scholarly journals Observational study on dietary patterns in pregnancy

2021 ◽  
Vol 16 (2) ◽  
pp. 259-264
Author(s):  
Alina Delia POPA ◽  
◽  
Lavinia CABA ◽  
Armand ENACHE ◽  
Carmen MIHALACHE ◽  
...  
Keyword(s):  
Observational Study ◽  
Pregnant Women ◽  
Dietary Patterns ◽  
Fast Food ◽  
Average Energy ◽  
Food Factor ◽  
Food Patterns ◽  
Main Component ◽  
Inadequate Nutrition ◽  
In Pregnancy

Pregnancy nutrition influences the short-term maternal and fetal prognosis, but also the state of health in the future, an inadequate diet being associated with the risk of chronic diseases in adulthood. The purpose of the study is to characterize the diet of a group of pregnant women in Iasi county in terms of macronutrient intake, but also food patterns. Material and methods. An observational study was performed on a sample of 400 pregnant women which consisted in the application of a validated food frequency questionnaire. The foods consumed were grouped into categories: meat, eggs, fish, milk and dairy products, bread and cereals, vegetables, fruits, soups, seeds and oilseeds, sweets and fast food. Factor analysis (main component analysis method) was used for the analysis of food patterns. Results. The average energy intake in the studied group was 2197 kcal/day (95% CI: 2139.57-2255.74). The intake of macronutrients during pregnancy was 86.01 g protein (95% CI: 83.64-88.39), 76.97 g lipids (95% CI: 74.59-79.35) and 297.12 g carbohydrate (95% Cl: 287.86-306.38). We identified 3 dietary patterns that explained 43.01% of the variation of consumption behaviour: healthy consumption, consisting of a diet rich in soups, fruits, eggs and vegetables; traditional consumption, which has high consumption values for bread, dairy, meat, fat and unhealthy consumption rich in the intake of sweets, fast food and seeds. Conclusions. The identified food patterns draw attention to the existence of a category at risk of developing pathology related to inadequate nutrition in pregnancy.

scholarly journals Consent in pregnancy - an observational study of ante-natal care in the context of Montgomery: all about risk?

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jacqueline A. Nicholls ◽  
Anna L. David ◽  
Joseph Iskaros ◽  
Dimitrios Siassakos ◽  
Anne Lanceley
Keyword(s):  
Qualitative Research ◽  
Observational Study ◽  
Pregnant Women ◽  
Social Factors ◽  
Healthcare Professionals ◽  
Effective Interaction ◽  
Clinical Decision ◽  
Place Of Birth ◽  
Clinical Risk ◽  
In Pregnancy

Abstract Background How to best support pregnant women in making truly autonomous decisions which accord with current consent law is poorly understood and problematic for them and their healthcare professionals. This observational study examined a range of ante-natal consultations where consent for an intervention took place to determine key themes during the encounter. Methods Qualitative research in a large urban teaching hospital in London. Sixteen consultations between pregnant women and their healthcare professionals (nine obstetricians and three midwives) where ante-natal interventions were discussed and consent was documented were directly observed. Data were collectively analysed to identify key themes characterising the consent process. Results Four themes were identified: 1) Clinical framing - by framing the consultation in terms of the clinical decision to be made HCPs miss the opportunity to assess what really matters to a pregnant woman. For many women the opportunity to feel that their previous experiences had been ‘heard’ was an important but sometimes neglected prelude to the ensuing consultation; 2) Clinical risk dominated narrative - all consultations were dominated by information related to risk; discussion of reasonable alternatives was not always observed and women’s understanding of information was seldom verified making compliance with current law questionable; 3) Parallel narrative - woman-centred experience – for pregnant women social factors such as the place of birth and partner influences were as or more important than considerations of clinical risk yet were often missed by HCPs; 4) Cross cutting narrative - genuine dialogue - we observed variably effective interaction between the clinical (2) and patient (3) narratives influenced by trust and empathy and explicit empowering language by HCPs. Conclusion We found that ante-natal consultations that include consent for interventions are dominated by clinical framing and risk, and explore the woman-centred narrative less well. Current UK law requires consent consultations to include explicit effort to gauge a woman’s preferences and values, yet consultations seem to fail to achieve such understanding. At the very least, consultations may be improved by the addition of opening questions along the lines of ‘what matters to you most?’

