Diet inflammatory index in pregnancy is not related to offspring asthma
and/or wheeze or pro-inflammatory cytokine and chemokine levels at
birth.
Abstract
Background Two studies examining the association between maternal diet
inflammatory indices (DII) during pregnancy and offspring asthma and/or
wheeze have shown either no effect, or increased risk. Neither study
investigated a biological pathway for the association. We examined the
association between maternal DII and risk of offspring asthma and/or
wheeze, and sought to determine whether cord sera cytokines/chemokines
might connect maternal DII with offspring risk. Methods Analysis
included 1228 dyads in Healthy Start, a prospective prebirth cohort from
Colorado. DII scores were computed for each mother based on repeated
24-hour dietary recalls during pregnancy. Child diagnosis of asthma
and/or wheeze up to four years was obtained from electronic medical
records. For a subset of participants, cord sera was analyzed for five
cytokines and two chemokines. Results Unadjusted analyses showed
positive association between maternal DII scores and child asthma and/or
wheeze by 4 years (OR = 1.17; 95% CI: 1.07, 1.27), but the association
was attenuated and no longer significant in adjusted models (OR = 1.13;
95% CI: 0.99, 1.28). There were no significant associations between
cord sera cytokines/chemokines and child asthma and/or wheeze. There
were no significant assocations between DII scores and any cytokine or
chemokine measured. Conclusion Our study showed that the inflammatory
profile of the maternal diet was not significantly associated with
offspring asthma and/or wheeze or cord sera cytokines and chemokines.
Although the maternal diet in pregnancy seems an obvious biological
target for asthma and/or wheeze prevention, factors other than the
inflammatory profile need to be investigated.