Consumption habits of pregnant women and implications for developmental biology: a survey of predominantly Hispanic women in California

Abstract Introduction: Tobacco use during pregnancy is the most modifiable risk factor associated with poor pregnancy outcomes. Self-reported tobacco use has been demonstrated to have high misclassification rates. The aims were to examine misclassification rates of perinatal tobacco use during each trimester of pregnancy and 8 weeks postpartum, and to evaluate characteristics associated with misclassification of tobacco use status. Methods: This is secondary analysis of a prospective, multicenter trial of pregnant women, and it includes participants who were biochemically identified as tobacco users during their first trimester (N = 103). Each trimester and once postpartum, tobacco use was assessed via self-report and validated using a cutoff of 100 ng/mL for urine cotinine via NicAlert test strips to indicate current use. Those who self-reported as nonusers but were identified as users via urine cotinine were considered misclassified; misclassification rates were determined for each time period. Logistic regression assessed maternal factors associated with misclassification status. Results: Misclassification rates declined from 35.0% at first trimester to 31.9% and 26.6% at the second and third; the postpartum rate was 30.4%. These rates did not differ significantly from each other at the 0.05 level. Race/ethnicity was associated with misclassification status; white/non-Hispanic women were 87% less likely to be misclassified (p < .001). Conclusion: Misclassification of prenatal smoking status decreases as pregnancy progresses, though the observed rate change was not significant. Minority women may be at particular risk for non-disclosure of tobacco use. Biochemical validation should be considered when assessing perinatal tobacco use via self-report, given high misclassification rates throughout the perinatal period. Implications: These results demonstrate that regardless of trimester, more than one-quarter of tobacco-using pregnant women may not disclose tobacco use throughout pregnancy and early postpartum. Although the rate of misclassification decreased from first to third trimester and then increased in the immediate postpartum, these changes in misclassification rates were not significant. Minority groups may be at particular risk of misclassification compared with white/non-Hispanic women. Biochemical validation is warranted throughout pregnancy to encourage cessation as tobacco use is one of the most easily-modified risk factors for poor birth outcomes.

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Assessment of Gestational Diabetes Mellitus Outcomes for Hispanic Women Living in the Rio Grande Valley

Hispanic Health Care International ◽

10.1177/1540415319833996 ◽

2019 ◽

Vol 17 (3) ◽

pp. 111-117 ◽

Cited By ~ 1

Author(s):

Norma Somohano-Mendiola ◽

Jane Dimmitt Champion ◽

Kristina Vatcheva

Keyword(s):

Diabetes Mellitus ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Pregnant Women ◽

Hispanic Women ◽

Adverse Outcomes ◽

Neonatal Outcomes ◽

Oral Glucose ◽

Mexican Origin ◽

Adverse Neonatal Outcomes

Introduction: Gestational diabetes mellitus (GDM) among women living along the U.S.–Mexico border are approximately twice that of the general population of pregnant U.S. women. This study compared outcomes for Hispanic pregnant women diagnosed and treated for GDM (i.e., two abnormal 3-hour oral glucose tolerance tests [OGTT]) with those who were screened but had only one abnormal 3-hour OGTT and therefore received no treatment. Methods: Retrospective chart review of pregnant Hispanic women of Mexican origin ( N = 95), with GDM ( N = 41) or one abnormal 3-hour OGTT value ( N = 54) who delivered between January 1, 2015, and December 31, 2017. Results: No significant differences were found between the two groups with regard to sociodemographic variables, hyperbilirubinemia, or other adverse neonatal outcomes. Comparisons identified differences between women with and without adverse neonatal outcomes concerned type of delivery; there were more C-sections among women with GDM. Conclusion: Pregnant women with one abnormal 3-hour OGTT value are at risk of giving birth to neonates with biomarkers similar to those diagnosed and treated for GDM. The treatment of hyperglycemia in Hispanic women of Mexican origin with one abnormal 3-hour OGTT value may improve the health outcomes and quality of life of the mother and the neonate. More research is warranted to clarify the risk of adverse outcomes of diverse pregnant women who do not meet guidelines for diagnosis of GDM.