scholarly journals Dietary patterns and their association with adiponectin and leptin concentrations throughout pregnancy: a prospective cohort

2018 ◽  
Vol 119 (3) ◽  
pp. 320-329 ◽  
Author(s):  
Nadya H. Alves-Santos ◽  
Paula G. Cocate ◽  
Ilana Eshriqui ◽  
Camila Benaim ◽  
Érica G. Barros ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Dietary Patterns ◽  
Prospective Cohort ◽  
Fast Food ◽  
Processed Meat ◽  
Weight Retention ◽  
Reduced Rank Regression ◽  
Mixed Effect ◽  
The Common ◽  
Maternal Adiposity

AbstractThe aim of this study was to evaluate the association of dietary patterns (DP) with maternal adiposity indicators, leptin, adiponectin and insulin concentrations during pregnancy. A prospective cohort of pregnant women followed up at the 5th–13th, 20th –26th and 30th–36th gestational weeks and 30–40 d postpartum was conducted in Rio de Janeiro. A FFQ was administered in the third trimester (30th–36th gestational weeks). The reduced rank regression procedure was used to identify DP that explain response variables (dietary fibre and total fat) related to indicators of maternal adiposity (postpartum weight retention and gestational weight gain (GWG) adequacy), and plasma leptin, adiponectin and insulin concentrations. The associations between tertiles of DP and the outcomes were determined using logistic regression or longitudinal linear mixed-effect regression models. The mean daily energy intake during pregnancy was 10 104 (sd 3234) kJ (2415 (sd 773) kcal), and GWG was 11·9 (sd 4·2) kg. In all, 40 % of women presented pre-gestational overweight/obesity. Excessive GWG occurred in 34·7 % of pregnant women and 56·6 % were overweight/obese at postpartum. The ‘common-Brazilian’ DP (characterised by higher intake of beans, rice and lower intake of fast food/snacks, candies/table sugar and processed meats/bacon) was positively associated with adiponectin (β=1·07; 95 % CI 0·17, 1·98). The ‘Western’ DP (characterised by higher intake of fast food/snacks and processed meat/bacon and lower intake of noodles/pasta/roots/tubers and sodas) was negatively associated with adiponectin (β=−1·11; 95 % CI −2·00, −0·22) and positively associated with leptin concentrations (β=64·9; 95 % CI 22·8, 107·0) throughout pregnancy. It may be suggested that the ‘common-Brazilian’ is a healthy DP and beneficial for serum concentrations of adiponectin and leptin.

scholarly journals Unhealthy dietary patterns are associated with weight gain during pregnancy among Finnish women

2009 ◽  
Vol 12 (12) ◽  
pp. 2392-2399 ◽  
Author(s):  
Ulla Uusitalo ◽  
Tuula Arkkola ◽  
Marja-Leena Ovaskainen ◽  
Carina Kronberg-Kippilä ◽  
Mike G Kenward ◽  
...  
Keyword(s):  
Weight Gain ◽  
Pregnant Women ◽  
Dietary Patterns ◽  
Fast Food ◽  
University Hospital ◽  
Maternal Weight ◽  
Birth Registry ◽  
Food Pattern ◽  
Gain Rate ◽  
Weight Gain Rate

AbstractObjectiveTo study whether the dietary patterns of Finnish pregnant women are associated with their weight gain rate during pregnancy.DesignA validated 181-item FFQ was applied retrospectively to assess the diet during the eighth month of pregnancy, and maternal height and maternal weight at first and last antenatal visits were recalled. Information on sociodemographic characteristics, parity and smoking of the pregnant women was obtained by a structured questionnaire and from the Finnish Birth Registry. Principal components analysis was used to identify dietary patterns that described the diet of pregnant women based on their food consumption profile.SettingFinland.SubjectsSubjects consisted of 3360 women who had newly delivered in 1997–2002 and whose baby carried human leucocyte antigen-conferred susceptibility to type 1 diabetes in two university hospital regions, Oulu and Tampere, in Finland.ResultsOut of seven dietary patterns identified, the ‘fast food’ pattern was positively associated (β = 0·010, se = 0·003, P = 0·004) and the ‘alcohol and butter’ pattern was inversely associated (β = –0·010, se = 0·003, P < 0·0001) with weight gain rate (kg/week) during pregnancy after adjusting for potential dietary, perinatal and sociodemographic confounding factors. Both of the dietary pattern associations demonstrated dose dependency.ConclusionsPregnant women should be guided to have a well-planned, balanced, healthy diet during pregnancy in order to avoid rapid gestational weight gain. The association between diet, health and maternal weight gain of the women who consumed alcohol during pregnancy should be studied further.

