title: [The association of adherence to a Mediterranean diet during early pregnancy and the risk of gastroschisis in the offspring].
abstract: OBJECTIVE
  The aim of this study was to study the association of adherence to the Mediterranean diet in early pregnancy maternal and the offspring's risk of gastroschisis.
  
  
  METHODS
  Case-control study. We describe 11 cases of gastroschisis in the region of Murcia from 2007 to 2012 and 34 concurrent controls. At the time of diagnosis each of the cases completed a validated Food Frequency Questionnaire (FFQ) consisting of 98 items on the periconceptional diet. Confounding factors: smoking, exposure to cannabis / marihuana, age of the parents, BMI, income and educational level. We conducted a descriptive and multivariate logistic regression statistical analysis.
  
  
  RESULTS
  Mothers of children with gastroschisis were younger (20.8 years, 95% CI 17.3 to 24.2) and their diet consisted of less caloric intake, saturated fat and monounsaturated fats and proteins than controls. The Odds Ratio (OR) in the multivariate model controlling for confounding factors: maternal age (year) 0.70 (95% CI 0.51 to 0.96), monounsaturated fatty acids (oleic acid, g) 0.79 (95% CI 0.65 to 0, 97) and vegetable intake (rations/week) 0.70 (95% CI 0.48 to 1.00).
  
  
  CONCLUSIONS
  A maternal diet rich in oleic acid and vegetable products may prevent vascular risk of onphalomesenteric arteries reducing the risk of gastroschisis.
authors.affiliation: Unidad de Salud Medioambiental Pediátrica, Hospital Universitario Virgen de la Arrixaca, Madrid-Cartagena, El Palmar.
authors.forename: A
authors.initials: A
authors.lastname: Cánovas-Conesa
authors.forename: V
authors.initials: V
authors.lastname: Gomariz-Peñalver
authors.forename: M F
authors.initials: MF
authors.lastname: Sánchez-Sauco
authors.forename: D C
authors.initials: DC
authors.lastname: Jaimes Vega
authors.forename: J A
authors.initials: JA
authors.lastname: Ortega-García
authors.forename: M J
authors.initials: MJ
authors.lastname: Aranda García
authors.forename: J L
authors.initials: JL
authors.lastname: Delgado Marín
authors.forename: A
authors.initials: A
authors.lastname: Trujillo Ascanio
authors.forename: F
authors.initials: F
authors.lastname: López Hernández
authors.forename: J I
authors.initials: JI
authors.lastname: Ruiz Jimenez
authors.forename: C
authors.initials: C
authors.lastname: de Paco Matallana
authors.forename: O P
authors.initials: OP
authors.lastname: Soldin
authors.forename: M
authors.initials: M
authors.lastname: Sánchez Solis
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D038441:Diet, Mediterranean; D005260:Female; D020139:Gastroschisis / Q000453:epidemiology*; D006801:Humans; D007231:Infant, Newborn; D010349:Patient Compliance / Q000706:statistics & numerical data*; D011247:Pregnancy; D012307:Risk Factors; D055815:Young Adult