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Background: We investigated the impact of fish oil and/or probiotics on serum and vaginal inflammatory and metabolic proteins and their relation to the onset of gestational diabetes mellitus (GDM). Methods: Overweight/obese ...

<p>(1) Background: Clinical practice guidelines recommend dietary and physical activity counselling for pregnant women with gestational diabetes (GDM). The aim of this study was to evaluate the extent to which a history of GDM and living with overweight before pregnancy modify dietary quality and physical activity during pregnancy. (2) Methods: The study is a cross-sectional study of 1034 pregnant women from different parts of Finland. The data were collected through electronic questionnaires. Dietary quality and physical activity were measured with stand-alone indices and compared according to the history of GDM and overweight status based on body mass index (BMI) category. (3) Results: Overall, 53% of the women had a poor dietary quality (Index of Diet Quality (IDQ) score < 10) and 45% a light physical activity level. The IDQ score or physical activity levels did not differ between women with and without a history of GDM. Instead, in women with overweight/obesity both the IDQ score and physical activity levels were lower compared to their normal-weight counterparts (p < 0.001). (4) Conclusions: Pregnant women, particularly if living with overweight, commonly have a poor dietary quality and a light level of physical activity. A history of GDM is not reflected in the lifestyle habits, despite the assumption that they have received lifestyle counselling during a previous pregnancy. Pregnant women would benefit from new means to promote healthy lifestyle changes.</p>...

<p><strong>LÄHTÖKOHDAT </strong>Tavoitteena oli tutkia suomalaisten raskaana olevien naisten ravintolisien käyttöä ja verrata saantia raskausajan suosituksiin.</p><p><strong>MENETELMÄT </strong>Aineisto (n = 542) kerättiin ...

<p>Diet and gut microbiota are known to modulate metabolic health. Our aim was to apply a metagenomics approach to investigate whether the diet-gut microbiota-metabolism and inflammation relationships differ in pregnant overweight and obese women. This cross-sectional study was conducted in overweight (n = 234) and obese (n = 152) women during early pregnancy. Dietary quality was measured by a validated index of diet quality (IDQ). Gut microbiota taxonomic composition and species diversity were assessed by metagenomic profiling (Illumina HiSeq platform). Markers for glucose metabolism (glucose, insulin) and low-grade inflammation (high sensitivity C-reactive protein [hsCRP], glycoprotein acetylation [GlycA]) were analyzed from blood samples. Higher IDQ scores were positively associated with a higher gut microbiota species diversity (r = 0.273, P = 0.007) in obese women, but not in overweight women. Community composition (beta diversity) was associated with the GlycA level in the overweight women (P = 0.04) but not in the obese. Further analysis at the species level revealed a positive association between the abundance of species Alistipes finegoldii and the GlycA level in overweight women (logfold change = 4.74, P = 0.04). This study has been registered at ClinicalTrials.gov under registration no. NCT01922791 (<a href="https://clinicaltrials.gov/ct2/show/NCT01922791">https://clinicaltrials.gov/ct2/show/NCT01922791</a>).<br></p>...

<p><strong>Background: </strong>If a pregnant woman is overweight, this can evoke metabolic alterations that may have health consequences for both mother and child.</p><p><strong>Methods: </strong>Pregnant women with ...

<p><strong>Purpose: </strong>Iodine insufficiency during pregnancy may adversely influence fetal growth and development. There is a lack of information on iodine status in pregnant women and infants in many countries ...

The study objective was to (1) compare, through a randomised pilot intervention study, the effects of a standard health app and an enhanced health app, with evidence-based information regarding healthy lifestyle, on ...

<p><strong>Background: </strong>There is limited evidence about diet quality and associated factors in a representative population-based sample of preschool-aged children in Finland.</p><p><strong>Objective: </strong>The ...

<p><strong>Purpose: </strong>An optimal diet for lowering the risk of gestational diabetes mellitus (GDM) is still to be defined, but may comprise of nutrient intakes, dietary patterns, diet quality, and eating frequency. ...

