Kelemu Tilahun Kibret
Abstract
Dietary patterns are considered a modifiable factor that may influence the occurrence of hypertensive disorders of pregnancy (HDP) and can be a target for intervention for the prevention of these adverse outcomes. The effect of dietary patterns on HDP in resource-limited settings has not been well researched. Therefore, this study aimed to assess the effect of dietary patterns during pregnancy on HDPThis study aimed to assess the effect of dietary patterns during pregnancy on HDP. In this study a case-control study was conducted with 340 pregnant women (71 cases and 269 controls) in North Shewa Zone, Ethiopia. Data were collected through an interviewer-administered questionnaire and maternal anthropometry measurements. After propensity score maching, a multivariable logistic regression model was used to identify the independent predictors of HDP by adjusting for the confounders. A p-value of < 0.05 was statistically significant. A high dietary diversity score (Adjusted Odd Ration (AOR) = 0.47; 95% CI: 0.23, 0.96) was associated with a lower odds of HDP. Occupation (merchant) (AOR= 3.77 (95% CI: 1.20, 11.88), first pregnancy (AOR= 21.4; 95% CI: 3.5, 130.8) and high hemoglobin level (AOR= 2.11; 95% CI: 1.57, 2.85) were associated with an increased odds of HDP. Diet is an amendable factor, and the promotion of diversified diet is an important approach to prevent the occurrence of HDP.