31 July 2019

High-fibre diets might shield against a common pregnancy complication

Does increasing dietary fibre intake help lower a pregnant woman's risk for preeclampsia?

More vegetables, more whole grains: New research finds that diets rich in fibre might help pregnant women avoid a dangerous spike in blood pressure.

The common obstetric complication is called preeclampsia, and it occurs in up to 10% of pregnancies. It's characterised by high blood pressure, protein in the urine and severe swelling in the mother.

One dietary change

Preeclampsia also interferes with foetal immune development in the womb, and may increase the child's risk of allergies and autoimmune diseases later in life, the study authors said.

But the new Australian study suggests one dietary change might help lower a pregnant woman's risk for preeclampsia.

In the study, researchers found that lower levels of acetate were associated with higher odds for preeclampsia, but fibre fermentation in the gut boosted those acetate levels.

So, "the mother's gut bacteria and diet appear to be crucial to promoting a healthy pregnancy," study senior author Ralph Nanan, of the University of Sydney, said in a university news release.

A simple recommendation to "eat real food, mostly plants, and not too much" might be the most effective primary strategy to prevent preeclampsia, according to Nanan.

The researchers also found that preeclampsia affects foetal development of an important immune organ, the thymus. Foetuses of pregnant women with preeclampsia had a much smaller thymus than those from healthy pregnancies.

Findings unproven in humans

Another discovery was that levels of immune cells produced by the thymus (T cells) – specifically those associated with the prevention of allergies and autoimmune conditions, such as diabetes – were lower in children whose mothers developed preeclampsia, even four years after birth.

In experiments with mice, the researchers showed that acetate was also crucial in foetal thymus and T cell development. Those findings haven't yet been proven in humans, however.

Overall, the study findings suggest that boosting certain metabolic products of gut bacteria during pregnancy might help maintain a healthy pregnancy and prevent children from developing allergies and autoimmune conditions later in life, the authors said.

The research may also help explain the rapid rise of allergies and autoimmune conditions, as highly processed foods that are very low in fibre are common in Western diets, the researchers theorised.

"More studies are urgently needed to understand how we can best target this system to reduce the growing burden of immune-related diseases in the modern world," study co-author Peter Vuillermin said in the news release.

The study was published online in Nature Communications.

Image credit: iStock


Live healthier

Lifestyle »

E-cigarettes: Here are five things to know

E-cigarettes have become hugely popular in the past decade, but a rash of vaping-linked deaths and illnesses in the US is feeding caution about a product that's already banned in some places.

Allergy »

Ditch the itch: Researchers find new drug to fight hives

A new drug works by targeting an immune system antibody called immunoglobulin E, which is responsible for the allergic reaction that causes hives.