scholarly journals Maternal Dietary Intake During Pregnancy and Its Association with Size of Offspring at Birth and One Year of Age (P11-031-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Sarika Tyagi ◽  
G S Toteja ◽  
Neena Bhatia

Abstract Objectives In resource poor countries like India pregnant women are prone to inadequate dietary intake which causes macronutrient and micronutrient deficiencies and consequently leads to low‐birth weight infants with higher risks of morbidity and mortality. Present study was planned with the following objectives: To assess dietary intake of pregnant women during third trimester.To correlate maternal dietary intake with size of infants at birth and at one year of age. Methods This longitudinal study was carried out among slum population of Delhi. Dietary intake data was obtained from 144 pregnant women during pregnancy (gestational age > 28 weeks) using 24 hr recall and Food Frequency Questionnaire (FFQ) method. Pregnant women were followed upto delivery and birth size (weight, length, head circumference and MUAC) of infants was measured within 72 hours of birth. Infants were followed quarterly upto one year of age for anthropometric measurements. For statistical analysis One Way ANOVA and Pearson correlation coefficient methods were used. Results Food consumption data revealed that average consumption of all food groups was lower than the Recommended Dietary Intake (RDI) and percentage adequacy was poor for cereals (96.25%), pulses (51.3%), green leafy vegetables (24.4%), other vegetables (42.5%), fruits (34.8%) and milk and milk products (36.9%).Median intake for all the nutrients was also found lower than Recommended Dietary Allowances (RDA). Percentage adequacy was alsopoor for energy (70.4%), protein (61.0%), thiamine (70.8%), riboflavin (28.6%), niacin (54.9%), B6 (41.6%), folates (35.1%), ascorbic acid (99.4%), retinol (16.2%), calcium (33.6%), iron (28.6%), magnesium (90.1%), and zinc (57.8%).Maternal food group intake and nutrient intake during pregnancy were found significantly correlated with weight, length and MUAC of infants at birth but not at 12 months of age. Even though birth weight and weight at 12 months increased consistently with increase in maternal energy and protein adequacy, this association was not significant at 12 months of age. Conclusions Dietary intake of pregnant women was lower than the recommended dietary intake among slum population of Delhi. Maternal dietary intake was found significantly associated with size of infants at birth. Funding Sources Indian Council Of Medical Research, New Delhi, India.

2022 ◽  
Vol 7 (2) ◽  
pp. 89-98
Author(s):  
Fatemeh Mirzaie ◽  
Khadije Rezaie Keikhaie ◽  
Mahin Badakhsh ◽  
Bahareh Khajehpourbahareh ◽  
Samira Ghofrani ◽  
...  

Nutrients ◽  
2018 ◽  
Vol 10 (8) ◽  
pp. 1010 ◽  
Author(s):  
Jan Makurat ◽  
Eleonore Kretz ◽  
Frank Wieringa ◽  
Chhoun Chamnan ◽  
Michael Krawinkel

The objective of this paper is to compare food consumption by Cambodian garment workers with and without access to a free model lunch provision through a factory-based canteen. Data from an exploratory randomised controlled trial were analysed. In total, 223 female Cambodian garment workers were allocated to an intervention arm (six-month lunch provision) or a control arm. Dietary intake on workdays was assessed by qualitative 24-h recalls at baseline and twice at follow-ups during the period of lunch provision using the Food and Agricultural Organization (FAO) guideline on assessing women’s dietary diversity. In total, 158 participants provided complete data on the dietary intake over workdays at all interviews. Lunch provision resulted in a more frequent consumption of dark green leafy vegetables (DGLV), vitamin A-rich fruits, other fruits, and oils and fats during lunch breaks. In contrast, flesh meats, legumes, nuts and seeds, as well as sweets, were eaten at a lower frequency. Except for a higher consumption rate of vitamin A-rich fruits and a lower intake frequency of sweets, lunch provision had a less clear impact on total 24-h intake from different food groups and was not associated with a higher women’s dietary diversity score (WDDS). A more gap-oriented design of the lunch sets taking into account underutilised foods and the nutritional status of the workers is recommended.


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Emmanuel Amoako Agyei ◽  
Stephen Kofi Afrifa ◽  
Adam Munkaila ◽  
Patience Kanyiri Gaa ◽  
Eugene Dogkotenge Kuugbee ◽  
...  

