A decrease in diet quality occurs during pregnancy in overweight and obese women which is maintained post-partum
Background: Ensuring adequate dietary intake during pregnancy has important implications for optimising maternal and fetal health. It is not known whether diet quality is altered over pregnancy and the post-partum period. Objective: The aim of this study was to perform a comprehensive assessment of...
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| Veröffentlicht in: | International Journal of Obesity 2013-05, Vol.37 (5), p.704-711 |
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| container_title | International Journal of Obesity |
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| creator | Moran, L J Sui, Z Cramp, C S Dodd, J M |
| description | Background:
Ensuring adequate dietary intake during pregnancy has important implications for optimising maternal and fetal health. It is not known whether diet quality is altered over pregnancy and the post-partum period.
Objective:
The aim of this study was to perform a comprehensive assessment of diet quality in overweight and obese women during pregnancy and early post-partum.
Design:
In a prospective cohort study,
n
=301 overweight or obese pregnant women completed a food frequency questionnaire at study entry (10–20 weeks gestation), 28 weeks gestation, 36 weeks gestation and 4 months post-partum for assessment of macronutrient and micronutrient intake and diet quality by the Healthy Eating Index (HEI).
Results:
Energy, macronutrient and dietary sources of micronutrients did not alter across pregnancy or post-partum. The HEI was of below average quality in 31.0% of women at baseline. This decreased from week 28 (
P |
| doi_str_mv | 10.1038/ijo.2012.129 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1837323677</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A331080510</galeid><sourcerecordid>A331080510</sourcerecordid><originalsourceid>FETCH-LOGICAL-c556t-9d193a4d0ae32bccb4048700e6ea409a102a354fd4d8336be688101ca4e0e2bf3</originalsourceid><addsrcrecordid>eNqF0s-L1DAUB_Aiijuu3jxLQBQPdnxJmv44Dou_YMGLnkuavM5kaJNuku4w_70pM7q7siAhBMLnvfDCN8teU1hT4PUns3drBpStKWueZCtaVGUuiqZ6mq2AQ5WDKMVF9iKEPQAIAex5dsFYXdY1q1fZtCEalUcZkBhLtMFIbmY5mHgkTqnZB6Jnb-yWTB63Vlp1XJy7RX9As91FIq0mrsNUf3AjWnLYGbUjJpBRGhvTRk0mF2I-SR_n8WX2rJdDwFfn8zL79eXzz6tv-fWPr9-vNte5EqKMeaNpw2WhQSJnnVJdAUVdAWCJsoBGUmCSi6LXha45LztM81CgShYIyLqeX2YfTn0n725mDLEdTVA4DNKim0NLa15xxsuq-j_lRcObpgBI9O0_dO9mb9Mgi6prIRjjd2orB2yN7V30Ui1N2w3nFGoQdOm1fkSlpXE0ylnsTbp_UPD-XsEO5RB3wQ1zNM6Gh_DjCSrvQvDYt5M3o_THlkK7hKZNoWmX0LQpNIm_OQ81dyPqv_hPShJ4dwYyKDn0PsXAhDtXcWBQ0uTykwvTEhn0937nsYd_A1Hc1eI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1348855223</pqid></control><display><type>article</type><title>A decrease in diet quality occurs during pregnancy in overweight and obese women which is maintained post-partum</title><source>MEDLINE</source><source>Nature</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Moran, L J ; Sui, Z ; Cramp, C S ; Dodd, J M</creator><creatorcontrib>Moran, L J ; Sui, Z ; Cramp, C S ; Dodd, J M</creatorcontrib><description>Background:
Ensuring adequate dietary intake during pregnancy has important implications for optimising maternal and fetal health. It is not known whether diet quality is altered over pregnancy and the post-partum period.
Objective:
The aim of this study was to perform a comprehensive assessment of diet quality in overweight and obese women during pregnancy and early post-partum.
Design:
In a prospective cohort study,
n
=301 overweight or obese pregnant women completed a food frequency questionnaire at study entry (10–20 weeks gestation), 28 weeks gestation, 36 weeks gestation and 4 months post-partum for assessment of macronutrient and micronutrient intake and diet quality by the Healthy Eating Index (HEI).
