H (2006) Maternal lipid metabolism and placental lipid transfer. Horm Res 65:59–64CrossRef
42.
Zurück zum Zitat Gil-Sánchez A, Koletzko B, Larqué E (2012) Current understanding of placental fatty acid transport. Curr Opin Clin Nutr Metab Care 15:265–272CrossRef Gil-Sánchez A, Koletzko B, Larqué E (2012) Current understanding of placental fatty acid transport. Curr Opin Clin Nutr Metab Care 15:265–272CrossRef
43.
Zurück zum Zitat Cai Hai-Jiang, Xie Chong-Lun, Chen Qi, Chan Xiu-Ying, Chen Yue-Hua (1991) The relationship between hepatic low-density lipoprotein receptor activity and serum cholesterol level in the human fetus. Hepatology 13:852–857CrossRef Cai Hai-Jiang, Xie Chong-Lun, Chen Qi, Chan Xiu-Ying, Chen Yue-Hua (1991) The relationship between hepatic low-density lipoprotein receptor activity and serum cholesterol level in the human fetus. Hepatology 13:852–857CrossRef
44.
Zurück zum Zitat Cuesta C, Sánchez-Muniz FJ, Ródenas S, Rodríguez-Gil S, Merinero MC (1998) Lipoprotein profile and serum peroxide levels of aged women consuming palmolein or oleic acid-rich sunflower oil diets. Eur J Clin Nutr 52:675–683CrossRef Cuesta C, Sánchez-Muniz FJ, Ródenas S, Rodríguez-Gil S, Merinero MC (1998) Lipoprotein profile and serum peroxide levels of aged women consuming palmolein or oleic acid-rich sunflower oil diets. Eur J Clin Nutr 52:675–683CrossRef
45.
Zurück zum Zitat Dietschy JM (1998) Dietary fatty acids and the regulation of plasma low density lipoprotein cholesterol concentrations. J Nutr 128:444S–448S Dietschy JM (1998) Dietary fatty acids and the regulation of plasma low density lipoprotein cholesterol concentrations. J Nutr 128:444S–448S
Metadaten
Titel
Adherence to Mediterranean diet during pregnancy and serum lipid, lipoprotein and homocysteine concentrations at birth
verfasst von
Eva Gesteiro
Sara Bastida
Beatriz Rodríguez Bernal
Francisco J. Sánchez-Muniz
Publikationsdatum
01.10.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Nutrition / Ausgabe 7/2015
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-014-0798-5

Weitere Artikel der Ausgabe 7/2015

European Journal of Nutrition 7/2015 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.