Diet quality and associations with choline intake in pregnant women in Bloemfontein, South Africa

2021 ◽  
Vol 46 ◽  
pp. S623
Author(s):  
L. Robb ◽  
G. Joubert ◽  
M. Jordaan ◽  
L. van den Berg ◽  
J. Osei Ngounda ◽  
...  
2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 993-993
Author(s):  
Rosemary Gatliff ◽  
Joshua Phelps ◽  
Christi Arthur ◽  
Aline Andres

Abstract Objectives The objectives of this study were to explore associations between maternal dietary choline intake and diet quality, maternal body mass index (BMI), and infant birth weight. Methods De-identified secondary data from 251 participants in a study involving pregnant women were analyzed to investigate associations between maternal dietary choline intake and infant birth weight; maternal dietary choline intake and 2015 Healthy Eating Index (HEI) scores; as well as 2015 HEI scores and maternal BMI. HEI scores were calculated from 3-day food records obtained during gestation (<10, 12, 18, 24, 30, 36 weeks). Overall dietary choline intake during pregnancy was computed from all food records. Spearman's rank-order correlations, a one-sample Wilcoxon signed rank test, and a mixed linear model were used to test the hypotheses. Results There was a statistically significant correlation between maternal choline intake and the 1st trimester and 3rd trimester 2015-HEI scores (rs(207) = 0.204, P = 0.003 and rs(207) = 0.249, P = 0.00028, respectively). Median intake of dietary choline, 267 milligrams, was significantly lower (P < 0.0005) than the adequate Intake for pregnant women (450 milligrams). There were trends (0.05 < P < 0.1) pointing to a pattern of negative association between maternal BMI and 1st, 2nd, and 3rd trimester 2015-HEI scores. Mixed model analysis revealed a statistically significant negative correlation (β = −0.001, P = 0.010) between maternal choline intake and infant birth weight. Conclusions As dietary choline increased, there was an associative decrease in birthweight; however, overall diet quality was poor and dietary choline intake was significantly lower than the recommended intake for pregnant women. These findings reflect the current body of evidence that pregnant women are at risk for choline inadequacy and that overall diet quality may help in preventing low choline intake during pregnancy. Funding Sources USDA-ARS Project.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Liska Robb ◽  
Gina Joubert ◽  
Elizabeth Margaretha Jordaan ◽  
Jennifer Ngounda ◽  
Corinna May Walsh

Abstract Background The importance of adequate choline intake during pregnancy has been well documented, but low intake is common. Total choline intake, main food sources of choline, as well as associations between choline intake and egg and dairy consumption were determined in a sample of pregnant women attending the high-risk antenatal clinic at a regional hospital in Bloemfontein, South Africa. Methods A cross-sectional study design was used. Trained fieldworkers collected dietary intake data using a validated quantified food frequency questionnaire (QFFQ), after which all food items were matched to foods in the USDA Database for the Choline Content of Common Foods (Release 2) to quantify choline intake. Logistic regression with backward selection (p < 0.05) was used to determine whether egg and dairy consumption were independently associated with a choline intake below the adequate intake (AI) level. Results The median daily intake of choline was 275 mg (interquartile range 185 mg – 387 mg) (N = 681). Most participants (84.7%) consumed less than the AI of 450 mg/day for choline. Meat and meat products, cereals, eggs and dairy contributed mostly to choline intake. Food items that contributed most to choline intake included full-cream milk, maize porridge, brown bread, deep-fried potatoes and deep-fried dough (vetkoek). A choline intake below the AI was significantly associated with lower egg and dairy intakes (p < 0.0001 and p = 0.0002 respectively). Conclusion Most pregnant women in the current study had choline intakes below the AI. It is recommended that public health messaging targeted at pregnant women promote the consumption of foods that can significantly contribute to choline intake, such as eggs and dairy.


2021 ◽  
pp. 1-9
Author(s):  
Sarah H Kehoe ◽  
Stephanie V Wrottesley ◽  
Lisa Ware ◽  
Alessandra Prioreschi ◽  
Catherine Draper ◽  
...  

