Determinants of dietary patterns and diet quality during pregnancy: a systematic review with narrative synthesis

Doyle, Ina-Merle; Borrmann, Brigitte; Grosser, Angelique; Razum, Oliver; Spallek, Jacob

doi:10.1017/s1368980016002937

Cited by 69 publications

(109 citation statements)

References 50 publications

(222 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Additional nonmodifiable factors associated with dietary diversity included caste, education, and economic status. Our results are consistent with previous literature wherein maternal knowledge and socio‐economic status were found to be associated with dietary diversity (de Castro et al, ; Doyle, Borrmann, Grosser, Razum, & Spallek, ; Rosen et al, ; Shamim et al, ). Women belonging to higher caste and income groups were more likely to have a diverse diet, suggesting a resource constraint in adoption of diet recommendations beyond improved knowledge and counselling services.…”

Section: Discussionsupporting

confidence: 93%

Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors

Nguyen

Kachwaha

Avula

et al. 2019

Maternal & Child Nutrition

View full text Add to dashboard Cite

Despite strong policy and program commitment, essential maternal nutrition services are not reaching enough women in many countries. This paper examined multifactorial determinants (personal, family, community, and health services) associated with maternal nutrition practices in Uttar Pradesh, India. Data were from a household survey of pregnant (n = 667) and recently delivered women (n = 1,835). Multivariable regression analyses were conducted to examine the determinants of four outcomes: consumption of diverse diets, consumption of iron folic acid (IFA) and calcium tablets, and weight monitoring during pregnancy. Population attributable risk analysis was used to estimate how much the outcomes can be improved under optimal program implementation. During pregnancy, women consumed 28 IFA and 8 calcium tablets, 18% consumed diverse diet, and 17% were weighed ≥3 times. Nutrition knowledge was associated with consumption of diverse diet (odds ratio [OR] = 2.2 times), IFA (2.3 times), calcium (11.7 times), and weight monitoring (1.3 times). Beliefs and self‐efficacy were associated with IFA (OR = 2.0) and calcium consumption (OR = 4.6). Family support and adequate health services were also associated with better nutrition practices. Under optimal program implementation, we estimate that 51% of women would have adequate diet diversity, an average consumption of 98 IFA, and 106 calcium tablets, and women would be weighed 4.9 times during pregnancy. Strengthening existing program operations and increasing demand for services has the potential to result in large improvements in maternal nutrition practices from current baseline levels but may not be sufficient to meet World Health Organization‐recommended levels without creating an enabling environment including improvements in education and income levels to support behaviour change.

show abstract

Section: Discussionsupporting

confidence: 93%

Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors

Nguyen

Kachwaha

Avula

et al. 2019

Maternal & Child Nutrition

View full text Add to dashboard Cite

show abstract

“…In the multivariate analysis, parity and household wealth index were both associated with a higher WDDS at preconception and with a positive change in the WDDS throughout follow‐up. The socioeconomic level of the household is a well‐known determinant of women's dietary diversity in African contexts (Doyle, Borrmann, Grosser, Razum, & Spallek, ; Huybregts et al, ; Krige et al, ; Rosen et al, ). Here, we showed that women with less economic constraints had better access to varied foods and were able to increase their dietary diversity during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Changes in women's dietary diversity before and during pregnancy in Southern Benin

Djossinou

Savy

Fanou‐Fogny

et al. 2019

Maternal & Child Nutrition

View full text Add to dashboard Cite

Dietary diversity before and during pregnancy is crucial to ensure optimal foetal health and development. We carried out a cohort study of women of reproductive age living in the Sô‐Ava and Abomey‐Calavi districts (Southern Benin) to investigate women's changes in dietary diversity and identify their determinants both before and during pregnancy. Nonpregnant women were enrolled (n = 1214) and followed up monthly until they became pregnant (n = 316), then every 3 months during pregnancy. One 24‐hr dietary recall was administered before conception and during each trimester of pregnancy. Women's dietary diversity scores (WDDS) were computed, defined as the number of food groups out of a list of 10 consumed by the women during the past 24 hr. The analysis included 234 women who had complete data. Mixed‐effects linear regression models were used to examine changes in the WDDS over the entire follow‐up, while controlling for the season, subdistrict, socio‐demographic, and economic factors. At preconception, the mean WDDS was low (4.3 ± 1.1 food groups), and the diet was mainly composed of cereals, oils, vegetables, and fish. The mean WDDS did not change during pregnancy and was equally low at all trimesters. Parity and household wealth index were positively associated with the WDDS before and during pregnancy in the multivariate analysis. Additional research is needed to better understand perceptions of food consumption among populations, and more importantly, efforts must be made to encourage women and communities in Benin to improve the diversity of their diets before and during pregnancy.

show abstract

“…So far, two systematic reviews and a paper describing the study aims have been published. [9][10][11] Methodological papers on the recruitment of migrants for birth cohort studies in Germany and on data linkage of primary and secondary data using advanced statistical procedures were submitted or are in progress. Preliminary data analyses have been conducted regarding the determinants of antenatal stress and dietary patterns in pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Early childhood health in Bielefeld, Germany (BaBi study): study protocol of a social-epidemiological birth cohort

et al. 2017

Self Cite

View full text Add to dashboard Cite

IntroductionThe heterogeneity among the German population is increasing. Sociodemographic differentials (eg, in education and migrant status) have been associated with health disparities. Life course studies show that a considerable part of these disparities is determined by exposures during pregnancy and early childhood. The BaBi study was established in 2012 to investigate the production of health disparities from foetal life to childhood in the city of Bielefeld, Germany.Methods and analysisBetween 2013 and 2016, detailed information on socioeconomic characteristics, migration background, lifestyle factors, environmental factors, healthcare use, and health status of 995 newborns, including 24 twins, and their families was collected using standardised instruments. Data collection started during pregnancy or shortly after birth with a computer-assisted personal interview of the pregnant woman/mother. Follow-up data will be collected until 2018 by computer-assisted telephone interviews around the first, second and after the third birthday of the child and by linking routine healthcare data. Blood samples are collected from a small subsample of 50 mothers for a substudy about stress during pregnancy (BaBi-Stress study).Ethics and disseminationThe study was approved by the ethical committee of the Medical Faculty of Muenster University and the Data Protection Board of Bielefeld University. Results will be published in scientific journals. Data sets and questionnaires will be made accessible for researchers based on access proposals and data usage contracts.

show abstract

Determinants of dietary patterns and diet quality during pregnancy: a systematic review with narrative synthesis

Cited by 69 publications

References 50 publications

Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors

Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors

Changes in women's dietary diversity before and during pregnancy in Southern Benin

Early childhood health in Bielefeld, Germany (BaBi study): study protocol of a social-epidemiological birth cohort

Contact Info

Product

Resources

About