scholarly journals A bit or a lot on the side? Observational study of the energy content of starters, sides and desserts in major UK restaurant chains

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e029679
Author(s):  
Magdalena Muc ◽  
Andrew Jones ◽  
Carl Roberts ◽  
Florence Sheen ◽  
Ashleigh Haynes ◽  
...  
Keyword(s):  
Observational Study ◽  
Fast Food ◽  
Energy Content ◽  
Average Energy ◽  
Multilevel Modelling ◽  
Food Chains ◽  
Nutritional Information ◽  
The Mean ◽  
The Uk ◽  
Main Meal

ObjectivesOur objective was to examine the kilocalorie (kcal) content of starters, sides and desserts served in major UK restaurant chains, comparing the kcal content of these dishes in fast-food and full-service restaurants.DesignObservational study.SettingMenu and nutritional information provided online by major UK restaurant chains.MethodDuring October to November 2018, we accessed websites of restaurant chains with 50 or more outlets in the UK. Menu items that constituted starters, sides or desserts were identified and their kcal content was extracted. Accompanying beverages were not included. We used multilevel modelling to examine whether mean kcal content of dishes differed in fast-food versus full-service restaurants.Main outcome measuresThe mean kcal content of dishes and the proportion of dishes exceeding public health recommendations for energy content in a main meal (>600 kcal).ResultsA total of 1009 dishes (212 starters, 318 sides and 479 desserts) from 27 restaurant chains (21 full-service, 6 fast-food) were included. The mean kcal content of eligible dishes was 488.0 (SE=15.6) for starters, 397.5 (SE=14.9) for sides and 430.6 (SE=11.5) for desserts. The percentage of dishes exceeding 600 kcal was 26.4% for starters, 21.7% for sides and 20.5% for desserts. Compared with fast-food chains, desserts offered at full-service restaurants were on average more calorific and were significantly more likely to exceed 600 kcal.ConclusionsThe average energy content of sides, starters and desserts sold in major UK restaurants is high. One in four starters and one in five sides and desserts in UK chain restaurants exceed the recommended energy intake for an entire meal.

scholarly journals Organic food consumption during pregnancy is associated with different consumer profiles, food patterns and intake: the KOALA Birth Cohort Study

2017 ◽  
Vol 20 (12) ◽  
pp. 2134-2144 ◽  
Author(s):  
Ana Paula Simões-Wüst ◽  
Carolina Moltó-Puigmartí ◽  
Martien CJM van Dongen ◽  
Pieter C Dagnelie ◽  
Carel Thijs
Keyword(s):  
Cohort Study ◽  
Pregnant Women ◽  
Dietary Patterns ◽  
Reference Group ◽  
Organic Food ◽  
Birth Cohort Study ◽  
Cross Sectional ◽  
Animal Products ◽  
Cereal Products ◽  
Food Patterns

