Tóm tắt
Chế độ ăn Địa Trung Hải là một mô hình ăn uống lành mạnh được công nhận trên toàn cầu. Tổng quan mô tả nhằm mục đích đánh giá mối liên hệ giữa sự tuân thủ chế độ ăn Địa Trung Hải của thai phụ và nguy cơ sinh trẻ nhỏ so với tuổi thai. Chúng tôi đã tìm kiếm trên PubMed, Web of Science và Cochrane Library từ khi thành lập đến ngày 01 tháng 01 năm 2025. Tổng cộng có 11 nghiên cứu (3 thử nghiệm đối chứng ngẫu nhiên (RCTs) và 8 nghiên cứu đoàn hệ) đã được đưa vào nghiên cứu.
Kết quả gợi ý rằng sự tuân thủ chế độ ăn Địa Trung Hải trong thai kỳ và nguy cơ thai nhỏ so với tuổi thai thấp. Cần có thêm các RCT chất lượng cao để định những kết quả này, hỗ trợ các khuyến nghị lâm sàng về dinh dưỡng cho bà mẹ.
Tài liệu tham khảo
1. Grieger JA, Clifton VL. A review of the impact of dietary intakes in human pregnancy on infant birthweight. Nutrients. 2014;7(1):153-78.
2. Reijnders IF, Mulders AG, van der Windt M, Steegers EA, Steegers-Theunissen RP. The impact of periconceptional maternal lifestyle on clinical features and biomarkers of placental development and function: a systematic review. Human reproduction update. 2019;25(1):72-94.
3. Ashworth A. Effects of intrauterine growth retardation on mortality and morbidity in infants and young children. European journal of clinical nutrition. 1998;52:S34-41; discussion S.
4. H. Al Wattar B, Dodds J, Placzek A, Beresford L, Spyreli E, Moore A, et al. Mediterranean-style diet in pregnant women with metabolic risk factors (ESTEEM): A pragmatic multicentre randomised trial. PLoS medicine. 2019;16(7):e1002857.
5. Serra-Majem L, Tomaino L, Dernini S, Berry EM, Lairon D, Ngo de la Cruz J, et al. Updating the mediterranean diet pyramid towards sustainability: Focus on environmental concerns. International journal of environmental research and public health. 2020;17(23):8758.
6. Fernandez ML, Raheem D, Ramos F, Carrascosa C, Saraiva A, Raposo A. Highlights of current dietary guidelines in five continents. International journal of environmental research and public health. 2021;18(6):2814.
7. Delgado-Lista J, Alcala-Diaz JF, Torres-Peña JD, Quintana-Navarro GM, Fuentes F, Garcia-Rios A, et al. Long-term secondary prevention of cardiovascular disease with a Mediterranean diet and a low-fat diet (CORDIOPREV): a randomised controlled trial. The Lancet. 2022;399(10338):1876-85.
8. Lopez-Garcia E, Rodriguez-Artalejo F, Li TY, Fung TT, Li S, Willett WC, et al. The Mediterranean-style dietary pattern and mortality among men and women with cardiovascular disease. The American journal of clinical nutrition. 2014;99(1):172-80.
9. Kastorini C-M, Milionis HJ, Esposito K, Giugliano D, Goudevenos JA, Panagiotakos DB. The effect of Mediterranean diet on metabolic syndrome and its components: a meta-analysis of 50 studies and 534,906 individuals. Journal of the American college of cardiology. 2011;57(11):1299-313.
10. . Morze J, Danielewicz A, Przybyłowicz K, Zeng H, Hoffmann G, Schwingshackl L. An updated systematic review and meta-analysis on adherence to mediterranean diet and risk of cancer. Eur J Nutr. 2021 Apr;60(3):1561-1586.
11. Trichopoulou A, Costacou T, Bamia C, Trichopoulos D. Adherence to a Mediterranean diet and survival in a Greek population. New England Journal of Medicine. 2003;348(26):2599-608.
