Nutritional status of lactating women in Bogor district, Indonesia: cross-sectional dietary intake in three economic quintiles and comparison with pre-pregnant women

AbstractThe way in which women accommodate for their increased nutritional needs during the lactation period is poorly investigated. In a cross-sectional study involving 220 lactating women (LW), equally distributed in economic quintiles (Q2, Q3, Q4), we investigated whether habitual dietary intake of LW differed from that of 200 pre-pregnant women (PPW) studied using the same methodology. Differences in dietary intake and nutrition sufficiency according to economic status were also investigated. Dietary intake data were collected using 2×24-h dietary recalls and FFQ. Energy, protein, Fe, Ca, Zn and vitamins A and C intakes were calculated utilising local food composition tables and were compared against Indonesian recommendations for adequacy. Energy and protein intakes <70 % of the recommendation and Fe, Ca, Zn and vitamins A and C intakes <77 % of the recommendation were considered insufficient. Except for Zn, dietary intakes of all studied nutrients were higher in LW compared with PPW. However, for all studied nutrients, dietary intake was insufficient in >25 % of LW. For Q2-LW, this proportion was >50 %, except for protein. LW across all studied economic quintiles approximately doubled their vegetable intake, and 71 % of LW indicated a belief that this enhances lactation performance. Biochemical status parameters were analysed in a subset of forty-five women. Anaemia as well as Fe, Zn and Se deficiencies were prevalent among LW, supporting the nutrient intake deficiency data. Despite increasing intakes in LW compared with PPW, habitual diets in the study area do not provide for daily nutrient requirements in substantial proportions for both LW and PPW across all investigated economic groups.

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Dietary intake in pregnant women in a Spanish Mediterranean area: as good as it is supposed to be?

Public Health Nutrition ◽

10.1017/s1368980012003643 ◽

2012 ◽

Vol 16 (8) ◽

pp. 1379-1389 ◽

Cited By ~ 17

Author(s):

Clara L Rodríguez-Bernal ◽

Rosa Ramón ◽

Joan Quiles ◽

Mario Murcia ◽

Eva M Navarrete-Muñoz ◽

...

Keyword(s):

Fatty Acids ◽

Dietary Intake ◽

Pregnant Women ◽

Vegetable Intake ◽

First Trimester ◽

Dietary Guidelines ◽

Institute Of Medicine ◽

Foreign Born ◽

Cross Sectional ◽

Total Fat

AbstractObjectiveTo assess food and nutrient intakes and compliance with nutritional recommendations in pregnant women according to selected sociodemographic characteristics.DesignCross-sectional study based on data from the INMA-Valencia cohort (Spain), which recruited pregnant women between 2004 and 2005. Information on maternal sociodemographics and anthropometry was collected. Dietary intake was assessed through an FFQ. Intakes of foods were compared with Spanish food-based dietary guidelines. Intake inadequacy for nutrients was assessed using the Dietary Reference Intakes of the US Institute of Medicine.SettingValencia, Spain.SubjectsWe studied 822 pregnant women who had information on dietary intake during their first trimester of pregnancy.ResultsMore than 50 % of pregnant women did not meet the guidelines for cereals and legumes; reported intakes of carbohydrates, n-3 and n-6 fatty acids were below recommendations and exceeded the total fat intake according to dietary references. Dietary inadequacy for folate, Fe and vitamin E ranged from 99 % to 68 %. Vegetable intake was related to age only. Younger and less educated women showed lower intakes of protein and n-3 fatty acids and higher intakes of trans-fatty acids as well as greater inadequacy for micronutrients. Spanish women reported lower intakes of fruit and carbohydrates and higher intakes of protein, total fat, SFA, MUFA and n-3 fatty acids compared with their foreign-born counterparts.ConclusionsWomen in the studied area have inadequate intakes of several nutrients relevant during pregnancy. Age, education and country of origin are factors significantly related to dietary intake and adequacy.

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Correlates of anaemia in pregnant urban South Indian women: a possible role of dietary intake of nutrients that inhibit iron absorption

Public Health Nutrition ◽

10.1017/s136898001200119x ◽

2012 ◽

Vol 16 (2) ◽

pp. 316-324 ◽

Cited By ~ 7

Author(s):

Tinu Mary Samuel ◽

Tinku Thomas ◽

Julia Finkelstein ◽

Ronald Bosch ◽

Ramya Rajendran ◽

...

