scholarly journals Pregnant Women Living with Obesity: A Cross-Sectional Observational Study of Dietary Quality and Pregnancy Outcomes

Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1652
Author(s):  
Margaret Charnley ◽  
Lisa Newson ◽  
Andrew Weeks ◽  
Julie Abayomi
Keyword(s):  
Pregnant Women ◽  
Maternal Obesity ◽  
Maternal Nutrition ◽  
Saturated Fatty Acids ◽  
Poor Quality ◽  
Dietary Quality ◽  
Obstetric Outcomes ◽  
Dietary Intakes ◽  
Singleton Pregnancy ◽  
Cross Sectional

Good maternal nutrition is key to optimal maternal and foetal health. A poor-quality diet is often associated with obesity, and the prevalence and severity of maternal obesity has increased significantly in recent years. This study observed dietary intakes in pregnant women living with obesity and assessed the quality of their diet. In total, 140 women with a singleton pregnancy, aged > 18 years and BMI ≥ 35 kg/m2, were recruited from antenatal clinics, weighed and completed food diaries at 16-, 28- and 36-weeks’ gestation. Clinical data were recorded directly from the women’s medical records. Nutrient intake was determined using ‘MicrodietTM’, then compared to Dietary Reference Values (DRVs). Energy intakes were comparable with DRVs, but intakes of sugar and saturated fatty acids were significantly higher. Intake of fibre and several key micronutrients (Iron, Iodine, Folate and Vitamin D) were significantly low. Several adverse obstetric outcomes were higher than the general obstetric population. Women with obesity, often considered ‘over nourished’, may have diets deficient in essential micronutrients, often associated with poor obstetric outcomes. To address the intergenerational transmission of poor health via poor diets warrants a multi-disciplinary approach focusing away from ‘dieting’ onto positive messages, emphasising key nutrients required for good maternal and foetal health.

scholarly journals Total Usual Dietary Intakes of Pregnant Women in the United States, 2001-2014 (FS08-01-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Regan Bailey ◽  
Susan Pac ◽  
Victor Fulgoni ◽  
Kathleen Reidy
Keyword(s):  
At Risk ◽  
Folic Acid ◽  
Pregnant Women ◽  
Critical Dimension ◽  
The United States ◽  
Dietary Intakes ◽  
Dietary Recommendations ◽  
Cross Sectional ◽  
Excessive Consumption ◽  
Nationally Representative

Abstract Objectives Nutrition during pregnancy is a critical dimension not only for women’s heath, but also for the offspring’s lifelong health. Very limited national data exist on the usual dietary intakes of pregnant women. The objective of this study was to estimate total usual nutrient intakes (from foods and dietary supplements) of pregnant women in the U.S. Methods Cross-sectional analysis of a nationally-representative sample of pregnant U.S. women, ages 20-40 years (n = 1,003) from NHANES 2001-2014. Total usual dietary intakes were estimated using the National Cancer Institute (NCI) method to adjust 2, 24-hour dietary recalls for within-person variation. Adherence with the Dietary Reference Intakes were used to assess the proportion at risk of inadequacy by the Estimated Average Requirement (%< EAR), assumed to be adequate by the Adequate Intake (% >AI), and at risk of excess by the Tolerable Upper Intake Level (% >UL). Results About 70% of pregnant women use a dietary supplement. Less than 5% of pregnant women have usual diets that are at risk for inadequate intakes of riboflavin (3%), niacin (1%), vitamin B12 (1%), iron (2%), phosphorus (< 0.5%), and selenium (< 0.5%). More pregnant women have usual intakes < EAR for vitamins A (15%), B6 (11%), folate (16%), C (11%), D (46%), E (43%), and minerals including copper (5%), calcium (13%), magnesium (47%) and zinc (11%). Few pregnant females have usual intakes >AI for potassium (2%) and choline (8%), whereas only 48% have vitamin K intakes >AI. The majority of pregnant women (95%) exceed the UL for sodium, while folic acid (34%), iron (28%), calcium (3%), and zinc (7%) were also of concern for intakes >UL. Conclusions Many U.S. pregnant women ( >10% < EAR or < 10% >AI) do not consume enough of key nutrients during pregnancy specifically vitamins A, C, D, E, K, B6, folate, and choline and minerals including potassium, calcium, magnesium, and zinc, while almost all are at risk of excessive consumption of sodium, and many at risk of excessive consumption of folic acid and iron. Improved dietary guidance to help pregnant women meet and not exceed dietary recommendations is warranted. Funding Sources Nestle Nutrition.