12. Guasch-Ferré M, Babio N, Martinez-Gonzalez MA, Corella D, Ros E, Martin-Pelaez S, et al. Dietary fat intake and risk of cardiovascular disease and all-cause mortality in a population at high risk of cardiovascular disease1. The American journal of clinical nutrition. 2015;102(6):1563-73.
13. Stephenson J, Heslehurst N, Hall J, Schoenaker DA, Hutchinson J, Cade JE, et al. Before the beginning: nutrition and lifestyle in the preconception period and its importance for future health. The Lancet. 2018;391(10132):1830-41.
14. Martínez-Galiano JM, Olmedo-Requena R, Barrios-Rodríguez R, Amezcua-Prieto C, Bueno-Cavanillas A, Salcedo-Bellido I, et al. Effect of adherence to a Mediterranean diet and olive oil intake during pregnancy on risk of small for gestational age infants. Nutrients. 2018;10(9):1234.
15. Gesteiro E, Rodríguez Bernal B, Bastida S, Sánchez-Muniz F. 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. European journal of clinical nutrition. 2012;66(9):1008-15.
16. Schoenaker DA, Soedamah-Muthu SS, Mishra GD. Quantifying the mediating effect of body mass index on the relation between a Mediterranean diet and development of maternal pregnancy complications: the Australian Longitudinal Study on Women’s Health. The American Journal of Clinical Nutrition. 2016;104(3):638-45.
17. Díaz-López A, Díaz-Torres S, Martín-Luján F, Basora J, Arija V. Prenatal adherence to the Mediterranean diet decreases the risk of having a small-for-gestational-age baby, ECLIPSES study. Scientific reports. 2022;12(1):13794.
18. Assaf-Balut C, de la Torre NG, Fuentes M, Durán A, Bordiú E, del Valle L, et al. A high adherence to six food targets of the mediterranean diet in the late first trimester is associated with a reduction in the risk of materno-foetal outcomes: The St. Carlos Gestational Diabetes Mellitus Prevention Study, Nutrients 11 (2018) 66. 2018.
19. Gómez Roig MD, Mazarico E, Ferrero S, Montejo R, Ibáñez L, Grima F, et al. Differences in dietary and lifestyle habits between pregnant women with small fetuses and appropriate‐for‐gestational‐age fetuses. Journal of Obstetrics and Gynaecology Research. 2017;43(7):1145-51.
20. Peraita-Costa I, Llopis-González A, Perales-Marín A, Diago V, Soriano JM, Llopis-Morales A, et al. Maternal profile according to Mediterranean diet adherence and small for gestational age and preterm newborn outcomes. Public Health Nutrition. 2021;24(6):1372-84.
21. De Giuseppe R, Bocchi M, Maffoni S, Del Bo E, Manzoni F, Cerbo RM, et al. Mediterranean diet and lifestyle habits during pregnancy: is there an association with small for gestational age infants? An Italian single centre experience. Nutrients. 2021;13(6):1941.
22. Makarem N, Chau K, Miller EC, Gyamfi-Bannerman C, Tous I, Booker W, et al. Association of a Mediterranean diet pattern with adverse pregnancy outcomes among US women. JAMA Network Open. 2022;5(12):e2248165-e.
23. Assaf-Balut C, García de la Torre N, Durán A, Fuentes M, Bordiú E, Del Valle L, et al. A Mediterranean diet with additional extra virgin olive oil and pistachios reduces the incidence of gestational diabetes mellitus (GDM): A randomized controlled trial: The St. Carlos GDM prevention study. PloS one. 2017;12(10):e0185873.
24. Crovetto F, Crispi F, Casas R, Martín-Asuero A, Borràs R, Vieta E, et al. Effects of Mediterranean diet or mindfulness-based stress reduction on prevention of small-for-gestational age birth weights in newborns born to at-risk pregnant individuals: the IMPACT BCN randomized clinical trial. Jama. 2021;326(21):2150-60.
