Longitudinal Nutritional Intakes in Italian Pregnant Women in Comparison with National Nutritional Guidelines

Lisso, Fabrizia; Massari, Maddalena; Gentilucci, Micaela; Novielli, Chiara; Corti, Silvia; Stellio, Leonardo Nelva; Milazzo, Roberta; Troiano, Ersilia; Schaefer, Ella; Cetin, Irene; Mandò, Chiara

doi:10.3390/nu14091944

Cited by 5 publications

(6 citation statements)

References 64 publications

(83 reference statements)

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“…Thirdly, the actual intake of micronutrients of the participants in the present study failed to meet the recommendations, which is similar to several previous studies in GDM women or normal glucose tolerance pregnant women [24][25][26], even though their total dietary energy intake was adequate. This indicates that the dietary quality of the study participants was not optimal.…”

Section: Discussionsupporting

confidence: 81%

Dietary intakes of women with gestational diabetes mellitus and pregnancy outcomes: a prospective observational study

Zheng

Zhang

et al. 2023

Preprint

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Background Nutritient intake of pregnant women with gestational diabetes mellitus (GDM) is important to ensure satisfactory birth outcomes. The aim of this study is to explore the dietary profiles of patients with GDM, compare the results with the Chinese dietary guidelines or Dietary Reference Intakes (DRIs) from China and investigate the relationship between maternal dietary intake and pregnancy outcomes. Methods A total of 221 patients with GDM in the second trimester were included in the cohort. Dietary intake data were collected using a 24-hour recall method for 3 consecutive days. Pregnancy outcomes of these participants were followed up. Univariate logistic regression and multivariate logistic regression analyses were conducted to explore the associations between dietary intake variables or general characteristics variables and adverse pregnancy outcomes. Results Participants with adverse pregnancy outcomes showed lower percentage of dietary energy intake from carbohydrate, iodine and Vitamin D and higher percentage of dietary energy intake from fat compared to participants without adverse pregnancy outcomes. The gestational weight gain and family history of diabetes were associated with increased risk of adverse pregnancy outcomes. Exercise, the percentage of dietary energy intake from carbohydrate, the intake of iodine and Vitamin D were associated with a decreased risk of adverse pregnancy outcomes. Conclusion The daily diet of pregnant women with GDM in China did not meet the dietary guidelines or DRIs. The low dietary carbohydrate ratio and intake of Vitamin D and iodine, family history of diabetes, lack of exercise, and high gestational weight gain were associated with increased risk of adverse pregnancy outcomes in pregnant women with GDM.

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Section: Discussionsupporting

confidence: 81%

Dietary intakes of women with gestational diabetes mellitus and pregnancy outcomes: a prospective observational study

Zheng

Zhang

et al. 2023

Preprint

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“…Nutrient intakes from 7-DRs showed a worrying distance from recommendations, despite the reported energy intake being lower than the recommended in both total study population and subgroups. In line with this result, we recently recorded energy intakes lower than recommended in a cohort of Italian normal-and overweight pregnant women [21]. The Mediterranean PHIME cohort additionally confirmed this result and the authors suggested that pregnant women did not show any energy deficit, probably due to the combination of inadequate eating habits and low physical activity level [10].…”

Section: Discussionsupporting

confidence: 75%

“…Each frequency consumption was reported as a factor, derived from the ratio of the frequency per day, week and month each food item was consumed, in order to obtain a daily fraction of consumption for each item. A dietary bromatological analysis was performed on the obtained data, as previously reported [21]. Macro-and micronutrient intakes were assessed by us using Food Composition Database for Epidemiological Studies in Italy (Banca Dati di Composizione degli Alimenti per Studi Epidemiologici in Italia-BDA) [22].…”