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Theoretical Versus Grass-Roots Development of a Community Partnership

The Qualitative Report ◽

10.46743/2160-3715/2010.1144 ◽

2014 ◽

Author(s):

Socorro Escandón

Keyword(s):

Community Development ◽

Low Income ◽

Hispanic Women ◽

Community Action ◽

Community Partnership ◽

Window Of Opportunity ◽

Community Group ◽

Predominantly Hispanic ◽

Grass Roots ◽

Action Group

The purpose of this qualitative study was to examine Bracht, Kingbury, and Rissel's five-stage community development model as applied to a grass-roots community action group. The sample consisted of low-income, predominantly Hispanic women in a community action group in a Southwestern barrio, some of whom were experiencing domestic violence. The community group organizer was interviewed, and a content analytic table was constructed. Results showed that the community group's efforts would have benefited from a theoretically organized approach. The window of opportunity continues to be open for community development researchers to offer theoretical assistance to groups that are forming and to those already formed to help them realize their goals.

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The Relationship Between Religiosity and Health-Promoting Behaviors in Pregnant Women

Western Journal of Nursing Research ◽

10.1177/0193945916679623 ◽

2016 ◽

Vol 39 (11) ◽

pp. 1429-1446 ◽

Cited By ~ 5

Author(s):

Natalie A. Cyphers ◽

Andrea D. Clements ◽

Glenda Lindseth

Keyword(s):

Pregnant Women ◽

Hispanic Women ◽

Self Report ◽

Health Promoting Behaviors ◽

Health Promoting ◽

Eastern Pennsylvania ◽

Pender's Health Promotion Model ◽

The Relationship ◽

Linear Regressions ◽

Additional Variance

Pender’s health promotion model guided this descriptive/correlational study exploring the relationship between religiosity and health-promoting behaviors of pregnant women at Pregnancy Resource Centers (PRCs). A consecutive sample included women who knew they were pregnant at least 2 months, could read/write English, and visited PRCs in eastern Pennsylvania. Participants completed self-report surveys that examined religiosity, demographics, pregnancy-related variables, services received at PRCs, and health-promoting behaviors. Women reported they “sometimes” or “often” engaged in health-promoting behaviors, Hispanic women reported fewer health-promoting behaviors than non-Hispanic women, and women who attended classes at the centers reported more frequent health-promoting behaviors than those who did not attend classes. In separate multiple linear regressions, organized, non-organized, and intrinsic religiosity and satisfaction with surrender to God explained additional variance in health-promoting behaviors above and beyond what Hispanic ethnicity and attending classes at the PRCs explained in pregnant women at PRCs.

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Consumption habits of pregnant women in the Jazan region, Saudi Arabia: a descriptive study

BMC Research Notes ◽

10.1186/s13104-018-3921-5 ◽

2018 ◽

Vol 11 (1) ◽

Cited By ~ 2

Author(s):

Tariq Al Bahhawi ◽

Abrar Anwar Doweri ◽

Rawan Mohammed Sawadi ◽

Mariam Yahya Awaji ◽

Mada Mohammad Jarad ◽

...

Keyword(s):

Saudi Arabia ◽

Pregnant Women ◽

Descriptive Study ◽

Consumption Habits

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Platelet Counts throughout Uncomplicated Pregnancies

Blood ◽

10.1182/blood.v126.23.2256.2256 ◽

2015 ◽

Vol 126 (23) ◽

pp. 2256-2256 ◽

Cited By ~ 1

Author(s):

Jessica A. Reese ◽

David R. Deschamps ◽

Jennifer J. McIntosh ◽

Eric J. Knudtson ◽

Jennifer D. Peck ◽

...

