Poster Session 3
Category: Epidemiology
Poster Session 3
Maayan Hagbi Bal, MD, MPH, Phd (she/her/hers)
OBGYN Resident PGY1
Icahn School of Medicine at Mount Sinai
Fair lawn, New Jersey, United States
Israel Yoles, MD
Obstetrician
Clalit Health Services, The Central District
Rishon Le Tzion, HaMerkaz, Israel
.jpeg.jpg "Eyal Sheiner, MD, PhD photo")
Eyal Sheiner, MD, PhD
Deichmann Lerner Full Professor of Obstetrics & Gynecology; Chairman of the Division of OBY&GYN
Soroka University Medical Center, Faculty of Health Sciences, Ben‑Gurion University of the Negev
beer sheva, HaDarom, Israel
Danit Rivka Shahar, PhD
Ben-Gurion University of the Negev
Beer Sheva, HaDarom, Israel
Iris Shoam, MD
Ben-Gurion University of the Negev
Ben Gurion, HaDarom, Israel
Shimrit Yaniv Salem, MD
Faculty of Health Sciences, Joyce & Irving Goldman Medical School at Ben-Gurion University
Beer sheva, HaDarom, Israel
Neta Benshalom-Tirosh, MD (she/her/hers)
Ben-Gurion University of the Negev
Beer Sheva, HaDarom, Israel
Noa Dina Israel-Tov
MPH
Ben-Gurion University of the Negev
Ben Gurion, HaDarom, Israel
Doron Bergman
Ben-Gurion University of the Negev
Ben Gurion, HaDarom, Israel
Ron Rosenbaum, BSc
Ben-Gurion University of the Negev
Ben Gurion, HaDarom, Israel
Ifat Baram Goldberg, MD (she/her/hers)
Medical Intern
Ben-Gurion University of the Negev
Ben Gurion, HaDarom, Israel
Ayal Haimov
Ben-Gurion University of the Negev
Ben Gurion, HaDarom, Israel
Noam Tomasis Damri, BSc
Ben-Gurion University of the Negev
Beer Sheva, HaDarom, Israel
Ilana Shoham Vardi, PhD
Ben-Gurion University of the Negev
Beer Sheva, HaDarom, Israel
Tamar Wainstock, PhD (she/her/hers)
Department of Epidemiology, Biostatistics and Community Health Sciences, Faculty of Health Sciences, Ben-Gurion University of the Negev
Beer Sheva, HaDarom, Israel
To examine the association between maternal Body Mass Index (BMI), Mediterranean diet adherence, and the risk of PTB and recurrent PTB.
Study Design:
A prospective cohort of 462 singleton pregnancies at a tertiary center and affiliated clinics (IRB#0390-20-SOR), including women with and without prior spontaneous PTB, was studied. Maternal BMI was recorded at recruitment and delivery. Mediterranean diet adherence was assessed via a validated short questionnaire. PTB incidence was compared across BMI categories and diet adherence categories, with stratified analysis by PTB history.
Results:
The study included 462 women: 257 (55.6%) with and 205 (44.4%) without a history of PTB. Of these, 81 (18.1%) had low adherence to the Mediterranean diet (score ≤5/17), 35 (7.6%) were underweight (BMI< 18.5), and 253 (54.8%) had normal weight. Recurrent PTB occurred in 22.5% (n=55), initial PTB in 4.3% (n=8). Underweight women were more likely to have PTB (42.9% [15] vs. 20.6% [88], OR=2.89, 95% CI: 1.15–7.26). Low diet adherence was associated with increased PTB risk (26% vs. 11.9%, OR=2.72, 95% CI: 1.5–4.93) and recurrent PTB (42% vs. 18.1%; OR=3.31, 95% CI: 1.66–6.62; Figure). In adjusted models, low diet adherence increased PTB risk by 19.9% per one-point decrease (AdjOR=1.20, 95% CI: 1.02–1.40, p=0.025). Among women with prior PTB, underweight increased recurrent PTB risk (adjOR=2.69, 95% CI: 1.04–6.93, p=0.040), while low adherence increased it by 25.5% per one-point decrease (AdjOR=1.26, 95% CI: 1.05–1.49, p=0.011) (Table).
Conclusion:
Low adherence to Mediterranean diet is a risk factor for both PTB and recurrent PTB. These findings emphasize the need for tailored nutritional and weight management strategies to mitigate the risk of PTB and recurrent PTB.