A decrease in diet quality occurs during pregnancy in overweight and obese women which is maintained post-partum

Moran, Lisa J.; Sui, Zhixian; Cramp, Courtney; Dodd, Jodie M

doi:10.1038/ijo.2012.129

Cited by 96 publications

(76 citation statements)

References 49 publications

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“…In the very severely obese group a more “prudent” eating style emerged, similar to the control women. This finding is in contrast to a recent study showing a decrease in diet quality across pregnancy as assessed by the “healthy eating index” in overweight and obese women [ 31 ]. This may have been due to the specific healthy eating dietary advice given to very severely obese women attending the clinic.…”

Section: Discussioncontrasting

confidence: 99%

Health Behaviours during Pregnancy in Women with Very Severe Obesity

et al. 2015

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The health behaviours of pregnant women with very severe obesity are not known, though these women are at high risk of pregnancy complications. We carried out a prospective case-control study including 148 very severely obese (BMI >40 kg/m2) and 93 lean (BMI <25 kg/m2) pregnant women. Diet, physical activity, smoking, alcohol and folic acid consumption were assessed by questionnaire in early and late (16 and 28 weeks gestation) pregnancy. Circulating levels of iron, vitamin B12 and folate and other essential trace elements and minerals were measured in a subset at each time point. The findings biochemically confirmed that very severely obese women consumed diets that were energy-rich but poor in essential micronutrients. A third of all women met physical activity recommendations for pregnancy. A third of very severely obese women and two thirds of lean women took folic acid supplements prior to pregnancy. Very severely obese women were more likely to smoke but less likely to drink alcohol than lean women (all p < 0.05). Women with very severe obesity have low self-reported intakes and circulating levels of essential micronutrients in pregnancy and few follow current recommendations for pregnancy nutrition and lifestyle. These high-risk women represent a group to target for education about health behaviours prior to and during pregnancy.

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Section: Discussioncontrasting

confidence: 99%

Health Behaviours during Pregnancy in Women with Very Severe Obesity

et al. 2015

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“…FFQs are generally acceptable as a main method of dietary intake in studies of this type and size [61]. Some women may have reported a dietary recall when they were pregnant, which may be different to their dietary intake postpartum; however, evidence suggests that there are minimal dietary differences between pregnancy and postpartum [25,63]. Additionally, while we attempted to broadly explore predictors of diet quality in this population, we cannot rule out other confounding factors that may account for differences between these groups that we have not accounted for in our model, such as psychosocial factors, including weight-related distress and perceived barriers to weight loss and body image [22], all of which have been previously shown to be associated with reduced adherence to nutrition recommendations.…”

Section: Limitationsmentioning

confidence: 99%

“…However, there is limited research assessing diet quality across postpartum time periods [21] and little is known about predictors of poorer dietary intake, including demographic and lifestyle factors postpartum. Further, there is limited literature assessing population-based cohorts, with previous research focusing on specific populations, such as multi-ethnic, low income, and overweight and obese postpartum women [12,[22][23][24][25]. Therefore, we aimed to investigate the association between time since childbirth and diet quality and the differences in diet quality, stratified by time from childbirth, including early postpartum (0-6 months) and late postpartum (7-12 months) and all other women with children (>12 months post childbirth) within a population-based cohort from ALSWH.…”

Section: Introductionmentioning

confidence: 99%

Postpartum Diet Quality: A Cross-Sectional Analysis from the Australian Longitudinal Study on Women’s Health

Martin

Joham

Mishra

et al. 2020

JCM

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Reproductive-aged women are at high risk of developing obesity, and diet quality is a potential modifiable risk factor. There is limited research exploring diet quality and its association with time since childbirth. Using data from the Australian Longitudinal Study on Women’s Health (ALSWH) survey 5 (2009) of women born between 1973–1978, who reported having previously given birth, we investigated the association between time since childbirth and diet quality, and differences in energy, macronutrients, micronutrient intake, and diet quality assessed by the dietary guideline index (DGI) in women stratified by time from last childbirth, early (0–6 months; n = 558) and late (7–12 months; n = 547), and all other women with children (>12 months post childbirth n = 3434). From this cohort, 8200 participants were eligible, of which 4539 participants completed a food frequency questionnaire (FFQ) and were included in this analysis. Overall, diet quality was higher in early and late postpartum women (mean DGI score 89.8 (SD 10.5) and mean DGI score 90.0 (SD 10.2), respectively) compared to all other women with children (>12 months post childbirth), mean DGI score 85.2 (SD 11.7), p < 0.001. Factors positively associated with diet quality included higher education, physical activity, health provider support, and vitamin and/or mineral supplement use. Conversely, increasing time from childbirth (>12 months), smoking compared with non-smoking and medium income level compared with no income was negatively associated with diet quality. A lower diet quality in women greater than 12 months post childbirth may be reflective of increased pressures, balancing childrearing and return to work responsibilities. This highlights the need to support women beyond the postpartum period to improve modifiable factors associated with weight gain, including diet quality, to optimize health and reduce chronic disease risk.

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“…The highest ranked pregnancy research priority was promoting healthy diet and nutrition, which includes supplementation. Globally, women's dietary intake is typically sub-optimal during pregnancy, despite the additional nutritional needs associated with gestation [28,29]. In low-and middle-income countries, nutritional deficiencies often co-exist with obesity [4].…”

Section: Discussionmentioning

confidence: 99%

Health in Preconception, Pregnancy and Postpartum Global Alliance: International Network Pregnancy Priorities for the Prevention of Maternal Obesity and Related Pregnancy and Long-Term Complications

Hill

Skouteris

Boyle

et al. 2020

JCM

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In this article, we describe the process of establishing agreed international pregnancy research priorities to address the global issues of unhealthy lifestyles and rising maternal obesity. We focus specifically on the prevention of maternal obesity to improve related clinical pregnancy and long-term complications. A team of multidisciplinary, international experts in preconception and pregnancy health, including consumers, were invited to form the Health in Preconception, Pregnancy and Postpartum (HiPPP) Global Alliance. As an initial activity, a priority setting process was completed to generate pregnancy research priorities in this field. Research, practice and policy

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A decrease in diet quality occurs during pregnancy in overweight and obese women which is maintained post-partum

Cited by 96 publications

References 49 publications

Health Behaviours during Pregnancy in Women with Very Severe Obesity

Health Behaviours during Pregnancy in Women with Very Severe Obesity

Postpartum Diet Quality: A Cross-Sectional Analysis from the Australian Longitudinal Study on Women’s Health

Health in Preconception, Pregnancy and Postpartum Global Alliance: International Network Pregnancy Priorities for the Prevention of Maternal Obesity and Related Pregnancy and Long-Term Complications

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