scholarly journals Gestational weight gain trajectories over pregnancy and their association with maternal diet quality: Results from the PRINCESA cohort

Nutrition ◽  
2019 ◽  
Vol 65 ◽  
pp. 158-166 ◽  
Author(s):  
Monica Ancira-Moreno ◽  
Felipe Vadillo-Ortega ◽  
Juan Ángel Rivera-Dommarco ◽  
Brisa N. Sánchez ◽  
Jeremy Pasteris ◽  
...  
2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Haley Parker ◽  
Karen McCurdy ◽  
Alison Tovar ◽  
Maya Vadiveloo

Abstract Objectives Gestational weight gain (GWG) may reflect dynamic changes to prenatal diet quality, however, this relationship has been understudied. This study explored the relationship between GWG, pre-pregnancy BMI, and prenatal diet quality. Methods A secondary analysis examined a subset of 1268 women in the longitudinal Infant Feeding Practices Study (IFPS II) with 3rd trimester Diet History Questionnaire data. Diet quality was assessed with the Alternative Health Eating Index for Pregnancy (AHEI-P). Self-reported pre-pregnancy BMI, and total GWG (72% response rate) were used to classify GWG as inadequate (I), adequate (A), and excessive (E) according to the Institute of Medicine's recommendations. Tukey-adjusted generalized linear models, adjusting for sociodemographic factors, Women, Infants, and Children participation, parity, and energy intake, compared GWG groups on mean AHEI-P scores. The interaction between pre-pregnancy BMI and GWG group was tested and if significant, models were stratified by BMI group. Sensitivity analyses using multiply imputed GWG data were conducted. Results On average, AHEI-P scores were 61.3 (of 130), women were 28.9 years, higher socioeconomic status (40% college graduates) and mostly non-Hispanic White (84%). Pre-pregnancy BMI and GWG were inversely associated with AHEI-P scores (P < 0.0001). The association between GWG and diet quality was modified by BMI group (P = 0.04). In stratified adjusted analyses, GWG was associated with AHEI-P scores (P < 0.05) among women with pre-pregnancy underweight (I = 54.4 ± 3.9, A = 59.7 ± 3.6, E = 63.5 ± 3.5), normal weight (I = 59.2 ± 1.5, A = 61.0 ± 1.2, E = 59.3 ± 1.2), overweight (I = 62.3 ± 2.9, A = 60.7 ± 1.6, E = 59.4 ± 1.5), and obesity (I = 59.2 ± 1.8, A = 57.8 ± 2.0, E = 60.6 ± 1.5). However, no significant post-hoc differences between GWG groups were observed among any of the pre-pregnancy BMI groups. Findings from the multiple imputation analysis did not differ from complete case analysis findings. Conclusions GWG and prenatal diet quality differed according to pre-pregnancy BMI in this study. Adherence to GWG recommendations during pregnancy is an important predictor of maternal diet quality and should be examined in conjunction with pre-pregnancy BMI. Funding Sources There are no funding sources to disclose.


2020 ◽  
Vol 52 ◽  
pp. 106-107
Author(s):  
B.J.K. Davis ◽  
C. Scrafford ◽  
X. Bi ◽  
K.A. Higgins ◽  
L. Barraj ◽  
...  

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e033130
Author(s):  
Yamei Yu ◽  
Isabelle Hardy ◽  
Wenguang Sun ◽  
Dean A Fergusson ◽  
William Fraser ◽  
...  