Keyword(s):

Platelet Count ◽

Black Women ◽

Pregnant Women ◽

Ethnic Groups ◽

Confidence Intervals ◽

Gestational Age ◽

Hispanic Women ◽

Platelet Counts ◽

The Mean ◽

Race Ethnicity

Abstract It is widely believed that platelet counts decrease during uncomplicated pregnancies, an observation described as gestational thrombocytopenia. However, of the 17 articles identified by our systematic literature review that statistically evaluated platelet counts during uncomplicated pregnancies, only 8 reported a significant decrease, while the remaining 9 articles reported no change. Among the 8 articles reporting decreased platelet counts, the clinical importance was not described. Lower platelet counts may be a physiologic phenomenon of normal pregnancy and represent a small decrease in all women or lower platelet counts may be a pathologic condition and represent a larger decrease in only some women. Our aim was to use electronic medical record data to evaluate platelet counts throughout pregnancy in a large population of women with uncomplicated pregnancies. We included women with uncomplicated pregnancies, ages 13-51, who delivered at the University of Oklahoma Health Sciences Center (OUHSC) between 1/1/2011 and 8/19/2014. If a woman had more than one pregnancy during the study period, we only included her first uncomplicated pregnancy. We excluded women with hypertension, preeclampsia, diabetes, placenta previa, hematologic disorders, cancer or steroid treatment, illegal drug use, premature delivery, stillbirth, women whose delivery gestational age was missing and women who did not have a platelet count at delivery. We used linear mixed models to characterize the change in platelet count during pregnancy and to determine if the change varied by racial/ethnic groups. A comparison group of nonpregnant white, black, and Hispanic women ages 13-51 was derived from the National Health and Nutrition Examination Survey (NHANES) database, excluding women with hypertension, diabetes, and/or cancer. Of 15,723 pregnancies, 8,148 women with one uncomplicated singleton pregnancy and a platelet count at delivery were included; 4,665 (57%) women had a least one previous platelet count during gestation at OUHSC. The median age at the time of delivery for the 8,148 women was 27 years, 46% were white, 13% black, 26% Hispanic, and 15% other races. The mean platelet count decreased significantly throughout pregnancy for white, black, and Hispanic women (Figure, p<0.0001). Mean platelet counts were significantly lower even in the first trimester, at a mean gestational age of 8 weeks, compared to non-pregnant women from NHANES (n=5,920). Compared to the white and Hispanic women, black women had higher mean platelet counts throughout gestation and at delivery, similar to the non-pregnant women. At delivery, the mean platelet counts were significantly different among all three groups of women (p<0.0001) with black women having the highest (222,000/µL; 95% CI=218-225; median=216; range=50-449), white women intermediate (215,000/µL; 95% CI=213-216; median=209; range=60-552) and Hispanic women having the lowest (207,000/µL; 95% CI=205-209; median=202; range=67-451). The mean platelet counts of all 3 race/ethnic groups at delivery were normally distributed indicated by the symmetrical distribution and by the similarity of mean and median values. Data for platelet counts at 4-8 weeks postpartum were available for only 181 (2.2%) women. For these women, the mean platelet count increased significantly from 217,000/µL at delivery to 262,000/µL postpartum (mean difference=44,000/µL; 95% CI=36-53). Conclusion Among women with uncomplicated pregnancies, mean platelet counts decrease significantly, compared to non-pregnant women, throughout pregnancy in all 3 race/ethnic groups. At delivery, the mean platelet counts for the 3 race/ethnic groups were significantly different, with black women having the highest and Hispanic women having the lowest. Platelet counts at delivery were normally distributed, suggesting that the platelet counts of all women decrease similarly and that lower platelet counts are a normal physiologic change during pregnancy. Figure 1. Mean platelet counts and 95% confidence intervals by gestational age stratified by race/ethnicity for women with uncomplicated pregnancies who delivered at OUHSC compared to the mean platelet counts and 95% confidence intervals for non-pregnant US women from NHANES (N) stratified by race/ethnicity. Figure 1. Mean platelet counts and 95% confidence intervals by gestational age stratified by race/ethnicity for women with uncomplicated pregnancies who delivered at OUHSC compared to the mean platelet counts and 95% confidence intervals for non-pregnant US women from NHANES (N) stratified by race/ethnicity. Disclosures No relevant conflicts of interest to declare.

