Maternal meal irregularities during pregnancy and lifestyle correlates

Loo, Rachael Si Xuan; Yap, Fabian; Ku, Chee Wai; Cheung, Yin Bun; Tan, Kok Hian; Chan, Jerry Kok Yen; Loy, See Ling

doi:10.1016/j.appet.2021.105747

Cited by 8 publications

(6 citation statements)

References 30 publications

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“…On the other hand, we know that, especially in depressed older people, there is a great tendency to loss of appetite, skipping meals and involuntary weight loss [ 120 , 121 ], due to hypoactivation of the middle insular cortex. It would be interesting to carry out studies in which, when monitoring pregnant women, it can be detected if their frequent lack of appetite or other irregularities [ 122 ] are related to prevalence of postpartum depression; or to determine if, in women with postpartum depression, there is a tendency towards loss of appetite or binge eating in pregnancy.…”

Section: The Importance Of Malnutrition In Mdd From a Sex-gender Pers...mentioning

confidence: 99%

The Problem of Malnutrition Associated with Major Depressive Disorder from a Sex-Gender Perspective

et al. 2022

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Major depressive disorder (MDD) is an incapacitating condition characterized by loss of interest, anhedonia and low mood, which affects almost 4% of people worldwide. With rising prevalence, it is considered a public health issue that affects economic productivity and heavily increases health costs alone or as a comorbidity for other pandemic non-communicable diseases (such as obesity, cardiovascular disease, diabetes, inflammatory bowel diseases, etc.). What is even more noteworthy is the double number of women suffering from MDD compared to men. In fact, this sex-related ratio has been contemplated since men and women have different sexual hormone oscillations, where women meet significant changes depending on the age range and moment of life (menstruation, premenstruation, pregnancy, postpartum, menopause…), which seem to be associated with susceptibility to depressive symptoms. For instance, a decreased estrogen level promotes decreased activation of serotonin transporters. Nevertheless, sexual hormones are not the only triggers that alter neurotransmission of monoamines and other neuropeptides. Actually, different dietary habits and/or nutritional requirements for specific moments of life severely affect MDD pathophysiology in women. In this context, the present review aims to descriptively collect information regarding the role of malnutrition in MDD onset and course, focusing on female patient and especially macro- and micronutrient deficiencies (amino acids, ω3 polyunsaturated fatty acids (ω3 PUFAs), folate, vitamin B12, vitamin D, minerals…), besides providing evidence for future nutritional intervention programs with a sex-gender perspective that hopefully improves mental health and quality of life in women.

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Section: The Importance Of Malnutrition In Mdd From a Sex-gender Pers...mentioning

confidence: 99%

The Problem of Malnutrition Associated with Major Depressive Disorder from a Sex-Gender Perspective

et al. 2022

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“…Eating window and breakfast skipping was also associated with melatonin and cortisol rhythm, which ultimately increases the risk of pre-eclampsia and intrauterine growth retardation [9]. A study done in Singapore had reported that pregnant women had a high prevalence of meal skipping and meal delaying (28% and 29% respectively), and it has been correlated with poor sleep and emotion [10]. Notably, breakfast skipping was examined in most chrononutrition-related studies, as it is the first meal taken in a day [11,12].…”

Section: Introductionmentioning

confidence: 99%

Development, validation, and reliability of the Chrononutrition Profile Questionnaire-Pregnancy (CPQ-P)

Kok,

Kaur,

Mohd Shukri

et al. 2024

BMC Pregnancy Childbirth

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Background During pregnancy, physiological changes can affect eating and sleeping habits, which may eventually have negative consequences for maternal and foetal health. To better understand these changes, it is essential to develop a reliable questionnaire that addresses lifestyle habits such as snacking and daytime napping. This study aimed to determine the validity and reliability of the Chrononutrition Profile Questionnaire-Pregnancy (CPQ-P). Methods A total of 399 women in their second and third trimester of pregnancy were recruited from government maternal and child health clinics in Kuala Lumpur and Putrajaya and completed a self-administered online questionnaire. Content validity was conducted with an expert panel consisting of 4 members. Confirmatory factor analysis (CFA) using maximum likelihood was conducted to determine the construct validity. Internal consistency was determined by Cronbach’s alpha coefficient (CAC), while the test-retest reliability was conducted using intraclass correlation coefficient (ICC). Results The questionnaire had an appropriate content validity index of 0.91. The CPQ-P consists of 22 items, measuring 5 constructs, including morning chrono-habits, sleeping habits, evening eating, temporal eating, and pregnancy symptoms. The factor model showed good fit with χ2/df = 2.486, GFI = 0.893, CFI = 0.912, and RMSEA = 0.065. The 22 items in CPQ-P showed fair to excellent test-retest reliability (ICC: 0.42 to 0.98). The 5 constructs in CPQ-P were found to have a good to excellent internal consistency (α = 0.612–0.963). Conclusions The CPQ-P is a valid and reliable tool for assessing lifestyle habits during pregnancy. The questionnaire can be used to identify areas where pregnant women may need additional support or intervention to adopt healthy behaviours and reduce the risk of adverse maternal and foetal outcomes. Trial registration NCT05700136 (clinicaltrials.gov). Trial registration date: 26/01/2023.