IntroductionInappropriate gestational weight gain (GWG), including inadequate and excessive GWG, has become pandemic across nations and continents. This review aims to synthesise the evidence on the correlation between diet quality and GWG. If this association is confirmed, improving diet quality could become an intervention target in the efforts to reduce inappropriate GWG.Methods and analysisWe will conduct a systematic review of all prospective cohort studies on diet quality in preconception or pregnancy and GWG. Our secondary outcomes include gestational diabetes, pre-eclampsia and birth weight. A comprehensive search of all published articles in MEDLINE ALL (Ovid), Embase (Ovid), Food Science and Technology Abstracts (Ovid) and CINAHL (EBSCOHost), from database creation to 20 April 2019, will be conducted. Studies will be screened for eligibility by title, abstract and full text in duplicate by two independent reviewers. Study quality and risk of bias will be assessed using the adapted Newcastle–Ottawa Scale. Results will be reported following the meta-analysis of observational studies in epidemiology guidelines. If sufficient data are available, a meta-analysis will be conducted to synthesise the effect size reported as OR with 95% CI using both fixed-effect and random-effect models. I2 statistics and visual inspection of the forest plots will be used to assess heterogeneity and identify the potential sources of heterogeneity. Publication bias will be assessed by visual inspections of funnel plots and Egger’s test.Ethics and disseminationFormal ethical approval is not required as no primary data will be collected. We aim to publish the results of this study in a peer-reviewed journal and present them at conferences and scientific meetings to promote knowledge transfer.PROSPERO registration numberCRD42019128732


2013 ◽  
Vol 18 (6) ◽  
pp. 1433-1443 ◽  
Author(s):  
Dayeon Shin ◽  
Leonard Bianchi ◽  
Hwan Chung ◽  
Lorraine Weatherspoon ◽  
Won O. Song

2019 ◽  
Vol 51 (6) ◽  
pp. 677-683 ◽  
Author(s):  
Anne-Sophie Plante ◽  
Claudia Savard ◽  
Simone Lemieux ◽  
Élise Carbonneau ◽  
Julie Robitaille ◽  
...  

Author(s):  
Heng Yaw Yong ◽  
Zalilah Mohd Shariff ◽  
Barakatun Nisak Mohd Yusof ◽  
Zulida Rejali ◽  
Yvonne Yee Siang Tee ◽  
...  

Poor diet quality in pregnancy could impact gestational weight gain (GWG) and consequently fetal growth and development. But today there is limited data available on gestational diet quality. This study investigated the association between diet quality in each pregnancy trimester and GWG in Malaysian women. Diet quality was assessed using the modified Healthy Eating Index for Malaysians (HEI). Total GWG was defined as the difference between measured weight at last prenatal visit and pre-pregnancy weight. About one-fourth of women (23.3%) had excessive total GWG. There were significant differences in the HEI component score across trimesters, except for fruits. Overall, overweight/obese women had lower total HEI score (51.49–55.40) during pregnancy compared to non-overweight/obese women (53.38–56.50). For non-overweight/obese women, higher total HEI scores in the second and third trimesters were significantly associated with lower risk of inadequate GWG (aOR = 0.97, 95% CI = 0.95–0.99, p = 0.01) and higher risk of excessive GWG (aOR = 1.04, 95% CI = 1.01–1.07, p = 0.03), respectively. Overweight/obese women with higher total HEI scores in the second (aOR = 1.04, 95% CI = 1.01–1.07, p = 0.02) and third trimester (aOR = 1.04, 95% CI = 1.01–1.08, p = 0.02) were significantly at higher risk for excessive GWG. Pregnant women had relatively low diet quality throughout pregnancy. Diet quality and GWG association differed according to pre-pregnancy BMI with excessive GWG more likely to be associated with higher total HEI scores in the third trimester.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1089-1089
Author(s):  
Kelly Tiderencel ◽  
Joachim Sackey ◽  
Diane Rigassio-Radler ◽  
Emily Barrett ◽  
Archana Shrestha ◽  
...  

