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Latent transition models to study women's changing of dietary patterns from pregnancy to 1 year postpartum.

Publication ,  Journal Article
Sotres-Alvarez, D; Herring, AH; Siega-Riz, A-M
Published in: American journal of epidemiology
April 2013

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, 2000-2005) 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.

Duke Scholars

Published In

American journal of epidemiology

DOI

EISSN

1476-6256

ISSN

0002-9262

Publication Date

April 2013

Volume

177

Issue

8

Start / End Page

852 / 861

Related Subject Headings

  • United States
  • Time Factors
  • Surveys and Questionnaires
  • Smoking
  • Risk Factors
  • Risk Assessment
  • Pregnancy
  • Postpartum Period
  • Parity
  • Nutrition Surveys
 

Citation

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Chicago
ICMJE
MLA
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Sotres-Alvarez, D., Herring, A. H., & Siega-Riz, A.-M. (2013). Latent transition models to study women's changing of dietary patterns from pregnancy to 1 year postpartum. American Journal of Epidemiology, 177(8), 852–861. https://doi.org/10.1093/aje/kws303
Sotres-Alvarez, Daniela, Amy H. Herring, and Anna-Maria Siega-Riz. “Latent transition models to study women's changing of dietary patterns from pregnancy to 1 year postpartum.American Journal of Epidemiology 177, no. 8 (April 2013): 852–61. https://doi.org/10.1093/aje/kws303.
Sotres-Alvarez D, Herring AH, Siega-Riz A-M. Latent transition models to study women's changing of dietary patterns from pregnancy to 1 year postpartum. American journal of epidemiology. 2013 Apr;177(8):852–61.
Sotres-Alvarez, Daniela, et al. “Latent transition models to study women's changing of dietary patterns from pregnancy to 1 year postpartum.American Journal of Epidemiology, vol. 177, no. 8, Apr. 2013, pp. 852–61. Epmc, doi:10.1093/aje/kws303.
Sotres-Alvarez D, Herring AH, Siega-Riz A-M. Latent transition models to study women's changing of dietary patterns from pregnancy to 1 year postpartum. American journal of epidemiology. 2013 Apr;177(8):852–861.
Journal cover image

Published In

American journal of epidemiology

DOI

EISSN

1476-6256

ISSN

0002-9262

Publication Date

April 2013

Volume

177

Issue

8

Start / End Page

852 / 861

Related Subject Headings

  • United States
  • Time Factors
  • Surveys and Questionnaires
  • Smoking
  • Risk Factors
  • Risk Assessment
  • Pregnancy
  • Postpartum Period
  • Parity
  • Nutrition Surveys