Keyword(s):

Dietary Intake ◽

Pregnant Women ◽

First Trimester ◽

Cross Sectional Study ◽

Dietary Intakes ◽

Health Care Centre ◽

Cross Sectional ◽

South Indian ◽

Urban South ◽

Maternity Health

AbstractObjectiveTo identify correlates of anaemia during the first trimester of pregnancy among 366 urban South Indian pregnant women.DesignCross-sectional study evaluating demographic, socio-economic, anthropometric and dietary intake data on haematological outcomes.SettingA government maternity health-care centre catering predominantly to the needs of pregnant women from the lower socio-economic strata of urban Bangalore.SubjectsPregnant women (n 366) aged ≥18 and ≤40 years, who registered for antenatal screening at ≤14 weeks of gestation.ResultsMean age was 22·6 (sd 3·4) years, mean BMI was 20·4 (sd 3·3) kg/m2 and 236 (64·5 %) of the pregnant women were primiparous. The prevalence of anaemia (Hb <11·0 g/dl) was 30·3 % and of microcytic anaemia (anaemia with mean corpuscular volume <80 fl) 20·2 %. Mean dietary intakes of energy, Ca, Fe and folate were well below the Indian RDA. In multivariable log-binomial regression analysis, anaemia was independently associated with high dietary intakes of Ca (relative risk; 95 % CI: 1·79; 1·16, 2·76) and P (1·96; 1·31, 2·96) and high intake of meat, fish and poultry (1·94; 1·29, 2·91).ConclusionsLow dietary intake of multiple micronutrients, but higher intakes of nutrients that inhibit Fe absorption such as Ca and P, may help explain high rates of maternal anaemia in India.

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Nutritional status of pre-pregnant and pregnant women residing in Bogor district, Indonesia: a cross-sectional dietary and nutrient intake study

British Journal Of Nutrition ◽

10.1017/s000711451600057x ◽

2016 ◽

Vol 116 (S1) ◽

pp. S57-S66 ◽

Cited By ~ 1

Author(s):

Siti Madanijah ◽

Dodik Briawan ◽

Rimbawan Rimbawan ◽

Zulaikhah Zulaikhah ◽

Nuri Andarwulan ◽

...

Keyword(s):

Vitamin A ◽

Vitamin C ◽

Dietary Intake ◽

Pregnant Women ◽

Nutrient Intake ◽

Nutrient Requirements ◽

Childbearing Age ◽

Cross Sectional ◽

Food Composition Tables ◽

Increased Risk

AbstractThe diet of Indonesian women of childbearing age is relatively poor, posing increased risk for suboptimal pregnancy outcome. In a cross-sectional study including 403 women in three economic quintiles (Q), we investigated differences in dietary intake and nutrition sufficiency according to economic status and whether regular dietary intakes of pregnant women (PW, n 203) differ from that of pre-pregnant women (PPW, n 200). Dietary intake data were collected using 2×24 h dietary recall and FFQ. Energy, protein, Fe, Ca, Zn, vitamin A and vitamin C intakes were calculated utilising Food Composition Tables and compared with Indonesian recommendations for adequacy. Energy and protein intakes <70 % and Fe, Ca, Zn, vitamin A and vitamin C intakes <77 % of the local recommendation were considered insufficient. A higher intake of milk/dairy products (Q3, Q4), fruits and vegetables (Q2) and snacks (Q3) in PW was observed compared with PPW, but insufficient to meet nutrient requirements. Nutrient intake calculations showed insufficiency in 26 % of PPW for protein and up to 70 % for Fe. Deficient nutrient intakes in PW were found in 49 % of the subjects for energy and up to 85 % for Fe. Energy and protein intakes decreased with decreasing economic quintiles in PPW and PW. Ca and vitamin A intakes were lower in Q2 compared with Q4. The proportion of animal protein in Q2-PW was low (31 %). Biochemical status parameters in a subset showed that anaemia and Fe and Zn deficiencies were prevalent among PPW and PW. Habitual diets in the study area did not meet the nutrient requirements for both PPW and PW across the investigated economic groups.