Abstract Objective: To determine whether food security, diet diversity and diet quality are associated with anthropometric measurements and body composition among women of reproductive age. The association between food security and anaemia prevalence was also tested. Design: Secondary analysis of cross-sectional data from the Healthy Life Trajectories Initiative (HeLTI) study. Food security and dietary data were collected by an interviewer-administered questionnaire. Hb levels were measured using a HemoCue, and anaemia was classified as an altitude-adjusted haemoglobin level < 12·5 g/dl. Body size and composition were assessed using anthropometry and dual-energy x-ray absorptiometry. Setting: The urban township of Soweto, Johannesburg, South Africa. Participants: Non-pregnant women aged 18–25 years (n 1534). Results: Almost half of the women were overweight or obese (44 %), and 9 % were underweight. Almost a third of women were anaemic (30 %). The prevalence rates of anaemia and food insecurity were similar across BMI categories. Food insecure women had the least diverse diets, and food security was negatively associated with diet quality (food security category v. diet quality score: B = –0·35, 95 % CI –0·70, –0·01, P = 0·049). Significant univariate associations were observed between food security and total lean mass. However, there were no associations between food security and body size or composition variables in multivariate models. Conclusions: Our data indicate that food security is an important determinant of diet quality in this urban-poor, highly transitioned setting. Interventions to improve maternal and child nutrition should recognise both food security and the food environment as critical elements within their developmental phases.


2021 ◽  
Author(s):  
Alexander Moran ◽  
Nyiko Mashele ◽  
Rufaro Mvududu ◽  
Pamina Gorbach ◽  
Linda-Gail Bekker ◽  
...  
Keyword(s):  

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 565
Author(s):  
Cornelia Conradie ◽  
Jeannine Baumgartner ◽  
Linda Malan ◽  
Elizabeth A. Symington ◽  
Marike Cockeran ◽  
...  

Dietary pattern analyses allow assessment of the diet as a whole. Limited studies include both a priori and a posteriori dietary pattern analyses. This study aimed to explore the diet of pregnant women in urban South Africa through both a priori and a posteriori dietary pattern analyses and associated maternal and household factors. Dietary data were collected during early pregnancy using a quantified food frequency questionnaire from 250 pregnant women enrolled in the Nutrition During Pregnancy and Early Development (NuPED) cohort. A priori dietary patterns were determined using the Diet Quality Index-International (DQI-I), and a posteriori nutrient patterns using exploratory factor analysis. Based on the DQI-I, the study population followed a borderline low-quality diet. Three a posteriori nutrient patterns were identified: Pattern 1 “plant protein, iron, thiamine, and folic acid”; pattern 2 “animal protein, copper, vitamin A, and vitamin B12”; pattern 3 “fatty acids and sodium”. Pattern 1 was associated with higher dietary quality (p < 0.001), lower maternal educational level (p = 0.03) and socioeconomic status (p < 0.001). Pattern 3 was significantly associated with lower dietary quality. The low dietary quality among pregnant women residing in urban South Africa should be addressed to ensure optimal maternal and offspring health outcomes.


2018 ◽  
Vol 24 ◽  
pp. 174-175 ◽  
Author(s):  
Stamatia-Maria Kontonika ◽  
Maria G. Grammatikopoulou ◽  
Xenophon Theodoridis ◽  
Efrosyni Tsirou ◽  
Konstantinos Gkiouras ◽  
...  

2021 ◽  
Vol 53 (2) ◽  
pp. 120-129
Author(s):  
Alycia K. Boutté ◽  
Gabrielle M. Turner-McGrievy ◽  
Jan M. Eberth ◽  
Sara Wilcox ◽  
Jihong Liu ◽  
...  

2015 ◽  
Vol 18 (5) ◽  
pp. 731-738 ◽  
Author(s):  
Karmel W. Choi ◽  
Kathleen J. Sikkema ◽  
Jennifer Velloza ◽  
Adele Marais ◽  
Cicyn Jose ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document