AbstractObjectiveTo find out how the consumption of organic food during pregnancy is associated with consumer characteristics, dietary patterns and macro- and micronutrient intakes.DesignCross-sectional description of consumer characteristics, dietary patterns and macro- and micronutrient intakes associated with consumption of organic food during pregnancy.SettingHealthy, pregnant women recruited to a prospective cohort study at midwives’ practices in the southern part of the Netherlands; to enrich the study with participants adhering to alternative lifestyles, pregnant women were recruited through various specific channels.SubjectsParticipants who filled in questionnaires on food frequency in gestational week 34 (n 2786). Participant groups were defined based on the share of organic products within various food types.ResultsConsumers of organic food more often adhere to specific lifestyle rules, such as vegetarianism or anthroposophy, than do participants who consume conventional food only (reference group). Consumption of organic food is associated with food patterns comprising more products of vegetable origin (soya/vegetarian products, vegetables, cereal products, bread, fruits, and legumes) and fewer animal products (milk and meat), sugar and potatoes than consumed in conventional diets. These differences translate into distinct intakes of macro- and micronutrients, including higher retinol, carotene, tocopherol and folate intakes, lower intakes of vitamin D and B12 and specific types of trans-fatty acids in the organic groups. These differences are seen even in groups with low consumption of organic food.ConclusionsVarious consumer characteristics, specific dietary patterns and types of food intake are associated with the consumption of organic food during pregnancy.

TO REVIEW THE TIMING OF INTERVENTION WHICH WILL PROVIDE THE BEST OUTCOME IN HYPOTHYROIDISM IN PREGNANCY

2019 ◽  
Vol 3 (4) ◽  
Author(s):  
Dr. Archana Mohana ◽  
Dr. Sujata Badoniya
Keyword(s):  
Pregnant Women ◽  
Thyroid Disease ◽  
Fetal Outcome ◽  
Thyroxine Therapy ◽  
In Pregnancy

The Aim of this study is to Review the timing of intervention which will provide the Best Outcome in Hypothyroidism in Pregnancy. Hypothyroid pregnant women are appropriately managed with regular antenatal checkup and thyroxine therapy during pregnancy, a good maternal and fetal outcome can be achieved and congenital cretinism and other neuro developmental sequele in the offspring can be averted. Keywords: Intervention, Hyperthyroidism, Pregnancy & Thyroid disease.

A COMPARATIVE STUDY OF IODINE METABOLISM IN PREGNANCY, SPORADIC GOITRE AND THYROTOXICOSIS

1965 ◽  
Vol 48 (1) ◽  
pp. 14-22 ◽  
Author(s):  
S. A. Aboul-Khair ◽  
J. Crooks
Keyword(s):  
Comparative Study ◽  
Pregnant Women ◽  
Iodine Deficiency ◽  
Physiological Responses ◽  
Iodine Uptake ◽  
Thyroid Activity ◽  
Deficiency State ◽  
Iodine Metabolism ◽  
Inorganic Iodine ◽  
In Pregnancy

ABSTRACT Studies of iodine metabolism have been carried out in 15 pregnant women, 33 cases with sporadic goitre and 11 with thyrotoxicosis. A low plasma inorganic iodine was common to the three groups. In pregnancy and sporadic goitre the thyroid clearance of iodine was elevated and the absolute iodine uptake normal. A high thyroid clearance of iodine in thyrotoxicosis was associated with a high absolute iodine uptake. The results suggest that both pregnancy and sporadic goitre are physiological responses to an iodine deficiency state while the iodine deficiency state of thyrotoxicosis is secondary to increased thyroid activity.

LEUCOCYTE METABOLISM IN PREGNANCY

1960 ◽  
Vol XXXV (IV) ◽  
pp. 575-584 ◽  
Author(s):  
C. Borel ◽  
J. Frei ◽  
A. Vannotti
Keyword(s):  
Alkaline Phosphatase ◽  
Oxygen Consumption ◽  
Pregnant Women ◽  
Phosphatase Activity ◽  
Alkaline Phosphatase Activity ◽  
Lactate Production ◽  
Glucose Consumption ◽  
In Pregnancy

ABSTRACT Enzymatic studies, on leucocytes of pregnant women, show an increase of the alkaline phosphatase activity and a decrease of the glucose consumption and lactate production, as well as of proteolysis. The oxygen consumption, with succinate as substrate, does not vary.

Quantifying Pregnant Women’s Knowledge of Educational Components of Antenatal Care in Lesotho

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Rural Areas ◽  
Geographic Location ◽  
Sub Saharan Africa ◽  
World Health ◽  
Cross Sectional ◽  
Danger Signs ◽  
In Pregnancy

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.

Sign in / Sign up

Export Citation Format

Share Document