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Hubungan Konsumsi Sumber Pangan Enhancer Dan Inhibitor Zat Besi Dengan Kejadian Anemia Pada Ibu Hamil

Amerta Nutrition ◽

10.20473/amnt.v2i3.2018.283-291 ◽

2018 ◽

Vol 2 (3) ◽

pp. 283

Author(s):

Rachmahnia Pratiwi ◽

Dhenok Widari

Keyword(s):

Pregnant Women ◽

Food Source ◽

Iron Absorption ◽

Simple Random Sampling ◽

Food Sources ◽

Third Trimester ◽

Cross Sectional ◽

Iron Inhibitors ◽

Iron Enhancers ◽

Consumption Habits

Background: One of the important nutrients for pregnant women is iron. Iron absorption can be increased by consuming iron enhancers food source and reducing the intake of iron inhibitor food sources. Inhibited iron absorption will lead to anemia and can have adverse effects on pregnancy and fetal conditions.Objectives: The purpose of this study was to analyzed the consumption habits of iron enhancers and inhibitors food sources associated with the incidence of anemia in pregnant women.Methods: This research was an observational analytic study with cross sectional design included 43 third trimester pregnant women in Pajarakan Sub-district Probolinggo District, the sample was taken by simple random sampling method. Data were collected using Food Frequency Questionnaire (FFQ) and measurement of Hb level by performing laboratory examination using Cyanmethemoglobin method, then the data analyzed by using spearman correlation test.Results: The results showed mean of hemoglobin level in pregnant women is 11.21±1.07 g/dl. The most of third trimester Pregnant Women rarely consume food source of iron enhancer (60,5%) and rarely consume food source of iron inhibitor (39,5%), and respondents who have anemia high enogh (41.9%). There was no correlation between consumption habits of food source of iron enhancer with the occurrence of anemia (p= 0.420). There was strong relation between consumption habit of food source of iron inhibitor with the incidence of anemia in pregnant mother of the third trimester (p=0.005; r=0.424).Conclusion: Food consumption habits of iron inhibitors contribute to the incidence of anemia in third trimester pregnant women so the mother is advised to reduce the consumption of food sources of iron inhibitors to minimize the occurrence of anemia. ABSTRAKLatar belakang: Salah satu zat gizi yang penting bagi ibu hamil adalah zat besi. Penyerapan zat besi dapat ditingkatkan dengan mengkonsumsi sumber pangan enhancer dan mengurangi asupan sumber pangan inhibitor. Terhambatnya penyerapan zat besi meningkatkan risiko anemia yang dapat berakibat buruk bagi kondisi kehamilan dan janin.Tujuan: Tujuan dari penelitian ini adalah menganalisis kebiasaan konsumsi sumber pangan enhancer dan inhibitor zat besi yang berhubungan dengan kejadian anemia pada ibu hamil.Metode: Penelitian ini merupakan penelitian observasional analitik dengan desain cross sectional pada 43 ibu hamil trimester III di Kecamatan Pajarakan Kabupaten Probolinggo, sampel diambil dengan metode simple random sampling. Pengumpulan data menggunakan Food Frequency Questionnaire (FFQ) dan pengukuran kadar Hb menggunakan uji laboratorium menggunakan metode Cyanmethemoglobin, kemudian data di analisis menggunakan uji korelasi spearman.Hasil: Hasil penelitian menunjukkan rata-rata kadar hemoglobin pada ibu hamil adalah 11.21 ± 1.07 g/dl. Sebagian besar Ibu Hamil Trimester III jarang mengkonsumsi sumber pangan enhancer zat besi (60,5%) dan jarang mengkonsumsi inhibitor zat besi (39,5%), serta responden yang mengalami anemia juga cukup tinggi (41,9%). Tidak terdapat hubungan antara kebiasaan konsumsi sumber pangan enhancer zat besi dengan kejadian anemia (p= 0.420). Terdapat hubungan cukup kuat antara kebiasaan konsumsi sumber pangan inhibitor zat besi dengan kejadian anemia pada ibu hamil trimester III (p= 0.005; r=0.424).Kesimpulan: Kebiasaan konsumsi sumber pangan inhibitor zat besi berkontribusi terhadap kejadian anemia pada ibu hamil trimester III sehingga ibu disarankan mengurangi konsumsi sumber pangan inhibitor zat besi untuk meminimalisir terjadinya anemia.

