Diet in pregnancy—more than food
Open accessAbstract
High food quality, together with adequate macro- and micronutrient intake in pregnancy, is crucial for the health status of the mother and child. Recent findings suggest that it could also be beneficial or harmful in the context of the well-being of the whole future population. According to the developmental origins of health and disease hypothesis, most conditions that occur in adulthood originate in foetal life. Moreover, some epigenetic events, modified inter alia by diet, impact more than one generation. Still, the recommendations in most countries are neither popularised nor very detailed. While it seems to be important to direct diet trends towards a healthier lifestyle, the methods of preventing specific disorders like diabetes or asthma are not yet established and require further investigation. CONCLUSION: In this review, we will summarise the recommendations for diet composition in pregnancy, focusing on both diet quality and quantity. What is Known • High food quality, together with adequate macro- and micronutrient intake in pregnancy, is crucial for the health status of the mother and child. What is New • Recent findings suggest that the diet could be beneficial or harmful in the context of the well-being of the whole future population. Most conditions that occur in adulthood originate in foetal life. • Moreover, some epigenetic events, modified by diet impact more than one generation.
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A diet with a high fat content is contraindicated because it leads to placental dysfunction and infant obesity, increased inflammation and oxidative stress, and impaired maternal muscle glucose uptake.
“A diet with a high fat content is contraindicated (20–30% of the caloric value is recommended, including < 10% saturated fat), as it leads to placental dysfunction and infant obesity, increased inflammation and oxidative stress, and impaired maternal muscle glucose uptake [80,81,82].”
From Gestational Diabetes Mellitus—Recent Literature Review (2022) · cites this paper as [82]
The Macronutrients section associates increased caloric intake from fat and carbohydrates with neonatal adiposity, but it does not say a high-fat diet alone causes infant obesity. Table 1 recommends 20–35% of energy from fat, not 20–30%. The cited paper does not establish the claimed placental dysfunction, increased inflammation or oxidative stress, or impaired maternal muscle glucose uptake as consequences of a high-fat diet. (LLM, conf=0.87)
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Sorted by citations
Gestational Diabetes Mellitus—Recent Literature Review
Modzelewski, R., Stefanowicz-Rutkowska, M. M., Matuszewski, W., & Bandurska-Stankiewicz, E. M. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11195736 · Cited by 223 · see citing works
Mills, S., Lane, J. A., Smith, G. J., Grimaldi, K. A., Ross, R. P., & Stanton, C. (2019) · Nutrients · doi:10.3390/nu11071468 · Cited by 88 · see citing works
Andonotopo, W., Bachnas, M. A., Dewantiningrum, J., Adi Pramono, M. B., Sulistyowati, S., Hariyasa Sanjaya, I. N., Stanojevic, M., & Kurjak, A. (2026) · Journal of Perinatal Medicine · doi:10.1515/jpm-2025-0289 · Cited by 15 · see citing works
- Authors
- Danielewicz, H., Myszczyszyn, G., Dębińska, A., Myszkal, A., Boznański, A., & Hirnle, L.
- Affiliations
- Wroclaw Medical University (PL)
- Corresponding author
- Danielewicz, H.
- Venue
- European Journal of Pediatrics
- Published
- 2017-11-03
- Volume
- 176
- Issue
- 12
- Pages
- 1573-1579
- ISSN
- 0340-6199 (ISSN-L)
- 1432-1076
- PMC
- PMC5682869
- OpenAlex
- W2766798179
- Cited by
- 111
- References
- 1
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 19 · 2023: 23 · 2022: 26 · 2021: 15 · 2020: 9 · 2019: 8
- FWCI
- 0.87
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- European Journal of Pediatrics (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Narodowe Centrum Nauki (DEC-2015/19/B/NZ5/00041)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- diet in pregnancy, maternal nutrition, food quality, macronutrient intake, micronutrient intake, developmental origins of health and disease, epigenetics, intergenerational effects, dietary recommendations, maternal and child health, diabetes prevention, asthma prevention
- MeSH terms
- Diet, Female, Humans, Pregnancy, Prenatal Exposure Delayed Effects, Prenatal Nutritional Physiological Phenomena
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