scholarly journals Dietary intakes and body mass indices of non-pregnant, non-lactating (NPNL) women from the Coastal and Guinea savannah zones of Ghana

2012 ◽  
Vol 12 (49) ◽  
pp. 5843-5861
Author(s):  
GY Kobati ◽  
◽  
A Lartey ◽  
GS Marquis ◽  
EK Colecraft ◽  
...  
Keyword(s):  
Body Mass ◽  
Coastal Zone ◽  
Formal Education ◽  
Maternal Nutrition ◽  
Dietary Intakes ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Dietary Recall ◽  
Working Day ◽  
Savannah Zone

Adequate maternal nutrition prior to pregnancy is important for maternal health and favourable pregnancy outcomes. However, information on the dietary intakes of NonPregnant, Non-Lactating (NPNL) women in Ghana is lacking. A cross-sectional survey was undertaken to compare the dietary intakes of NPNL women of children aged 2 to 5 years who are either living in the Coastal (n=79) or Guinea Savannah (n=89) zones. Data were collected using various methods namely interviewer administered socio-demographic questionnaire, 24hr dietary recall records, with data collected on one working and one non-working day within a week, and a 1-week food frequency questionnaire. Body mass index was derived from height and weight measurements. Women in the Coastal Savannah zone had significantly (p=0.05) more formal education (3.9 ± 2.5 years) and earned a higher (p<0.001) weekly income (Gh¢ 6.8 ± 2.7) than women in the Guinea Savannah zone with educational level and incomes of 2.2±1.6 years and Gh¢ 3.9±2.4 respectively. More women in the Coastal zone had significantly (p<0.05) fewer births and were heads of their households. Cereal-based foods were consumed daily by all women during the two-day observation period. Fish was the predominant animal source food in the diet in both zones. Significantly (p<0.05) more women in the Guinea Savannah zone did not meet their Estimated Average Requirements (EAR) for protein (81%), vitamin A (94.4%), and vitamin C (72%) compared to women in the Coastal zone (44%, 22%, and 31% respectively).The diets of both groups of women were low in calcium. Generally, women in the Coastal zone had a significantly (p<0.001) higher BMI (24.2 ± 4.6 kg/m2) than their counterparts in the Guinea Savannah zone (21.3± 2.4 kg/m2).The overall quality of dietary intakes and nutritional status of women in the Guinea Savannah zone was poorer than that of Coastal women. Dietary deficiencies are also present in NPNL women in Ghana. Efforts are needed to improve diet quality and to increase access to resources especially for women in the Guinea Savannah zone of Ghana.

scholarly journals “I feel like eating rice 24 hours per day, 7 days a week”: A Study of Dietary Diversity Among Asylum Seekers in Norway (OR21-06-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Sigrun Henjum ◽  
Laura Terragni
Keyword(s):  
Dietary Intake ◽  
Asylum Seekers ◽  
Dietary Diversity ◽  
Living Condition ◽  
Dietary Quality ◽  
Dietary Intakes ◽  
Food Groups ◽  
Cross Sectional ◽  
Adequate Diet ◽  
Adequate Food

Abstract Objectives Poor nutrition and food insecurity is highly prevalent among asylum seekers residing in western countries. Lack of economic resources, unfamiliarity with new foods, and language barriers are some challenges that asylum seekers encounter upon resettlement. Despite the importance of an adequate diet for good health, limited knowledge, exist on food intake and dietary quality among asylum seekers. We described dietary intake and assessed dietary quality among asylum seekers at Norwegian reception centers. Methods In 2017, a cross-sectional study in eight ordinary asylum reception centers in the South Eastern part of Norway were performed and 205 asylum seekers (131 men and 74 women) were included. Dietary intake was assessed by 24-hour dietary recall and dietary diversity score (DDS) calculated according to FAO and FANTA, 2014. In addition, field notes of the asylum seekers thoughts on dietary intake and living condition provided contextual aspects of their nutritional situation. Results Two-third of the asylum seekers had dietary intakes with low quality; they ate from less than five food groups (low DDS). The asylum seekers ate in average two meals per day and one-third ate their first meal after noon. Meals tend to consist of food that was familiar in their country of origin. Women had significantly higher DDS than men with a higher consumption of vegetables and fruits. Asylum seekers residing in Norway for a longer time had a higher dietary diversity, than asylum seekers with a shorter stay. Most asylum seekers told about a reduced dietary intake, few meals and by the end of the month, hunger. They chose the cheapest food, food on sale or food that had expired and chose quantity over quality. The kitchen facilities at the reception centers were inadequate with limited storage place, low quality of the cooking equipment and crowded kitchen. Conclusions The asylum seekers had a monotonous diet with few meals, in contrast to the food abundance that most Norwegian are accustomed to, revealing, the emergence of new groups and new forms of poverty and social exclusion also in rich countries with otherwise good welfare state systems. The situation appear particularly critical given Norway's commitment through the United Nations (UN) International Covenant on Economic, Social and Cultural Rights to ensure human rights such as the right to adequate food and health. Funding Sources The study was funded by Oslo Metropolitan University, Norway.