<div><p>New means to stabilize the microbial balance during pregnancy could benefit maternal health. Our objectives were to investigate in overweight/obese pregnant women 1) the impact of long-chain <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/polyunsaturated-fatty-acid" title="Learn more about polyunsaturated fatty acids from ScienceDirect's AI-generated Topic Pages">polyunsaturated fatty acids</a> (fish oil) and/or <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/probiotic-agent" title="Learn more about probiotics from ScienceDirect's AI-generated Topic Pages">probiotics</a> on the <a href="https://www.sciencedirect.com/topics/pharmacology-toxicology-and-pharmaceutical-science/vagina-flora" title="Learn more about vaginal microbiota from ScienceDirect's AI-generated Topic Pages">vaginal microbiota</a>, 2) its relation to <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/gestational-diabetes" title="Learn more about gestational diabetes mellitus from ScienceDirect's AI-generated Topic Pages">gestational diabetes mellitus</a> (GDM) and 3) its interaction with vaginal active matrix metalloproteinase-8 (aMMP-8) and serum high sensitivity C-reactive protein (hsCRP) and phosphorylated insulin-like growth factor-binding protein-1 (phIGFBP-1), IGFBP-1 and aMMP-8.<br></p><p>The women were allocated to fish oil + placebo, probiotics + placebo, fish oil + probiotics and placebo + placebo-groups, from <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/first-trimester-pregnancy" title="Learn more about early pregnancy from ScienceDirect's AI-generated Topic Pages">early pregnancy</a> onwards (fish oil: 1.9 g <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/docosahexaenoic-acid" title="Learn more about docosahexaenoic acid from ScienceDirect's AI-generated Topic Pages">docosahexaenoic acid</a> and 0.22 g <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/icosapentaenoic-acid" title="Learn more about eicosapentaenoic acid from ScienceDirect's AI-generated Topic Pages">eicosapentaenoic acid</a>; probiotics: Lacticaseibacillus rhamnosus HN001 (formerly <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/lactobacillus" title="Learn more about Lactobacillus from ScienceDirect's AI-generated Topic Pages">Lactobacillus</a> rhamnosus HN001) and <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/bifidobacterium-animalis" title="Learn more about Bifidobacterium animalis from ScienceDirect's AI-generated Topic Pages">Bifidobacterium animalis</a> ssp. lactis 420, 10¹⁰ colony-forming units each). Vaginal and serum samples (early pregnancy, n = 112; <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/third-trimester-pregnancy" title="Learn more about late pregnancy from ScienceDirect's AI-generated Topic Pages">late pregnancy</a>, n = 116), were analyzed for vaginal microbiota using <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/rna-16s" title="Learn more about 16S rRNA from ScienceDirect's AI-generated Topic Pages">16S rRNA</a> gene <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/amplicon" title="Learn more about amplicon from ScienceDirect's AI-generated Topic Pages">amplicon</a> sequencing and vaginal aMMP-8 and serum hsCRP, aMMP-8, phIGFBP-1 and IGFBP-1 by <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/immunoassay" title="Learn more about immunoassays from ScienceDirect's AI-generated Topic Pages">immunoassays</a>. GDM was diagnosed from a 2-h 75 g <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/oral-glucose-tolerance-test" title="Learn more about OGTT from ScienceDirect's AI-generated Topic Pages">OGTT</a>. ClinicalTrials.gov, NCT01922791.</p><p>The intervention exerted effects on many low-abundant bacteria. Compared to the placebo-group, there was a lower abundance of potential pathobionts, namely <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/ureaplasma" title="Learn more about Ureaplasma from ScienceDirect's AI-generated Topic Pages">Ureaplasma</a> urealyticum in the fish oil-group, Ureaplasma, U. urealyticum and <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/prevotella" title="Learn more about Prevotella from ScienceDirect's AI-generated Topic Pages">Prevotella</a> disiens in the probiotics-group, <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/dialister" title="Learn more about Dialister from ScienceDirect's AI-generated Topic Pages">Dialister</a> invisus and Prevotella timonensis in the fish oil + probiotics-group. Moreover, probiotics decreased the abundance of a few potential pathobionts during pregnancy. Many bacteria were related to GDM. The vaginal aMMP-8 level correlated significantly with α-diversity and inversely with two Lactobacillus species.</p><p>Dietary interventions, especially probiotics, may have beneficial effects on the vaginal microbiota during pregnancy.</p></div>...