Assessment of diet quality in pregnant women using the Healthy Eating Index

Pick, Mary E.; Edwards, Melissa; Moreau, Danielle; Ryan, Edmond A.

doi:10.1016/j.jada.2004.11.028

Cited by 107 publications

(109 citation statements)

References 9 publications

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“…For example, a recent National Health Survey found that only 7.7% of Australian adult females meet the recommended intake guidelines for fruit and vegetables. 17 Moreover, there is some evidence to suggest that overweight and obese women consume diets of poor quality during pregnancy, [18][19][20] and diet quality may in fact deteriorate across pregnancy and the post-partum period. 21 This study also demonstrated that the protective effect of diet on GDM incidence was independent of weight changes, as no significant differences in GWG were observed overtime between groups.…”

Section: Discussionmentioning

confidence: 99%

A behavioural nutrition intervention for obese pregnant women: Effects on diet quality, weight gain and the incidence of gestational diabetes

Opie

Neff

Tierney

2016

Aust NZ J Obst Gynaeco

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Background: Obese pregnant women have an increased risk of antenatal, intra-and post-partum complications. At present, there is limited evidence to support specific nutritional management of obese women in pregnancy, and guidelines are infrequently translated into practice. Aims: To implement an individually tailored nutrition program for obese pregnant women to reduce the rates of gestational diabetes mellitus (GDM), improve diet quality, achieve weight gain targets, limit gestational weight gain (GWG) and reduce complications for mother and child. Methods: A prospective dietary intervention study was conducted at a hospital in Melbourne, Australia, using a parallel control group from the Birthing Outcomes System (BOS) database. Obese pregnant women were included if they were ≤21 weeks gestation and aged ≥18 years. The intervention group received one face-to-face dietitian-delivered consultation, with reviews conducted over the phone. Results: A total of 92 and 125 obese pregnant women were enrolled into the dietary intervention group and BOS control group, respectively. The diet quality of intervention participants improved, without significant differences in GWG across groups. In the control group, 19.3% of women developed GDM, compared to 6.5% in the diet group (P 0.013). However, after adjusting for ethnicity and body mass index, the association between the diet group and GDM incidence was no longer significant. Conclusions: This study demonstrates that a behavioural nutrition intervention, individually tailored for obese pregnant women can improve diet quality. A larger randomised controlled trial targeted at obese pregnant women, with comparable groups at baseline, is required to observe the effects of dietary improvement on GDM incidence, and other maternal and neonatal outcomes.

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Section: Discussionmentioning

confidence: 99%

A behavioural nutrition intervention for obese pregnant women: Effects on diet quality, weight gain and the incidence of gestational diabetes

Opie

Neff

Tierney

2016

Aust NZ J Obst Gynaeco

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“…The diet quality and variety of the young Australian cohort that we have studied appears to be suboptimal, as evident by the discrepancies between the recommended and reported intake levels, especially for folate, fibre and Fe. These key nutrients have also been found to be at suboptimal levels of intake in pregnant women in the UK and Norway, and in pregnant and non-pregnant controls in the USA (5)(6)(7) . The ARFS was previously developed to evaluate the diet quality of mid-aged Australian women and it has performed well in analyses of nutritional and some morbidity-related indices (24,25) .…”

Section: Discussionmentioning

confidence: 99%

Diet and pregnancy status in Australian women

Hure

Young

Smith

et al. 2009

Public Health Nutr.

141

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“…However, the Healthy Eating Index (HEI) has been designed to assess diet quality for subjects 2 years of age and older (Kennedy et al, 1995). Several studies have investigated whether this index is related to nutrient adequacy or particular health outcomes among adults (Ford et al, 2005;Fung et al, 2005;Pick et al, 2005). However, limited similar data are available among school-aged children and especially in children from a Mediterranean country (Batsiotis et al, 2002;Feskanich et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

Assessing children's diet quality in Crete based on Healthy Eating Index: The Children Study

et al. 2009

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Background: This study aimed to assess children's diet quality in Crete and the potential role of several socio-demographic factors related to it. Methods: Between October 2005 and March 2006, 481 primary school children were recruited from Crete. Dietary intake data was obtained using a combination of techniques comprising a 24 h recall and 3 food diaries. The Healthy Eating Index (HEI) was calculated summing the individual scores (0-10) assigned to 10 index components. Results: The majority of participants (84.5%) had diet that 'needs improvement' (HEI score: 51-80). Twelve percent of participants had 'poor diet' and only 3.5% of schoolchildren had 'good diet' (HEI score 480). The overall mean of the HEI score was 60.5. The mean values of the HEI components score ranged between 2.8 (that is, the HEI component that measures vegetables intake) and 9.9 (that is, component that expresses the variety of consumed foods). Low mean values were found in the total fat and saturated fat components (3.7 and 3.4, respectively). Moreover, the HEI score was strongly associated with dietary macronutrients and micronutrients intake. Conclusion: On the basis of the HEI score, the vast majority of children were found to have a diet that 'needs improvement'. This indicates the increased necessity of drawing and implementing nutrition education programs targeting both children and their families and aiming to increase vegetables and fruits intake and reduce fat intake.

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Assessment of diet quality in pregnant women using the Healthy Eating Index

Cited by 107 publications

References 9 publications

A behavioural nutrition intervention for obese pregnant women: Effects on diet quality, weight gain and the incidence of gestational diabetes

A behavioural nutrition intervention for obese pregnant women: Effects on diet quality, weight gain and the incidence of gestational diabetes

Diet and pregnancy status in Australian women

Assessing children's diet quality in Crete based on Healthy Eating Index: The Children Study

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