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The Dietary Inflammatory Index as a predictor of pregnancy outcomes: Systematic review and meta-analysis.
de Freitas, Natércia Paula Alves; Carvalho, Thiago Ribeiro; Gonçalves, Cristiano César Rodrigues Augusto; da Silva, Pedro Henrique Alcântara; de Melo Romão, Lourena Guedes; Kwak-Kim, Joanne; Cavalcante, Marcelo Borges.
Afiliação
  • de Freitas NPA; Postgraduate Program in Medical Sciences, Universidade de Fortaleza (UNIFOR), Fortaleza, CE 60.811-905, Brazil.
  • Carvalho TR; Medical Course, Universidade de Fortaleza, UNIFOR, Fortaleza, CE 60.811-905, Brazil.
  • Gonçalves CCRA; Medical Course, Universidade de Fortaleza, UNIFOR, Fortaleza, CE 60.811-905, Brazil.
  • da Silva PHA; CONCEPTUS - Reproductive Medicine, Fortaleza, CE 60.170-240, Brazil.
  • de Melo Romão LG; CONCEPTUS - Reproductive Medicine, Fortaleza, CE 60.170-240, Brazil.
  • Kwak-Kim J; Reproductive Medicine and Immunology, Obstetrics and Gynecology, Clinical Sciences Department, Chicago Medical School, Rosalind Franklin University of Medicine and Science, Vernon Hills, IL 60061, USA.
  • Cavalcante MB; Postgraduate Program in Medical Sciences, Universidade de Fortaleza (UNIFOR), Fortaleza, CE 60.811-905, Brazil; Medical Course, Universidade de Fortaleza, UNIFOR, Fortaleza, CE 60.811-905, Brazil; CONCEPTUS - Reproductive Medicine, Fortaleza, CE 60.170-240, Brazil. Electronic address: marcelocavalca
J Reprod Immunol ; 152: 103651, 2022 08.
Article em En | MEDLINE | ID: mdl-35696840
Unhealthy diets have been linked to low-grade chronic inflammation, a condition known to play a role in the pathophysiology of non-communicable diseases as well as pregnancy complications. The Dietary Inflammatory Index (DII) is a tool for evaluating the inflammatory potential of various diets. The goal of this systematic review and meta-analysis is to assess the current state of evidence on the use of DII as a predictor of pregnancy outcomes in pregnant women. This study was developed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PROSPERO, number CRD42021288966). DII was evaluated as a predictor of obstetric complications in observational studies. The search was conducted in PubMed/Medline, Embase, and Web of Science. Data from eligible studies were extracted independently by two reviewers. The Newcastle-Ottawa Scale was used to assess the methodological quality of the studies. A total of eight studies were eligible for the review. In a meta-analysis of continuous and categorical variables, DII was a predictor of any obstetric complications [mean difference: 0.39, 95 %CI 0.02-0.75, (p = 0.04); and odds ratio: 1.24, 95 %CI 1.11-1.40, (p = 0.0002)]. High DII was associated with pregnancy complications, particularly preeclampsia/hypertensive disorder of pregnancy and preterm birth. The DII is a tool that can assist in the food and therapeutic planning of pregnant women with obstetric risks. Well-designed clinical trials are necessary, especially studies that focus on recurrent pregnancy losses and implantation failures.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pré-Eclâmpsia / Complicações na Gravidez / Nascimento Prematuro Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Limite: Female / Humans / Newborn / Pregnancy Idioma: En Revista: J Reprod Immunol Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Irlanda
Texto completo
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XML
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pré-Eclâmpsia / Complicações na Gravidez / Nascimento Prematuro Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Limite: Female / Humans / Newborn / Pregnancy Idioma: En Revista: J Reprod Immunol Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Irlanda