Essential nutrients are necessary for reducing the risk of maternal mortality, prenatal mortality, and low-birthweight infants. Dietary diversity can play an important role in supplying essential nutrients to both the mother and the foetus. We evaluated nutrition knowledge, attitudes, and dietary diversity of pregnant women. In addition, we investigated the sociodemographic determinants of dietary diversity among pregnant women from a rural district in Ghana. Participants were pregnant women receiving antenatal care from a rural district hospital in Ghana. Dietary diversity was measured using a 24-hour dietary recall questionnaire. Multiple linear regression was used to determine the sociodemographic characteristics of dietary diversity. About 85% of the pregnant women knew that they should eat more in comparison to nonpregnant women, and only 16.9% knew the importance of folic acid supplementation during pregnancy. Mean (SD) dietary diversity score of the participants was 5.27 (1.35), 85.4% did not consume any fruits, and 82.3% did not take milk and milk products. Almost all participants took at least one food item in the starchy staples and green leafy vegetables food groups. Moreover, 53% consumed vitamin A-rich fruits, vegetables, and tubers; 7.7% organ meats; and 30.8% eggs. Those who earned a monthly income of ≥GHC 500 or US$ 87 (B = 1.82; 0.90–2.73; p < 0.001 ) significantly had higher dietary diversity scores compared to those who earned less. Dietary diversity of the pregnant women was suboptimal. The consumption of vitamin A- and iron-rich foods was inadequate. Income was an important determinant of the dietary diversity of pregnant women from Northern rural Ghana.


2002 ◽  
Vol 16 (2) ◽  
pp. 121-131 ◽  
Author(s):  
Sudesh Jood ◽  
Saroj Bishnoi ◽  
Neelam Khetarpaul

Average daily food intakes of 90 rural pregnant women belonging to arid, semi-arid and wet zones of Haryana State, Northern India have been determined. As a result of questionnaires and interviews, food intake for three consecutive days were collected. Intakes of cereals, pulses, roots and tubers, other vegetables and sugar and jaggery by the respondents were significantly lower than the prescribed Indian Recommended Dietary Intakes (RDI). The consumption of milk and milk products and fats and oils was significantly higher than that of RDI whereas, green leafy vegetables and fruits were the most limited food items. As the diets of rural pregnant women were inadequate with respect to some food groups, which resulted in lower intake of protein, β-carotene and ascorbic acid. Despite their poor intake their weights and heights were not much below the standards. BMI classification projected that only about one fourth of the respondents were underweight. There is pressing need to educate rural pregnant women regarding their increased nutritional requirements.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1786-1786
Author(s):  
Mansi Chopra ◽  
Anwesha Lahiri ◽  
Priyanshu Rastogi ◽  
Arti Bhanot ◽  
Anjani Bakshi ◽  
...  

Abstract Objectives India is home to 119 million children (CH; 5–9 y) and 253 million adolescents (AD; 10–19 y), a majority of whom suffer from multiple micronutrient deficiencies (MND). Given high school enrolment levels in India (90% of CH and 75% of AD) schools are a good platform for services and behavior change interventions targeted toward this age group. We sought to analyze the prevalence and predictors of MND in school going CH and AD in India. Methods Data from India's Comprehensive National Nutrition Survey 2016–18 were analyzed separately for CH aged 5–9 y (n = 10,640), AD aged 10–14 y (n = 5390) and AD aged 15–19 y (n = 3693). Serum/plasma concentrations of ferritin, retinol, B12, erythrocyte folate, 25-hydroxyvitamin D, zinc and C-reactive protein were measured. We assessed the weighted prevalence of each MND using established WHO cutoffs, after adjusting ferritin and retinol for inflammation. Primary predictors of MND were dietary intake and access to school services. Multivariable logistic regression models were used to examine associations between these factors and each MND, controlling for socio-demography (sex, residence, wealth quintile, ethnicity, parental education, siblings) and hygiene-sanitation services. Results The top three micronutrient deficiencies were folate (29%), vitamin A (22%), vitamin D (19%) among CH and folate (38%), zinc and B12 (31% each) in AD. One or more MND affected 69% of CH and 83% of AD. In CH, deworming was associated with reduced odds of folate deficiency (AOR and 95% CI: 0.80, 0.68–0.94) and health camps were associated with vitamin A deficiency (0.68, 0.51–0.91). In AD 10–14y, receipt of free school meals had lower odds of B12 deficiency (0.66, 0.49–0.88). In AD 15–19y, health camps were inversely associated with vitamin D deficiency (0.69, 0.51–0.95). CH and AD who consumed green leafy vegetables, pulses and fruits daily had reduced odds of iron, folate or vitamin D deficiencies (AORs: 0.58–0.81). Consumption of fish, chicken or meat (≥2 times/week) was associated with lower odds of almost all MND in CH (AORs: 0.39–0.75), and of iron and B12 deficiencies in AD (AORs: 0.42–0.66). Conclusions Most CH and AD in India suffer from multiple MND. Improving diet quality through school meals and strengthening school-based health services may contribute to MND reductions in this population. Funding Sources UNICEF, POSHAN.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 706-706
Author(s):  
Arif Sabta Aji ◽  
Dyah Ayu Larasati Kisworo Putri ◽  
Nur Indrawaty Lipoeto