Results:
Energy, macronutrient and dietary sources of micronutrients did not alter across pregnancy or post-partum. The HEI was of below average quality in 31.0% of women at baseline. This decreased from week 28 (
P
<0.001) and was maintained at a lower level post-partum such that HEI levels were lower compared with study entry (53.3±12.7 versus 56.7±10.1,
P
<0.001). The HEI decrease occurred in association with decreases in the milk, meat and unsaturated oil components, and increases in the proportion of energy from solid fats, alcohol and added sugars (
P
<0.001), and was independently predicted by the socioeconomic index for areas score (β=−0.011, s.e.=0.011,
P
=0.031).
Conclusion:
We report for the first time that dietary quality decreases across pregnancy and is maintained at this reduced level in the early post-partum period in overweight and obese women. Dietary interventions aimed at improving diet quality should be targeted to early pregnancy and post-partum.</description><identifier>ISSN: 0307-0565</identifier><identifier>EISSN: 1476-5497</identifier><identifier>DOI: 10.1038/ijo.2012.129</identifier><identifier>PMID: 22868828</identifier><identifier>CODEN: IJOBDP</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699/1702/393 ; 692/700/478 ; 692/700/565 ; Adult ; Australia - epidemiology ; Biological and medical sciences ; Body mass index ; Cardiovascular disease ; Clinical trials ; Cohort analysis ; Cohort Studies ; Diet ; Diet - standards ; Diet - statistics & numerical data ; Eating behavior ; Energy ; Energy Intake ; Epidemiology ; Feeding Behavior ; Female ; Food ; Food and nutrition ; Gestational diabetes ; Health aspects ; Health Behavior ; Health Knowledge, Attitudes, Practice ; Health Promotion ; Health Promotion and Disease Prevention ; Hospitals ; Humans ; Internal Medicine ; Maternal health services ; Meat ; Medical sciences ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Micronutrients ; Mortality ; Nutrition research ; Obesity ; Obesity - epidemiology ; Obesity - prevention & control ; original-article ; Overweight ; Overweight persons ; Postpartum Period ; Pregnancy ; Pregnant women ; Prenatal Care ; Principal components analysis ; Prospective Studies ; Public Health ; Socioeconomic Factors ; Socioeconomics ; Sugar ; Surveys and Questionnaires ; Womens health</subject><ispartof>International Journal of Obesity, 2013-05, Vol.37 (5), p.704-711</ispartof><rights>Macmillan Publishers Limited 2013</rights><rights>2014 INIST-CNRS</rights><rights>COPYRIGHT 2013 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group May 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c556t-9d193a4d0ae32bccb4048700e6ea409a102a354fd4d8336be688101ca4e0e2bf3</citedby><cites>FETCH-LOGICAL-c556t-9d193a4d0ae32bccb4048700e6ea409a102a354fd4d8336be688101ca4e0e2bf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27302061$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22868828$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moran, L J</creatorcontrib><creatorcontrib>Sui, Z</creatorcontrib><creatorcontrib>Cramp, C S</creatorcontrib><creatorcontrib>Dodd, J M</creatorcontrib><title>A decrease in diet quality occurs during pregnancy in overweight and obese women which is maintained post-partum</title><title>International Journal of Obesity</title><addtitle>Int J Obes</addtitle><addtitle>Int J Obes (Lond)</addtitle><description>Background:
Ensuring adequate dietary intake during pregnancy has important implications for optimising maternal and fetal health. It is not known whether diet quality is altered over pregnancy and the post-partum period.
Objective:
The aim of this study was to perform a comprehensive assessment of diet quality in overweight and obese women during pregnancy and early post-partum.
Design:
In a prospective cohort study,
n
=301 overweight or obese pregnant women completed a food frequency questionnaire at study entry (10–20 weeks gestation), 28 weeks gestation, 36 weeks gestation and 4 months post-partum for assessment of macronutrient and micronutrient intake and diet quality by the Healthy Eating Index (HEI).
Results:
Energy, macronutrient and dietary sources of micronutrients did not alter across pregnancy or post-partum. The HEI was of below average quality in 31.0% of women at baseline. This decreased from week 28 (
P
<0.001) and was maintained at a lower level post-partum such that HEI levels were lower compared with study entry (53.3±12.7 versus 56.7±10.1,
P
<0.001). The HEI decrease occurred in association with decreases in the milk, meat and unsaturated oil components, and increases in the proportion of energy from solid fats, alcohol and added sugars (
P
<0.001), and was independently predicted by the socioeconomic index for areas score (β=−0.011, s.e.=0.011,
P
=0.031).
