Dietary patterns during pregnancy and the association with sociodemographic characteristics among women attending general practices in southern Brazil: the ECCAGe Study

Hoffmann, Juliana Feliciati; Camey, Suzi Alves; Olinto, Maria Teresa Anselmo; Schmidt, María Inês; Ozcariz, Silvia Giselle Ibarra; Melere, Cristiane; Buss, Caroline; Drhemer, Michele; Manzolli, Patrícia; Soares, Rafael Marques; Nunes, Maria Angélica; Pinheiro, Andréa Poyastro

doi:10.1590/s0102-311x2013000900014

Cited by 8 publications

(19 citation statements)

References 13 publications

(26 reference statements)

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“…In our study, a positive association was observed between family income and the 'healthy' pattern. This finding is in agreement with other national studies that verified that women with the lowest education and income have been associated with the intake of traditional Brazilian food items (16) and with a low consumption of healthy foods (17) . Brazil is a developing country and the frequency of low-income families is still quite common.…”

Section: Discussionsupporting

confidence: 93%

“…Additionally, a positive association between education and a 'healthconscious' diet was verified in a British population-based study with 12 053 pregnant women (11) . Also, age, regional habits, lower parity and marital status have been suggested to be associated with dietary quality (10,16,17) . The identification of whether certain sociodemographic factors are associated with adherence to specific dietary patterns may help shape the actions of health professionals according to the social and economic profile of their patient population.…”

mentioning

confidence: 99%

“…The identification of whether certain sociodemographic factors are associated with adherence to specific dietary patterns may help shape the actions of health professionals according to the social and economic profile of their patient population. Particularly, in a developing country such as Brazil, it was shown that low income may affect food and dietary patterns (9,16,17) . These relationships emphasise the recent evidence that suggests these possible associations should be further explored.…”

mentioning

confidence: 99%

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Sociodemographic characteristics determine dietary pattern adherence during pregnancy

Castro¹,

Freitas-Vilela²,

Oliveira³

et al. 2015

Public Health Nutr.

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Objective: Sociodemographic factors may affect adherence to specific dietary patterns during pregnancy. The present study aimed to identify dietary patterns during pregnancy and associated factors among Brazilian pregnant women. Design: A cross-sectional analysis. Dietary intake was evaluated with a semiquantitative FFQ during the first postpartum week; the time frame included the second and third gestational trimesters. Principal component analysis was used to identify dietary patterns during pregnancy. Sociodemographic data were obtained using a structured questionnaire. Multiple linear regressions were applied to test the associations between the sociodemographic factors and dietary patterns. Setting: Mesquita, Rio de Janeiro, Brazil, 2011. Subjects: Postpartum women (n 327) who were 18-45 years of age and Mesquita residents. Results: Three different dietary patterns were identified: 'healthy' (mainly comprising legumes, vegetables and fruits), 'mixed' (mainly comprising candy, butter and margarine, and snacks) and 'traditional' (mainly comprising beans and rice). Women with a higher monthly per capita family income (β = 0·0006; 95 % CI 0·0001, 0·001; P = 0·011) and women of older age (β = 0·021; 95 % CI −0·001, 0·042; P = 0·058) were more likely to adhere to the 'healthy' dietary pattern. Women with higher parity were less likely to adhere to the 'healthy' pattern (β = − 0·097; 95 % CI −0·184, −0·009; P = 0·030) and were more likely to adhere to the 'traditional' pattern (β = 0·098; 95 % CI 0·021, 0·175; P = 0·012). Although not statistically significant, older women were less likely to adhere to the 'mixed' (β = − 0·017; 95 % CI −0·037, 0·003; P = 0·075) and 'traditional' (β = − 0·018; 95 % CI −0·037, 0·001; P = 0·061) dietary patterns. Conclusions: Monthly per capita family income, parity and maternal age were factors associated with adherence to a healthy diet during pregnancy.

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Section: Discussionsupporting

confidence: 93%

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confidence: 99%

mentioning

confidence: 99%

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Sociodemographic characteristics determine dietary pattern adherence during pregnancy

Castro¹,

Freitas-Vilela²,

Oliveira³

et al. 2015

Public Health Nutr.

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“…This pattern included the smaller variety of food items. Hoffmann et al 17 have also identified a "restricted" pattern among pregnant women in Porto Alegre, with a large proportion (42%) of foods from the Food Frequency Questionnaires (FFQs) not being consumed by at least half the women. This pattern was also characterized by higher consumption of soft drinks in both studies.…”

Section: Discussionmentioning

confidence: 99%

“…Food patterns were identified by cluster analysis, using the k-means method of the software Statistical Package for the Social Sciences (SPSS) version 18.0. The k-means algorithm is a method of non-hierarchical clustering in which the homogeneity of the groups is measured through the Euclidean distance 17 . Each sample element is grouped in the center of greater similarity.…”

Section: Methodsmentioning

confidence: 99%

Padrões alimentares de escolares: existem diferenças entre crianças e adolescentes?

Corrêa

Vencato

Rockett

et al. 2017

Ciênc. saúde coletiva

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Association between Dietary Patterns and Mental Disorders in Pregnant Women in Southern Brazil.

Ahlert

Drehmer

Olinto

et al. 2015

International Journal of Epidemiology

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Objective: To evaluate the association between dietary patterns and mental disorders among pregnant women in southern Brazil. Methods: Cross-sectional study with 712 pregnant women recruited from the Study of Food Intake and Eating Behaviors in Pregnancy (ECCAGe). Food intake assessment was performed using the Food Frequency Questionnaire. Dietary patterns were identified by cluster analysis. The Primary Care Evaluation of Mental Disorders (PRIME-MD) was used to evaluate participants' mental health. Poisson regression models with robust variance were fitted to estimate prevalence ratios (PR). Results: In the adjusted models, there was a high prevalence of major depressive disorder among women with low fruit intake (43%, PR 1.43, 95%CI 1.04-1.95) and high sweets and sugars intake (91%, PR 1.91, 95%CI 1.19-3.07). Women with a common-Brazilian dietary pattern had higher prevalence of major depressive disorder compared to those with a varied consumption pattern (PR 1.43, 95%CI 1.01-2.02). Low intake of beans was significantly associated with generalized anxiety disorder (PR 1.40, 95%CI 1.01-1.93). Conclusions: Low consumption of fruits and beans and intake of the common-Brazilian dietary pattern during pregnancy were associated with higher prevalence of mental disorders. These results reinforce the importance of an adequate dietary intake to ensure better mental health in pregnancy.

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Dietary patterns during pregnancy and the association with sociodemographic characteristics among women attending general practices in southern Brazil: the ECCAGe Study

Abstract: Cad. Saúde Pública, Rio de Janeiro, 29 (5)

Cited by 8 publications

References 13 publications

Sociodemographic characteristics determine dietary pattern adherence during pregnancy

Sociodemographic characteristics determine dietary pattern adherence during pregnancy

Padrões alimentares de escolares: existem diferenças entre crianças e adolescentes?

Association between Dietary Patterns and Mental Disorders in Pregnant Women in Southern Brazil.

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