scholarly journals Low Adherence to Mediterranean Diet in Portugal: Pregnant Women Nutrition in Portugal and its Repercussions

2016 ◽  
Vol 29 (10) ◽  
pp. 658 ◽  
Author(s):  
Luis Pereira-da-Silva ◽  
Elisabete Pinto

Introduction: Portuguese population is drifting away from the Mediterranean diet-like pattern. In this context, the current nutritionalstatus of women of childbearing age and of pregnant Portuguese women and their growing fetuses is critically reviewed.Material and Methods: A narrative critical review was performed on recent published high quality studies assessing diet and nutritional status of women of childbearing age and pregnant women and its influence on the nutritional status of their offspring.Results: Data from five multinational ecological studies that included Portugal, two national official surveys on food availability, seven national studies on the diet and nutritional status of women of childbearing age and pregnant women, and five national studies on the effect of nutritional maternal factors on their growing fetuses were selected and analyzed. The prevalence of overweight/obesity has dramatically increased in Portuguese women of childbearing age and pregnant women, associated with the described trend of low adherence to Mediterranean diet. Variations in energy and macronutrients intakes during pregnancy seem to have no significantly impact on the nutritional status of growing fetuses. On contrary, pre-pregnancy overweight/obesity has been associated with increased offspring adiposity at birth, and an excessive gestational weight gain may be associated with offspring’s overweight status in childhood. Factors potentially contributing to low adherence to the Mediterranean diet, deserving further investigation, include European Union agriculture policies that have implemented the production of non-Mediterranean food groups at low cost, and insufficient financial capacity to afford foods of quality reported by Portuguese population.Conclusion: Retrieving traditional Mediterranean dietary habits should be incorporated into strategies for prevention and treatment ofoverweight/obesity in Portugal, especially in women of childbearing age.

2020 ◽  
Vol 10 (04) ◽  
pp. 369-392
Author(s):  
Christelle Momdjo M’bobda ◽  
Judith Laure Ngondi ◽  
Françoise Raïssa Ntentie ◽  
Boris Ronald Tonou Tchuente ◽  
Maxwell Wandji Nguedjo ◽  
...  

2017 ◽  
Vol 8 (2) ◽  
pp. 72-79
Author(s):  
Nadira Nurarifah ◽  
Titus Priyo Harjatmo

The First Thousand Days of Life, which is 270 days during pregnancy and 730 days in the first life of the baby, is a sensitive period because the problems that arise are permanent. The biggest problem that occurs in children is stunting (37.2%). In addition, one factor that supports the nutritional status of women of childbearing age who still experience Chronic Energy (20.8%). The best approach is to prepare the bridge and groom's nutritional status and increase knowledge about the First 1000 Days of Life. The purpose of this study is to determine the description of nutritional status of prospective brides based on knowledge about the First 1000 Days of Life. This research use qualitative method with cross sectional design with sampling accidental sampling within 1 week with result of 21 bride candidate. Result of nutritional status of bride candidate is normal (85,7%), while for knowledge about 1000 First Day of Life included in enough category (57,1%). Suggestion for the office of religious affairs is that on pre-marriage counseling is given material about the First 1000 Days of Life. Some extension materials about the motto of the card to healthy, calcium-containing foods and the suggestion to consume tablets added blood.


Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2179
Author(s):  
Dubravka Havaš Auguštin ◽  
Jelena Šarac ◽  
Mario Lovrić ◽  
Jelena Živković ◽  
Olga Malev ◽  
...  

Maternal nutrition and lifestyle in pregnancy are important modifiable factors for both maternal and offspring’s health. Although the Mediterranean diet has beneficial effects on health, recent studies have shown low adherence in Europe. This study aimed to assess the Mediterranean diet adherence in 266 pregnant women from Dalmatia, Croatia and to investigate their lifestyle habits and regional differences. Adherence to the Mediterranean diet was assessed through two Mediterranean diet scores. Differences in maternal characteristics (diet, education, income, parity, smoking, pre-pregnancy body mass index (BMI), physical activity, contraception) with regards to location and dietary habits were analyzed using the non-parametric Mann–Whitney U test. The machine learning approach was used to reveal other potential non-linear relationships. The results showed that adherence to the Mediterranean diet was low to moderate among the pregnant women in this study, with no significant mainland–island differences. The highest adherence was observed among wealthier women with generally healthier lifestyle choices. The most significant mainland–island differences were observed for lifestyle and socioeconomic factors (income, education, physical activity). The machine learning approach confirmed the findings of the conventional statistical method. We can conclude that adverse socioeconomic and lifestyle conditions were more pronounced in the island population, which, together with the observed non-Mediterranean dietary pattern, calls for more effective intervention strategies.


