Estimation of Total Usual Dietary Intakes of Pregnant Women in the United States

Bailey, Regan L; Pac, Susan; Fulgoni, Victor L.; Reidy, Kathleen; Catalano, Patrick M.

doi:10.1001/jamanetworkopen.2019.5967

Cited by 149 publications

(177 citation statements)

References 59 publications

(132 reference statements)

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“…The rates of deficiency for vitamins B6 and B12 are not well documented, however the role of vitamin B9 (folate) in fetal development continues to be one the most well-studied of all nutrients during pregnancy [9,[66][67][68][69][70]. An analysis of NHANES 2001-2014 data of pregnant women found mean intakes of vitamin B6, folate, and vitamin B12 from food averaged near the EAR, and intake from food and supplements averaged at least double the EAR [71].…”

Section: B-vitaminsmentioning

confidence: 99%

“…Recent data suggest the rate of folate deficiency in pregnancy in the United States is as low as 0.5%, since mandatory grain fortification started in 1998 [72], dramatically reducing the number of birth defects, especially spina bifida [66]. Bailey, et al, (2019) found folate intakes from both food and supplements were at risk of inadequate intake, with 16.4% of pregnant women below the EAR, however, at the same time, 33.4% of pregnant women had intakes above the Tolerable Upper Intake Level (UL) [71]. This wide disparity in intakes suggests a folate source that is not consistent across the population, potentially from inconsistent prenatal vitamin use by expectant mothers [71].…”

Section: B-vitaminsmentioning

confidence: 99%

“…Bailey, et al, (2019) found folate intakes from both food and supplements were at risk of inadequate intake, with 16.4% of pregnant women below the EAR, however, at the same time, 33.4% of pregnant women had intakes above the Tolerable Upper Intake Level (UL) [71]. This wide disparity in intakes suggests a folate source that is not consistent across the population, potentially from inconsistent prenatal vitamin use by expectant mothers [71].…”

Section: B-vitaminsmentioning

confidence: 99%

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Nutritional Gaps and Supplementation in the First 1000 Days

Korczak²,

et al. 2019

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Optimized nutrition during the first 1000 days (from conception through the 2nd birthday) is critical for healthy development and a healthy life for the newborn. Pregnancy and the postpartum period are accompanied by physiological changes, increased energy needs, and changing requirements in the nutrients critical for optimal growth and development. Infants and toddlers also experience physiological changes and have specific nutritional needs. Food and nutrition experts can provide women of childbearing age with adequate dietary advice to optimize nutrition, as well as guidance on selecting appropriate dietary supplements. Considering the approaching 2020–2025 Dietary Guidelines for Americans (DGA) will be making specific recommendations for children, it is important to provide accurate scientific information to support health influencers in the field of nutrition. The purpose of this review is to summarize the nutrition and supplementation literature for the first 1000 days; to highlight nutritional and knowledge gaps; and to educate nutrition influencers to provide thoughtful guidance to mothers and families. Optimal nutrition during pregnancy through early childhood is critical for supporting a healthy life. Nutrition influencers, such as dietitians, obstetricians/gynecologists, and other relevant health professionals, should continue guiding supplement and food intake and work closely with expectant families and nutrition gatekeepers.

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Section: B-vitaminsmentioning

confidence: 99%

Section: B-vitaminsmentioning

confidence: 99%

Section: B-vitaminsmentioning

confidence: 99%

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Nutritional Gaps and Supplementation in the First 1000 Days

Korczak²,

et al. 2019

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“…Maternal anemia might cause serious fetal and maternal complications during pregnancy (7). The effects of this disorder on the placenta and child weight have been reported in the several studies (8)(9)(10)(11). Anemia with hemoglobin levels between 6-10 g/dL might cause placental hypertrophy during the pregnancy.…”

mentioning

confidence: 97%

The Effects of Maternal Anemia in Pregnant Women with Respect to the Newborn Weight and the Placental Weight in the Delivery Room

Tekgül¹,

Yamazhan²

2019

jpr

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Maternal anemia has been reported as the most common hematologic problem in pregnant women. This disorder occurs frequently as a result of insuffucient intake of iron and folic acid during pregnancy (1-4). It is reported that iron deficiency anemia occurs in 85-100% pregnant women with insufficient supplementation of iron during pregnancy (5,6). The rate and severity of maternal anemia has some variabilities in the different geographic and economical distribution (5). While many women in developed countries start pregnancy with low iron stores, this is much more serious in developing countries. Maternal anemia in the gestational period may also be related to obstetric complications such as postpartum hemorrhage, operative delivery and placental abnormalities (5,6).

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“…The maternal microbiome is identified as a therapeutic target to improve the health of pregnant women and their offspring that is widely understudied 29,30 . The current dietary fiber intake in the US during pregnancy is low, 17.3 g/day 31 , which is well below the recommended intake of 28 g/day 32 . Therefore, increasing fiber intake during pregnancy has the potential to have a large and beneficial impact.…”

mentioning

confidence: 83%

A high dietary fiber randomized clinical trial reduces gestational weight gain, fat accrual, and postpartum weight retention

Hull

Herman

Gibbs

et al. 2020

Preprint

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Background: Interventions to prevent excessive gestational weight gain (GWG) have had limited success This pilot study examined the effectiveness of a single goal (SG) high dietary fiber intervention to prevent excessive GWG. Methods: Twelve weekly lessons focused on consuming a high fiber diet (≥30 g/day). Snacks containing 10-12 g of dietary fiber were given for the first six weeks only. Body composition was measured at baseline and at the end of the intervention. At one-year postpartum, body weight retention and dietary practices were assessed. A p-value is reported for the primary analysis only. For all other comparisons, Cohen’s d is reported to indicate effect size. Results: The SG group increased fiber intake during the study (32 g/day at 6 weeks, 27 g/day at 12 weeks), whereas the UC group did not (~17 g/day). No differences were found for the proportion of women classified as excessive gainers (p=0.13). During the intervention, the SG group gained less body weight (-4.1 kg) and less fat mass (-2.8 kg) (d=1.3). At one year postpartum, the SG group retained less weight (0.35 vs. 4.4 kg, respectively; d=1.8), and reported trying to currently eat high fiber foods.Conclusion: The SG intervention resulted in less weight gain, fat accrual, and weight retention at one year postpartum. A residual intervention effect was detected postpartum with the participants reporting continued efforts to consume a high fiber diet. Trial registration: ClinicalTrials.gov NCT03984630; Trial registered June 13, 2019 (retrospectively registered)

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Estimation of Total Usual Dietary Intakes of Pregnant Women in the United States

Cited by 149 publications

References 59 publications

Nutritional Gaps and Supplementation in the First 1000 Days

Nutritional Gaps and Supplementation in the First 1000 Days

The Effects of Maternal Anemia in Pregnant Women with Respect to the Newborn Weight and the Placental Weight in the Delivery Room

A high dietary fiber randomized clinical trial reduces gestational weight gain, fat accrual, and postpartum weight retention

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