scholarly journals Adequacy of usual dietary intake and nutritional status among pregnant women in the context of nutrition transition: the DEPOSIT Study

2012 ◽  
Vol 108 (10) ◽  
pp. 1874-1883 ◽  
Author(s):  
Kathleen Abu-Saad ◽  
Danit R. Shahar ◽  
Drora Fraser ◽  
Hillel Vardi ◽  
Michael Friger ◽  
...  

Bedouin Arabs in southern Israel are a traditionally semi-nomadic population undergoing the nutrition transition in a context of urbanisation. The effect of these changes on the nutritional status of pregnant women is unknown. The Dietary Exposures and Pregnancy Outcomes in a Society In Transition (DEPOSIT) study evaluated the adequacy of pregnant Bedouin women's usual dietary intake and their nutritional status. Dietary intake was assessed in a cross-sectional study design using repeat 24 h recall (24HR) questionnaires. The National Cancer Institute method was used to estimate the usual intake of selected nutrients. The Estimated Average Requirement (EAR) was used to evaluate nutrient intake adequacy. Measured weight and height data were used to calculate the participants' BMI. A total of 1109 24HR were obtained from 683 participants, of which 8 % contained no animal-source protein and an additional 43 % contained no haeme-Fe. Animal-source protein intake reached less than half of the EAR for most participants (71 %). Over 90 % had inadequate intakes of Ca, Fe, animal-source Zn, vitamin A and folate. The probability of consuming haeme-source Fe was higher among urban than rural participants (OR 1·68, 95 % CI 1·17, 2·41), and among those with employed v. unemployed husbands (OR 1·81, 95 % CI 1·27, 2·58). Only 14 % reported consuming home-produced animal products. According to pre-pregnancy BMI, 42 % were overweight or obese. The DEPOSIT study findings suggest that Bedouin Arab women are in need of interventions that address the co-existing problems of inadequate nutrient intakes and increased risk of obesity.

2020 ◽  
Vol 22 (1) ◽  
pp. 1-7
Author(s):  
Fernanda Scherer-Adami ◽  
Michele Dutra-Rosolen ◽  
Francieli Schedler ◽  
Ioná Carreno ◽  
Mabel N. Alves

Objective To evaluate weight gain during pregnancy according to the pregestational state in women who underwent prenatal care in Primary Health Care.Methods A cross-sectional study with the participation of 255 pregnant women. Socioeconomic and demographic variables were collected using a structured questionnaire. Women were evaluated for nutritional status and dietary intake. Data related to the age of the pregnant woman, gestational week, current weight, pregestational weight, and height were obtained from the prenatal follow-up form. The Statistical Package for the Social Sciences (SPSS) was used for statistical analysis.Results Pregestational nutritional status assessment showed that 43.2% (n=110) of the women started gestation with overweight and 4.3% (n=11) started with low weight. 51% percent (n=130) gained gestational weight above the recommended level. The mean age of women with pregestational BMI ≥ 25 kg/m² was significantly higher than that of those with BMI <25 kg/m² (p<0.001). Total energy (p=0.037) and calcium (p=0.004) intake were higher in women with weight gain above the recommended.Discussion The results presented highlight the importance of strategies in public health to avoid excess weight gain during pregnancy.Conclusion Pregnant women presented a gestational weight gain above the recommended maximum value according to pregestational BMI, which may contribute to adverse maternal and infant outcomes.


2021 ◽  
Vol 7 (3) ◽  
pp. 233
Author(s):  
Philipp Foessleitner ◽  
Herbert Kiss ◽  
Julia Deinsberger ◽  
Julia Ott ◽  
Lorenz Zierhut ◽  
...  

Pregnant women have an increased risk of vulvovaginal candidosis. Recurrent candidosis is under debate as a contributor to preterm birth, and vertical transmission may cause diaper dermatitis and oral thrush in the newborn. Apart from cultural methods, the gold standard for diagnosing candidosis is Gram staining, which is time-consuming and requires laboratory facilities. The objective of this prospective study was to validate a point-of-care vaginal yeast detection assay (SavvyCheckÔ Vaginal Yeast Test) and to evaluate it in asymptomatic pregnant women. We enrolled 200 participants, 100 of whom had vulvovaginal candidosis according to Gram stain (study group) and 100 were healthy pregnant controls (control group). Of these, 22 participants (11%) had invalid test results. The point-of-care test of the remaining 85 and 93 study participants in the study and control groups, respectively, showed a sensitivity of 94.1%, specificity of 98.9%, positive predictive value of 90.3%, and negative predictive value of 99.4% when compared with Gram stain. In conclusion, we found a high correlation between the SavvyCheckÔ Vaginal Yeast Test and Gram-stained smears during pregnancy. This suggests a potential role of this point-of-care test as a screening tool for asymptomatic pregnant women in early gestation.


