Ultra-processed Food Consumption by Pregnant Women: The Effect of an Educational Intervention with Health Professionals

The objective of our study was to find out the tendencies of nutrition among pregnant women and to reveal which products, technologically processed or natural foods, were consumed more. 205 women took part in the first Lithuanian newborn cohort, PLANK-K. 62 questionnaires with 198 questions about products consumed during pregnancy were answered. In the main groups of products the majority of women consumed plant origin food. Most of the women ate bread products, grain and its products, cocoa and its products, dairy products, meat and its products. A lot of women consumed nuts and their products, various drinks, some of them ate eggs and their products. The least consumed during pregnancy were various origin fats and honey. In smaller subgroups the majority of women consumed vegetables, the minority of them ate rare meat (venison, lamb) and mixed origin fat. Speaking about technologically processed food, two groups were fit for comparison: processed meat products and canned corn. Processed meat products had big preponderance against consumption of other meat products and more than half of women chose canned corn. It is clear that in this case technologically processed food was chosen more often than non-processed food. The format of this questionnaire allows to accurately evaluate food products that mothers consume during pregnancy, but makes it harder to evaluate technologically processed and non-processed food consumption.

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Food consumption according to the degree of processing, dietary diversity and socio-demographic factors among pregnant women in Rio de Janeiro, Brazil: The Rio Birth Cohort Study of Environmental Exposure and Childhood Development (PIPA project)

Nutrition and Health ◽

10.1177/0260106020960881 ◽

2020 ◽

pp. 026010602096088

Author(s):

Nathalia Ferrazzo Naspolini ◽

Priscila Pereira Machado ◽

Carmen Ildes Rodrigues Fróes-Asmus ◽

Volney de M Câmara ◽

Josino Costa Moreira ◽

...

Keyword(s):

Confidence Interval ◽

Pregnant Women ◽

Food Consumption ◽

Food Processing ◽

Odds Ratio ◽

Dietary Diversity ◽

Demographic Factors ◽

Processed Foods ◽

Processed Food ◽

Socio Demographic Factors

Background: Relevant evidence has addressed the negative impact of food processing on health. However, maternal ultra-processed food consumption is poorly investigated. Aim: To analyze food consumption according to the degree of food processing, dietary diversity, and associated socio-demographic factors during pregnancy. Methods: Cross-sectional data was taken from a birth cohort in Rio de Janeiro, Brazil, with 142 pregnant women. We assessed diet using a qualitative food frequency questionnaire and classified food items according to the NOVA classification system as non-ultra-processed-foods and ultra-processed-foods. Non-ultra-processed-food and ultra-processed-food scores were calculated, reflecting weekly intake of more than one subgroup. Dietary diversity of the non-ultra-processed-food diet fraction was described according to the Food and Agriculture Organization guidelines. The association between food consumption and socio-demographic factors were investigated using logistic regression models. Results: Over 60% of the pregnant women reported consumption of at least three non-ultra-processed-food groups. However, only 25% had adequate dietary diversity. The level of education (Complete high school: odds ratio, 5.36; 95% confidence interval, 1.73–16.65) was associated with regular intake of “meat and eggs.” Among the ultra-processed-food score, 27% of the participants described a weekly consumption of at least two ultra-processed-food subgroups. White women (odds ratio, 2.63; 95% confidence interval, 1.05–6.63) had a higher chance of reporting “packaged ready meals” consumption. Conclusions: This study shows a high weekly consumption of ultra-processed-food subgroups and low dietary diversity of the non-ultra-processed-food fraction of the diet of pregnant women in Brazil. Our results elucidate the influence of socio-demographic characteristics on diet quality during pregnancy.

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Educational intervention regarding diet and physical activity for pregnant women: changes in knowledge and practices among health professionals

BMC Pregnancy and Childbirth ◽

10.1186/s12884-016-0957-1 ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 11

Author(s):

Maíra Barreto Malta ◽

Maria Antonieta de Barros Leite Carvalhaes ◽

Monica Yuri Takito ◽

Vera Lucia Pamplona Tonete ◽

Aluísio J D Barros ◽

...

