Canadian Consensus on Female Nutrition: Adolescence, Reproduction, Menopause, and Beyond

O'Connor, Deborah L; Blake, Jennifer; Bell, Rhonda C.; Bowen, Angela; Callum, Jeannie; Fenton, Shanna; Gray‐Donald, Katherine; Rossiter, Melissa; Adamo, Kristi B.; Brett, Kendra; Khatri, Nasreen; Robinson, Nicole; Tumback, Lindsay; Cheung, Anthony P.

doi:10.1016/j.jogc.2016.01.001

Cited by 76 publications

(74 citation statements)

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“…In women, data from prospective cohort studies has indicated that during pregnancy, consuming a diet rich in fruits, vegetables, lean meat/fish, and wholegrains while being low in energy dense–nutritionally poor food is associated with a lower risk of exceeding the Institute of Medicine (IOM) gestational weight gain (GWG) guidelines [ 3 ], and lower risk of developing complications such as gestational hypertension [ 4 ] or gestational diabetes [ 5 , 6 , 7 ]. In 2016, the Society for Obstetricians and Gynaecology Canada released a report on the consensus on female nutrition across the life-course in order to achieve optimal health for both women and their offspring [ 8 ]. The report recommended that all women consume a balanced and varied diet consisting of frequent intakes of vegetables, fruit, whole-grains, low-fat diary, lean meat and fish, and legumes and nuts, with lower consumption of red and processed meat and sugar-sweetened beverages [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…In 2016, the Society for Obstetricians and Gynaecology Canada released a report on the consensus on female nutrition across the life-course in order to achieve optimal health for both women and their offspring [ 8 ]. The report recommended that all women consume a balanced and varied diet consisting of frequent intakes of vegetables, fruit, whole-grains, low-fat diary, lean meat and fish, and legumes and nuts, with lower consumption of red and processed meat and sugar-sweetened beverages [ 8 ]. During pregnancy women, are recommended to also increase calorie intakes by around 300 kcal/day from the second trimester but to do so by consuming extra portions of vegetables and fruit, whole-grains, low-fat dairy or alternatives, or lean meat/fish or alternatives, as opposed to increasing consumption of energy-dense, nutrient poor foods [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Dietary Patterns Prior to Pregnancy and Associations with Pregnancy Complications

et al. 2018

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“…15 Many countries provide guidance to healthcare providers in the form of evidence-based guidelines in order to support them in providing physical activity and nutrition counselling to pregnant women. 16–19 …”

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confidence: 99%

Healthcare providers’ gestational weight gain counselling practises and the influence of knowledge and attitudes: a cross-sectional mixed methods study

et al. 2017

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ObjectiveTo understand current gestational weight gain (GWG) counselling practices of healthcare providers, and the relationships between practices, knowledge and attitudes.DesignConcurrent mixed methods with data integration: cross-sectional survey and semistructured interviews.ParticipantsPrenatal healthcare providers in Canada: general practitioners, obstetricians, midwives, nurse practitioners and registered nurses in primary care settings.ResultsTypically, GWG information was provided early in pregnancy, but not discussed again unless there was a concern. Few routinely provided women with individualised GWG advice (21%), rate of GWG (16%) or discussed the risks of inappropriate GWG to mother and baby (20% and 19%). More routinely discussed physical activity (46%) and food requirements (28%); midwives did these two activities more frequently than all other disciplines (P<0.001). Midwives interviewed noted a focus on overall wellness instead of weight, and had longer appointment times which allowed them to provide more in-depth counselling. Regression results identified that the higher priority level that healthcare providers place on GWG, the more likely they were to report providing GWG advice and discussing risks of GWG outside recommendations (β=0.71, P<0.001) and discussing physical activity and food requirements (β=0.341, P<0.001). Interview data linked the priority level of GWG to length of appointments, financial compensation methods for healthcare providers and the midwifery versus medical model of care.ConclusionsInterventions for healthcare providers to enhance GWG counselling practices should consider the range of factors that influence the priority level healthcare providers place on GWG counselling.

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“…Routine iron supplementation is not recommended for all pregnant women . In contrast, authorities such as the CDC, WHO and Society of Obstetricians and Gynaecologists of Canada recommend universal iron supplementation in pregnant women. Oral iron is recommended as first line therapy for women with IDA.…”

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Intravenous iron use in pregnancy: Ironing out the issues and evidence

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2018

Aust NZ J Obst Gynaeco

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Canadian Consensus on Female Nutrition: Adolescence, Reproduction, Menopause, and Beyond

Cited by 76 publications

References 278 publications

Dietary Patterns Prior to Pregnancy and Associations with Pregnancy Complications

Dietary Patterns Prior to Pregnancy and Associations with Pregnancy Complications

Healthcare providers’ gestational weight gain counselling practises and the influence of knowledge and attitudes: a cross-sectional mixed methods study

Intravenous iron use in pregnancy: Ironing out the issues and evidence

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