Section: Nutritional Data Collectionmentioning

confidence: 99%

Associations between Maternal Dietary Patterns, Biomarkers and Delivery Outcomes in Healthy Singleton Pregnancies: Multicenter Italian GIFt Study

et al. 2022

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Background: Maternal nutrition represents a critical risk factor for adverse health outcomes in both mother and offspring. We aimed to investigate associations between maternal nutritional habits, biomarker status, and pregnancy outcome among Italian healthy normal-weight pregnancies. Methods: Multicenter prospective cohort study recruiting Italian healthy normal-weight women with singleton spontaneous pregnancies at 20 ± 2 weeks (T1) in Milan and Naples. All patients underwent nutritional evaluations by our collecting a 7-day weighed dietary record at 25 ± 1 weeks (T2) and a Food Frequency Questionnaire at 29 ± 2 weeks (T3). Maternal venous blood samples were collected at T3 to assess nutritional, inflammatory and oxidative biomarker concentrations (RBCs folate, vitamin D, hepcidin, total antioxidant capacity). Pregnancy outcomes were collected at delivery (T4). General linear models adjusted for confounding factors were estimated to investigate associations between maternal dietary pattern adherence, nutrient intakes, biomarker concentrations and delivery outcomes. Results: 219 healthy normal-weight pregnant women were enrolled. Vitamin D and RBCs folate concentrations, as well as micronutrient intakes, were consistently below the recommended range. In a multi-adjusted model, maternal adherence to the most prevalent ‘high meat, animal fats, grains’ dietary pattern was positively associated with hepcidin concentrations and negatively associated with gestational age at delivery in pregnancies carrying female fetuses. Hepcidin plasma levels were further negatively associated to placental weight, whereas vitamin D concentrations were positively associated to neonatal weight. Conclusions: A high adherence to an unbalanced ‘high meat, animal fats, grains’ pattern was detected among Italian normal-weight low-risk pregnancies, further associated with maternal pro-inflammatory status and gestational age at delivery. This evidence underlines the need for a dedicated nutritional counseling even among low-risk pregnancies.

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“…With the internet being more accessible to an increasing number of people, it could be thus assumed that easy access to information allows women to obtain all the necessary knowledge related to adequate nutrition, elimination of food risks, and nutritionrelated complications associated with pregnancy. However, studies show that this is far from the case and that women do not follow nutritional recommendations [15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Nutritional Health Knowledge and Literacy among Pregnant Women in the Czech Republic: Analytical Cross-Sectional Study

Papežová

Kapounová

Zelenková

et al. 2023

IJERPH

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Adequate nutrition and the nutritional status of pregnant women are critical for the health of both the mother and the developing foetus. Research has shown a significant impact of nutrition on the child’s health and the future risk of developing chronic noncommunicable diseases (NCDs), such as obesity, diabetes, hypertension, and cardiovascular disease. There is currently no data on the level of nutritional knowledge of Czech pregnant women. This survey aimed to evaluate their level of nutritional knowledge and literacy. An analytical cross-sectional study was conducted in two healthcare facilities in Prague and Pilsen between April and June 2022. An anonymous self-administered paper-form questionnaire for assessing the level of nutritional knowledge (40 items) and the Likert scale for assessing nutrition literacy (5 items) were used. A total number of 401 women completed the questionnaire. An individual’s nutritional knowledge score was calculated and compared with demographic and anamnestic characteristics using statistical methods. The results showed that only 5% of women achieved an overall nutritional score of 80% or more. University education (p < 0.001), living in the capital city (p < 0.001), experiencing first pregnancy (p = 0.041), having normal weight and being overweight (p = 0.024), and having NCDs (p = 0.044) were statistically significantly associated with a higher nutritional knowledge score. The lowest knowledge scores were found in the areas of optimal energy intake, optimal weight gain, and the role of micronutrients in diet during pregnancy. In conclusion, the study shows limited nutrition knowledge of Czech pregnant women in some areas of nutrition. Increasing nutritional knowledge and nutrition literacy in Czech pregnant women is crucial for supporting their optimal course of pregnancy and the future health of their offspring.

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Longitudinal Nutritional Intakes in Italian Pregnant Women in Comparison with National Nutritional Guidelines

Cited by 5 publications

References 64 publications

Dietary intakes of women with gestational diabetes mellitus and pregnancy outcomes: a prospective observational study

Dietary intakes of women with gestational diabetes mellitus and pregnancy outcomes: a prospective observational study

Associations between Maternal Dietary Patterns, Biomarkers and Delivery Outcomes in Healthy Singleton Pregnancies: Multicenter Italian GIFt Study

Nutritional Health Knowledge and Literacy among Pregnant Women in the Czech Republic: Analytical Cross-Sectional Study

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