Assessment of Pre-Pregnancy Dietary Intake with a Food Frequency Questionnaire in Alberta Women

Ramage, Stephanie; McCargar, Linda J.; Berglund, Casey; Harber, Vicki J.; Bell, Rhonda C.

doi:10.3390/nu7085277

Cited by 14 publications

(15 citation statements)

References 28 publications

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“…Participants were categorized as “high” probiotic consumers if they consumed on average greater than or equal to 1 billion CFU per day on average for the duration of the study. Probiotic supplementation and dietary intake was tracked throughout the study using a validated 24-hour recall questionnaire adapted from the Alberta Pregnancy Outcomes and Nutrition (APrON) cohort study 56 . We tracked illnesses from reported occurrence and duration of enteric and respiratory illness symptoms by caregivers.…”

Section: Methodsmentioning

confidence: 99%

Probiotic supplementation and associated infant gut microbiome and health: a cautionary retrospective clinical comparison

Quin

Estaki

Vollman

et al. 2018

Sci Rep

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While probiotics are a multi-billion dollar industry, there is little evidence to show that supplementing infants provides any health benefits. We conducted an observational study where 35 of 86 participating mothers self-administered probiotics during breastfeeding, as well as directly to their infants. The primary objective was to determine if probiotic exposure influenced the infants’ fecal microbiome while the secondary objective assessed associated changes to the mothers’ breast milk immunity and infant health. Analysis of infant fecal microbiome throughout the first 6 months of life revealed that probiotics were associated with higher abundances of Bifidobacterium at week 1 only. Short-chain fatty acid production and predicted metagenomic functions of the microbial communities were not altered. While probiotics did not alter breast milk immune markers, fecal sIgA responses were higher among probiotic supplemented infants. Surprisingly, this was not associated with better health outcomes, as the probiotic cohort had higher incidences of mucosal-associated illnesses as toddlers. This retrospective clinical comparison suggests that probiotic exposure during infancy has limited effects on gut microbial composition yet is associated with increased infection later in life. These correlative findings caution against probiotic supplementation during infancy until rigorous controlled follow-up studies determining their safety and efficacy have occurred.

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Section: Methodsmentioning

confidence: 99%

Probiotic supplementation and associated infant gut microbiome and health: a cautionary retrospective clinical comparison

Quin

Estaki

Vollman

et al. 2018

Sci Rep

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“…Diet prior to pregnancy was assessed by a Food Frequency Questionnaire (FFQ), based on the National Cancer Institute’s Diet History Questionnaire for Canadians [ 22 ], and has been validated for assessing pre-pregnancy diet [ 23 ]. The FFQ was completed by participants during their first study visit.…”

Section: Methodsmentioning

confidence: 99%

Dietary Patterns Prior to Pregnancy and Associations with Pregnancy Complications

et al. 2018

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Few studies have explored pre-pregnancy diet and its relationship with pregnancy outcomes. The objectives of this study were to: (1) derive pre-pregnancy dietary patterns for women enrolled in a prospective cohort in the province of Alberta, Canada; (2) describe associations between dietary patterns and socio-demographic characteristics; and (3) describe associations between dietary patterns and pregnancy complications. Upon enrolment into the Alberta Pregnancy Outcomes and Nutrition (APrON) study (median age of gestation, 17 weeks), women (n = 1545) completed a validated 142-item food frequency questionnaire recording food and beverages consumed “in the 12 months prior to pregnancy”. Other assessments included pre-pregnancy body mass index (BMI), gestational weight gain, gestational hypertension, gestational diabetes, and socio-demographic characteristics. Dietary patterns were derived using principal components analysis. Scores were calculated to represent adherence with each dietary pattern retained. Four dietary patterns were retained, accounting for 22.9% of the variation in the overall diet. Dietary patterns were named the “healthy”, “meat and refined carbohydrate”, “beans, cheese and salad” or “tea and coffee” patterns. Higher “healthy” pattern scores prior to pregnancy were associated with lower odds of developing gestational hypertension during pregnancy (adjusted Odds Ratio (OR): 0.6, 95% Confidence Intervals (CI): 0.4, 0.9). Diet prior to pregnancy is an important target for interventions and may reduce the likelihood of developing complications such as gestational hypertension during pregnancy.

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“…Indeed, previous research has suggested that health education around effective weight management can affect weight gain during pregnancy (Wilkinson et al, 2009), with further evidence to suggest that pre-conception interventions can improve both the intention and self-efficacy of healthy eating behaviours during pregnancy (Hillemeier et al, 2008). There is also emerging evidence to suggest that women start eating healthily in preparation for pregnancy (Ramage et al, 2015).…”

Section: Dietary Intake Change Before and During Pregnancymentioning

confidence: 99%

Women's dietary changes before and during pregnancy: A systematic review

Hillier

Olander

2017

Midwifery

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BackgroundDietary intake before and during pregnancy has significant health outcomes for both mother and child, including a healthy gestational weight gain. To ensure effective interventions are successfully developed to improve dietary intake during pregnancy, it is important to understand what dietary changes pregnant women make without intervention. AimsTo systematically identify and review studies examining women's dietary changes before and during pregnancy and to identify characteristics of the women making these changes. MethodsA systematic search strategy was employed using three databases (Web of Science, CINAHL and PubMed) in May 2016. Search terms included those relating to preconception, pregnancy and diet. All papers were quality assessed using the Scottish Intercollegiate Guidelines Network methodology checklist for cohort studies.The search revealed 898 articles narrowed to full-text review of 23 studies.In total, 11 research articles were included in the review, describing nine different studies. The findings were narratively summarized in line with the aims of the review. FindingsThe included studies showed marked heterogeneity, which impacts on the findings. However, the majority report an increase in energy intake (kcal or kJ) during pregnancy. Of the studies that reported changes through food group comparisons, a majority reported a significant increase in fruit and vegetable consumption, a decrease in egg consumption, a decrease in fried and fast food consumption and a decrease in coffee and tea consumption from before to during pregnancy. The characteristics of the women participating in these studies, suggest that age, education and pregnancy intention are associated with healthier dietary changes; however these factors were only assessed in a small number of studies. Key conclusionsThe 11 included articles show varied results in dietary intake during pregnancy as compared to before.More research is needed regarding who makes these healthy changes, this includes consistency regarding measurement tools, outcomes and time points. 3 Implications for practiceMidwives as well as intervention developers need to be aware of the dietary changes women may spontaneously engage in when becoming pregnant, so that care and interventions can build on these.

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Assessment of Pre-Pregnancy Dietary Intake with a Food Frequency Questionnaire in Alberta Women

Cited by 14 publications

References 28 publications

Probiotic supplementation and associated infant gut microbiome and health: a cautionary retrospective clinical comparison

Probiotic supplementation and associated infant gut microbiome and health: a cautionary retrospective clinical comparison

Dietary Patterns Prior to Pregnancy and Associations with Pregnancy Complications

Women's dietary changes before and during pregnancy: A systematic review

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