The Relationship of Nutritional Energy and Macronutrient Intake with Pregnancy Outcomes in Czech Pregnant Women

Najpaverova, Simona; Kovařík, Miroslav; Kacerovský, Marian; Zadák, Z; Hronek, Miloslav

doi:10.3390/nu12041152

Cited by 5 publications

(3 citation statements)

References 24 publications

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“…Low overall energy and protein intake at 16 weeks' gestation were also associated with increased gestation at delivery, suggesting that gestation is increased in women with lower overall food intake. Previous research in a small cohort found similar results with both carbohydrate intake (g/d per patient weight in kilograms) and overall energy intake between 17 and 27 weeks' gestation being significantly inversely associated with gestation of delivery (carbohydrate: r = −0.131, p < 0.05, energy intake: r = −0.133, p < 0.05) [15]. Neither fat nor protein intake in this gestational time period were associated with gestation at delivery.…”

Section: Discussionsupporting

confidence: 70%

Consumption of a Low Carbohydrate Diet in Overweight or Obese Pregnant Women Is Associated with Longer Gestation of Pregnancy

et al. 2021

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Studies of obstetric outcomes in women consuming low-carbohydrate diets have reported conflicting results. Most studies have defined low-carbohydrate diets by the percentage that carbohydrates contribute to overall energy intake, rather than by an absolute amount in grams per day (g/d). We hypothesised that a low absolute carbohydrate diet affects obstetric outcomes differently than a low percentage carbohydrate diet. Dietary data were collected from overweight or obese women in the Study of Probiotic IN Gestational diabetes at 16- and 28-weeks’ gestation. Obstetric outcomes were compared between women whose carbohydrate intake was in the lowest quintile vs quintiles 2–5. Mean gestation was increased in women whose absolute carbohydrate intake was in the lowest quintile at 16 and at both 16- and 28-weeks’ gestation compared with all other women (16: 39.7 vs. 39.1 weeks, p = 0.008; 16 and 28: 39.8 vs. 39.1, p = 0.005). In linear regression analysis, a low absolute carbohydrate intake at 16 and at 28 weeks’ gestation was associated with increased gestation at delivery (16: p = 0.04, adjusted R2 = 0.15, 28: p = 0.04, adjusted R2 = 0.17). The coefficient of beta at 16 weeks’ gestation was 0.50 (95% CI 0.03–0.98) and at 28 weeks’ gestation was 0.51 (95%CI 0.03–0.99) meaning that consumption of a low absolute carbohydrate diet accounted for an extra 3.5 days in gestational age. This finding was not seen in women whose percentage carbohydrate intake was in the lowest quintile. Low-carbohydrate consumption in pregnancy is associated with increased gestational age at delivery.

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Section: Discussionsupporting

confidence: 70%

Consumption of a Low Carbohydrate Diet in Overweight or Obese Pregnant Women Is Associated with Longer Gestation of Pregnancy

et al. 2021

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“…Pregnant women with low protein intake are at risk of LBW 6 (54.5%) while those with adequate protein intake may experience LBW 3 (4.3%). The results of this study were proven by Najpaverova et al (2020) who explained that protein intake during pregnancy provides benefi ts for fetal growth and development. Protein intake is very helpful in the process of fetal growth during pregnancy.…”

Section: Resultsmentioning

confidence: 58%

Characteristics Energy, and Protein Intake of Pregnant Women during The Covid-19 Pandemic and Its Relation with Infant Birth Weight