Abstract Objectives This study analyzed the association between pre-pregnancy body mass index (PPBMI), dietary intake status, and birth size outcomes in the VDPM cohort study in West Sumatra, Indonesia. Methods The VDPM study is a prospective longitudinal study including 239 healthy pregnant women of Indonesian women with singleton pregnancies. Data on maternal dietary intake including energy, carbohydrate, protein, and fat intake, and anthropometry were collected during pregnancy. New-born anthropometry for 195 new-born babies was measured immediately after delivery. Bivariate and multivariate regression analyses were constructed to determine the association between PPBMI, dietary intake status, and birth size outcomes. Results The mean birth weight was 3195 ± 463 g. Dietary intake of pregnant mothers had a significant correlation with newborn birth weight, length of birth, head circumference, and placental weight as pregnancy outcome indicators (p ≤ 0.05). This study showed that no association between pre-pregnancy BMI status and birth size outcomes (p ≥ 0.05). Conclusions Our studies have not shown a statistically significant difference between PPBMI and birth size outcomes. However, maternal dietary intake associated with birth size outcomes, more research is warranted to confirm these findings. Funding Sources Indonesian Danone Institute Foundation.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 823-823
Author(s):  
Kelly Tiderencel ◽  
Krupali Shah ◽  
Abha Shrestha ◽  
Emily S Barrett ◽  
Archana Shrestha ◽  
...  

Abstract Objectives Culturally appropriate dietary assessments are lacking in many low-income countries including Nepal. Here we examined the reproducibility and validity of a dietary screener which was translated and adapted to assess diet quality among pregnant Nepalese women. Methods A pilot cohort of singleton pregnant women (N = 101; age 25.9 ± 4.1 years) was recruited from a tertiary, periurban hospital in Nepal. An adapted Nepali version of the PrimeScreen questionnaire, assessing weekly consumption frequency of 12 healthy and 9 unhealthy food groups, was administered twice and a month apart in both the 2nd and 3rd trimester. Up to four inconsecutive 24-hr dietary recalls (24-HDRs) were also completed each trimester and utilized as the reference method for validation. For each trimester, data from multiple 24-HDRs were averaged across days, and items were grouped to match the classification and the three weekly consumption categories (0–1, 2–3 or 4 + servings/week) of the 21 food groups represented on the PrimeScreen. Gwet's agreement coefficients (AC1) were used to evaluate the reproducibility and validity of the adapted PrimeScreen against the 24-HDRs in both 2nd and 3rd trimester. Results In the 2nd trimester, the adapted PrimeScreen demonstrated good to excellent reproducibility (AC1 &gt; 0.6) for majority of the food groups; the reproducibility was moderate for eggs (AC1 = 0.4), and poor (AC1 &lt; 0.4) for citrus fruits and leafy vegetables. In the 3rd trimester, AC1 for reproducibility of the PrimeScreen ranged from 0.4 (moderate agreement) to 1 (excellent agreement), with values ≥0.6 for 90% of the items indicating good to excellent reproducibility for the majority of the food groups. Compared to 24-HDRs, the adapted PrimeScreen showed moderate to excellent validity (AC1 ≥ 0.4) for all food groups except for eggs and leafy vegetables in both the 2nd and 3rd trimester, and additionally citrus fruits and cruciferous vegetables in the 2nd trimester alone. Classification into 3 consumption categories (0–1, 2–3 or 4 + servings/week) were consistent (percentage agreement &gt; 80%) between the PrimeScreen and 24-HDR for 80% of the food groups in both 2nd and 3rd trimester. Conclusions The adapted PrimeScreen questionnaire appears to be a reliable and valid instrument for assessing the dietary intake of most food groups among pregnant women in Nepal. Funding Sources NIH/FIC.


Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 3172
Author(s):  
Nastaran Salavati ◽  
Petra C. Vinke ◽  
Fraser Lewis ◽  
Marian K. Bakker ◽  
Jan Jaap H.M. Erwich ◽  
...  