Keyword(s):

Physical Activity ◽

Pregnant Women ◽

Educational Intervention ◽

Health Professionals ◽

Diet And Physical Activity

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Ultra-Processed Food Consumption in Pregnant Women in Brazil—Study of Consumption and Eating Behavior in Pregnant Women (ECCAGe).

International Journal of Epidemiology ◽

10.1093/ije/dyv097.131 ◽

2015 ◽

Vol 44 (suppl_1) ◽

pp. i38-i38

Author(s):

S. M. Reinheimer ◽

M. Drehmer

Keyword(s):

Pregnant Women ◽

Food Consumption ◽

Eating Behavior ◽

Processed Food

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Improvement in Semiconductivity On The Measurement Of Blood Pressure After An Educational Intervention In Health Professionals

International Journal of Cardiovascular Sciences ◽

10.36660/ijcs.20190129 ◽

2020 ◽

Author(s):

Cynthia Kallás Bachur ◽

Sarah Silva Candido ◽

Gerlia Bernardes Silveira ◽

Samantha Gurgel Oliveira Sousa ◽

Joao Hercos ◽

...

Keyword(s):

Blood Pressure ◽

Educational Intervention ◽

Health Professionals

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Exploring maternal nutrition counseling provided by health professionals during antenatal care follow-up: a qualitative study in Addis Ababa, Ethiopia-2019

BMC Nutrition ◽

10.1186/s40795-021-00427-1 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Matyas Atnafu Alehegn ◽

Tsegaye Kebede Fanta ◽

Agumas Fentahun Ayalew

Keyword(s):

Pregnant Women ◽

Study Design ◽

Health Professionals ◽

Maternal Nutrition ◽

Addis Ababa ◽

Nutrition Counseling ◽

Institutional Barriers ◽

Size Adjustment ◽

Sample Size Adjustment ◽

Pregnant Mothers

Abstract Background Nutritional awareness and practice of women during pregnancy could be determining their nutritional status, which significantly affects the outcome of pregnancy. Therefore this study aims to explore the maternal nutrition counseling provided by health professionals for pregnant women, Barriers to maternal nutrition, and major interventions. Methods A descriptive study design with a qualitative method by using ground theory tradition, based on constructivist research approach and Charmaz’s (2000) study design has been conducted from September-01/2019 _November-16/2019 among pregnant women who got ANC service in Addis Ababa, Ethiopia. A purposive sampling technique was used. Practical observations and in-depth interviews were conducted. The sample size adjustment has been carried out according to the information saturation obtained, and finally, 81 practical observations, In-depth interview with two center managers, nine health professionals and eleven term pregnant women has been conducted. An observational checklist and Semi-structured, open-ended questionnaires were used. Data, the environment, and methodological triangulation were carried out. A conceptual framework has been established based on the data collected about the whole process of maternal nutrition counseling during pregnancy. ATLAS TI software was utilized for information analysis. The results Most participants responded that maternal nutrition counseling provided to pregnant mothers is not adequate and neglected by most stakeholders. From 81 practical observations, health professionals counseled to mothers were 10 what to feed, 4 what to limit to consume, and 5 were counseled about what to eat during pregnancy. Close to all the respondents agreed on the importance of providing nutrition counseled by the nutritionists. Most of the study participants emphasized a shortage of time as primary barriers. Institutional Barriers, Professional Barriers, Maternal Barriers, and Community Barriers were major barriers to nutrition counseling. Conclusions Generally, maternal nutrition counseling provided to pregnant mothers was not adequate and neglected by most stakeholders. Shortage of time due to client flow, Institutional Barriers, Professional Barriers, Maternal Barriers, and Community Barriers were major categories of maternal nutritional counseling barriers. Information update and timely preparation were recommended to health professionals.