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Pregnant Women Living with Obesity: A Cross-Sectional Observational Study of Dietary Quality and Pregnancy Outcomes

Nutrients ◽

10.3390/nu13051652 ◽

2021 ◽

Vol 13 (5) ◽

pp. 1652

Author(s):

Margaret Charnley ◽

Lisa Newson ◽

Andrew Weeks ◽

Julie Abayomi

Keyword(s):

Pregnant Women ◽

Maternal Obesity ◽

Maternal Nutrition ◽

Saturated Fatty Acids ◽

Poor Quality ◽

Dietary Quality ◽

Obstetric Outcomes ◽

Dietary Intakes ◽

Singleton Pregnancy ◽

Cross Sectional

Good maternal nutrition is key to optimal maternal and foetal health. A poor-quality diet is often associated with obesity, and the prevalence and severity of maternal obesity has increased significantly in recent years. This study observed dietary intakes in pregnant women living with obesity and assessed the quality of their diet. In total, 140 women with a singleton pregnancy, aged > 18 years and BMI ≥ 35 kg/m2, were recruited from antenatal clinics, weighed and completed food diaries at 16-, 28- and 36-weeks’ gestation. Clinical data were recorded directly from the women’s medical records. Nutrient intake was determined using ‘MicrodietTM’, then compared to Dietary Reference Values (DRVs). Energy intakes were comparable with DRVs, but intakes of sugar and saturated fatty acids were significantly higher. Intake of fibre and several key micronutrients (Iron, Iodine, Folate and Vitamin D) were significantly low. Several adverse obstetric outcomes were higher than the general obstetric population. Women with obesity, often considered ‘over nourished’, may have diets deficient in essential micronutrients, often associated with poor obstetric outcomes. To address the intergenerational transmission of poor health via poor diets warrants a multi-disciplinary approach focusing away from ‘dieting’ onto positive messages, emphasising key nutrients required for good maternal and foetal health.

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Total Usual Dietary Intakes of Pregnant Women in the United States, 2001-2014 (FS08-01-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz048.fs08-01-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Regan Bailey ◽

Susan Pac ◽

Victor Fulgoni ◽

Kathleen Reidy

Keyword(s):

At Risk ◽

Folic Acid ◽

Pregnant Women ◽

Critical Dimension ◽

The United States ◽

Dietary Intakes ◽

Dietary Recommendations ◽

Cross Sectional ◽

Excessive Consumption ◽

Nationally Representative

Abstract Objectives Nutrition during pregnancy is a critical dimension not only for women’s heath, but also for the offspring’s lifelong health. Very limited national data exist on the usual dietary intakes of pregnant women. The objective of this study was to estimate total usual nutrient intakes (from foods and dietary supplements) of pregnant women in the U.S. Methods Cross-sectional analysis of a nationally-representative sample of pregnant U.S. women, ages 20-40 years (n = 1,003) from NHANES 2001-2014. Total usual dietary intakes were estimated using the National Cancer Institute (NCI) method to adjust 2, 24-hour dietary recalls for within-person variation. Adherence with the Dietary Reference Intakes were used to assess the proportion at risk of inadequacy by the Estimated Average Requirement (%< EAR), assumed to be adequate by the Adequate Intake (% >AI), and at risk of excess by the Tolerable Upper Intake Level (% >UL). Results About 70% of pregnant women use a dietary supplement. Less than 5% of pregnant women have usual diets that are at risk for inadequate intakes of riboflavin (3%), niacin (1%), vitamin B12 (1%), iron (2%), phosphorus (< 0.5%), and selenium (< 0.5%). More pregnant women have usual intakes < EAR for vitamins A (15%), B6 (11%), folate (16%), C (11%), D (46%), E (43%), and minerals including copper (5%), calcium (13%), magnesium (47%) and zinc (11%). Few pregnant females have usual intakes >AI for potassium (2%) and choline (8%), whereas only 48% have vitamin K intakes >AI. The majority of pregnant women (95%) exceed the UL for sodium, while folic acid (34%), iron (28%), calcium (3%), and zinc (7%) were also of concern for intakes >UL. Conclusions Many U.S. pregnant women ( >10% < EAR or < 10% >AI) do not consume enough of key nutrients during pregnancy specifically vitamins A, C, D, E, K, B6, folate, and choline and minerals including potassium, calcium, magnesium, and zinc, while almost all are at risk of excessive consumption of sodium, and many at risk of excessive consumption of folic acid and iron. Improved dietary guidance to help pregnant women meet and not exceed dietary recommendations is warranted. Funding Sources Nestle Nutrition.