Conclusion:
We report for the first time that dietary quality decreases across pregnancy and is maintained at this reduced level in the early post-partum period in overweight and obese women. Dietary interventions aimed at improving diet quality should be targeted to early pregnancy and post-partum.</description><subject>692/699/1702/393</subject><subject>692/700/478</subject><subject>692/700/565</subject><subject>Adult</subject><subject>Australia - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Body mass index</subject><subject>Cardiovascular disease</subject><subject>Clinical trials</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Diet</subject><subject>Diet - standards</subject><subject>Diet - statistics & numerical data</subject><subject>Eating behavior</subject><subject>Energy</subject><subject>Energy Intake</subject><subject>Epidemiology</subject><subject>Feeding Behavior</subject><subject>Female</subject><subject>Food</subject><subject>Food and nutrition</subject><subject>Gestational diabetes</subject><subject>Health aspects</subject><subject>Health Behavior</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Promotion</subject><subject>Health Promotion and Disease Prevention</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Maternal health services</subject><subject>Meat</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Micronutrients</subject><subject>Mortality</subject><subject>Nutrition research</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Obesity - prevention & control</subject><subject>original-article</subject><subject>Overweight</subject><subject>Overweight persons</subject><subject>Postpartum Period</subject><subject>Pregnancy</subject><subject>Pregnant women</subject><subject>Prenatal Care</subject><subject>Principal components analysis</subject><subject>Prospective Studies</subject><subject>Public Health</subject><subject>Socioeconomic Factors</subject><subject>Socioeconomics</subject><subject>Sugar</subject><subject>Surveys and Questionnaires</subject><subject>Womens health</subject><issn>0307-0565</issn><issn>1476-5497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqF0s-L1DAUB_Aiijuu3jxLQBQPdnxJmv44Dou_YMGLnkuavM5kaJNuku4w_70pM7q7siAhBMLnvfDCN8teU1hT4PUns3drBpStKWueZCtaVGUuiqZ6mq2AQ5WDKMVF9iKEPQAIAex5dsFYXdY1q1fZtCEalUcZkBhLtMFIbmY5mHgkTqnZB6Jnb-yWTB63Vlp1XJy7RX9As91FIq0mrsNUf3AjWnLYGbUjJpBRGhvTRk0mF2I-SR_n8WX2rJdDwFfn8zL79eXzz6tv-fWPr9-vNte5EqKMeaNpw2WhQSJnnVJdAUVdAWCJsoBGUmCSi6LXha45LztM81CgShYIyLqeX2YfTn0n725mDLEdTVA4DNKim0NLa15xxsuq-j_lRcObpgBI9O0_dO9mb9Mgi6prIRjjd2orB2yN7V30Ui1N2w3nFGoQdOm1fkSlpXE0ylnsTbp_UPD-XsEO5RB3wQ1zNM6Gh_DjCSrvQvDYt5M3o_THlkK7hKZNoWmX0LQpNIm_OQ81dyPqv_hPShJ4dwYyKDn0PsXAhDtXcWBQ0uTykwvTEhn0937nsYd_A1Hc1eI</recordid><startdate>20130501</startdate><enddate>20130501</enddate><creator>Moran, L J</creator><creator>Sui, Z</creator><creator>Cramp, C S</creator><creator>Dodd, J M</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T2</scope><scope>7TK</scope><scope>7TS</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20130501</creationdate><title>A decrease in diet quality occurs during pregnancy in overweight and obese women which is maintained post-partum</title><author>Moran, L J ; Sui, Z ; Cramp, C S ; Dodd, J M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c556t-9d193a4d0ae32bccb4048700e6ea409a102a354fd4d8336be688101ca4e0e2bf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>692/699/1702/393</topic><topic>692/700/478</topic><topic>692/700/565</topic><topic>Adult</topic><topic>Australia - epidemiology</topic><topic>Biological and medical sciences</topic><topic>Body mass index</topic><topic>Cardiovascular disease</topic><topic>Clinical trials</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Diet</topic><topic>Diet - standards</topic><topic>Diet - statistics & numerical data</topic><topic>Eating behavior</topic><topic>Energy</topic><topic>Energy Intake</topic><topic>Epidemiology</topic><topic>Feeding Behavior</topic><topic>Female</topic><topic>Food</topic><topic>Food and nutrition</topic><topic>Gestational diabetes</topic><topic>Health aspects</topic><topic>Health Behavior</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Promotion</topic><topic>Health Promotion and Disease Prevention</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Maternal health services</topic><topic>Meat</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Micronutrients</topic><topic>Mortality</topic><topic>Nutrition research</topic><topic>Obesity</topic><topic>Obesity - epidemiology</topic><topic>Obesity - prevention & control</topic><topic>original-article</topic><topic>Overweight</topic><topic>Overweight persons</topic><topic>Postpartum Period</topic><topic>Pregnancy</topic><topic>Pregnant women</topic><topic>Prenatal Care</topic><topic>Principal components analysis</topic><topic>Prospective Studies</topic><topic>Public Health</topic><topic>Socioeconomic Factors</topic><topic>Socioeconomics</topic><topic>Sugar</topic><topic>Surveys and Questionnaires</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moran, L J</creatorcontrib><creatorcontrib>Sui, Z</creatorcontrib><creatorcontrib>Cramp, C S</creatorcontrib><creatorcontrib>Dodd, J M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>International Journal of Obesity</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moran, L J</au><au>Sui, Z</au><au>Cramp, C S</au><au>Dodd, J M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A decrease in diet quality occurs during pregnancy in overweight and obese women which is maintained post-partum</atitle><jtitle>International Journal of Obesity</jtitle><stitle>Int J Obes</stitle><addtitle>Int J Obes (Lond)</addtitle><date>2013-05-01</date><risdate>2013</risdate><volume>37</volume><issue>5</issue><spage>704</spage><epage>711</epage><pages>704-711</pages><issn>0307-0565</issn><eissn>1476-5497</eissn><coden>IJOBDP</coden><abstract>Background:
Ensuring adequate dietary intake during pregnancy has important implications for optimising maternal and fetal health. It is not known whether diet quality is altered over pregnancy and the post-partum period.
Objective:
The aim of this study was to perform a comprehensive assessment of diet quality in overweight and obese women during pregnancy and early post-partum.
Design:
In a prospective cohort study,
n
=301 overweight or obese pregnant women completed a food frequency questionnaire at study entry (10–20 weeks gestation), 28 weeks gestation, 36 weeks gestation and 4 months post-partum for assessment of macronutrient and micronutrient intake and diet quality by the Healthy Eating Index (HEI).
Results:
Energy, macronutrient and dietary sources of micronutrients did not alter across pregnancy or post-partum. The HEI was of below average quality in 31.0% of women at baseline. This decreased from week 28 (
P
<0.001) and was maintained at a lower level post-partum such that HEI levels were lower compared with study entry (53.3±12.7 versus 56.7±10.1,
P
<0.001). The HEI decrease occurred in association with decreases in the milk, meat and unsaturated oil components, and increases in the proportion of energy from solid fats, alcohol and added sugars (
P
<0.001), and was independently predicted by the socioeconomic index for areas score (β=−0.011, s.e.=0.011,
P
=0.031).
Conclusion:
We report for the first time that dietary quality decreases across pregnancy and is maintained at this reduced level in the early post-partum period in overweight and obese women. Dietary interventions aimed at improving diet quality should be targeted to early pregnancy and post-partum.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>22868828</pmid><doi>10.1038/ijo.2012.129</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0307-0565 |
| ispartof | International Journal of Obesity, 2013-05, Vol.37 (5), p.704-711 |
| issn | 0307-0565 1476-5497 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1837323677 |
| source | MEDLINE; Nature; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | 692/699/1702/393 692/700/478 692/700/565 Adult Australia - epidemiology Biological and medical sciences Body mass index Cardiovascular disease Clinical trials Cohort analysis Cohort Studies Diet Diet - standards Diet - statistics & numerical data Eating behavior Energy Energy Intake Epidemiology Feeding Behavior Female Food Food and nutrition Gestational diabetes Health aspects Health Behavior Health Knowledge, Attitudes, Practice Health Promotion Health Promotion and Disease Prevention Hospitals Humans Internal Medicine Maternal health services Meat Medical sciences Medicine Medicine & Public Health Metabolic Diseases Micronutrients Mortality Nutrition research Obesity Obesity - epidemiology Obesity - prevention & control original-article Overweight Overweight persons Postpartum Period Pregnancy Pregnant women Prenatal Care Principal components analysis Prospective Studies Public Health Socioeconomic Factors Socioeconomics Sugar Surveys and Questionnaires Womens health |
| title | A decrease in diet quality occurs during pregnancy in overweight and obese women which is maintained post-partum |
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