Dietary intake patterns during pregnancy and excessive gestational weight gain: a systematic review and meta-analysis

Zhou, You; Shan, Lishen; Cheng, Shuhua; Xia, Yang; Zhao, Yuhong; Zhang, Hehua; Zhao, Zhiying

doi:10.1039/d3fo01550e

Cited by 3 publications

(2 citation statements)

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“…The pregnant persons’ dietary habits, including adequate dietary intake (e.g., sufficient kilocalorie and macronutrient intake) and dietary quality (e.g., high fruit and vegetable intake) during pregnancy have been shown to positively impact GWG [ 11 , 39 ]. A 2023 systematic review and meta-analysis from fourteen studies across eleven countries (n = 77,550) found that unhealthy dietary patterns, consisting of greater saturated fats and simple carbohydrates, were associated with an increased odds of experiencing excess GWG (OR = 1.22, 95% CI: 1.02–1.45, p = 0.031), regardless of their pre-/early pregnancy BMI [ 40 ]. Therefore, improving diet habits and eating behaviors may act as a strategy for enhancing opportunities to achieve the recommended GWG.…”

Section: Discussionmentioning

confidence: 99%

Healthful Eating Behaviors among Couples Contribute to Lower Gestational Weight Gain

Sparks,

Redman,

Drews

et al. 2024

Nutrients

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Through longitudinal analysis from the GLOWING cohort study, we examined the independent and joint relationships between couples’ eating behaviors and gestational weight gain (GWG). Pregnant persons (n = 218) and their non-pregnant partners (n = 157) completed an Eating Inventory. GWG was calculated as gestation weight at 36 weeks minus that at 10 weeks. General linear models were used to examine the relationships between GWG and the pregnant persons, non-pregnant partners, and couples (n = 137; mean of pregnant persons and non-pregnant partners) cognitive restraint (range 0–21), dietary disinhibition (range 0–18), and perceived hunger (range 0–14), with higher scores reflecting poorer eating behaviors. The adjusted models included race/ethnicity, education, income, marital status, and age. The pregnant persons and their non-pregnant partners’ cognitive restraint, dietary disinhibition, and perceived hunger scores were 9.8 ± 4.7, 4.8 ± 3.2, and 4.4 ± 2.5 and 6.6 ± 4.6, 5.4 ± 3.4, and 4.7 ± 3.2, respectively. Higher cognitive restraint scores among the pregnant persons and couples were positively associated with GWG (p ≤ 0.04 for both). Stratified analyses revealed this was significant for the pregnant persons with overweight (p ≤ 0.04). The non-pregnant partners’ eating behaviors alone were not significantly associated with GWG (p ≥ 0.31 for all). The other explored relationships between GWG and the couples’ eating behaviors were insignificant (p ≥ 0.12 for all). Among the pregnant persons and couples, reduced GWG may be achieved with higher levels of restrained eating. Involving non-pregnant partners in programs to optimize GWG may be beneficial.

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Section: Discussionmentioning

confidence: 99%

Healthful Eating Behaviors among Couples Contribute to Lower Gestational Weight Gain

Sparks,

Redman,

Drews

et al. 2024

Nutrients

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“…These cravings may be linked to the brain's response to stress hormones [44,[46][47][48][49]. Stress triggers the release of hormones, such as cortisol, which can impact metabolism and lead to weight gain, especially around the abdominal area.…”

Section: How Stress Influences Diet and Dietary Behavior In Womenmentioning

confidence: 99%

The Impact of Stress and Social Determinants on Diet in Cardiovascular Prevention in Young Women

