期刊
AMERICAN JOURNAL OF EPIDEMIOLOGY
卷 177, 期 8, 页码 852-861出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/aje/kws303
关键词
dietary patterns; eating patterns; finite mixture models; hidden Markov models; latent class analysis; latent transition models; postpartum; pregnancy
资金
- National Institute of Child Health and Human Development, National Institutes of Health [HD37584, HD39373]
- National Institute of Diabetes and Digestive and Kidney Diseases [DK61981, DK56350]
- Carolina Population Center
Latent class models are useful for classifying subjects by dietary patterns. Our goals were to use latent transition models to identify dietary patterns during pregnancy and postpartum, to estimate the prevalence of these dietary patterns, and to model transition probabilities between dietary patterns as a function of covariates. Women who were enrolled in the Pregnancy, Infection, and Nutrition Study (University of North Carolina, 20002005) were followed for 1 year postpartum, and their diets were assessed in the second trimester and at 3 and 12 months postpartum (n 519, 484, and 374, respectively) by using a food frequency questionnaire. After adjusting for energy intake, parity, smoking status, race, and education, we identified 3 dietary patterns and named them prudent, health conscious Western, and Western. Nulliparas were 2.9 and 2.1 times more likely to be in the prudent class than the health conscious Western or the Western class, respectively. The 3 dietary patterns were very stable, with the health conscious Western class being the least stable; the probability for staying in the same class was 0.74 and 0.87 at 3 and 12 months postpartum, respectively. Breastfeeding mothers were more likely than nonbreastfeeding mothers to switch dietary pattern class (P 0.0286). Except for breastfeeding mothers, most women did not switch dietary patterns from pregnancy to postpartum.
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