Change of lifestyle habits – Motivation and ability reported by pregnant women in northern Sweden

Lindqvist, Maria; Lindkvist, Marie; Eurenius, Eva; Persson, Margareta; Mogren, Ingrid

doi:10.1016/j.srhc.2017.07.001

Cited by 54 publications

(43 citation statements)

References 26 publications

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“…An overall decrease in maternal diet quality was observed by Moran et al [36] in a study that assessed the HEI score of 301 overweight and obese Australian pregnant women at each trimester and at 4 months post-partum. Similarly, it has been suggested that women may change their diet after learning that they are pregnant, which could be explained by the fact that pregnancy itself is associated with a higher motivation to adopt healthy eating habits [44,45,46]. In the present study, since we did not assess pre-pregnancy diet, it is not possible to evaluate any diet changes between pre-pregnancy and early pregnancy.…”

Section: Discussionmentioning

confidence: 79%

Trimester-Specific Assessment of Diet Quality in a Sample of Canadian Pregnant Women

Savard

Lemieux

Carbonneau

et al. 2019

IJERPH

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The present study aimed to (1) examine changes in diet quality throughout pregnancy and (2) identify maternal characteristics associated with trimester-specific diet quality. Pregnant women (n = 79) were recruited in their 1st trimester of pregnancy and completed, at each trimester, three web-based 24-hour dietary recalls, from which the Canadian Healthy Eating Index (HEI) was calculated. Physical activity, nutrition knowledge, and socio-demographic web-questionnaires were also completed. Although no variation in total HEI scores was observed across trimesters, we found an overall decrease in the following subscores: adequacy, total fruits and vegetables, unsaturated fats and saturated fats (p < 0.05). In the 1st trimester, overweight and obese pregnant women had a lower diet quality in comparison with normal-weight and underweight women (HEI scores: 63.1 ± 11.9 vs. 68.0 ± 9.3; p = 0.04). In the 3rd trimester, women younger than 28 years old, with no university degree, poorer nutrition knowledge and who reside in an urban setting, had a lower diet quality (p < 0.05). In conclusion, less educated, younger women who reside in an urban setting may be at a higher risk of poor diet quality in late pregnancy and could benefit from public health programs.

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Section: Discussionmentioning

confidence: 79%

Trimester-Specific Assessment of Diet Quality in a Sample of Canadian Pregnant Women

Savard

Lemieux

Carbonneau

et al. 2019

IJERPH

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“…62 It is also a unique opportunity to identify women at high risk and make lifestyle changes, as women are often highly motivated, especially when they perceive associated benefits to their offspring. 63,64 Finally, public health actions that promote weight control throughout life need to be reinforced as a way to prevent complications related to obesity, such as NAFLD.…”

Section: Discussionmentioning

confidence: 99%

Overweight and obesity status from the prenatal period to adolescence and its association with non‐alcoholic fatty liver disease in young adults: cohort study

Cantoral

Montoya

Luna-Villa

et al. 2020

BJOG

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Objective To examine the associations of maternal and child overweight status across multiple time‐points with liver fat content in the offspring during young adulthood. Design Cohort study. Setting ELEMENT Cohort in Mexico City. Population Pregnant women with singleton births (n = 97). Methods We quantified hepatic triglyceride content (liver fat content) by proton magnetic resonance spectroscopy (1H MRS) and conventional T2‐weighted MRIs (3T scanner) in 97 young adults from the ELEMENT birth cohort in Mexico City. Historical records of the cohort were used as a source of pregnancy, and childhood and adolescence anthropometric information, overweight and obesity (OWOB) were defined. Adjusted structural equation models were run to identify the association between OWOB in different life stages with liver fat content (log‐transformed) in young adulthood. Main outcome Maternal OWOB at the time of delivery was directly and indirectly associated with the liver fat content in the offspring at young adulthood. Results Seventeen percent of the participants were classified as having NAFLD. We found a strong association of OWOB between all periods assessed. Maternal OWOB at time of delivery (β = 1.97, 95% CI 1.28–3.05), and OWOB status in the offspring at young adulthood (β = 3.17, 95% CI 2.10–4.77) were directly associated with the liver fat content in the offspring. Also, maternal OWOB was indirectly associated with liver fat content through offspring OWOB status. Conclusion We found that maternal OWOB status is related to fatty liver content in the offspring as young adults, even after taking into account OWOB status and lifestyle factors in the offspring. Tweetable abstract There was an association between pre‐pregnancy overweight and the development of NAFLD in adult offspring.

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“…6 Pregnancy has been argued to provide a "teachable moment," when women may be more motivated to undertake diet and lifestyle changes. 7,8 Research suggests that healthcare professionals are the most important source of nutrition information in pregnancy and that brief interventions delivered by healthcare professionals as part of routine care can promote positive health behaviours. 9 The American College of Obstetricians and Gynecologists (ACOG) recommends the development and use of clinical checklists in obstetrics and gynecology.…”

Section: Introductionmentioning

confidence: 99%

Examining the use of the FIGO Nutrition Checklist in routine antenatal practice: multistakeholder feedback to implementation

Killeen

Callaghan

Jacob

et al. 2020

Intl J Gynecology & Obste

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Objective To gain insights from pregnant women and obstetricians on the utility of the FIGO Nutrition Checklist in antenatal practice. Methods Women were recruited from the antenatal department of a large tertiary‐level university maternity hospital in Dublin, Ireland, between October and December 2019. Participants completed the FIGO Nutrition Checklist before their routine antenatal appointment. Obstetricians and women were encouraged to discuss the FIGO Nutrition Checklist during the clinical visit. Completed FIGO Nutrition Checklists were collected after appointments. Acceptability was assessed through questionnaires. Results The majority (80.0%) of women answered “No” to at least one diet quality question, indicating a potential nutritional risk. While none of the participating obstetricians routinely discussed nutrition with women, all agreed that using the Checklist encouraged them to address nutrition with pregnant women. Nearly every woman (99.0%) found the Checklist quick to complete; however, all participating obstetricians felt there was not enough time to discuss it in routine practice. Despite this, most obstetricians and pregnant women recommended the FIGO Nutrition Checklist for use. Conclusion The FIGO Nutrition Checklist is acceptable for use in routine antenatal practice in tertiary care settings. It helped identify potentially at‐risk women during early pregnancy and facilitated conversations related to optimum diet.

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Change of lifestyle habits – Motivation and ability reported by pregnant women in northern Sweden

Cited by 54 publications

References 26 publications

Trimester-Specific Assessment of Diet Quality in a Sample of Canadian Pregnant Women

Trimester-Specific Assessment of Diet Quality in a Sample of Canadian Pregnant Women

Overweight and obesity status from the prenatal period to adolescence and its association with non‐alcoholic fatty liver disease in young adults: cohort study

Examining the use of the FIGO Nutrition Checklist in routine antenatal practice: multistakeholder feedback to implementation

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