The Effects of Lebanese Mediterranean Diet and Lifestyle Factors on Pregnancy Outcomes in Lebanon

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dc.contributor.author Imad, Maya
dc.date.accessioned 2022-06-15T09:13:34Z
dc.date.available 2022-06-15T09:13:34Z
dc.date.copyright 2021 en_US
dc.date.issued 2021-08-03
dc.identifier.uri http://hdl.handle.net/10725/13683
dc.description.abstract Background and aims: Lifestyle factors and appropriate nutrition play an essential role during pregnancy. In specific, following the Mediterranean diet is known to have positive impacts on the mother and the infant, including preventing excessive gestational weight gain and its associated pregnancy complications. However, no study was conducted that tackles the effect of the Lebanese Mediterranean diet on pregnancy outcomes. Thus, our aim is to examine the effect of the Lebanese Mediterranean diet and Lifestyle factors on gestational weight gain. Methods: A prospective cohort study was conducted in South of Lebanon on 71 Lebanese pregnant women (mean age 28.97 (±4.99), mean pre-pregnancy BMI 25.07 (±5.05), 76.1% were multiparous and 14.1% had maternal delivery complications) who were recruited from 6 different clinics. Data collection took place between December 2019 and May 2021. Sociodemographic data and medical history of participants were collected in the first interview. Each trimester, a questionnaire of 6 validated tools was administered and included Perceived Stress Scale (PSS10), Edinburgh Perinatal/Postnatal Depression Scale (EPDS), Pittsburgh Sleep Quality Index (PSQI), a Food Frequency Questionnaire to estimate Lebanese Mediterranean Diet Index (LMD), Physical Activity Readiness Medical Examination (PARmed-X for pregnancy) and Arab Family Food Security Scale (AFFSS). Anthropometric data of the mother and the infant, as well as other medical information were collected from the medical charts. The primary outcome, gestational weight gain (GWG), was dichotomized as adequate vs. high weight gain according to the Institute of Medicine (IOM) guidelines. Bivariate analysis followed by Logistic regression were performed to determine the associations between LMD and other factors and GWG. Results: Regression analysis revealed a significant inverse association between stress in the third trimester and the odds of having high GWG (p-value =0.013 and OR=0.926 with 95% CI 0.872- 0.984). Moreover, women who were considered as good sleepers in their third trimester had also higher GWG (p-value=0.036 and OR=6.068 with 95% CI 1.124- 32.774). However, no association was observed between LMD and GWG (p-value=0.16 and OR=1.147 with 95% CI 0.947-1.389). Conclusion: Sleep and stress during pregnancy, but not LMD, were shown to be associated with GWG. Larger longitudinal studies are required to examine the associations between lifestyle factors, LMD and GWG. en_US
dc.language.iso en en_US
dc.subject Pregnancy -- Nutritional aspects -- Lebanon en_US
dc.subject Mothers -- Nutrition en_US
dc.subject Obesity in women -- Lebanon en_US
dc.subject Lebanese American University -- Dissertations en_US
dc.subject Dissertations, Academic en_US
dc.title The Effects of Lebanese Mediterranean Diet and Lifestyle Factors on Pregnancy Outcomes in Lebanon en_US
dc.type Thesis en_US
dc.title.subtitle A Prospective Cohort en_US
dc.term.submitted Summer en_US
dc.author.degree MS in Nutrition en_US
dc.author.school SAS en_US
dc.author.idnumber 201503238 en_US
dc.author.commembers Hubayter, Ziad
dc.author.commembers Rahi, Berna
dc.author.department Natural Sciences en_US
dc.description.physdesc 1 online resource (xii, 81 leaves) en_US
dc.author.advisor Bassil, Maya
dc.keywords Pregnant women en_US
dc.keywords Gestational weight gain (GWG) en_US
dc.keywords Lebanese Mediterranean diet (LMD) en_US
dc.keywords Lifestyle factors en_US
dc.keywords Pregnancy outcomes en_US
dc.description.bibliographiccitations Includes bibliographical references (leaf 46-56) en_US
dc.identifier.doi https://doi.org/10.26756/th.2022.229
dc.author.email maya.imad@lau.edu en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/thesis.php en_US
dc.publisher.institution Lebanese American University en_US
dc.author.affiliation Lebanese American University en_US

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