scholarly journals Inadequate intakes of dietary zinc among pregnant women from subsistence households in Sidama, Southern Ethiopia

2008 ◽  
Vol 11 (4) ◽  
pp. 379-386 ◽  
Author(s):  
Yewelsew Abebe ◽  
Alemtsehay Bogale ◽  
K Michael Hambidge ◽  
Barbara J Stoecker ◽  
Isabel Arbide ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Dietary Intakes ◽  
Plasma Zinc ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Regular Consumption ◽  
High Prevalence ◽  
Zinc Concentrations

AbstractObjectiveTo assess the prevalence of zinc inadequacy based on dietary intakes and plasma zinc concentrations and, simultaneously, the prevalence of inadequate intakes of energy, protein, calcium and iron.DesignA cross-sectional study of a convenience sample of subsistence farming households in Sidama, Southern Ethiopia.SubjectsDietary intakes were calculated from 1-day weighed food records and 40 repeats from 99 pregnant women in the third trimester using analysed values of major staple foods for zinc, iron, calcium and phytate. The distribution of observed intakes was adjusted for usual intakes and the prevalence of inadequacy estimated using the estimated average requirement (EAR) cutpoint method. Prevalence of inadequacy for zinc, protein and iron intakes were compared with those based on biochemical measures.ResultsPrevalence of zinc inadequacy was very high: 99% for US FNB EAR and 100% for IZiNCG EAR compared to 72% based on low plasma zinc concentrations. Corresponding prevalence estimates for iron were much lower: 4% for inadequate intakes based on US FNB EAR vs. 8.7% for iron deficiency anaemia (haemoglobin < 110 g l−1; ferritin < 12 μg l−1) and 32.3% for low storage iron. Prevalence of inadequacy for protein was 100% for adjusted intakes and 91% for serum albumin < 32 g l−1. For calcium, 74% were at risk for inadequate intakes.ConclusionThe high prevalence of inadequate intakes of zinc and protein was reasonably consistent with those based on biochemical measures. Such dietary deficits could be overcome by regular consumption of cellular animal protein. In contrast, both dietary and biochemical measures of iron inadequacy were low.

scholarly journals Comparison at the first prenatal visit of the maternal dietary intakes of smokers with non-smokers in a large maternity hospital: a cross-sectional study

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e021721 ◽  
Author(s):  
Eimer G O’Malley ◽  
Shona Cawley ◽  
Ciara M E Reynolds ◽  
Rachel A K Kennedy ◽  
Anne Molloy ◽  
...  
Keyword(s):  
Maternity Hospital ◽  
Cross Sectional Study ◽  
Urban Setting ◽  
Secondary Outcome ◽  
Dietary Intakes ◽  
Sectional Study ◽  
Singleton Pregnancy ◽  
Cross Sectional ◽  
Prenatal Visit ◽  
In Pregnancy