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Association between Ultra-Processed Food Consumption and Excess of Weight in Women with Endometrial Cancer

Nutrition and Cancer ◽

10.1080/01635581.2021.1944230 ◽

2021 ◽

pp. 1-11

Author(s):

Caroline Laranjeira da Silva ◽

Amine Farias Costa ◽

Alex Oliveira da Camara ◽

Lidiane Araújo Cezário ◽

Ana Luisa Kremer Faller ◽

...

Keyword(s):

Endometrial Cancer ◽

Food Consumption ◽

Processed Food

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Effect of nutrition education by health professionals on pregnancy-specific nutrition knowledge and healthy dietary practice among pregnant women in Asmara, Eritrea: a quasi-experimental study

BMJ Nutrition, Prevention & Health ◽

10.1136/bmjnph-2020-000159 ◽

2021 ◽

pp. bmjnph-2020-000159

Author(s):

Lidia Ghirmai Teweldemedhin ◽

Helen Gebretatyos Amanuel ◽

Soliana Amanuel Berhe ◽

Ghidey Gebreyohans ◽

Zemenfes Tsige ◽

...

Keyword(s):

Experimental Study ◽

Pregnant Women ◽

Nutrition Education ◽

Health Professionals ◽

Repeated Measures ◽

Nutritional Knowledge ◽

Dietary Practice ◽

Quasi Experimental ◽

Knowledge And Practice

BackgroundHealthy pregnancy and birth outcomes are greatly influenced by the intake of adequate and balanced nutrition. Pregnant women’s nutritional knowledge and practice have been identified as an important prerequisites for their proper nutritional intake. The antenatal period with the opportunities for regular contact with health professionals appears to be the ideal time and setting to institute the intervention which could maximise pregnant women’s outcome and that of their baby by motivating them to make nutritional changes.ObjectiveTo assess the effect of nutrition education on the appropriate nutritional knowledge and practice of pregnant women.MethodologyA facility-based single-group pre–post quasi-experimental study design was employed in five health facilities providing antenatal care (ANC) service in Asmara on 226 pregnant women. A predesigned and pretested questionnaire was used to collect data regarding nutritional knowledge via interview by trained data collectors during the pretest, immediate post-test and 6 weeks later. The practice was assessed at pre-intervention and 6 weeks later only. Repeated measures analysis of variance and paired t-test were used to make comparisons in knowledge and practice scores, respectively, using SPSS (V.22).ResultsTraining provided to pregnant women resulted in a significant increase on the mean scores of their knowledge from 29.01/47 (SE=0.35) pre-intervention to 42.73/47 (SE=0.24) immediate post-intervention. However, the score declined significantly from immediate after intervention to 6-week follow-up by 1.79 (SE=0.22). Although the score declined, knowledge at 6-week follow-up was still significantly greater than that of pre-intervention (p<0.0001). Health professionals (70.2%) were the primary source of information for pregnant women. The pregnancy-specific dietary practice score at 6-week follow-up (M=13.13/16, SE=0.09) was significantly higher than that of pre-intervention (M=12.55/16, SE=0.16). There was no significant interaction between the categories of demographic characteristics and change in practice and knowledge.ConclusionThis study has shown that the nutrition messages given to pregnant women by trained health professionals using a holistic approach in a sustained manner played a huge role in increasing their knowledge and in introducing positive dietary practices among them. Thus, ANC clinics must play a leading role in coordinating the effort of awareness creation regarding nutrition during pregnancy.

