Poor Dietary Quality Is Associated with Low Adherence to Gestational Weight Gain Recommendations among Women in Sweden

Augustin, Hanna; Winkvist, Anna; Bärebring, Linnea

doi:10.3390/nu12020317

Cited by 13 publications

(19 citation statements)

References 27 publications

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“…3 Pregnant women ought to remove these food products from their daily diet, due to the risk of excessive weight gain and other negative health outcomes for both women and children. 10,12 A study conducted with pregnant women in Ribeirão Preto/SP detected a significant association between the consumption of ultraprocessed products and a higher inflammatory potential in the diet. 29 In this study, the pregnant women's eating habits were similar to the non-pregnant women, except for the consumption of fruit and juices, which was more frequent, and soft drinks and sauces, which was less frequent.…”

Section: Resultsmentioning

confidence: 99%

Consumption of healthy food and ultra-processed products: comparison between pregnant and non-pregnant women, Vigitel 2018

Ruiz

Assumpção

Malta

et al. 2021

Rev. Bras. Saude Mater. Infant.

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Objectives: to characterize pregnant women’s eating habits and compare them to women of reproductive age, and to analyze the association between pregnancy and eating habits. Methods: a cross-sectional study with 13,108 women aged 18 to 50 years (179 pregnant women), included in the Vigitel 2018 telephone survey. Eating habits were assessed by the frequency of food consumption considered as food quality markers and by food eaten in previous day. NOVA classification was used to categorize food into: natural/minimally processed, and ultra-processed food products. The differences were verified by Pearson's Chi-square test and Poisson multiple regression. Results: in pregnant women, we observed lower percentages of natural juice intake (27.5%) and fruit (10.1%) 0-2 times/week, and higher percentages of juice (36.4%) 3-4 times and fruit (74.2%) ≥ 5 times/week compared to non-pregnant women. No differences were detected in the daily frequencies of food intake among the women. The day before the interview, almost 95% of the pregnant women consumed ultra-processed products. Pregnant women reported a lower frequency of soft drink consumption (12.3%) and sauces (7.4%) than non-pregnant women. Conclusion: pregnant women and non-pregnant women had high consumption of ultraprocessed products, highlighting the necessity of interventions, aiming to promote healthy eating.

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Section: Resultsmentioning

confidence: 99%

Consumption of healthy food and ultra-processed products: comparison between pregnant and non-pregnant women, Vigitel 2018

Ruiz

Assumpção

Malta

et al. 2021

Rev. Bras. Saude Mater. Infant.

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“…Although the importance of a healthy diet before and during pregnancy is well established, little is known about the relationship between prenatal diet quality with excessive GWG and available evidence has been inconsistent [ 35 , 36 , 37 , 38 ]. Similar to other studies in healthy pregnant women [ 36 , 39 ], HEI did not have an impact on GWG.…”

Section: Discussionmentioning

confidence: 99%

Impact of Diet Quality during Pregnancy on Gestational Weight Gain and Selected Adipokines—Results of a German Cross-Sectional Study

Ehrhardt

Deibert²,

Flöck

et al. 2022

Nutrients

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While nutrition during pregnancy is critical for the health of both mother and child, little is known about the diet quality of women during pregnancy, its correlation with gestational weight gain (GWG)/body composition, and chosen maternal adipokines. Therefore, we evaluated the Healthy Eating Index (HEI) of 110 pregnant women and analyzed its correlation with GWG/body composition, physical activity, leptin, resistin, adiponectin, and interleukin 6 (IL-6), respectively. Diet quality was medium in 63% of women, characterized by a high intake of animal-based products. HEI was negatively influenced by pre-pregnancy obesity (β = −0.335, p = 0.004), and positively influenced by higher age (>35 yrs., β = 0.365, p ≤ 0.001), upper arm circumference (β = 0.222, p = 0.052), and total activity during the third trimester (β = 0.258, p = 0.008). GWG was associated with pre-pregnancy obesity (β = −0.512, p ≤ 0.001), thigh circumference (β = 0.342, p = 0.007), upper arm fat area (β = 0.208, p = 0.092), and maternal age group (>35 yrs. β = −0.166, p = 0.082), but not with HEI. Leptin and IL-6 displayed associations with variables representative of body composition, such as pre-pregnancy BMI, thigh circumference, upper arm fat area, and upper arm circumference, but were not influenced by HEI. Neither were adiponectin and resistin. IL-6 was also associated with total activity. In conclusion, GWG, leptin, and IL-6 were influenced by nutritional status (body composition/pre-pregnancy BMI), not by maternal diet. Physical activity level also had an impact on IL-6. Thus, efforts should be intensified to improve diet quality and participation in sports before and during pregnancy, particularly in overweight or obese women.