ObjectivesUsing detailed dietary and supplement questionnaires in early pregnancy, we compared the dietary intakes of micronutrients and macronutrients at the first prenatal visit of women who reported continuing to smoke during pregnancy with the intakes of women who were non-smokers.DesignCross-sectional study conducted between June 2014 and March 2016.SettingStand-alone tertiary maternity hospital in an urban setting with approximately 8000 deliveries per year.ParticipantsWomen were recruited at their convenience after sonographic confirmation of an ongoing singleton pregnancy (n=502). Detailed dietary and supplement information was available for 398 women. Women <18 years and those who did not speak English fluently were excluded.Primary and secondary outcome measuresThe differences in dietary micronutrients and macronutrients and maternal folate levels between women who continued to smoke in pregnancy compared with non-smokers.ResultsOf the 502 women, the mean age was 30.5 (SD 5.6) years, 42.5% were nulliparas, 19.2% were obese and 398 (79.3%) completed the questionnaire satisfactorily. In the 50 (12.6%) current smokers, the micronutrients magnesium, iron, carotene and copper were lower (all p<0.005) whereas sodium and chloride were higher compared with the 348 (87.4%) non-smokers. Smokers reported lower intakes of dietary total folate (p=0.006) compared with non-smokers (i.e., dietary folate equivalents; intake from natural and fortified dietary sources) (p=0.005). Smokers also reported lower intakes of fibre than non-smokers (13.1 g (IQR 7.7) vs 16.3 g (IQR 8.5), p<0.001). The dietary intakes of former smokers compared favourably with non-smokers.ConclusionsWe found that women who continue to smoke during pregnancy have serious dietary inadequacies which could potentially aggravate fetal growth restriction associated with direct toxicity from cigarettes. This provides a further reason to promote smoking cessation interventions in pregnancy, and highlights the need for dietary and supplementation interventions in women who continue to smoke.

scholarly journals Sonographic estimation of foetal weight versus actual birth weight at term

2021 ◽  
Vol 10 (5) ◽  
pp. 1782
Author(s):  
Akinshola A. Ero-Phillips ◽  
Faosat O. Jinadu ◽  
Abimbola T. Ottun ◽  
Ayokunle M. Olumodeji
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Predictive Value ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Percentage Error ◽  
State University ◽  
Singleton Pregnancy ◽  
Cross Sectional ◽  
Delivery Accuracy

Background: Estimated foetal weight is very critical to decision making in the management of pregnant women. It is therefore important to evaluate the accuracy of ultrasound estimated foetal weight (USEFW) at term in our environment. We compared ultrasound estimated foetal weight at term with the actual foetal birth weight at delivery.Methods: This was a prospective, comparative cross-sectional study at the Lagos State University Teaching Hospital over a 6-month period. Four hundred and five pregnant women with normal singleton pregnancy, who had sonographic estimation of foetal weight at term, using the Hadlock IV formula, were followed up and had their actual birth weight (ABW) determined at delivery. Accuracy was determined by proportion of estimates within 10% of actual birth weight and mean absolute percentage error (MAPE). The p<0.05 was considered significant at 95% confidence interval.Results: The prevalence of macrosomia was 10.3%. At 10% margin of error, ultrasound accurately estimated the weights of 73.3% of babies. The mean USEFW was 3559.89±316.9g and mean ABW was 3477.42±422.9g with a mean difference of 82.44g (p<0.001) and MAPE of 7.11. There was positive correlation (r=0.669) between the EFW and ABW (p<0.001). The USEFW had a sensitivity of 66.7%, specificity of 91.5%, positive predictive value of 47.5% and negative predictive value of 96.0% in predicting macrosomia.Conclusions: Ultrasound estimation of foetal weight at term is reliably accurate in predicting actual birth weight in south-western Nigeria. 

scholarly journals Adequacy of Nutrients Intake among Jordanian Pregnant Women in Comparison to Dietary Reference Intakes

2019 ◽  
Vol 16 (18) ◽  
pp. 3440 ◽  
Author(s):  
Reema F. Tayyem ◽  
Sabika S. Allehdan ◽  
Razan M. Alatrash ◽  
Fida F. Asali ◽  
Hiba A. Bawadi
Keyword(s):  
Folic Acid ◽  
Pregnant Women ◽  
Pregnancy Outcomes ◽  
Maternal Nutrition ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Food Sources ◽  
Cross Sectional ◽  
Dietary Reference Intakes ◽  
Demographic Questionnaire