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Prevalence of anaemia in pregnant and lactating women in rural Vijayapur

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20195857 ◽

2019 ◽

Vol 7 (1) ◽

pp. 224

Author(s):

Santosh D. Patil ◽

Ravindranath A. Bhovi

Keyword(s):

Pregnant Women ◽

Economic Status ◽

Developed Countries ◽

Cross Sectional Study ◽

Age Group ◽

Cross Sectional ◽

Lactating Women ◽

Medical College ◽

Lactating Mothers ◽

Haemoglobin Content

Background: Nutritional anaemia is defined as a condition in which the haemoglobin content of the blood is lower than normal as a result of deficiency of one or more essential nutrients. Anaemia is the late manifestation of deficiency of nutrient(s) needed for haemoglobin synthesis. The prevalence of anaemia in developing countries is estimated to be 43% and that of developed countries is 9%. Anaemia is estimated to contribute to more than 115000 maternal deaths and 591000 prenatal deaths globally per year. The objectives of the present study were to determine the prevalence of anaemia among the pregnant women and lactating mothers and to explore the associated factors with anaemia.Methods: A cross sectional study was conducted among pregnant and lactating women in Ukkali a rural field practice area Shri B. M. Patil Medical College, Vijayapur. Criteria for inclusion were pregnant women- current pregnancy of more than 6 months and lactating mother with child aged up to 6 months of age. Estimation of haemoglobin was carried by standard Sahlis pipette method. Anaemia was classified according to WHO grading criteria.Results: The maximum number of pregnant women (85.71%) in the age group of 35-49 years was anaemic followed by those who were in the age group of 20-34 years (61.54%). Prevalence of anaemia was 72 % in women of less than 20 years, whereas it was as high as 80% among lactating women of 35-49 years age group.Conclusions: Anaemia continues to be a problem with the existing health care resources. Socio-economic status, literacy of women and awareness related to health concerns are the major determinants that contribute to the problem of anaemia.

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“I feel like eating rice 24 hours per day, 7 days a week”: A Study of Dietary Diversity Among Asylum Seekers in Norway (OR21-06-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz034.or21-06-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Sigrun Henjum ◽

Laura Terragni

Keyword(s):

Dietary Intake ◽

Asylum Seekers ◽

Dietary Diversity ◽

Living Condition ◽

Dietary Quality ◽

Dietary Intakes ◽

Food Groups ◽

Cross Sectional ◽

Adequate Diet ◽

Adequate Food

Abstract Objectives Poor nutrition and food insecurity is highly prevalent among asylum seekers residing in western countries. Lack of economic resources, unfamiliarity with new foods, and language barriers are some challenges that asylum seekers encounter upon resettlement. Despite the importance of an adequate diet for good health, limited knowledge, exist on food intake and dietary quality among asylum seekers. We described dietary intake and assessed dietary quality among asylum seekers at Norwegian reception centers. Methods In 2017, a cross-sectional study in eight ordinary asylum reception centers in the South Eastern part of Norway were performed and 205 asylum seekers (131 men and 74 women) were included. Dietary intake was assessed by 24-hour dietary recall and dietary diversity score (DDS) calculated according to FAO and FANTA, 2014. In addition, field notes of the asylum seekers thoughts on dietary intake and living condition provided contextual aspects of their nutritional situation. Results Two-third of the asylum seekers had dietary intakes with low quality; they ate from less than five food groups (low DDS). The asylum seekers ate in average two meals per day and one-third ate their first meal after noon. Meals tend to consist of food that was familiar in their country of origin. Women had significantly higher DDS than men with a higher consumption of vegetables and fruits. Asylum seekers residing in Norway for a longer time had a higher dietary diversity, than asylum seekers with a shorter stay. Most asylum seekers told about a reduced dietary intake, few meals and by the end of the month, hunger. They chose the cheapest food, food on sale or food that had expired and chose quantity over quality. The kitchen facilities at the reception centers were inadequate with limited storage place, low quality of the cooking equipment and crowded kitchen. Conclusions The asylum seekers had a monotonous diet with few meals, in contrast to the food abundance that most Norwegian are accustomed to, revealing, the emergence of new groups and new forms of poverty and social exclusion also in rich countries with otherwise good welfare state systems. The situation appear particularly critical given Norway's commitment through the United Nations (UN) International Covenant on Economic, Social and Cultural Rights to ensure human rights such as the right to adequate food and health. Funding Sources The study was funded by Oslo Metropolitan University, Norway.