The preconception period has been recognized as one of the earliest sensitive windows for human development. Maternal dietary intake during this period may influence the oocyte quality, as well as placenta and early embryonic development during the first trimester of pregnancy. Previous studies have found associations between macronutrient intake during preconception and pregnancy outcomes. However, as food products consist of multiple macro- and micronutrients, it is difficult to relate this to dietary intake behavior. Therefore, the aim of this study was to investigate the association between intake of specific food groups during the preconception period with birth weight, using data from the Perined-Lifelines linked birth cohort. The Perined-Lifelines birth cohort consists of women who delivered a live-born infant at term after being enrolled in a large population-based cohort study (The Lifelines Cohort). Information on birth outcome was obtained by linkage to the Dutch perinatal registry (Perined). In total, we included 1698 women with data available on birth weight of the offspring and reliable detailed information on dietary intake using a semi-quantitative food frequency questionnaire obtained before pregnancy. Based on the 2015 Dutch Dietary Guidelines and recent literature 22 food groups were formulated. Birth weight was converted into gestational age-adjusted z-scores. Multivariable linear regression was performed, adjusted for intake of other food groups and covariates (maternal BMI, maternal age, smoking, alcohol, education level, urbanization level, parity, sex of newborn, ethnicity). Linear regression analysis, adjusted for covariates and intake of energy (in kcal) (adjusted z score [95% CI], P) showed that intake of food groups “artificially sweetened products” and “vegetables” was associated with increased birth weight (resp. (β = 0.001 [95% CI 0.000 to 0.001, p = 0.002]), (β = 0.002 [95% CI 0.000 to 0.003, p = 0.03])). Intake of food group “eggs” was associated with decreased birth weight (β = −0.093 [95% CI −0.174 to −0.013, p = 0.02]). Intake in food groups was expressed in 10 g per 1000 kcal to be able to draw conclusions on clinical relevance given the bigger portion size of the food groups. In particular, preconception intake of “artificially sweetened products” was shown to be associated with increased birth weight. Artificial sweeteners were introduced into our diets with the intention to reduce caloric intake and normalize blood glucose levels, without compromising on the preference for sweet food products. Our findings highlight the need to better understand how artificial sweeteners may affect the metabolism of the mother and her offspring already from preconception onwards.