Objective: Maternal nutrition is considered an important pillar in the pregnancy outcomes for both mother and infant. A mother’s malnutrition and inadequate nutrient intake is associated with many undesirable pregnancy outcomes. Hence, assessing the nutritional status of the mother in the early stages of the pregnancy and preventing any inadequacy can preclude many health problems for both mother and infant. Therefore, this study aimed to assess the adequacy of nutrient intakes among Jordanian pregnant women as compared to their corresponding dietary reference intakes (DRIs). Methods: This cross-sectional study was conducted at a major University Hospital in Jordan. Three hundred pregnant women were invited to participate in the study and 286 agreed to participate. Fifty pregnant women were enrolled at week 9, then 96 pregnant women were at week 20 and 137 pregnant women were at week 30 of pregnancy. The participants completed the interview-based demographic questionnaire, pregnancy physical activity questionnaire, and quantitative food frequency questionnaire (FFQ). Results: The mean energy intake was 2768.9 ± 767.8 kcal/day and it was significantly higher in the 3rd trimester (p < 0.05). Women in the 3rd trimester consumed significantly more protein, carbohydrates, and sugar than women in the 1st and 2nd trimesters (p < 0.05). The pregnant women in the 3rd trimester consumed more sodium than women in the 1st and 2nd trimesters (p < 0.05). The vitamin K intake was significantly (p = 0.045) lower in the 2nd trimester than the 1st and 3rd trimesters. The calcium intake was significantly higher in the 3rd trimester than the 1st and 2nd trimesters (p = 0.021). The total micronutrient (vitamins B1, B2, B3, B6, B12, and D, calcium, and iron) intakes derived from dietary supplements and food sources throughout the 3 trimesters was significantly higher in the 3rd trimester than the 1st and 2nd trimesters (p < 0.05). The vitamin D, calcium, and iron intakes had the most significant increases between the 1st and 3rd trimesters (p < 0.001), while folic acid intake was significantly higher in the 1st trimester than the 2nd and 3rd trimester (p < 0.001). Most women exceeded the tolerable upper intake level (UL) for sodium in all trimesters, while 82% of women exceeded the UL of folic acid in the 1st trimester and from the supplement, not the diet. Conclusion: While the intake of some nutrients from food alone remains below the DRIs in the diets of pregnant women, the intake of other nutrients is above the UL. Raising the awareness of pregnant women about their diet and how a supplement intake can reduce the risk of inadequate intake for many micronutrients and improve their pregnancy outcomes is of great importance.

scholarly journals Dietary and Plasma Carotenoids Are Positively Associated with Alpha Diversity in the Fecal Microbiota of Pregnant Women: The PEAPOD Pilot Study (FS06-08-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Sarah Comstock ◽  
Kameron Sugino ◽  
Karin Vevang ◽  
Lisa Peterson ◽  
Revati Koratkar ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Orange Juice ◽  
Plasma Levels ◽  
Bacterial Communities ◽  
Bacterial Community Composition ◽  
Specific Effect ◽  
Dietary Quality ◽  
Feasibility Trial ◽  
Cross Sectional ◽  
Α Diversity

Abstract Objectives Determine associations among reported carotenoid intake, plasma carotenoid levels, and fecal bacterial communities in pregnant women. Methods Pregnant women (n = 27) were enrolled in a 2-arm, randomized, controlled, feasibility trial of a diet intervention during late pregnancy. Results presented are cross-sectional from one study visit combined across both study arms. Plasma samples were collected at the 36 week prenatal clinic visit. Fecal samples were self-collected and returned in ∼1 wk along with self-administered surveys including a dietary checklist (n = 25) reflective of dietary intake over the past 24 hr. Plasma carotenoids were analyzed by HPLC with UV. Fecal bacteria were analyzed by 16S rRNA DNA (v4 region) sequencing. Reported results are from 23 women with complete data. Results Recent intake included: carrots, sweet potatoes, mangos, apricots, and/or bell peppers for 48% of women; oranges/orange juice (17%); egg (39%); tomato/tomato-based sauces (52%); fruits (83%); vegetables (65%). Average plasma levels were 6.4 ug/dL α-carotene (AC), 17.7 ug/dL β-carotene (BC), 11.4 ug/dL cryptoxanthin (CR), 39.0 ug/dL trans-lycopene (TL), and 29.8 ug/dL zeaxanthin and lutein (ZL). AC and BC levels were higher in pregnant women who consumed foods high in carotenoids. CR levels were higher in pregnant women who consumed oranges/orange juice. ZL levels tended to be higher in pregnant women who consumed egg. TL levels did not differ by reported tomato intake. Pre-pregnancy body mass index (BMI) was negatively correlated with AC, BC, CR and TL levels. Whereas, BMI at time of sampling was negatively correlated with AC, BC and CR levels. The α-diversity (Chao1, Shannon) of the fecal bacterial communities was positively correlated with AC and BC. Fecal bacterial community composition tended to be associated with reported intake of carotenoid containing foods and with plasma levels of AC, BC and TL. Conclusions Carotenoid intake is associated with microbiota diversity and composition. This may reflect an effect of high fiber or improved overall dietary quality, rather than a specific effect of carotenoids, on the microbiota. A larger study will be needed to determine if diets high in carotenoids influence the microbiota independently of diets high in other fruits or vegetables. Funding Sources NIH CHEAR (2018-PF05), MSU internal funds (AgBioResearch and faculty start-up).