PeerJ ◽  
2018 ◽  
Vol 6 ◽  
pp. e5150 ◽  
Author(s):  
Mariona Rocaspana-García ◽  
Joan Blanco-Blanco ◽  
Alfonso Arias-Pastor ◽  
Montserrat Gea-Sánchez ◽  
Gerard Piñol-Ripoll

BackgroundAlzheimer’s disease (AD) is a neurodegenerative disease that is characterized by deficits in episodic memory. It is the most common form of dementia and affects 50–70% of patients with cognitive impairments over the age of 65. Elderly people are particularly susceptible to malnutrition and that risk is even higher in patients with AD. This study assessed the nutritional status of patients with AD at different stages of AD and explored how that status correlated with cognitive, functional and behavioural variables and caregiver overburden. The characteristics of the diet and the degree of adherence to the Mediterranean diet were also analysed.MethodsThis was a cross-sectional study that was representative of the general population and it was carried out in the Unit of Cognitive Disorders, Lleida, Spain. The participants were 111 subjects with AD who were aged 65 and over and still living at home. The subjects’ nutritional status was assessed using the Mini Nutritional Assessment (MNA) and Controlling Nutritional Status system. The monthly food intake was estimated using the short Food Frequency Questionnaire and adherence to the Mediterranean diet was evaluated using the Mediterranean Diet Score. The Mini Mental State Examination (MMSE), Global Deterioration Scale, Neuropsychiatric Inventory (NPI) and Zarit Burden Interview (ZBI) were also used.ResultsWe found that 68% of the subjects presented with a risk of malnutrition and 19% were malnourished according to the MNA scale. Patients ate a higher quantity of meat and dairy products than recommended and fewer products from the remaining healthier food groups. Of the 111 subjects, 73% showed low adherence to the Mediterranean diet and 27% showed moderate adherence. There was a partial correlation between nutritional status and the MMSE when the data were adjusted for age and sex (r = 0, 318;p = 0.001) and inverse correlations were found for functional status (r =  − 0.283;p = 0.004) and the NPI (r =  − 0.409;p = 0.000) and ZBI scales (r =  − 0.433;p = 0.000) when they were adjusted using the same variables. The ZBI scale (OR 1.08, 95% CI [1.01–1.15]) showed an increase in the risk of malnutrition in the multivariate analysis.DiscussionAlterations in nutritional status were more common during the advanced stages of AD and were also associated with behavioural changes and caregiver overburden. Low adherence to traditional healthy diets in Mediterranean countries and food intake profiles should be considered when managing patients with AD. Other countries can use the results to examine diets in people with AD that are high in meat and dairy and low in healthy food groups like fruit and vegetables.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 413-413
Author(s):  
Heather Hutchins-Wiese

Abstract Objectives The Mediterranean diet is associated with many health benefits, yet it is typically only the food pattern that is assessed without consideration for lifestyle attributes that accompany a Mediterranean way of life. The Mediterranean diet pyramid includes lifestyle activities at the base of the pyramid such as regular physical activity (PA), adequate rest, conviviality, biodiversity and seasonality, traditional local and eco-friendly products, and culinary activities. The purpose of this study was to design and pilot test a Mediterranean diet and lifestyle index for older adults in the U.S. Methods The Harvard Food Frequency Questionnaire was used to determine the alternative Mediterranean Diet Score (aMed). The short version of the Minnesota Leisure Time PA questionnaire and additional Mediterranean diet-related dietary habit and lifestyle questions were piloted in 75 older adults attending senior centers. Results Participants were primarily women (80.6%) and Caucasian (68%) with an average age of 71.89+/−7.60 years. A 27-item index including the aMed food groups, dietary habits, PA, culinary activities, purchasing of local and seasonal foods, and adequate rest resulted in a reliable score (α = 0.75). Individual index factors correlated with the overall Mediterranean diet and lifestyle score. Conclusions While this Mediterranean diet and lifestyle index resulted in good internal consistency; assessment of conviviality, especially for older adults in the time of Covid-19, need be re-evaluated as a lifestyle measure that can impact dietary intake and overall health. Funding Sources Eastern Michigan University Faculty Research Fellowship Award.


