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
Hauptverfasser: Gómez, Mariel Fajer, Field, Catherine J., Olstad, Dana Lee, Loehr, Sarah, Ramage, Stephanie, McCargar, Linda J.
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container_end_page 510
container_issue 4
container_start_page 497
container_title Maternal and child nutrition
container_volume 11
creator Gómez, Mariel Fajer
Field, Catherine J.
Olstad, Dana Lee
Loehr, Sarah
Ramage, Stephanie
McCargar, Linda J.
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 (
doi_str_mv 10.1111/mcn.12038
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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 &gt;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 (&gt;90%), vitamin D (∼70%) and calcium (∼80%), but low for iron (&lt;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 &amp; numerical data ; Female ; folic acid ; Humans ; iron ; Micronutrients - administration &amp; 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 &amp; Sons Ltd</rights><rights>2013 John Wiley &amp; 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 &gt;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 (&gt;90%), vitamin D (∼70%) and calcium (∼80%), but low for iron (&lt;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 &amp; numerical data</subject><subject>Female</subject><subject>folic acid</subject><subject>Humans</subject><subject>iron</subject><subject>Micronutrients - administration &amp; 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 &amp; numerical data</topic><topic>Female</topic><topic>folic acid</topic><topic>Humans</topic><topic>iron</topic><topic>Micronutrients - administration &amp; 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. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete; EZB-FREE-00999 freely available EZB journals; PubMed Central
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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