scholarly journals Predictive Factors For Nutritional Behavior Among Pregnant Women Attending Ante Natal Care Clinic In 6th Of October City

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
D A Nasrallah ◽  
H S Ez-elarab ◽  
M F Allam ◽  
E A Sultan
Keyword(s):  
Pregnant Women ◽  
Private Hospital ◽  
Maternal Nutrition ◽  
Subcutaneous Fat ◽  
Cross Sectional Study ◽  
Optimum Number ◽  
Nutritional Knowledge ◽  
Cross Sectional ◽  
Care Clinic ◽  
And Behavior

Abstract Background Good maternal nutrition during pregnancy is important to ensure health for the mother and the fetus. This study aimed to establish optimal health of Egyptian mothers and their babies through proper nutrition, by assessing nutritional knowledge and behavior among a group of Egyptian pregnant women in addition to identifying the factors influencing their nutritional knowledge and behavior. Methods This descriptive cross sectional study included 300 pregnant women attending the antenatal care clinics in 6th of October University private hospital and EL-Hussary primary health care unit. The data was collected through a modified nutritional survey that was translated from Spanish to Arabic and revised by language experts for clarity. Results Almost all of the women attending the private hospital were university educated while about half of the women attending the PHC unit were graduated from technical education (skills diploma). In general, the level of knowledge about food requirements of both groups was satisfactory good; however, neither of them fulfilled the WHO recommendations of food intake during pregnancy or the optimum number of meals per day. The mean of random blood glucose was higher among the women attending the PHC unit; the BMI, mid arm circumference and subcutaneous fat were higher among the same group as well. In regard to fulfilling the WHO recommended servings per day, only starch and fat items were fulfilled by both groups, whereas the other three items (vegetables, fruits and dairy products) were merely included in the diets of both groups. Conclusion Women with higher education showed an active lifestyle with a lower BMI but showed no relation to the choice of a good and healthy diet. These findings could give an insight to the policy makers in order to update nutritional care programs for pregnant women addressing all aspects of sociodemographic differences among women.

scholarly journals Dietary Intakes in Pregnant Women with Previous Bariatric Surgery

2021 ◽  
Author(s):  
Geneviève Gagnon ◽  
Anne-Marie Carreau ◽  
Anne-Sophie Plante ◽  
Claudia Savard ◽  
Simone Lemieux ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Pregnant Women ◽  
Saturated Fatty Acids ◽  
Healthy Eating Index ◽  
Control Group ◽  
Dietary Intakes ◽  
Previous Surgery ◽  
Level Of Evidence ◽  
History Of ◽  
Total Fat

Abstract Purpose: To 1) compare dietary intakes of pregnant women with previous bariatric surgery with the Dietary reference intakes (DRIs); 2); compare their dietary intakes as well as their diet quality with a control group of pregnant women with no history of bariatric surgery. Methods: Twenty-eight (28) pregnant women with previous surgery (sleeve gastrectomy, n=7 and biliopancreatic diversion with duodenal switch, n=21) were matched for pre-pregnancy body mass index with 28 pregnant women with no history of surgery. In at least one trimester, participants completed a minimum of 2 Web-based 24-h dietary recalls from which energy, macro- and micronutrient intakes as well as the Canadian Healthy Eating Index (C-HEI) were derived. Results: No differences were observed for energy intake between groups. All women had protein intakes within the recommended range, but most women with previous surgery had carbohydrate (67 %) and dietary fiber intakes (98 %) below recommendations. In both groups, mean total fat, saturated fatty acids, free sugars and sodium intakes were above recommendations, as opposed to mean vitamin D, folic acid and iron dietary intakes below recommendations for most women. Compared with the control group, pregnant women with previous bariatric surgery had lower overall C-HEI scores. Conclusion: These results suggest that pregnant women with previous bariatric surgery would benefit from a nutritional follow-up throughout their pregnancy.Level of evidenceLevel III: Evidence obtained from well-designed cohort or case-control analytic studies

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