Use of micronutrient supplements among pregnant women in Alberta: results from the Alberta Pregnancy Outcomes and Nutrition (APrON) cohort
Maternal nutrient intake in the prenatal period is an important determinant of fetal growth and development and supports maternal health. Many women, however, fail to meet their prenatal nutrient requirements through diet alone and are therefore advised to consume nutrient supplements. The purpose o...
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Veröffentlicht in: | Maternal and child nutrition 2015-10, Vol.11 (4), p.497-510 |
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description | Maternal nutrient intake in the prenatal period is an important determinant of fetal growth and development and supports maternal health. Many women, however, fail to meet their prenatal nutrient requirements through diet alone and are therefore advised to consume nutrient supplements. The purpose of this study was to describe the use of natural health products (NHP) by pregnant women in each trimester of pregnancy. Women (n = 599) participating in the first cohort of the Alberta Pregnancy Outcomes and Nutrition (APrON) study completed an interviewer‐administered supplement intake questionnaire during each trimester of pregnancy. NHP use was high, with >90% taking multivitamin/mineral supplements, and nearly half taking at least one additional single‐nutrient supplement. Compliance with supplementation guidelines was high for folic acid (>90%), vitamin D (∼70%) and calcium (∼80%), but low for iron ( |
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Many women, however, fail to meet their prenatal nutrient requirements through diet alone and are therefore advised to consume nutrient supplements. The purpose of this study was to describe the use of natural health products (NHP) by pregnant women in each trimester of pregnancy. Women (n = 599) participating in the first cohort of the Alberta Pregnancy Outcomes and Nutrition (APrON) study completed an interviewer‐administered supplement intake questionnaire during each trimester of pregnancy. NHP use was high, with >90% taking multivitamin/mineral supplements, and nearly half taking at least one additional single‐nutrient supplement. Compliance with supplementation guidelines was high for folic acid (>90%), vitamin D (∼70%) and calcium (∼80%), but low for iron (<30%) and for all four nutrients together (≤11%). On average, women met or exceeded the recommended dietary allowance for folic acid, vitamin D and iron from NHPs alone, with median daily intakes of 1000 μg, 400 IU and 27 mg, respectively. The median calcium intake was 250 mg d−1. Up to 26% of women exceeded the tolerable upper intake level for folic acid and up to 19% did so for iron at some point of their pregnancy. Findings highlight the need to consider both dietary and supplemental sources of micronutrients when assessing the nutrient intakes of pregnant women.</description><identifier>ISSN: 1740-8695</identifier><identifier>EISSN: 1740-8709</identifier><identifier>DOI: 10.1111/mcn.12038</identifier><identifier>PMID: 23557540</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adult ; Alberta ; calcium ; Cohort Studies ; dietary supplements ; Dietary Supplements - statistics & numerical data ; Female ; folic acid ; Humans ; iron ; Micronutrients - administration & dosage ; Nutritional Status - drug effects ; Original ; Pregnancy ; Pregnancy Outcome ; Prenatal Care - methods ; vitamin D</subject><ispartof>Maternal and child nutrition, 2015-10, Vol.11 (4), p.497-510</ispartof><rights>2013 John Wiley & Sons Ltd</rights><rights>2013 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6860184/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6860184/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,1411,27901,27902,45550,45551,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23557540$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gómez, Mariel Fajer</creatorcontrib><creatorcontrib>Field, Catherine J.</creatorcontrib><creatorcontrib>Olstad, Dana Lee</creatorcontrib><creatorcontrib>Loehr, Sarah</creatorcontrib><creatorcontrib>Ramage, Stephanie</creatorcontrib><creatorcontrib>McCargar, Linda J.</creatorcontrib><creatorcontrib>APrON Study Team</creatorcontrib><title>Use of micronutrient supplements among pregnant women in Alberta: results from the Alberta Pregnancy Outcomes and Nutrition (APrON) cohort</title><title>Maternal and child nutrition</title><addtitle>Matern Child Nutr</addtitle><description>Maternal nutrient intake in the prenatal period is an important determinant of fetal growth and development and supports maternal health. Many women, however, fail to meet their prenatal nutrient requirements through diet alone and are therefore advised to consume nutrient supplements. The purpose of this study was to describe the use of natural health products (NHP) by pregnant women in each trimester of pregnancy. Women (n = 599) participating in the first cohort of the Alberta Pregnancy Outcomes and Nutrition (APrON) study completed an interviewer‐administered supplement intake questionnaire during each trimester of pregnancy. NHP use was high, with >90% taking multivitamin/mineral supplements, and nearly half taking at least one additional single‐nutrient supplement. Compliance with supplementation guidelines was high for folic acid (>90%), vitamin D (∼70%) and calcium (∼80%), but low for iron (<30%) and for all four nutrients together (≤11%). On average, women met or exceeded the recommended dietary allowance for folic acid, vitamin D and iron from NHPs alone, with median daily intakes of 1000 μg, 400 IU and 27 mg, respectively. The median calcium intake was 250 mg d−1. Up to 26% of women exceeded the tolerable upper intake level for folic acid and up to 19% did so for iron at some point of their pregnancy. Findings highlight the need to consider both dietary and supplemental sources of micronutrients when assessing the nutrient intakes of pregnant women.