scholarly journals Effects of dietary counselling on micronutrient intakes in pregnant women in Finland

2021 ◽  
Author(s):  
Tarja Kinnunen ◽  
Yangbo Liu ◽  
Anna‐Maija Koivisto ◽  
Suvi Virtanen ◽  
Riitta Luoto
Keyword(s):  
Pregnant Women ◽  
Dietary Counselling

scholarly journals Enhancing nutrition knowledge and dietary diversity among rural pregnant women in Malawi: a randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lillian Ziyenda Katenga-Kaunda ◽  
Penjani Rhoda Kamudoni ◽  
Gerd Holmboe-Ottesen ◽  
Heidi E. Fjeld ◽  
Ibrahimu Mdala ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Nutrition Education ◽  
Dietary Diversity ◽  
Controlled Trial ◽  
Intervention Group ◽  
Study Groups ◽  
Nutrition Knowledge ◽  
Dietary Intakes ◽  
Dietary Counselling ◽  
Supplementary Nutrition

Abstract Background In many sub-Saharan African countries, such as Malawi, antenatal care (ANC) services do not deliver sufficient nutrition awareness to improve adequate dietary intake in pregnancy. We therefore compared the effects of supplementary nutrition education and dietary counselling with routine ANC service on nutrition knowledge and dietary intakes among Malawian pregnant women. Methods We used data from a two-armed cluster randomised controlled trial (RCT) of which the intervention group received supplementary nutrition education, dietary counselling and routine ANC services whereas the controls received only routine ANC services. The RCT was conducted in 10 control and 10 intervention villages in Mangochi, Southern Malawi and included pregnant women between their 9th and 16th gestational weeks. We examined the changes in nutrition knowledge and dietary diversity from enrolment (baseline) to study end-point of the RCT (two weeks before expected delivery). We used three linear multilevel regression models with random effects at village level (cluster) to examine the associations between indicators of nutrition knowledge and diet consumption adjusted for selected explanatory variables. Results Among 257 pregnant women enrolled to the RCT, 195 (76%) were available for the current study. The supplementary nutrition education and counselling led to significant improvements in nutrition knowledge, dietary diversity and nutrition behaviour in the intervention group compared with controls. Most women from both study groups had a moderate consumption of diversified foods at study end-point. A significant positive association between nutrition knowledge and consumption of a diversified diet was only observed in the intervention group. Conclusions Nutrition knowledge and dietary diversity improved in both study groups, but higher in the intervention group. Increased nutrition knowledge was associated with improved dietary diversity only in the intervention women, who also improved their nutrition perceptions and behaviour. Antenatal nutrition education needs strengthening to improve dietary intakes in pregnancy in this low resource-setting. Trial registration Clinical trials.gov ID: NCT03136393 (registered on 02/05/2017).

scholarly journals Computer-based tailored dietary counselling improves the nutrient adequacy of the diet of French pregnant women: a randomised controlled trial

2019 ◽  
Vol 123 (2) ◽  
pp. 220-231 ◽  
Author(s):  
Clélia M. Bianchi ◽  
François Mariotti ◽  
Anne Lluch ◽  
Claire Journet ◽  
Yaëlle Stehr ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Controlled Trial ◽  
Dietary Guidelines ◽  
Dietary Advice ◽  
Nutrient Requirements ◽  
Nutrient Adequacy ◽  
Optimisation Algorithm ◽  
Dietary Counselling ◽  
Dietary Record ◽  
Computer Based

AbstractDuring pregnancy, mothers-to-be should adapt their diet to meet increases in nutrient requirements. Pregnant women appear to be keener to adopt healthier diets, but are not always successful. The objective of the present study was to determine whether a guided, stepwise and tailored dietary counselling programme, designed using an optimisation algorithm, could improve the nutrient adequacy of the diet of pregnant women, beyond generic guidelines. Pregnant women (n 80) who attended Notre-Dame-de-Bon-Secours Maternity Clinic were randomly allocated to the control or intervention arm. Dietary data were obtained twice from an online 3-d dietary record. The nutrient adequacy of the diet was calculated using the PANDiet score, a 100-point diet quality index adapted to the specific nutrient requirements for pregnancy. Women were supplied with generic dietary guidelines in a reference booklet. In the intervention arm, they also received nine sets of tailored dietary advice identified by an optimisation algorithm as best improving their PANDiet score. Pregnant women (n 78) completed the 12-week dietary follow-up. Initial PANDiet scores were similar in the control and intervention arms (60·4 (sd 7·3) v. 60·3 (sd 7·3), P = 0·92). The PANDiet score increased in the intervention arm (+3·6 (sd 9·3), P = 0·02) but not in the control arm (−0·3 (sd 7·3), P = 0·77), and these changes differed between arms (P = 0·04). In the intervention arm, there were improvements in the probabilities of adequacy for α-linolenic acid, thiamin, folate and cholesterol intakes (P < 0·05). Tailored dietary counselling using a computer-based algorithm is more effective than generic dietary counselling alone in improving the nutrient adequacy of the diet of French women in mid-pregnancy.

scholarly journals Impact of dietary counselling on nutrient intake during pregnancy: a prospective cohort study

2006 ◽  
Vol 96 (6) ◽  
pp. 1095-1104 ◽  
Author(s):  
T. Piirainen ◽  
E. Isolauri ◽  
H. Lagström ◽  
K. Laitinen
Keyword(s):  
Cohort Study ◽  
Pregnant Women ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Nutrient Intake ◽  
Intervention Group ◽  
Food Products ◽  
Dietary Counselling ◽  
Food And Nutrient Intake ◽  
The Impact

The aim of this study was to assess the impact of dietary counselling combined with the provision of food products on food and nutrient intake in pregnant women. We carried out a prospective cohort study of healthy and atopic pregnant women (n 209), who were randomized into dietary intervention and control groups. The intervention group received dietary counselling and food products to modify the fat composition of their diet to meet current recommendations. Three-day food records were collected during each trimester of pregnancy. Women in the intervention group consumed more vegetables, fruits, soft margarines and vegetable oils and less butter than those in the control group during the course of pregnancy (P < 0·05). The main distinction between the groups in nutrient intake over the pregnancy was attributable to a higher energy intake (% energy) of PUFA by 0·5 %energy (95 % CI 0·1, 0·8) and to a lower intake of SFA by 0·8 % energy (95 % CI − 1·4, − 0·4) in the intervention group. Dietary intake of vitamin E was 1·4 mg (95 % CI 0·6, 2·2), folate 20·9 μg (95 % CI 0·8, 41·0) and ascorbic acid 19·8 mg (95 % CI 3·5, 36·0) higher in the intervention group compared to the controls, while no differences in other nutrients were detected. Dietary counselling combined with the provision of food products during pregnancy is of importance in modifying food and nutrient intake, with potential health benefits.

Many normal pregnant women residing at moderate altitude have lower arterial oxygen saturations than expected

1998 ◽  
Vol 5 (1) ◽  
pp. 143A-143A ◽  
Author(s):  
G DILDY ◽  
C LOUCKS ◽  
T PORTER ◽  
C SULLIVAN ◽  
M BELFORT ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Arterial Oxygen ◽  
Moderate Altitude
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