25. Sikalidis AK, Kelleher AH, Kristo AS. Mediterranean diet. Encyclopedia. 2021;1(2):371-87.
26. Lecorguillé M, Teo S. Maternal Dietary Quality and Dietary Inflammation Associations with Offspring Growth, Placental Development, and DNA Methylation. 2021;13(9).
27. Mohtashaminia F, Hosseini F, Jayedi A, Mirmohammadkhani M, Emadi A, Takfallah L, et al. Adherence to the Mediterranean diet and risk of gestational diabetes: a prospective cohort study. BMC pregnancy and childbirth. 2023;23(1):647.
2. Reijnders IF, Mulders AG, van der Windt M, Steegers EA, Steegers-Theunissen RP. The impact of periconceptional maternal lifestyle on clinical features and biomarkers of placental development and function: a systematic review. Human reproduction update. 2019;25(1):72-94.
3. Ashworth A. Effects of intrauterine growth retardation on mortality and morbidity in infants and young children. European journal of clinical nutrition. 1998;52:S34-41; discussion S.
4. H. Al Wattar B, Dodds J, Placzek A, Beresford L, Spyreli E, Moore A, et al. Mediterranean-style diet in pregnant women with metabolic risk factors (ESTEEM): A pragmatic multicentre randomised trial. PLoS medicine. 2019;16(7):e1002857.
5. Serra-Majem L, Tomaino L, Dernini S, Berry EM, Lairon D, Ngo de la Cruz J, et al. Updating the mediterranean diet pyramid towards sustainability: Focus on environmental concerns. International journal of environmental research and public health. 2020;17(23):8758.
6. Fernandez ML, Raheem D, Ramos F, Carrascosa C, Saraiva A, Raposo A. Highlights of current dietary guidelines in five continents. International journal of environmental research and public health. 2021;18(6):2814.
7. Delgado-Lista J, Alcala-Diaz JF, Torres-Peña JD, Quintana-Navarro GM, Fuentes F, Garcia-Rios A, et al. Long-term secondary prevention of cardiovascular disease with a Mediterranean diet and a low-fat diet (CORDIOPREV): a randomised controlled trial. The Lancet. 2022;399(10338):1876-85.
8. Lopez-Garcia E, Rodriguez-Artalejo F, Li TY, Fung TT, Li S, Willett WC, et al. The Mediterranean-style dietary pattern and mortality among men and women with cardiovascular disease. The American journal of clinical nutrition. 2014;99(1):172-80.
9. Kastorini C-M, Milionis HJ, Esposito K, Giugliano D, Goudevenos JA, Panagiotakos DB. The effect of Mediterranean diet on metabolic syndrome and its components: a meta-analysis of 50 studies and 534,906 individuals. Journal of the American college of cardiology. 2011;57(11):1299-313.
10. . Morze J, Danielewicz A, Przybyłowicz K, Zeng H, Hoffmann G, Schwingshackl L. An updated systematic review and meta-analysis on adherence to mediterranean diet and risk of cancer. Eur J Nutr. 2021 Apr;60(3):1561-1586.
11. Trichopoulou A, Costacou T, Bamia C, Trichopoulos D. Adherence to a Mediterranean diet and survival in a Greek population. New England Journal of Medicine. 2003;348(26):2599-608.
12. Guasch-Ferré M, Babio N, Martinez-Gonzalez MA, Corella D, Ros E, Martin-Pelaez S, et al. Dietary fat intake and risk of cardiovascular disease and all-cause mortality in a population at high risk of cardiovascular disease1. The American journal of clinical nutrition. 2015;102(6):1563-73.
13. Stephenson J, Heslehurst N, Hall J, Schoenaker DA, Hutchinson J, Cade JE, et al. Before the beginning: nutrition and lifestyle in the preconception period and its importance for future health. The Lancet. 2018;391(10132):1830-41.