2018 ◽  
Author(s):  
◽  
Kelly Michelle Warriner

Aim: This research aimed to establish the socio-demographic background, nutritional status, as well as food intake patterns of pregnant women in the first trimester of pregnancy attending an antenatal clinic in Cato Manor, Durban. This study formed part of the first phase of the MRC approved study “A multi-staged multi-disciplinary healthcare approach in reducing maternal morbidity and mortality rates in a selected district in KwaZulu-Natal”, aimed at pregnant women and planned by the Faculty of Health Sciences at the Durban University of Technology. The research was conducted in South Africa in the province of KwaZulu-Natal. This study was conducted in a primary health care clinic (PHC) in Cato Manor which falls under the auspices of the eThekwini municipality. The total sample (n=300) as predetermined by the MRC approved study included all pregnant women presenting at the PHC for their first antenatal visit over a designated period until the total sample size has been reached. These women were allocated into 3 groups: Group 1 compromised of the antenatal intervention group (n=100). A total of 139 pregnant women in the first trimester of pregnancy were eligible to be accepted to be a part of the study; however, due to a low return rate and incomplete questionnaires, a final sample of 100 women were included in the study and their data was used. Methods: A valid and relevant socio-demographic questionnaire was completed in a one-on-one interview situation wherein participants would be asked to tick relevant answers pertaining to the question at hand. Information regarding income, education level, religious influences and any other questions relating to the socio demographic background of the participants were included in the questionnaire. A valid and reliable food frequency questionnaire was also completed in a one-on-one interview situation whereby participants would be asked to tick relevant answers pertaining to the question at hand, in order to determine the food variety and food diversity intake of the participants. Participants’ dietary intake was determined through the completion of two x 24- hour recall questionnaires which were conducted in an interview situation. The two x 24-hour recall questionnaires were completed pertaining to the participant’s dietary intake during the week as well as to the participants’ dietary intake on a weekend day. Finally, participants’ anthropometric measurements were obtained through the use of a scale and stadiometer in order to measure the weight and height, respectively, of each participant and calculate the BMI (body Mass Index) of each participant. All measurements were conducted twice and the average of the two figures was used in order to ensure accuracy. Results: The majority of the participants’ role in the family was that of a daughter (72%) and they lived in a squatter camp (48%). In addition, 57% of participants shared a house with between two and five other people and the majority lived in a brick house (51%) with more than two rooms (63%). Most of the women were unemployed at the time of research (65%) and received a total monthly income of <R1500 a month (67%; n=43) with only one other person contributing to the monthly income (60%; n=59). Food insecurity was prevalent among some participants as 25% (n=24) reported sometimes not having enough money in the month to buy food and 40% of the participants spent <R500 a month on food. Furthermore, standard 10 (matric) was the highest level of education completed by most participants (48%) and Zulu was the most spoken language among the group (49%). The majority of the participants had a normal BMI (40%) whereas 28% were considered overweight and 20% fell within obese class I. In addition, according to blood pressure measuring instruments, most participants had a normal systolic (82%) and diastolic (65%) blood pressure with a low prevalence of both low and high blood pressure. The total range of individual food items consumed by an individual during the seven-day data collection period measured by the (FFQ) was between six and 62 foods. Fifty-two percent of participants consumed all nine food groups and a summary of the food variety within the food groups of the pregnant women was a mean of 31.02 (SD11.029) different foods within the nine food groups in a seven-day period which indicates a medium food variety score (FVS). Furthermore, the cereal group reported the highest individual mean FVS (±SD) of 6.60 (±3.000), followed by the vegetable group 4.56 (±2.217) and the meat group with a mean of 4.51 (±2.011). The nutrient analysis indicated a deficient intake of all nutrients with the exception of phosphorous, vitamin A, niacin, vitamin B6 and vitamin K. The mean (SD) for carbohydrates was 191.82g (SD±68.718) which indicated that all participants met the EAR of 135g per day; however, the energy contribution indicated that 95% of participants consumed <100 percent of the EER for energy. Furthermore, the findings from the Top 20 food items measured by the 24-hour recall questionnaires indicated that pregnant women in the Cato Manor community consumed a largely carbohydrate-based diet as starchy food were the top three consumed. Protein-based foods, dairy, as well and fruit and vegetables had a very low consumption rate with the per capita intake of fruit and vegetables of 165.73g per day being significantly lower than the WHO goal of ≥400g, and the mean intake of 12.55g of dietary fibre was less than half of the recommended amount of 25g per day. However, the energy distribution of the macronutrients from the average of both 24-Hour Recalls indicated that the pregnant women were in the range of 15-30 percent of the total fat intake, 10-15 percent of the total protein intake and 55- 75 percent of the total carbohydrate intake.


2014 ◽  
Vol 6 (1) ◽  
pp. 67-70
Author(s):  
Krishna Kumar Sahu ◽  
MZ Idris ◽  
Monika Agarwal ◽  
SK Singh ◽  
MK Manar

Background: Nutritional deficiency during pregnancy in rural India is common. The nutritional requirements during pregnancy are increased and on the other hand the dietary intake decreases because of symptoms related to pregnancy. This adversely affects the weight of newborn. In developing countries low birth weight is major problem. So this study concern to determine the nutritional status of pregnant women and its effect on birth weight of newborn. Methods: A cross section descriptive study was conducted from Oct 2011 to May 2012 at Sarojni Nagar PHC, Lucknow, Uttar Pradesh over 323 pregnant women. They were interviewed regarding their dietary intake (on the basis of 24 hours recall method) during pregnancy. Of these 323 pregnant women, 291 could be followed up and amongst these 287 pregnant women delivered a live baby. The birth weight was measured immediate after birth. Results: In this study mean energy, protein, iron and calcium intake during pregnancy were 2013.3 ± 327.6 cal/day, 57.8 ± 11.4 gm/day, 30.15 ± 5.57 mg/day and 910.7 ± 210.4 mg/day respectively, whereas the mean intake of vitamin A, thiamine, riboflavin, niacin, vitamin C and folic acid were 608.4±161.2 μg, 1.2±0.2mg, 1.6±0.2mg, 11.9±2.1mg, 113.3 ±2.1mg and 196.2±38.4μg respectively. Nutritional deficiency during pregnancy was positively related with low birth weight. Conclusion: In the rural setup of India majority of the pregnant women were having inadequate dietary intake. Hence, policies related to maternal nutrition should be made so as to decrease the prevalence of low birth weight. DOI: http://dx.doi.org/10.3126/ajms.v6i1.9473 Asian Journal of Medical Sciences Vol.6(1) 2015 67-70


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