Dietary micronutrient intake during pregnancy is a function of carbohydrate quality

Goletzke, Janina; Buyken, A. E.; Louie, Jimmy Chun Yu; Moses, Robert G.; Brand-Miller, Jennie

doi:10.3945/ajcn.114.104836

Cited by 23 publications

(29 citation statements)

References 32 publications

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“…14 The type and quality of carbohydrates consumed during pregnancy has also been associated with dietary micronutrient intakes. 19 In addition, nearly one in five women (18.1%) reported that they did not consume fruits or vegetables at least 2-3 times a day. This standard is substantially lower than what is typically recommended for health, including during pregnancy.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…In this study, the proportion of dietary protein from energy intake was relatively appropriate [20]. However, a majority of these women did not achieve the RNI for dietary calcium and iron, which were also reported in other studies [7,27,33]. Adequate iron and calcium are critical for foetal development [34].…”

Section: Discussionmentioning

confidence: 66%

Nutritional Status and Self-Reported Nutrition Education Exposure in Women With Gestational Diabetes Mellitus at Primary Health Clinic

Samiun¹,

Yusof²,

Ismail³

et al. 2019

JCHS

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Background: Optimal nutritional status is of utmost importance not only for foetal development but also to maintain normoglycemia in women with gestational diabetes mellitus (GDM). This cross-sectional study described the nutritional status of women with GDM and explored whether self-reported nutrition education (NEd) exposure before a GDM diagnosis would be able to promote better nutrition status. Methods: GDM women (n= 60; age= 31.6 ± 5.0 years) diagnosed between 13th and 28th week of gestation participated in the study. We assessed nutritional status that included anthropometric and blood pressure assessments, biochemical data, and dietary intake. The respondents self-reported their NEd exposure before a GDM diagnosis was made. Results: The pre-pregnancy BMI of the participants was 27.9 ± 6.8 kg/m2, which was categorised as overweight. Total (4.3 ± 5.6 kg) and rate (0.2 ± 0.3 kg/week) of gestational weight gain were within the recommendations. Glycemic parameters and blood pressure were also within the normal range. Nevertheless, they had high intakes of fat (35.5%) and sugar (14.4%) proportionate to their energy intake. They did not meet the recommended nutrient intakes for fibre, calcium, and iron. Only 28.3% of women had prior NEd exposure. Among them, almost all (94.1%) had recurrent GDM. Those with NEd exposure had lower pre-prandial blood glucose profiles, systolic blood pressure, and proportion of protein intake from energy than those without (p< 0.05). Conclusion: Suboptimal maternal nutritional status and low exposure to NEd are evident in women with GDM. Those with self-reported NEd exposure had better parameters of nutritional status. The findings recognised the need of having proper nutrition education for women who are at high risk of GDM since at early pregnancy.

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“…Os carboidratos representam a maior proporção de macronutrientes da dieta e são, deste modo, bons fornecedores de micronutrientes. Os carboidratos podem ser avaliados quanto à sua qualidade, de acordo com o índice glicêmico, a carga glicêmica, a quantidade de fibras e de açúcar adicionado 11,16 .…”

Section: Discussionunclassified

“…Em relação ao papel dos carboidratos na adequação do consumo de micronutrientes, foram propostos intervalos de 50%-54% de carboidratos da energia total para uma boa adequação 16 .…”

Section: Discussionunclassified

A qualidade dos carboidratos dietéticos está associada à adequação do consumo de minerais: um estudo com mulheres acompanhadas no SUS

Cacau¹,

Meneses²,

Sampaio³

et al. 2020

Braspen J

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Aceito para publicação 14 de setembro de 2019 RESUMO Introdução: As inadequações na ingestão de micronutrientes são um problema emergente em termos de saúde pública. Recentemente, o papel dos macronutrientes foi proposto como fator relacionado à adequação do consumo de vitaminas e minerais. O objetivo deste estudo foi avaliar se a qualidade dos carboidratos da dieta está associada com o consumo adequado de minerais. Método: Estudo transversal realizado com mulheres acompanhadas em um serviço de mastologia do SUS, situado na capital do estado do Ceará. A coleta de dados foi realizada entre os anos de 2016 e 2017. Neste trabalho, foram analisados os dados de consumo alimentar investigados por meio da aplicação em duplicata do recordatório de 24 horas, sendo um deles referente a um dia de final de semana. Os dados obtidos foram digitados na Plataforma Brasil Nutri e lançados no Statistical Analysis System. Os dados foram corrigidos para variância intrapessoal no programa estatístico Multiple Source Method para predição da ingestão habitual. Foram avaliados o consumo de zinco (Zn), selênio (Se), cobre (Cu), manganês (Mn), magnésio (Mg), ferro (Fe) e fósforo (P). Para avaliar a qualidade dos carboidratos, calculou-se o Índice de Qualidade do Carboidrato (IQC). As análises estatísticas foram realizadas no SPPS 20.0 e considerou-se significante valores de p<0,05. O projeto foi aprovado pelo Comitê de Ética em Pesquisas da instituição de origem. Resultados: No total, 648 mulheres foram avaliadas, com idade média de 52,4 ± 9,3 anos. A média do IQC foi de 12 ± 3,1. Maiores pontuações do IQC foram associadas com maior adequação de consumo de Zn (p<0,001), Mn (p<0,001), Mg (p<0,001), Cu (p<0,001), P (p=0,002) e de Fe (p=0,006), mas não para Se (p=0,711). Conclusões: Os achados deste estudo demonstraram que maiores valores de IQC estão associados com maior adequação do consumo dos minerais avaliados, com exceção do selênio.

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Dietary micronutrient intake during pregnancy is a function of carbohydrate quality

Abstract: Normal pregnancy can be associated with a decline in energy and micronutrient intake from diet. Low dietary GI and GL were the best predictors of a favorable micronutrient profile. This trial was registered at www.anzctr.org.au as ACTRN12610000174088.

Cited by 23 publications

References 32 publications

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

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

Nutritional Status and Self-Reported Nutrition Education Exposure in Women With Gestational Diabetes Mellitus at Primary Health Clinic

A qualidade dos carboidratos dietéticos está associada à adequação do consumo de minerais: um estudo com mulheres acompanhadas no SUS

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