</description><subject>Adult</subject><subject>Alberta</subject><subject>calcium</subject><subject>Cohort Studies</subject><subject>dietary supplements</subject><subject>Dietary Supplements - statistics & numerical data</subject><subject>Female</subject><subject>folic acid</subject><subject>Humans</subject><subject>iron</subject><subject>Micronutrients - administration & dosage</subject><subject>Nutritional Status - drug effects</subject><subject>Original</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Prenatal Care - methods</subject><subject>vitamin D</subject><issn>1740-8695</issn><issn>1740-8709</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUc2O0zAQthCI_YEDL4B8XA7ZtRPbSTkgVRG7IC1tJVhxtGxn0hoSO9gJu30Fnhp3u61gLh7N9zMafwi9oeSSprrqjbukOSmqZ-iUloxkVUlmzw-9mPETdBbjD0KKXb1EJ3nBeckZOUV_7iJg3-LemuDdNAYLbsRxGoYO-tRGrHrv1ngIsHYqQfc-jbF1eN5pCKN6jwPEqUvENvgejxs4IHi115gtXk6jSbpk5hq82G0ZrXf4Yr4Ky8U7bPzGh_EVetGqLsLrp_cc3V1__FZ_ym6XN5_r-W1mOeVV1hJhGPC2AUUp05rPaK6IKlhjtG5ISQRU2hAKBdN5mtLW5IToggKdgch5cY4-7H2HSffQmHRlUJ0cgu1V2EqvrPwfcXYj1_63FJUgtGLJ4OLJIPhfE8RR9jYa6DrlwE9R0pJW6Z95LhL17b-7jksOASTC1Z5wbzvYHnFK5C5ZmZKVj8nKL_XisUmKbK-wcYSHo0KFn1KURcnl98WNZLWo2dcVkdfFXzseqCQ</recordid><startdate>201510</startdate><enddate>201510</enddate><creator>Gómez, Mariel Fajer</creator><creator>Field, Catherine J.</creator><creator>Olstad, Dana Lee</creator><creator>Loehr, Sarah</creator><creator>Ramage, Stephanie</creator><creator>McCargar, Linda J.</creator><general>Blackwell Publishing Ltd</general><general>John Wiley and Sons Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201510</creationdate><title>Use of micronutrient supplements among pregnant women in Alberta: results from the Alberta Pregnancy Outcomes and Nutrition (APrON) cohort</title><author>Gómez, Mariel Fajer ; Field, Catherine J. ; Olstad, Dana Lee ; Loehr, Sarah ; Ramage, Stephanie ; McCargar, Linda J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i5158-f06c4e5fdea114bb5912a0a34dcbbd0706e8bc01e34b234d1fc200b31e19e6253</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Alberta</topic><topic>calcium</topic><topic>Cohort Studies</topic><topic>dietary supplements</topic><topic>Dietary Supplements - statistics & numerical data</topic><topic>Female</topic><topic>folic acid</topic><topic>Humans</topic><topic>iron</topic><topic>Micronutrients - administration & dosage</topic><topic>Nutritional Status - drug effects</topic><topic>Original</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Prenatal Care - methods</topic><topic>vitamin D</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gómez, Mariel Fajer</creatorcontrib><creatorcontrib>Field, Catherine J.</creatorcontrib><creatorcontrib>Olstad, Dana Lee</creatorcontrib><creatorcontrib>Loehr, Sarah</creatorcontrib><creatorcontrib>Ramage, Stephanie</creatorcontrib><creatorcontrib>McCargar, Linda J.</creatorcontrib><creatorcontrib>APrON Study Team</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Maternal and child nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gómez, Mariel Fajer</au><au>Field, Catherine J.</au><au>Olstad, Dana Lee</au><au>Loehr, Sarah</au><au>Ramage, Stephanie</au><au>McCargar, Linda J.</au><aucorp>APrON Study Team</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of micronutrient supplements among pregnant women in Alberta: results from the Alberta Pregnancy Outcomes and Nutrition (APrON) cohort</atitle><jtitle>Maternal and child nutrition</jtitle><addtitle>Matern Child Nutr</addtitle><date>2015-10</date><risdate>2015</risdate><volume>11</volume><issue>4</issue><spage>497</spage><epage>510</epage><pages>497-510</pages><issn>1740-8695</issn><eissn>1740-8709</eissn><abstract>Maternal nutrient intake in the prenatal period is an important determinant of fetal growth and development and supports maternal health. Many women, however, fail to meet their prenatal nutrient requirements through diet alone and are therefore advised to consume nutrient supplements. The purpose of this study was to describe the use of natural health products (NHP) by pregnant women in each trimester of pregnancy. Women (n = 599) participating in the first cohort of the Alberta Pregnancy Outcomes and Nutrition (APrON) study completed an interviewer‐administered supplement intake questionnaire during each trimester of pregnancy. NHP use was high, with >90% taking multivitamin/mineral supplements, and nearly half taking at least one additional single‐nutrient supplement. Compliance with supplementation guidelines was high for folic acid (>90%), vitamin D (∼70%) and calcium (∼80%), but low for iron (<30%) and for all four nutrients together (≤11%). On average, women met or exceeded the recommended dietary allowance for folic acid, vitamin D and iron from NHPs alone, with median daily intakes of 1000 μg, 400 IU and 27 mg, respectively. The median calcium intake was 250 mg d−1. Up to 26% of women exceeded the tolerable upper intake level for folic acid and up to 19% did so for iron at some point of their pregnancy. Findings highlight the need to consider both dietary and supplemental sources of micronutrients when assessing the nutrient intakes of pregnant women.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>23557540</pmid><doi>10.1111/mcn.12038</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Alberta calcium Cohort Studies dietary supplements Dietary Supplements - statistics & numerical data Female folic acid Humans iron Micronutrients - administration & dosage Nutritional Status - drug effects Original Pregnancy Pregnancy Outcome Prenatal Care - methods vitamin D |
title | Use of micronutrient supplements among pregnant women in Alberta: results from the Alberta Pregnancy Outcomes and Nutrition (APrON) cohort |
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