Association between the Diet Quality Index Adapted for Pregnant Women (IQDAG) and excess maternal body weight

Abstract

Objectives: to investigate the relationship between the Diet Quality Index Adapted for Pregnant Women (IQDAG) and excess maternal body weight. Methods: a cross-sectional study was conducted with 754 adult pregnant women, in Ribeirão Preto, São Paulo, between 2011 and 2012. The criteria proposed by Atalah were used to classify the body mass index (BMI). Adjusted multinomial logistic regression models were employed to investigate the relationship between the IQDAG and being overweight and obese, estimating the odds ratio (OR) and the 95% confidence interval (CI95%). Results: the mean (SD) age of women was 28 (5) years, 33.4% were overweight and 25.6% obese. The pregnant women with higher scores in the IQDAG were less likely to be overweight [OR= 0.56 (CI95% = 0.37-0.85)] or obese [0.43 (0.26-0.71)]; those with higher scores in the "Fiber" [0.51 (0.33; 0.78)] and "Iron" [0.62 (0.40-0.96)] components were less likely to be overweight. However, women with higher scores in the percentage of energy from ultra-processed foods were more likely to be overweight [1.72 (1.10-2.94)] or obese [5.24 (2.80-9.80)], when compared to women with lower scores. Conclusions: poorer quality maternal diets were observed among the women who were overweight and obese during pregnancy.

Development and Validation of a Protocol for Pregnant Women Based on the Brazilian Dietary Guidelines

“…This approach includes robust evidence on the rapport between healthy eating and positive health outcomes and between consumption of ultraprocessed foods and excessive weight gain during pregnancy, as well as postpartum weight retention, and other negative maternal and child health outcomes, such as development of maternal obesity, and higher birth weight in infants. 13 30 31 In this sense, the protocol, in addition to guaranteeing recommendations on healthy eating for pregnant women who are not at nutritional risk, also favors those who present some risk of excessive weight gain, allowing its use in the range of demands of individual care for pregnant women.…”

Fatores associados ao estado nutricional durante a gestação / Factors associated with nutritional status during pregnancy

“…A promoção do ganho de peso gestacional saudável pode ser elemento importante para evitar complicações no desfecho gestacional, visto que a presença da obesidade Brazilian Journal of Health Review, Curitiba, v.4, n.2, p. 7292-7303 mar./apr. 2021 apresenta risco aumentado de complicações na gestação, incluindo principalmente as síndromes hipertensivas da gestação e diabetes mellitus gestacional (CRIVELLENTI et al, 2019). Fato este apresentado nesta pesquisa, ou seja, foi detectado associação significativa entre IMC elevado no início da gravidez e ocorrência de hipertensão arterial e diabetes mellitus gestacional.…”

“…Um estudo realizado em São Paulo concluiu que, ao iniciar o pré-natal com IMC pré-gestacional, na categoria obesidade, aumentou em 7,5 vezes a chance de ocorrência de diabetes mellitus gestacional (FERREIRA et al, 2020). Outro estudo, ainda em São Paulo com gestantes em sobrepeso e obesidade encontrou, além da maior frequência de diagnóstico de diabetes mellitus, uma maior frequência de hipertensão arterial durante a gravidez, em comparação com as mulheres eutróficas (CRIVELLENTI et al, 2019).…”

Assessing the Mediterranean diet adherence during pregnancy: practical considerations based on the associations with cardiometabolic risk

“…Higher scores indicate higher diet quality. A moderate alcohol intake, also typical of the MD, was not considered for calculating these indices in this group of women These dietary indices have been previously associated with better cardiometabolic health in pregnant [3,[24][25][26][27][28] or non-pregnant populations [22,23,[29][30][31][32]. The components included in each index are detailed in Supplementary Table S2.…”