2021 ◽  
pp. 026010602110196
Author(s):  
Mahnaaz Mahmoodi ◽  
Roopan Miriam George ◽  
Devaki Gokhale

Background: Dietary acculturation refers to how a migrant group adopts the eating patterns of the host country. It results in changes in dietary behavior, dietary intake, and nutritional status of this vulnerable group. Aim: To study dietary acculturation of international students in Pune, India. Methods: International students from three Universities in Pune were enrolled. Information on demography, dietary behavior, and dietary intake (using a food frequency questionnaire) was recorded using an interviewer-administered questionnaire. The height and weight of the students were measured using standard, calibrated equipment. The data were analyzed using descriptive and analytical statistics. Results: A total of 100 international students from Iran, Africa, and South Korea were grouped by nationality. Considerable variation was detected in the daily number of meals consumed, skipping meals, portion size changes, packaged food consumption, and supplement intake following migration between the groups. The intake of non-vegetarian food had declined drastically for all groups. However, the specific non-vegetarian item showing the greatest change differed according to the group’s nationality. The intake of biscuits and cake had increased among all groups. African students showed an increase of 3.33 kg in body weight following migration. The intake of protein and micronutrients declined for all groups. Conclusions: This study highlights the changes in dietary behavior, dietary intake, and nutritional status of international students of different nationalities following migration to Pune, India. Thus, it emphasizes the need for nutrition interventions in international students in India.


2017 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Eman Ali Abd El Moaty Sheha ◽  
Hanan Elzeblawy Hassan ◽  
Wafaa Mostafa Ahmed Gamel

Background: Obesity is considered а noteworthy public health issue in both developed & developing countries. Among the 1.5 billion overweight individuals worldwide, 300 million of them were obese women. In the general, the prevalence of maternal obesity has increased 60% in the previous two decades with nearly 1 in 3 women now entering pregnancy obese. Also, the periodontаl disease has been observed to be prevalent in pregnant women with the prevalence ranging from 20% to more than 50%, especially economically disadvantaged women.Aim: explore the relation between pre-pregnant overweight and obesity with periodontal disease during pregnancy.Subjects & Methods: cross-sectional study among 400 pregnant women were booked in the high-risk obstetric departments and the antenatal outpatient clinics at governmental general hospitals in El-Fayoum City and governmental university hospital in El-Mansoura city.Results: The mean age of pregnant women was 29.9 ± 6.2 with increase the prevalence of periodontal disease in pregnant women (83.5%). Statistically significant correlation was found between prenatal weight and periodontаl disease during pregnancy (p ≤ 0.0001) with increasing the prevalence of periodontal disease in prenatal obese women (53.2%) and over weight (39.7%) were observed in women who were in their 3rd trimester (р = 0.011). Increase prevalence of periodontal with poor oral hygiene and sedentary activity.Conclusion: increased pre-pregnancy obesity & overweight are positively correlated with periodontal disease prevalence among pregnant women, and Pregnancy itself may also be associated with аn increased risk of periodontal disease.Recommendations: Activating the role of the maternity and community health nurse in branches of Obstetrics and antenatal clinics to enhance pregnant women's knowledge regarding oral health risks of obesity & overweight.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 199-199
Author(s):  
Hamam Hadi ◽  
Winda Irwanti

Abstract Objectives Nutrient intakes of pregnant women are essential for their health and the health of their fetus. This study aims to assess the nutrient intakes of pregnant women, residing in a rural eastern Indonesia. Methods This cross-sectional study was conducted in two sub districts of Timor Tengah Selatan (TTS) district, East Nusa Tenggara, Indonesia in 2012. A total of 155 pregnant women, at all age of pregnancy, residing at least one year prior to this study in 14 villages of two sub districts KIE and Amanuban Barat involved in this study. Anthropometric data including BMI and MUAC of pregnant women were collected by trained enumerators from the department of nutrition, Health Polytechnic of Kupang, East Nusa Tenggara. A validated Semi Quantitative-Food Frequency Questionnaire (SQFFQ) was used to collect the dietary intake of the last 3 months of pregnant women. Nutrisurvey was used to compute and analyze nutrient intakes of the study subjects. Statistical Analysis was performed using STATA version 15.1 MP. Results The average of energy and protein intakes in pregnant women were 1178.4 ± 449.6 kcal/day and 38.4 ± 18.7 gr/day respectively, representing to only 54.7% and 57.4% of the Indonesian nutrient requirement of energy and protein intakes for pregnant women. The average of vitamin C and iron intakes in pregnant women were 59.9 ± 40.1 mg/day and 7.7 ± 6.2 mg/day, representing to only 70.5% and 29.5% of the Indonesian nutrient requirement of vitamin C and iron intakes for pregnant women. The average energy and protein intakes among underweight pregnant women were 211.1 kcal/day (95% CI: 17.3 kcal/day - 404.9 kcal/day) lower and 8.2 gr/day (95% CI: 0.07 gr/day -16.3 gr/day) lower than among non underweight pregnant women adjusting for age of pregnant women, gestational age, and monthly household expenditure, education level, and race. Conclusions The present study suggests that pregnant women in rural Indonesian community experienced high deficit in energy, protein, vitamin C and iron intakes lead to poor nutritional status during pregnancy. Funding Sources The United Nation World Food Program and The University of Alma Ata.


