Disparities exist between the dietary intake of Indigenous Australian women during pregnancy and the Australian dietary guidelines: the <i>Gomeroi gaaynggal</i> study

Lee, Yu Qi; Collins, Claire; Schumacher, Tracy; Weatherall, Loretta; Keogh, Lyniece; Sutherland, Kathryn; Gordon, Adrienne; Rae, Kym; Pringle, Kirsty G.

doi:10.1111/jhn.12550

Cited by 14 publications

(30 citation statements)

References 70 publications

(135 reference statements)

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“…This limitation has been addressed using energy cut off points by Meltzer et al [ 29 ]. Further, the AES FFQ, although previously used in pregnancy [ 51 ], has not been validated in this population group, and therefore, the findings of this study need to be interpreted in this context. The current study also examined nutrient intakes from dietary data alone, noting that 74% of women were taking supplements.…”

Section: Discussionmentioning

confidence: 90%

“…Data was captured during the 3rd trimester only (28–36 weeks’ gestation) and does not take into account differences in intake over the trimesters. However, previous studies indicate little change in dietary patterns over the course of the pregnancy [ 50 , 51 ]. FFQs have a low participant burden compared to other forms of dietary assessment, although self-reported dietary data poses the risk of misreporting.…”

Section: Discussionmentioning

confidence: 99%

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Do the Dietary Intakes of Pregnant Women Attending Public Hospital Antenatal Clinics Align with Australian Guide to Healthy Eating Recommendations?

et al. 2020

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The maternal diet influences the long-term health status of both mother and offspring. The current study aimed to compare dietary intakes of pregnant women compared to food and nutrient recommendations in the Australian Guide to Healthy Eating (AGHE) and Nutrient Reference Values (NRVs). Usual dietary intake was assessed in a sample of women in their 3rd trimester of pregnancy attending antenatal outpatient clinics at John Hunter Hospital, Newcastle, New South Wales (NSW). Dietary intake was measured using the Australian Eating Survey, a validated, semi-quantitative 120-item food frequency questionnaire. Daily food group servings and nutrient intakes were compared to AGHE and NRV targets. Of 534 women participating, none met the AGHE recommendations for all food groups. Highest adherence was for fruit serves (38%), and lowest for breads and cereals (0.6%). Only four women met the pregnancy NRVs for folate, iron, calcium, zinc and fibre from food alone. Current dietary intakes of Australian women during pregnancy do not align with national nutrition guidelines. This highlights the importance of routine vitamin and mineral supplementation during pregnancy, as intakes from diet alone may commonly be inadequate. Future revisions of dietary guidelines and pregnancy nutrition recommendations should consider current dietary patterns. Pregnant women currently need more support to optimise food and nutrient intakes.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Do the Dietary Intakes of Pregnant Women Attending Public Hospital Antenatal Clinics Align with Australian Guide to Healthy Eating Recommendations?

et al. 2020

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“…The inherent recall bias associated with retrospective self-report surveys is recognised as a limitation. Further, the AES food frequency questionnaire, although previously used in pregnancy [ 42 ], has not been validated in this population group, and, therefore, the findings of this study need to be interpreted in this context.…”

Section: Discussionmentioning

confidence: 92%

Maternal Diet Quality, Body Mass Index and Resource Use in the Perinatal Period: An Observational Study

et al. 2020

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The impact of pre-pregnancy obesity and maternal diet quality on the use of healthcare resources during the perinatal period is underexplored. We assessed the effects of body mass index (BMI) and diet quality on the use of healthcare resources, to identify whether maternal diet quality may be effectively targeted to reduce antenatal heath care resource use, independent of women’s BMI. Cross-sectional data and inpatient medical records were gathered from pregnant women attending publicly funded antenatal outpatient clinics in Newcastle, Australia. Dietary intake was self-reported, using the Australian Eating Survey (AES) food frequency questionnaire, and diet quality was quantified from the AES subscale, the Australian Recommended Food Score (ARFS). Mean pre-pregnancy BMI was 28.8 kg/m2 (range: 14.7 kg/m2–64 kg/m2). Mean ARFS was 28.8 (SD = 13.1). Higher BMI was associated with increased odds of caesarean delivery; women in obese class II (35.0–39.9 kg/m2) had significantly higher odds of caesarean delivery compared to women of normal weight, (OR = 2.13, 95% CI 1.03 to 4.39; p = 0.04). Using Australian Refined Diagnosis Related Group categories for birth admission, the average cost of the birth admission was $1348 more for women in the obese class II, and $1952 more for women in the obese class III, compared to women in a normal BMI weight class. Higher ARFS was associated with a small statistically significant reduction in maternal length of stay (RR = 1.24, 95% CI 1.00, 1.54; p = 0.05). There was no evidence of an association between ARFS and mode of delivery or “midwifery-in-the-home-visits”.

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“…Full details of the study designs, method of diet data collection, results, and conclusions of the studies are summarized in Table 1 . Of the 22 studies, almost half included dietary data that were 10 or more years old (collected in 2010 or earlier) [ 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ]. Three of the studies were intervention studies and baseline dietary data were extracted only [ 21 , 29 , 30 ].…”

Section: Resultsmentioning

confidence: 99%

Characterizing Dietary Intakes in Rural Australian Adults: A Systematic Literature Review

2020

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Rural Australians experience a higher burden of diet-related chronic disease than their metropolitan counterparts. Dietary intake data is needed to understand priorities for nutrition initiatives that reduce disparities in the health of rural Australians. A systematic literature review aimed to synthesize the evidence on dietary intakes in adult populations residing in rural and remote Australia, to identify areas for intervention, and make recommendations for future research. A comprehensive search of five electronic databases was conducted and 22 articles were identified for inclusion. Half of the included studies (50%) collected dietary data using non-validated questionnaires and nearly half (41%) did not benchmark dietary intakes against public health guidelines. Most studies (95%) showed that rural populations have suboptimal dietary intakes. Despite the high level of preventable diet-related disease in rural and remote Australia, this review identified that there is insufficient high-quality dietary data available and a lack of consistency between dietary outcomes collected in research to inform priority areas for intervention. Further cross-sectional or longitudinal data should be collected across all remoteness areas, using robust, validated dietary assessment tools to adequately inform nutrition priorities and policies that reduce rural health disparities.

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Disparities exist between the dietary intake of Indigenous Australian women during pregnancy and the Australian dietary guidelines: the Gomeroi gaaynggal study

Cited by 14 publications

References 70 publications

Do the Dietary Intakes of Pregnant Women Attending Public Hospital Antenatal Clinics Align with Australian Guide to Healthy Eating Recommendations?

Do the Dietary Intakes of Pregnant Women Attending Public Hospital Antenatal Clinics Align with Australian Guide to Healthy Eating Recommendations?

Maternal Diet Quality, Body Mass Index and Resource Use in the Perinatal Period: An Observational Study

Characterizing Dietary Intakes in Rural Australian Adults: A Systematic Literature Review

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