Maternal dietary patterns during pregnancy and child internalising and externalising problems. The Generation R Study. Steenweg-de Graaff, J., Tiemeier, H., Steegers-Theunissen, R. P., Hofman, A., Jaddoe, V. W., Verhulst, F. C., & Roza, S. J. Clinical Nutrition, 33(1):115–121, February, 2014. Publisher: Churchill Livingstone
Maternal dietary patterns during pregnancy and child internalising and externalising problems. The Generation R Study [link]Paper  doi  abstract   bibtex   
BACKGROUND & AIMS Maternal nutritional factors during pregnancy have been linked to foetal brain development and subsequent offspring behaviour. Less is known about associations between maternal dietary patterns and offspring behaviour. METHODS Within a population-based cohort, we assessed maternal diet using a food frequency questionnaire. Three dietary patterns were derived by means of Principal Component Analysis. Child internalising (emotionally reactive, anxious/depressed or withdrawn, having somatic complaints) and externalising problems (inattention, aggression) were assessed with the Child Behaviour Checklist at 1.5, 3 and 6 years in 3104 children. We assessed the association of maternal Mediterranean, Traditionally Dutch and Confectionary dietary pattern during pregnancy with child internalising and externalising problems. RESULTS After adjustment, the Mediterranean diet was negatively associated (ORper SD in Mediterranean score = 0.90, 95% CI: 0.83–0.97) and the Traditionally Dutch diet was positively associated with child externalising problems (ORper SD in Traditionally Dutch score = 1.11, 95% CI: 1.03–1.21). Neither diet was associated with internalising problems. CONCLUSIONS Both low adherence to the Mediterranean diet and high adherence to the Traditionally Dutch diet during pregnancy are associated with an increased risk of child externalising problems. Further research is needed to unravel the effects of nutrient interplay during and after pregnancy on child behavioural development.
@article{steenweg-de_graaff_maternal_2014,
	title = {Maternal dietary patterns during pregnancy and child internalising and externalising problems. {The} {Generation} {R} {Study}},
	volume = {33},
	issn = {0261-5614},
	url = {https://www.sciencedirect.com/science/article/pii/S0261561413000800},
	doi = {10.1016/J.CLNU.2013.03.002},
	abstract = {BACKGROUND \& AIMS
Maternal nutritional factors during pregnancy have been linked to foetal brain development and subsequent offspring behaviour. Less is known about associations between maternal dietary patterns and offspring behaviour. 

METHODS
Within a population-based cohort, we assessed maternal diet using a food frequency questionnaire. Three dietary patterns were derived by means of Principal Component Analysis. Child internalising (emotionally reactive, anxious/depressed or withdrawn, having somatic complaints) and externalising problems (inattention, aggression) were assessed with the Child Behaviour Checklist at 1.5, 3 and 6 years in 3104 children. We assessed the association of maternal Mediterranean, Traditionally Dutch and Confectionary dietary pattern during pregnancy with child internalising and externalising problems. 

RESULTS
After adjustment, the Mediterranean diet was negatively associated (ORper SD in Mediterranean score = 0.90, 95\% CI: 0.83–0.97) and the Traditionally Dutch diet was positively associated with child externalising problems (ORper SD in Traditionally Dutch score = 1.11, 95\% CI: 1.03–1.21). Neither diet was associated with internalising problems. 

CONCLUSIONS
Both low adherence to the Mediterranean diet and high adherence to the Traditionally Dutch diet during pregnancy are associated with an increased risk of child externalising problems. Further research is needed to unravel the effects of nutrient interplay during and after pregnancy on child behavioural development.},
	number = {1},
	urldate = {2018-09-19},
	journal = {Clinical Nutrition},
	author = {Steenweg-de Graaff, Jolien and Tiemeier, Henning and Steegers-Theunissen, Régine P.M. and Hofman, Albert and Jaddoe, Vincent W.V. and Verhulst, Frank C. and Roza, Sabine J.},
	month = feb,
	year = {2014},
	note = {Publisher: Churchill Livingstone},
	pages = {115--121},
}

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