Abstract Objectives The National Academy of Medicine (NAM) guidelines recommend linear gestational weight gain (GWG) in the 2nd and 3rd trimester with appropriate rate defined based on pre-pregnancy BMI. Here we prospectively examined the association between diet quality and GWG rate from 2nd to 3rd trimester among women receiving prenatal care in a periurban hospital in Nepal. Methods A pilot cohort of singleton pregnant women (N = 101; age 25.9 ± 4.1 years) was recruited from a tertiary, periurban hospital in Nepal. In the 1st trimester, diet quality was assessed from the adapted Nepali version of the PrimeScreen questionnaire, which assigned diet quality scores (range 0–42; higher scores for better quality) based on consumption frequency of 12 healthy and 9 unhealthy food groups. The GWG rate was calculated as the measured weight at the early-to-mid 3rd trimester (28–35 wks) minus the weight at 2nd trimester (13–25 wks), divided by the number of weeks in between. Linear regression estimated the association between diet quality and GWG rate, adjusting for a priori covariates including age, education, ethnicity, pre-pregnancy BMI, and nausea/vomiting. The adequacy of GWG rate was also categorized as inadequate, adequate, or excessive using NAM guidelines. Results Most women were of normal (55.4%) or overweight (33.7%) BMI status pre-pregnancy. The mean GWG rate in mid-to-late pregnancy was 0.46 ± 0.2 kg/wk and the mean diet quality score was 23.6 ± 2.5. Based on pre-pregnancy BMI, 49.4% of women had excessive GWG rate, while nearly equal numbers had either adequate GWG or inadequate GWG rate. Pre-pregnancy BMI and GWG rate were inversely correlated (r = −0.21, P = 0.049). Education level was positively associated with both GWG rate (P = 0.01) and adequacy of GWG (P = 0.02). There was no significant association between diet quality and the GWG rate [adjusted β (95% CI) = −0.02 (−0.05, 0.01); P = 0.14]. The mean GWG rate was marginally lower (0.44 vs. 0.57 kg/wk; P = 0.06) among those with high versus low (2 + servings vs. 0–1 serving/wk) intake of red meat; similar findings were seen when comparing red meat intake between women with excessive versus adequate GWG (Cramer's V = 0.2; P = 0.06). Conclusions While overall diet quality is not related to GWG among Nepali women, a high intake of red meat may be a potential risk factor for excessive GWG in this population. Funding Sources Rutgers Global Health Institute.


PLoS ONE ◽  
2019 ◽  
Vol 14 (10) ◽  
pp. e0224034 ◽  
Author(s):  
Haley W. Parker ◽  
Alison Tovar ◽  
Karen McCurdy ◽  
Maya Vadiveloo

2015 ◽  
Vol 125 ◽  
pp. 87S-88S
Author(s):  
Madeline Grandy ◽  
Jonathan Q. Purnell ◽  
Kent L. Thornburg ◽  
Nicole E. Marshall

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1842
Author(s):  
Vanessa Averof Honorato de Almeida ◽  
Rafaela Alkmin da Costa ◽  
Cristiane de Freitas Paganoti ◽  
Fernanda Cristina Mikami ◽  
Ana Maria da Silva Sousa ◽  
...  

The aim of this study was to evaluate the Diet Quality Index (DQI) and the Physical Activity (PA) levels associated with adequacy of gestational weight gain in pregnant women with gestational diabetes mellitus (GDM). A total of 172 pregnant women with a single fetus and a diagnosis of GDM participated. Food intake was self-reported on the food frequency questionnaire and DQI was quantified using the index validated and revised for Brazil (DQI-R). To assess PA, the Pregnancy Physical Activity Questionnaire was administered. Gestational weight gain was classified, following the criteria of the Institute of Medicine, into adequate (AWG), insufficient (IWG), or excessive (EWG) weight gain. A multinomial logistic regression analysis was performed, with level of significance <0.05. The participants were divided into 3 groups: AWG (33.1%), IWG (27.3%), and EWG (39.5%). The analysis indicated that if the pregnant women PA fell into tertile 1 or 2, then they had a greater chance of having IWG, whereas those with the lowest scores on the DQI-R, whose PA fell into tertile 2, and pregestational obesity women had the greatest chance of having EWG. This study has shown that low PA levels may contribute towards IWG. On the other hand, a low final DQI-R score, representing inadequate food habits, low PA levels, and pregestational obesity may increase the chance of EWG in patients with GDM.


Sign in / Sign up

Export Citation Format

Share Document