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Eating location is associated with the nutritional quality of the diet in Norwegian adults

Public Health Nutrition ◽

10.1017/s1368980013000268 ◽

2013 ◽

Vol 17 (4) ◽

pp. 915-923 ◽

Cited By ~ 14

Author(s):

Jannicke B Myhre ◽

Elin B Løken ◽

Margareta Wandel ◽

Lene F Andersen

Keyword(s):

Dietary Intake ◽

Fast Food ◽

Nutritional Quality ◽

Dietary Intakes ◽

Sugar Sweetened Beverages ◽

Cross Sectional ◽

Sweetened Beverages ◽

Private Households ◽

At Home

AbstractObjectiveTo study the association between dinner eating location and the nutritional quality of the specific dinner meal and the whole-day dietary intake and to compare the diets of those consuming ≥25 % of energy out of home and at school/work (SOH; substantial out-of-home eaters) with those consuming <25 % of energy out (NSOH; non-substantial out-of-home eaters).DesignCross-sectional dietary survey using two non-consecutive 24 h recalls. Recorded eating locations were at home, other private households, work/school, restaurant/cafeteria/fast-food outlet and travel/meeting.SettingNationwide, Norway (2010–2011).SubjectsAdults aged 18–70 years (n 1746).ResultsDinners at restaurants and other private households were higher in energy than home dinners (P < 0·01). Restaurant dinners contained less fibre (g/MJ; P < 0·01) and had a higher percentage of alcohol consumers (P < 0·05), while dinners at other private households had a higher percentage of energy from sugar (P < 0·001) and a higher percentage of consumers of sugar-sweetened beverages (P < 0·05) than home dinners. Most differences between dinners consumed at different eating locations were also observed in dietary intakes for the whole day. SOH-eaters had a higher energy intake (P < 0·01), a higher percentage of energy from sugar (P < 0·01) and a lower fibre intake (P < 0·01) than NSOH-eaters. The percentages of consumers of alcohol and sugar-sweetened beverages were higher (P < 0·01) among SOH-eaters.ConclusionsDinner eating location was significantly associated with the nutritional quality of the diet, both for the specific dinner meal and for whole-day intake. Our data generally point to healthier dinners being consumed at home. SOH-eaters had a less favourable dietary intake than NSOH-eaters.

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Do Dutch nutrition and dietetics students meet nutritional requirements during education?

Public Health Nutrition ◽

10.1017/s1368980013001237 ◽

2013 ◽

Vol 17 (6) ◽

pp. 1237-1244 ◽

Cited By ~ 4

Author(s):

Joke J van der Kruk ◽

Harriët Jager-Wittenaar ◽

Roos MB Nieweg ◽

Cees P van der Schans

Keyword(s):

Vitamin D ◽

Dietary Intake ◽

Fruits And Vegetables ◽

Longitudinal Research ◽

First Year ◽

Dietary Intakes ◽

Cross Sectional ◽

First Year Students ◽

Dietary Record ◽

Nutrition And Dietetics

AbstractObjectivesTo compare the dietary intakes of Dutch nutrition and dietetics students with the Dutch RDA and the Dutch National Food Consumption Survey (DNFCS), and to assess whether dietary intake changes during education.DesignCross-sectional and longitudinal research (2004–2010).SettingData collection by 7 d dietary record and questionnaire.SubjectsDutch nutrition and dietetics students.ResultsThree hundred and fifty-two first-year and 216 fourth-year students were included. One hundred and thirty-three students in three cohorts were assessed twice. Of first-year students, >80 % met the RDA for all macronutrients. Of these students only 37 % met the RDA for fibre and in 43 % intake of saturated fat was too high. Fourth-year students more often met the RDA for fruits (55 %) and vegetables (74 %) compared with first-year students (32 % and 40 %, respectively). Intake of fruits and vegetables of both first- and fourth-year students was much higher than that of DNFCS participants (where 2 % and 7 %, respectively, met the corresponding RDA). Only <25 % of fourth-year students met the RDA for Fe, Se and vitamin D. In the cohorts, dietary intake for all macronutrients stabilised from the first to the fourth year (>80 %). Intakes of dietary fibre, Ca, Mg, Se, riboflavin, niacin, fruits, vegetables and fish improved significantly during education.ConclusionsDietary intake of nutrition and dietetics students is much better than that of DNFCS participants and improved during education. However, there is still a gap between actual dietary intake and the RDA, especially for Fe, Se and vitamin D.

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