Usman

Salimo

Nuhriawangsa

2022

MGI

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The COVID-19 pandemic is an outbreak that has a risk of a food crisis and changes in diet that have an impact on the nutritional status of pregnant women and babies. This study was aimed to analyze the relationship between the characteristics of pregnant women in the third trimester and food intake during the COVID-19 pandemic with birthweight. This research used cross-sectional method with a sample of 91 third trimester pregnant women at the Pundong and Bantul 1 Community Health Centers, Bantul Regency, Yogyakarta, which were randomly selected. The data was collected using a questionnaire. The nutritional status was measured based on MUAC (Mid Upper Arm Circumference), food consumption was measured using SQFF (Semi-Quantitative Food Frequency) questionnaire, and birth weight was measured using a digital weight scale with an accuracy of 0.1 kg. Bivariate analysis was done using Fisher-Exact with 95% CI. The results showed that the characteristics of pregnant women in the third trimester such as education, income, occupation, and disease history had no relationship with birth weight; gestational age (p = 0.007) and nutritional status (p = 0.002) had a relationship with birth weight; energy intake had no relationship while protein had a relationship with birth weight (p = 0.001). The conclusion is that gestational age, nutritional status, and protein intake have a relationship with birth weight during the COVID-19 pandemic. Therefore, pregnant women should always pay attention to food intake and carry out regular pregnancy checks to health services to detect early abnormalities to prevent low birthweight.

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“…A large body of epidemiological studies has indicated a positive association between maternal protein intake and neonatal anthropometric characteristics [ 7 , 8 , 9 , 10 , 11 , 12 ]. However, there is significant evidence that protein may exhibit an inverse [ 13 , 14 ] or U-shaped relationship with fetal growth [ 15 , 16 ], suggesting that we are still far from identifying the ideal protein intake for optimal birth size outcomes [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Maternal Dietary Protein Patterns and Neonatal Anthropometrics: A Prospective Study with Insights from NMR Metabolomics in Amniotic Fluid

Kyrkou,

Fotakis,

Dimitropoulou

et al. 2023

Metabolites

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This study aimed to characterize dietary protein patterns (DPPs) in a sample pool of 298 well-nourished pregnant women and explore potential associations between DPPs and neonatal anthropometrics. Maternal dietary data were collected using a validated food frequency questionnaire. Neonatal anthropometrics were abstracted from health booklets. A hierarchical cluster analysis identified three DPPs: “Dairy-focused”, “Med-fusion”, and “Traditional-inspired”. The “Dairy-focused” DPP exhibited the highest protein intake (p < 0.001), predominantly animal protein (p < 0.001), while the “Traditional-inspired” DPP presented higher plant protein (p < 0.001) and fiber intakes (p < 0.001), and, therefore, a reduced carbohydrate-to-fiber quotient (p < 0.001). The “Med-fusion” DPP had the lowest protein-to-fat ratio (p < 0.001). Infants of women following the “Dairy-focused” DPP had the highest birth height centiles (p = 0.007) and the lowest ponderal index (p = 0.003). The NMR-metabolomics approach was implemented on a subset of women that provided amniotic fluid (AF) specimens (n = 62) to elucidate distinct metabolic signatures associated with DPPs. PCA and OPLS-DA models verified the adherence to three DPPs, revealing that the levels of several amino acids (AAs) were the highest in “Dairy-focused”, reflecting its protein-rich nature. The “Traditional-inspired” DPP showed decreased AAs and glucose levels. This knowledge may contribute to optimizing maternal dietary recommendations. Further research is needed to validate these findings and better understand the relationships between maternal diet, AF metabolic signature, and neonatal anthropometrics.

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The Relationship of Nutritional Energy and Macronutrient Intake with Pregnancy Outcomes in Czech Pregnant Women

Cited by 5 publications

References 24 publications

Consumption of a Low Carbohydrate Diet in Overweight or Obese Pregnant Women Is Associated with Longer Gestation of Pregnancy

Consumption of a Low Carbohydrate Diet in Overweight or Obese Pregnant Women Is Associated with Longer Gestation of Pregnancy

Characteristics Energy, and Protein Intake of Pregnant Women during The Covid-19 Pandemic and Its Relation with Infant Birth Weight

Maternal Dietary Protein Patterns and Neonatal Anthropometrics: A Prospective Study with Insights from NMR Metabolomics in Amniotic Fluid

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