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“…In addition, the recent study of chrononutrition has documented a relationship between nutrient intake, meal timing patterns, and circadian rhythm with metabolic health ( 9 ). Current dietary patterns and meal timing may particularly affect pregnancy, considering it is a period of high metabolic vulnerability due to hormonal and physiological adaptations ( 10 – 12 ). Changes in hormones such as leptin, ghrelin, and insulin, when paired with disrupted circadian rhythms, could lead to impaired hunger signals, increased appetite, and a preference for energy-dense foods ( 13 ), contributing to suboptimal dietary patterns and consequently impact fetal growth and adiposity.…”

Section: Introductionmentioning

confidence: 99%

Nighttime eating during pregnancy and infant adiposity at 6 months of life

Rodríguez-Cano,

Medel-Canchola,

González-Ludlow

et al. 2024

Front. Nutr.

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IntroductionChrononutrition studies the relation between diet, circadian rhythms and metabolism, which may alter the metabolic intrauterine environment, influencing infant fat-mass (FM) development and possibly increasing obesity risk.AimTo evaluate the association of chrononutrition in pregnancy and infant FM at 6 months.MethodsHealthy pregnant women and term-babies (n = 100pairs) from the OBESO cohort (2017–2023) were studied. Maternal registries included pregestational body-mass-index (BMI), gestational complications/medications, weight gain. Diet (three 24 h-recalls, 1 each trimester) and sleep-schedule (first and third trimesters) were evaluated computing fasting (hours from last–first meal), breakfast and dinner latencies (minutes between wake up-breakfast and dinner-sleep, respectively), number of main meals/day, meal skipping (≥1 main meal/d on three recalls) and nighttime eating (from 9:00 pm–5:59 am on three recalls). Neonatal weight, length, BMI/age were assessed. At 6 months, infant FM (kg, %; air-displacement plethysmography) was measured, and FM index (FMI—kgFM/length2) computed. Exclusive breastfeeding (EBF) was recorded. Multiple linear regression models evaluated the association between chrononutrition and 6 month infant FM.ResultsMean fasting was 11.7 ± 1.3 h; breakfast, dinner latency were 87.3 ± 75.2, 99.6 ± 65.6 min, respectively. Average meals/day were 3.0 ± 0.5. Meal skipping was reported in 3% (n = 3) of women and nighttime eating in 35% (n = 35). Most neonates had normal BMI/age (88%, n = 88). Compared to those who did not, mothers engaged in nighttime-eating had infants with higher %FM (p = 0.019). Regression models (R2 ≥ 0.308, p ≤ 0.001) showed that nighttime eating was positively associated with %FM (B: 2.7, 95%CI: 0.32–5.16). When analyzing women without complications/medications (n = 80), nighttime eating was associated with higher FM [%FM, B: 3.24 (95%CI: 0.59–5.88); kgFM, B: 0.20 (95%CI: 0.003–0.40); FMI, B: 0.54 (95%CI: 0.03–1.05)]. Infant sex and weight (6 months) were significant, while maternal obesity, pregnancy complications/medications, parity, energy intake, birth-BMI/age, and EBF were not.ConclusionMaternal nighttime eating is associated with higher adiposity in 6 month infants.

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Maternal meal irregularities during pregnancy and lifestyle correlates

Cited by 8 publications

References 30 publications

The Problem of Malnutrition Associated with Major Depressive Disorder from a Sex-Gender Perspective

The Problem of Malnutrition Associated with Major Depressive Disorder from a Sex-Gender Perspective

Development, validation, and reliability of the Chrononutrition Profile Questionnaire-Pregnancy (CPQ-P)

Nighttime eating during pregnancy and infant adiposity at 6 months of life

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