Coppi,

Bucciarelli,

Solodka

et al. 2024

Nutrients

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The prevention of cardiovascular diseases is a fundamental pillar for reducing morbidity and mortality caused by non-communicable diseases. Social determinants, such as socioeconomic status, education, neighborhood, physical environment, employment, social support networks, and access to health care, play a crucial role in influencing health outcomes and health inequities within populations. Social determinants and stress in women are interconnected factors that can significantly impact women’s health and well-being. Pregnancy is a good time to engage young women and introduce them to beneficial behaviors, such as adopting essential life skills, especially diet, and learning stress management techniques. Stress influences diet, and women are more likely to engage in unhealthy eating behaviors such as emotional eating or coping with stress with food. Strong action is needed to improve women’s lifestyle starting at a young age considering that this lays the foundation for a lower cardiovascular risk in adults and the elderly. The objective of this review is to examine cardiovascular primary prevention in young healthy women, focusing particularly on unresolved issues and the influence of social determinants, as well as the correlation with stressors and their influence on diet.

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Validation of an web-based dietary assessment tool (RiksmatenFlex) against doubly labelled water and 24 h dietary recalls in pregnant women

Söderström,

Sandborg,

Nilsson

et al. 2024

Nutr J

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Introduction Digital technologies have enabled new possibilities to assess dietary intake and have shown promise in terms of decreased participant burden, improved accuracy and lower costs. However, their potential and validity in pregnant populations are scarcely explored. Objectives This study aimed to (a) validate energy intakes obtained from a web-based dietary recall method developed for national surveys (RiksmatenFlex) against total energy expenditure (TEE) by means of the doubly labelled water (DLW) method, and (b) to compare intakes of macronutrients, key unhealthy and healthy foods as well as adherence to food-based dietary guidelines between RiksmatenFlex and repeated 24 h telephone dietary recalls in healthy Swedish pregnant women. Methods This study was conducted as a nested validation within the HealthyMoms trial. Intakes of foods, macronutrients and energy were assessed during three days through RiksmatenFlex and 24 h telephone dietary recalls, and Swedish Healthy Eating Index (SHEI) scores were also calculated for both methods (n = 52). For 24 women, TEE was also assessed through the DLW method. Paired Samples T-tests and Wilcoxon Signed Ranks Tests were used to identify differences between means for foods, macronutrients, energy and SHEI scores. Pearson correlation coefficient or Spearman’s rho were performed to identify relationships between variables. To compare energy intake (RiksmatenFlex) with TEE (DLW method) and 24 h telephone dietary recalls, Bland and Altman plots were constructed. Results Average energy intake from RiksmatenFlex (10,015 [SD 2004] kJ) was not statistically different from TEE (10,252 [SD 1197] kJ) (p = 0.596) (mean difference: -237 kJ/24 h). Correspondingly, there were small mean differences between average intakes of key unhealthy and healthy foods and average SHEI scores between RiksmatenFlex and 24 h telephone dietary recalls. However, the Bland and Altman plots showed wide limits of agreement for all dietary variables (e.g., for energy intake using RiksmatenFlex versus TEE: ±4239 kJ/24 h). High correlations between the investigated dietary variables for the two dietary methods were observed (r = 0.751 to 0.931; all p < 0.001). Conclusion RiksmatenFlex captured average intakes of energy, unhealthy and healthy food groups and adherence to food-based dietary guidelines in a comparable way to 24 h telephone dietary recalls and the DLW method. Our results support the validity of RiksmatenFlex as a web-based dietary assessment method for future use in pregnancy for intervention studies and national dietary surveys.

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Dietary intake patterns during pregnancy and excessive gestational weight gain: a systematic review and meta-analysis

Abstract: Excessive gestational weight gain (EGWG) is associated with gestational complications and adverse birth outcomes. Dietary intake is closely related to EGWG; however, evidence on the association between different dietary patterns...

Cited by 3 publications

References 61 publications

Healthful Eating Behaviors among Couples Contribute to Lower Gestational Weight Gain

Healthful Eating Behaviors among Couples Contribute to Lower Gestational Weight Gain

The Impact of Stress and Social Determinants on Diet in Cardiovascular Prevention in Young Women

Validation of an web-based dietary assessment tool (RiksmatenFlex) against doubly labelled water and 24 h dietary recalls in pregnant women

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