2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Anette Lundqvist ◽  
Ingegerd Johansson ◽  
AnnaLena Wennberg ◽  
Johan Hultdin ◽  
Ulf Högberg ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eissa Khalifa ◽  
Alaa El-Sateh ◽  
Mohamed Zeeneldin ◽  
Ahmed M. Abdelghany ◽  
Mahmoud Hosni ◽  
...  

Abstract Background This study aims to detect the effects of increased BMI on labor outcomes in primigravida pregnant women. Methods A cross-sectional study involved 600 full-term singleton primigravida pregnant women who presented in the active phase of labor to the labor ward. They were divided according to BMI into three equals groups; women with normal BMI (group I), overweight women (group II), and women with class I obesity (group III). Results We found that high BMI was associated with a significantly increased risk of Caesarean section (C.S.) (13% in group I, 18% in group II and 40% in group III). Women with higher BMI and delivered vaginally had a significantly prolonged first and second stage of labor, consequently increased the need for oxytocin augmentation as well as the oxytocin dose. Regarding the maternal and fetal outcomes, there are significantly increased risks of postpartum sepsis, perineal tears, wound infection, as well as significantly increased birth weight and longer neonatal stay in the neonatal unit (NNU). Conclusion Obese primigravida pregnant women were at higher risk of suboptimal outcomes. Besides, prolonged first and second stages of labor and the incidence of C.S. have also been increased.


Author(s):  
Roseli Mieko Yamamoto Nomura ◽  
Ana Carla Franco Ubinha ◽  
Isabela de Paula Tavares ◽  
Maria Laura Costa ◽  
Maria Lucia da Rocha Opperman ◽  
...  

Abstract Objective To study maternal anxiety in pregnant women without comorbidities in the context of the COVID-19 outbreak in Brazil and to study maternal knowledge and concerns about the pandemic. Methods This is a secondary analysis from a national multicenter cross-sectional study performed in 10 cities, from June to August, 2020, in Brazil. Interviewed postpartum women, without medical or obstetrical comorbidities, were included in the present subanalysis. A structured questionnaire and the Beck Anxiety Inventory (BAI) were applied. Results Out of the 1,662 women, 763 (45.9%) met the criteria for the current analysis and 16.1% presented with moderate and 11.5% with severe maternal anxiety. Moderate or severe maternal anxiety was associated with high school education (odds ratio [OR]:1.58; 95% confidence interval [CI]:1.04–2.40). The protective factor was cohabiting with a partner (OR: 0.46; 95%CI: 0.29–0.73). There was a positive correlation between the total BAI score and receiving information about care in the pandemic (rpartial 0.15; p < 0.001); concern about vertical transmission of COVID-19 (rpartial 0.10; p = 0.01); receiving information about breastfeeding (rpartial 0.08; p = 0.03); concerns about prenatal care (rpartial 0.10; p = 0.01), and concerns about the baby contracting COVID-19 (rpartial 0.11; p = 0.004). The correlation was negative in the following aspects: self-confidence in protecting from COVID-19 (rpartial 0.08; p = 0.04), having learned (rpartial 0.09; p = 0.01) and self-confidence in breastfeeding (rpartial 0.22; p < 0.001) in the context of the pandemic. Conclusion The anxiety of pregnant women without medical or obstetrical comorbidities was associated to high school educational level and not living with a partner during the COVID-19 pandemic. Self-confidence in protecting against COVID-19 and knowledge about breastfeeding care during the pandemic reduced maternal anxiety.


Author(s):  
Gaurav J. Desai ◽  
Pranay A. Jadav ◽  
Priya B. Savsani ◽  
Pramod B. Verma

Background: India is facing nutrition transition. Period of college life is the phase was healthy and unhealthy diet habits takes place. The present study was aimed to study nutritional status among students of a medical college.Methods: A cross sectional study was conducted among the 254 students of a medical college attached with the civil hospital Gandhinagar over a period of six months. Pre-tested, semi-structured, self-administered questionnaire was used to collect socio-demographic information. Anthropometric examination like height, weight, BMI, waist-hip ratio was done according to WHO criteria. Data were analysed with Epi info 7.Results: Among 254 study participants, 159 (62.60%) were female and 99 (33.40%) were males. Obesity according to waist-hip ratio is significantly higher in females as compared to males Physical activities are significantly higher in females as compared to males in present study (p<0.05). Family history of diabetes and hypertension were also significantly higher in females as compared to males.Conclusions: Obesity according to Weight hip ratio was more in females as compared to male. Physical inactivity is also significantly higher in females. As per BMI undernutrition was also prevalent in the study participants. 


Sign in / Sign up

Export Citation Format

Share Document