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Greater Maternal Perceived Stress Levels Are Associated with a Higher Dietary Inflammatory Index Among Hispanic Pregnant Women

Current Developments in Nutrition ◽

10.1093/cdn/nzaa054_099 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 1027-1027

Author(s):

Karen Lindsay ◽

Claudia Buss ◽

Sonja Entringer ◽

Pathik Wadhwa

Keyword(s):

Dietary Intake ◽

Pregnant Women ◽

Perceived Stress ◽

Diet Quality ◽

Hispanic Women ◽

Minority Group ◽

Psychological State ◽

Dietary Inflammatory Index ◽

Inflammatory Index ◽

Stress Levels

Abstract Objectives Suboptimal diet quality has been reported in Hispanic pregnant women in the US, but the potential moderating role of maternal psychological state has not been considered. The aim of this study is to test whether maternal perceived stress in pregnancy moderates the association between ethnicity and the Dietary Inflammatory Index (DII), a validated marker of the inflammatory potential of the diet. Methods N = 195 pregnant women underwent detailed assessment of diet and psychological state at the beginning of the second trimester (mean(SD) = 13(1.7) weeks). Dietary intake data from 24-hr diet recalls on 3 non-consecutive days were used to compute a mean DII score. Ecological Momentary Assessment of psychological state was performed in ambulatory settings using an electronic diary, with multiple daily entries over 4 consecutive days, from which a mean composite Perceived Stress Score (PSS) was derived. Maternal age, socioeconomic status (SES) score and self-reported pre-pregnancy body mass index (BMI) were included as covariates in the analysis of the effects of PSS, ethnicity, and PSS*ethnicity interaction on DII score. Results Hispanic pregnant women (N = 87) had higher mean DII (0.56(1.81) vs −0.001(1.82), P = 0.034) and PSS scores (1.14(0.61) vs 1.00(0.55), P = 0.093) compared to women of non-Hispanic ethnicity (N = 108). Hispanic women were also younger (26.33(6.30) vs 28.62(4.76) years, P = 0.004) and of lower SES (2.67(0.83) vs 3.62(0.86), p = <0.001), but pre-pregnancy BMI did not differ from non-Hispanic women (population mean = 26.7 (6.55) Kg/m2). There was no significant main effect of ethnicity or PSS on DII after controlling for confounding factors. However, PSS was found to moderate the relationship between ethnicity and DII (P = 0.018 for PSS*ethnicity interaction in adjusted model), such that Hispanic pregnant women consumed a more pro-inflammatory diet as perceived stress levels increased, while perceived stress had no influence on DII in non-Hispanic women. Conclusions Higher levels of perceived stress among Hispanic pregnant women may contribute to poorer quality dietary intake. The potential implications of the combined effects of poorer diet quality and higher stress levels on prenatal metabolism, inflammation and pregnancy outcomes in this minority group warrants further research. Funding Sources National Institute of Health: NICHD.

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