Deriving the Dietary Approaches to Stop Hypertension (DASH) Score in Women from Seven Pregnancy Cohorts from the European ALPHABET Consortium

Nutrients

AdrienM. Aubert¹  Barbara Heude¹  Anne Forhan¹  Blandine de Lauzon-Guillain¹  JonathanY. Bernard¹  Wojciech Hanke²  Agnieszka Jankowska²  Kinga Polanska²  Ling-Wei Chen³  CecilyC. Kelleher³  CatherineM. Phillips³  Matthew Suderman⁴  CarolineL. Relton⁴  SarahR. Crozier⁵  Cyrus Cooper⁵  NicholasC. Harvey⁵  SaraM. Mensink-Bout⁶  Liesbeth Duijts⁶  FionnualaM. McAuliffe⁷ 

[1] Centre for Research in Epidemiology and StatisticS (CRESS), Université de Paris, Inserm, Inra, F-75004 Paris, France;Department of Environmental Epidemiology, Nofer Institute of Occupational Medicine, 91-348 Lodz, Poland;HRB Centre for Health and Diet Research, School of Public Health, Physiotherapy, and Sports Science, University College Dublin, Belfield, Dublin 4, Ireland;MRC Integrative Epidemiology Unit, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 2BN, UK;MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital Southampton, Southampton SO16 6YD, UK;The Generation R Study Group, Erasmus MC, University Medical Center Rotterdam, 3000 CA Rotterdam, The Netherlands;UCD Perinatal Research Centre, School of Medicine, University College Dublin, National Maternity Hospital, Dublin 2, Ireland;

关键词: dash (dietary approaches to stop hypertension);    diet;    nutrition;    pregnancy;   

DOI  :  10.3390/nu11112706

来源: DOAJ

【 摘 要 】

The ALPHABET consortium aims to examine the interplays between maternal diet quality, epigenetics and offspring health in seven pregnancy/birth cohorts from five European countries. We aimed to use the Dietary Approaches to Stop Hypertension (DASH) score to assess diet quality, but different versions have been published. To derive a single DASH score allowing cross-country, cross-cohort and cross-period comparison and limiting data heterogeneity within the ALPHABET consortium, we harmonised food frequency questionnaire (FFQ) data collected before and during pregnancy in ≥26,500 women. Although FFQs differed strongly in length and content, we derived a consortium DASH score composed of eight food components by combining the prescriptive original DASH and the DASH described by Fung et al. Statistical issues tied to the nature of the FFQs led us to re-classify two food groups (grains and dairy products). Most DASH food components exhibited pronounced between-cohort variability, including non-full-fat dairy products (median intake ranging from 0.1 to 2.2 servings/day), sugar-sweetened beverages/sweets/added sugars (0.3−1.7 servings/day), fruits (1.1−3.1 servings/day), and vegetables (1.5−3.6 servings/day). We successfully developed a harmonized DASH score adapted to all cohorts being part of the ALPHABET consortium. This methodological work may benefit other research teams in adapting the DASH to their study’s specificities.

【 授权许可】

Unknown