Original Investigation

Adherence to the Planetary Health Diet Index and Fetal Body Composition

JAMA Network Open 10.1001/jamanetworkopen.2025.44153

December 17, 2025 at 11:00 AM EST

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Is periconceptional and early pregnancy adherence to the Planetary Health Diet (PHD) associated with fetal growth?In this cohort study of 1464 pregnant women, high relative to low maternal adherence to the PHD was associated with larger fetal fractional fat arm volumes in the second trimester and larger fetal weight and abdominal measures in the third trimester.In this cohort study, adherence to the PHD during periconceptional and early pregnancy was associated with larger in utero fetal adiposity measures in the second and third trimester, suggesting potential implications for offspring metabolic health.

Corresponding Author: Jagteshwar Grewal, PhD, Division of Population Health Research, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, 6710B Rockledge Dr, Bethesda, MD 20817 (grewalja@mail.nih.gov).

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