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“…Six studies reported gestational weight gain according to NAM guideline as an outcome. 33,[47][48][49][50][51] Pooled results demonstrated no statistically significant association between diet quality and excessive (OR: 0.91; 95 CI: 0.76, 1.10; I 2 = 59%; P-heterogeneity = 0.03; Figure 2) or inadequate gestational weight gain (OR: 0.90; 95 CI: 0.70, 1.17; I 2 = 80%; P-heterogeneity < 0.01; Figure S1). Results were consistent in the sensitivity analysis where the moderate quality study 33 was excluded (Table S6).…”

Section: Maternal Outcomes Gestational Weight Gainmentioning

confidence: 99%

Association between diet quality during preconception or pregnancy and adverse perinatal outcomes: a systematic review and meta-analysis

Hardy

Sun

et al. 2021

Preprint

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Background: Although women are encouraged to achieve good diet quality in preconception and pregnancy, the benefits on perinatal outcomes have not been established. Objective: To systematically review and quantify the association between diet quality and adverse perinatal outcomes. Search strategy: Medline, Embase, Food Science and Technology Abstracts and CINAHL were searched up to 5th March 2020. Selection criteria: Two authors independently screened, selected and coded relevant prospective cohort studies. Data collection and analysis: Thirty-three studies (315,431 participants) were included in the meta-analysis. Odds ratios and mean differences from individual studies were pooled using random-effects models. Main Results: The pooled results for the association between diet quality and excessive (OR: 0.91; 95 CI: 0.76, 1.10) or inadequate (OR: 0.90; 95 CI: 0.70, 1.17) gestational weight gain were not statistically significant. Women in the top tertile of diet quality scores during prepregnancy or pregnancy had a lower risk of gestational diabetes (OR: 0.77; 95 CI: 0.65, 0.90), hypertensive disorders of pregnancy (OR: 0.87; 95 CI: 0.83, 0.92), preterm birth (OR: 0.77; 95 CI: 0.66, 0.89), small for gestational age (OR: 0.88; 95 CI: 0.79, 0.99) and low birth weight (OR: 0.60; 95 CI: 0.37, 0.99) compared to those in the bottom tertile. No studies were found for delivery mode. Conclusions: Data from prospective cohort studies support the potential of improving maternal diet quality in the effort to prevent adverse perinatal outcomes. Funding: Canadian Institutes of Health Research HLT 151517, National Natural Sciences Foundation of China No. 81661128010 Keywords: Diet quality, perinatal outcomes.

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Poor Dietary Quality Is Associated with Low Adherence to Gestational Weight Gain Recommendations among Women in Sweden

Cited by 13 publications

References 27 publications

Consumption of healthy food and ultra-processed products: comparison between pregnant and non-pregnant women, Vigitel 2018

Consumption of healthy food and ultra-processed products: comparison between pregnant and non-pregnant women, Vigitel 2018

Impact of Diet Quality during Pregnancy on Gestational Weight Gain and Selected Adipokines—Results of a German Cross-Sectional Study

Association between diet quality during preconception or pregnancy and adverse perinatal outcomes: a systematic review and meta-analysis

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