2021 ◽  
pp. 301-307
Author(s):  
Małgorzata Jeziorek ◽  
Alicja Szypowska ◽  
Bożena Regulska-Ilow

Background. The Mediterranean diet (MD) is universally recognized as the healthiest model of nutrition whose beneficial effects help prevent many diet-related diseases. Objective. The aim of the study was to assess cosmetology students’ adherence to the Mediterranean Diet using the Mediterranean Diet Score (MDS). Material and methods. The study group consisted of 175 cosmetology students of the School of Physiotherapy whose dietary habits were assessed using a validated food frequency questionnaire (FFQ) consisting of 154 food and drink items representative of the diet during the last year. We analyzed data obtained from FFQ and calculated the average number of daily and/or weekly servings from each of the 9 MDS food groups (grains, vegetables, fruits/nuts, milk/dairy products, meat/meat products, legumes, alcohol, olive oil, fish). To obtain more reliable results, we analyzed other products consumed by study participants (sweets, beverages, eggs and potatoes). Study participants were assigned 0, 1 or 2 points for each MDS ingredient. Mediterranean diet adherence was assessed on a 17-point scale. Low adherence to MD was defined at 0-7 points, moderate at 8-10 points, and high at 11-17 points. Results. The mean MDS was 7.1 ± 2.3. Students who were assigned 11-17 points (n = 20) consumed significantly more vegetables, fruits, nuts, legumes, fish, olive oil and significantly less meat, meat products, milk, dairy, and sweets compared to study participants who were assigned the lowest number of points (n = 78). We reported significant differences in the amounts of consumed vegetables and sweets between participants who received 8-10 points (n = 77) and those who received 11-17 points. The higher MDS was significantly associated with the higher intakes of vegetables and dietary fiber. Conclusions. The dietary patterns of study group of Polish cosmetology students did not adhere to the MD recommendations.


2019 ◽  
Vol 7 (2) ◽  
pp. 105
Author(s):  
Okta Aventi Chusniatul Ainia ◽  
Hari Basuki Notobroto

Nutritional status could be determined based on Body Mass Index, Waist circumference, and Mid-Upper Arm Circumference. Weight measurement to check nutritional status, it was known that there were 82.81% of obese sufferers from 70,023 people who were examined. Nutritional status was a condition caused by a balance between food intake and nutritional needs. Good nutritional status was needed if you want to achieve optimal health status.Nutritional status was very important for women of childbearing age in preparation for pregnancy, during pregnancy, childbirth and after childbirth. The purpose of this study was to determine the factors related to nutritional status of women of childbearing age of family planning participants at Pacarkeling Health Center Surabaya in 2017.This study was non-reactive because it used secondary data as a source of analysis. The time of this study was March to April 2018. The age factor showed a p-value of 0.013, which meant significant. The number of live children factor showed a p-value of 0.022, which meant significant. The types od contraception factor showed a p-value of 0.259, which meant not significant. Factors that affect the nutritional status of women of childbearing age of family planning participants at Pacarkeling Community Health Center in 2017 were age and number of live children. For women of childbearing age, it is hoped that it can improve its nutritional status in preparing for pregnancy, pregnancy, childbirth, and postpartum so that there will be no problems in nutritional status in the future. For Pacar Keling Health Center, it can improve the quality of health workers so they can continue to strive for counseling about nutritional status to the community, especially women of childbearing age.


PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243356
Author(s):  
Oyewale Mayowa Morakinyo ◽  
Ayo Stephen Adebowale ◽  
Taiwo Akinyode Obembe ◽  
Elizabeth Omoladun Oloruntoba

Maternal undernutrition remains a leading cause of morbidity and mortality in Nigeria. Yet, most interventional programmes are focused on infant and child nutrition outcomes and not on maternal nutrition‐related outcomes. Evidence suggests that the integration of household environmental interventions into nutrition actions can make a difference in reducing the burden of maternal undernutrition. This study examined the influence of household environmental conditions (HHEC) on the nutritional status of women of childbearing age in Nigeria using secondary data from the 2013 Nigeria Demographic and Health Survey. The original sample of 38,948 women age 15–49 years was selected using multi-stage probability sampling. The sample for the current analysis was 23,344 after exclusion of women due to health status or provision of incomplete information. The dependent and main independent variables were undernutrition (defined as Body Mass Index below 18.5) and HHEC (generated from cooking fuel, toilet type, source of drinking water, and housing materials) respectively. Data were analysed using descriptive statistics, Chi-square, and logistic regression model at 5% level of significance. The prevalence of undernutrition among women living in houses with unimproved and improved HHEC was 17.2% and 7.2% respectively. The adjusted odds of undernutrition was significantly higher among women who lived in houses with unimproved HHEC (aOR = 2.02, C.I = 1.37–2.97, p <0.001). The odds of undernutrition are greater in young women (aOR = 2.38, C.I. = 1.88–3.00, p <0.001) compared to older, and those of lower wealth status (aOR = 2.14, CI = 1.69–2.71, p <0.001) compared to higher. Other predictors of undernutrition in women of reproductive age in Nigeria include the level of education, marital status, and working status. Living in a house with unimproved environmental conditions is a predictor of undernutrition in women. The integration of environmental and nutrition programmes could assist in addressing this burden in Nigeria.


2021 ◽  
Vol 15 (Supplement_1) ◽  
pp. S485-S486
Author(s):  
S Gatti ◽  
M Vallorani ◽  
E Zoppi ◽  
M Aloi ◽  
M Bramuzzo ◽  
...  

Abstract Background Nutrition is involved in several aspects of pediatric IBD, ranging from disease etiology to induction and maintenance of disease. Presence of nutritional deficiencies can influence clinical outcomes and affect the immune system, growth and sexual maturation in children. Few studies assessed the dietary intake of IBD’s pediatric patients and investigated whether their dietary intakes meet the recommended daily allowances (RDA). Methods Children and adolescents with a diagnosis of IBD (&gt; 1 year) and healthy controls (age and gender matched) were prospectively enrolled in 5 pediatric Italian IBD units. Daily dietary intake in the previous 6 months was assessed using a Food Frequency Questionnaire (FFQ). Energy intake (EI) and macro and micronutrients intakes were compared to the national RDA (LARN) and EI to the predicted total energy expenditure (TEE) based on the Schofield equation. Adherence to the Mediterranean diet was measured through the KIDMED score. Clinical and auxological data were recorded Results 110 IBD subjects and 110 controls (median age±SD: 14,6 ±2,2 and 13,8±2,8 years, p= 0,45) were enrolled. Weight and height z-scores were significantly lower in IBD compared to controls (p= 0,0005 and p=0,036).Weight, height and BMI z-score did not differ between CD and UC. EI (Kcal/day), the EI/RDA ratio (%) and the EI/TEE ratio (%) were significantly lower in IBD compared to the controls (1893 vs 2068 kcal/day, p= 0,009; 71,5% vs 84,7%, p&lt; 0,0001; 79,8% vs 90,8%, p=0,007). When distributing patients by clinical disease activity, the TEE was lower in patients with active disease compared to patients in remission (1850 vs 1915; p=0,039). A significant correlation was not found between age, gender, type of disease, disease activity, and EI/RDA % and EI/TEE %. Total protein and fat intake were lower in children with IBD compared to controls. Conversely the total carbohydrate intake did not differ between IBD patients and controls (median 289,8 vs 311,7 gr/day, p= 0,077) while the percentage of carbohydrate to EI was higher (CHO % : 61 vs 58; p=0,012). Total charbohydrates intake was significantly lower in patients with active disease compared to patients in remission (265.7 vs 294.3 gr/day; p=0,002). IBD patients reported a lower intake of the main dietary micronutrients compared to controls. A poor adherence to the Mediterranean diet was more frequent in IBD children (37.2% vs 22.7%, p= 0,013). Conclusion The diet of Italian children and adolescents with IBD differs substantially from the general pediatric population and frequently does not meet the RDA. Our data suggest the need of an accurate evaluation of the dietary intake and nutritional status in order to prevent nutritional deficiencies and promote health.


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