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Availability of ultra-processed food associated with health outcomes: a systematic review

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.1113 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

T Pereira de Araújo ◽

M Moraes ◽

V Magalhães ◽

C Afonso ◽

S Rodrigues

Keyword(s):

Risk Factors ◽

Health Outcomes ◽

Food Consumption ◽

Food Availability ◽

Overweight And Obesity ◽

Noncommunicable Diseases ◽

Research Association ◽

Processed Food ◽

Household Budget ◽

Household Budget Surveys

Abstract Background Ultra-processed food (UPF) consumption increases worldwide, which can be harm to population's health. To establish associations between UPF and health outcomes, food consumption can be assessed individually or by using availability data, such as purchase lists or household budget surveys. The aim of this review was to search for studies on the availability of UPF related with mortality and morbidity from noncommunicable diseases or their risk factors. Methods PRISMA guideline was used. Searches were performed on PubMED, EBSCO, Scopus and Web of Science on December 2019. Search strategy included terms related with exposure (UPF) and outcomes (mortality or morbidity from noncommunicable diseases and their risk factors). Studies were selected based on the title and abstracts. Full texts were screened for eligibility and the snowballing method was used to find other relevant studies. To be based on UPF availability data and its relation with health outcomes were the inclusion criteria. Studies that assessed only food consumption at an individual level and did not present health outcome were excluded. Selection was conducted by two reviewers and a third helped when disagreement occurred. Results After duplicates removal, 560 records were analyzed. From the 11 eligible studies, 55% were conducted in more than one country. Others were performed in Brazil (27%), Guatemala (9%) and Sweden (9%). Studies were ecological (64%), cross-sectional (27%) and longitudinal (9%). All had representative samples, 45.5% were national samples, and the others were from particular population subgroups. In all studies, the only health outcomes that showed positive association with UPF availability were overweight and obesity prevalence. Conclusions Studies relating ultra-processed food availability and health outcomes are mainly focused on overweight and obesity. It is thus necessary to further explore the relationship between UPF availability and other health outcomes. Key messages It is necessary to further research association between ultra-processed food availability and other health outcomes, such as morbidity and mortality from cardiovascular diseases, diabetes or cancer. Purchase lists or household budget surveys are an important source of food availability data and can be used to relate the consumption of ultra-processed foods to health outcomes.

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Changes of Physical Activity and Ultra-Processed Food Consumption in Adolescents from Different Countries during Covid-19 Pandemic: An Observational Study

Nutrients ◽

10.3390/nu12082289 ◽

2020 ◽

Vol 12 (8) ◽

pp. 2289 ◽

Cited By ~ 5

Author(s):

María Belén Ruíz-Roso ◽

Patricia de Carvalho Padilha ◽

Diana C. Matilla-Escalante ◽

Paola Brun ◽

Natalia Ulloa ◽

...

Keyword(s):

Physical Activity ◽

Latin America ◽

Food Consumption ◽

Healthy Lifestyle ◽

Cross Sectional Study ◽

Processed Foods ◽

Processed Food ◽

Cross Sectional ◽

Consumption Data ◽

Food Consumption Data

Aim: to describe physical activity and ultra-processed foods consumption, their changes and sociodemographic predictors among adolescents from countries in Europe (Italy and Spain) and Latin America (Brazil, Chile, and Colombia) during the SARS-CoV-2-pandemic period. Methods: Cross-sectional study via web survey. International Physical Activity Questionnaire (IPAQ) and weekly ultra-processed food consumption data were used. To compare the frequencies of physical activity status with sociodemographic variables, a multinomial logistic and a multiple logistic regression for habitual ultra-processed foods was performed. In final models, p < 0.05 was considered significant. Results: Sample of 726 adolescents, mostly females (59.6%) aged 16–19 years old (54.3%). Adolescents from Latin America presented odds ratio (OR) 2.98 (CI 95% 1.80–4.94) of being inactive and those whose mothers had higher level of education were less active during lockdown [OR 0.40 (CI 95% 0.20–0.84)]. The habitual ultra-processed consumption was also high during this period in all countries, and more prevalent in Latin America. Conclusion: A higher prevalence of inactivity was observed in this population, but reductions of physical activity and habitual ultra-processed consumption during the pandemic were more pronounced in Latin America. Our findings reinforce the importance of promoting a healthy lifestyle, i.e., exercise and diet, during periods of social isolation.

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