14. Martínez-Galiano JM, Olmedo-Requena R, Barrios-Rodríguez R, Amezcua-Prieto C, Bueno-Cavanillas A, Salcedo-Bellido I, et al. Effect of adherence to a Mediterranean diet and olive oil intake during pregnancy on risk of small for gestational age infants. Nutrients. 2018;10(9):1234.
15. Gesteiro E, Rodríguez Bernal B, Bastida S, Sánchez-Muniz F. 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. European journal of clinical nutrition. 2012;66(9):1008-15.
16. Schoenaker DA, Soedamah-Muthu SS, Mishra GD. Quantifying the mediating effect of body mass index on the relation between a Mediterranean diet and development of maternal pregnancy complications: the Australian Longitudinal Study on Women’s Health. The American Journal of Clinical Nutrition. 2016;104(3):638-45.
17. Díaz-López A, Díaz-Torres S, Martín-Luján F, Basora J, Arija V. Prenatal adherence to the Mediterranean diet decreases the risk of having a small-for-gestational-age baby, ECLIPSES study. Scientific reports. 2022;12(1):13794.
18. Assaf-Balut C, de la Torre NG, Fuentes M, Durán A, Bordiú E, del Valle L, et al. A high adherence to six food targets of the mediterranean diet in the late first trimester is associated with a reduction in the risk of materno-foetal outcomes: The St. Carlos Gestational Diabetes Mellitus Prevention Study, Nutrients 11 (2018) 66. 2018.
19. Gómez Roig MD, Mazarico E, Ferrero S, Montejo R, Ibáñez L, Grima F, et al. Differences in dietary and lifestyle habits between pregnant women with small fetuses and appropriate‐for‐gestational‐age fetuses. Journal of Obstetrics and Gynaecology Research. 2017;43(7):1145-51.
20. Peraita-Costa I, Llopis-González A, Perales-Marín A, Diago V, Soriano JM, Llopis-Morales A, et al. Maternal profile according to Mediterranean diet adherence and small for gestational age and preterm newborn outcomes. Public Health Nutrition. 2021;24(6):1372-84.
21. De Giuseppe R, Bocchi M, Maffoni S, Del Bo E, Manzoni F, Cerbo RM, et al. Mediterranean diet and lifestyle habits during pregnancy: is there an association with small for gestational age infants? An Italian single centre experience. Nutrients. 2021;13(6):1941.
22. Makarem N, Chau K, Miller EC, Gyamfi-Bannerman C, Tous I, Booker W, et al. Association of a Mediterranean diet pattern with adverse pregnancy outcomes among US women. JAMA Network Open. 2022;5(12):e2248165-e.
23. Assaf-Balut C, García de la Torre N, Durán A, Fuentes M, Bordiú E, Del Valle L, et al. A Mediterranean diet with additional extra virgin olive oil and pistachios reduces the incidence of gestational diabetes mellitus (GDM): A randomized controlled trial: The St. Carlos GDM prevention study. PloS one. 2017;12(10):e0185873.
24. Crovetto F, Crispi F, Casas R, Martín-Asuero A, Borràs R, Vieta E, et al. Effects of Mediterranean diet or mindfulness-based stress reduction on prevention of small-for-gestational age birth weights in newborns born to at-risk pregnant individuals: the IMPACT BCN randomized clinical trial. Jama. 2021;326(21):2150-60.
25. Sikalidis AK, Kelleher AH, Kristo AS. Mediterranean diet. Encyclopedia. 2021;1(2):371-87.
26. Lecorguillé M, Teo S. Maternal Dietary Quality and Dietary Inflammation Associations with Offspring Growth, Placental Development, and DNA Methylation. 2021;13(9).
27. Mohtashaminia F, Hosseini F, Jayedi A, Mirmohammadkhani M, Emadi A, Takfallah L, et al. Adherence to the Mediterranean diet and risk of gestational diabetes: a prospective cohort study. BMC pregnancy and childbirth. 2023;23(1):647.
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