Diet Quality as Measured by the Healthy Eating Index and the Association with Lipid Profile in Low-Income Women in Early Postpartum

Shah, Bijal S; Freeland‐Graves, Jeanne H.; Cahill, Jodi M; Lu, Hongxing; Graves, Glenn R.

doi:10.1016/j.jada.2009.10.038

Cited by 61 publications

(70 citation statements)

References 53 publications

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“…Because the mothers in the control group tasted each of these drinks during the 5 psychophysical test sessions at the Monell Center, mere exposure to the taste, separated by as much as 1 mo (during nonexposure periods), resulted in mothers liking the taste of the juices more over time, which is a finding that is consistent with previous results that relatively few repeated tastings of a bitter-sweet beverage can significantly increase the hedonic evaluation of the taste of the beverage in adults (28). However, although liking modestly increased, vegetable and fruit intakes in these new mothers, as has been reported previously (27,50), was well below current recommendations, and fruit intake, which is typically higher during pregnancy perhaps because of cravings for fruit (51,52), began to decrease, which highlighted the problem at hand. The monitoring of changes in taste hedonics during future interventions may shed light on how much of a hedonic shift and how much exposure are needed to have a positive effect on vegetable intake.…”

Section: Discussionsupporting

confidence: 91%

“…A second, related challenge in investigating how children learn to like healthy foods is that the overall diet quality, particularly vegetable intake, in women remains below current recommendations (9,26,27). Because mere exposure to the taste of a bitter-sweet beverage can shift the liking of its taste in adults (28), we explored whether manipulating the diets of lactating mothers and repeatedly having them taste a variety of vegetable juices could also modify the liking of the taste of vegetables for both members of the dyad.…”

Section: Introductionmentioning

confidence: 99%

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Learning to like vegetables during breastfeeding: a randomized clinical trial of lactating mothers and infants

Mennella

Daniels

Reiter

2017

The American Journal of Clinical Nutrition

107

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Background: What lactating mothers eat flavors breast milk and, in turn, modifies their infants' acceptance of similarly flavored foods. Objective: We sought to determine the effects of the timing and duration of eating a variety of vegetables during breastfeeding on the liking of vegetables in both members of the dyad. Design: We conducted a randomized controlled study of 97 motherinfant dyads. Lactating mothers drank vegetable, beet, celery, and carrot juices for 1 mo beginning at 0.5, 1.5, or 2.5 mo postpartum or for 3 mo beginning at 0.5 mo postpartum. The control group drank equal volumes of water and avoided drinking the juices. Mothers rated the tastes of the juices and self-reported dietary intakes at each monthly visit (0.5-4.5 mo). After weaning, when 7.9 mo of age, infants' acceptance of plain, carrot-flavor (exposed flavor), and broccoliflavor (nonexposed flavor) cereals was assessed on separate days. Results: The timing of exposure affected the acceptance of the carrot flavor that did not generalize to the novel broccoli flavor. A relatively brief experience (1 mo) with vegetable flavors in mothers' milk, starting at 0.5 mo postpartum, was sufficient to shift the hedonic tone, which resulted in a faster rate of eating carrot-flavored cereal than that in infants who were exposed during subsequent months or not at all. One month of exposure had a greater effect than 3 mo of exposure or no exposure. Regardless of when exposure occurred, infants were less likely to display facial expressions of distaste initially when eating the carrot cereal. Over time, mothers liked the tastes of carrot, beet, and celery juices more, but no changes in dietary intake of vegetables were observed. Conclusions: Early life may be an optimum time for both infants and their mothers to learn to like the taste of healthy foods. More research is needed to facilitate the liking and eating of these foods by mothers, which will, in turn, increase the likelihood of their feeding these foods to their children. This trial was registered at clinicaltrials.gov as NCT01667549.Am J Clin Nutr 2017;106:67-76.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Learning to like vegetables during breastfeeding: a randomized clinical trial of lactating mothers and infants

Mennella

Daniels

Reiter

2017

The American Journal of Clinical Nutrition

107

View full text Add to dashboard Cite

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“…44,45 Although we found a trend towards women with a lower BMI having better diet quality, these results did not reach statistical significance in logistic regression analysis. Postpartum weight retention may have confounded this relationship between weight and diet quality.…”

Section: Discussioncontrasting

confidence: 83%

Postpartum diet quality in Australian women following a gestational diabetes pregnancy

et al. 2012

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BACKGROUND/OBJECTIVES:To describe the diet quality of a national sample of Australian women with a recent history of gestational diabetes mellitus (GDM) and determine factors associated with adherence to national dietary recommendations. SUBJECTS/METHODS: A postpartum lifestyle survey with 1499 Australian women diagnosed with GDM p3 years previously. Diet quality was measured using the Australian recommended food score (ARFS) and weighted by demographic and diabetes management characteristics. Multinominal logistic regression analysis was used to determine the association between diet quality and demographic characteristics, health seeking behaviours and diabetes-related risk factors. RESULTS: Mean (±s.d.) ARFS was 30.9±8.1 from a possible maximum score of 74. Subscale component scores demonstrated that the nuts/legumes, grains and fruits were the most poorly scored. Factors associated with being in the highest compared with the lowest ARFS quintile included age (odds ratio (OR) 5-year increase ¼ 1.40; 95% (confidence interval) CI:1.16-1.68), tertiary education (OR ¼ 2.19; 95% CI:1.52-3.17), speaking only English (OR ¼ 1.92; 95% CI:1.19-3.08), being sufficiently physically active (OR ¼ 2.11; 95% CI:1.46-3.05), returning for postpartum blood glucose testing (OR ¼ 1.75; 95% CI:1.23-2.50) and receiving risk reduction advice from a health professional (OR ¼ 1.80; 95% CI:1.24-2.60). CONCLUSIONS: Despite an increased risk of type 2 diabetes, women in this study had an overall poor diet quality as measured by the ARFS. Women with GDM should be targeted for interventions aimed at achieving a postpartum diet consistent with the guidelines for chronic disease prevention. Encouraging women to return for follow-up and providing risk reduction advice may be positive initial steps to improve diet quality, but additional strategies need to be identified.

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“…Previous research has similarly found higher fruit and vegetable intake among breastfeeding than non-breastfeeding women [5,7,16]. For example, one study of women six-months postpartum found a non-significantly higher percentage of lactating f-l Common superscripts indicate significant differences in fruit and vegetable intake between breastfeeding and non-breastfeeding postnatal women ( f p \ 0.0001, g p = 0.006, h p = 0.0010, i p = 0.04, j p = 0.04, k p = \0.0001, l p = 0.02) participants meeting the fruit and vegetable objectives (C2 fruits servings/day, C3 vegetables servings/day) compared to their non-lactating counterparts [7].…”

Section: Conclusion For Practicementioning

confidence: 90%

Prenatal and Postnatal Fruit and Vegetable Intake Among US Women: Associations with WIC Participation

Stallings

Gazmararian

Goodman

et al. 2016

Matern Child Health J

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Objective Evaluate variation in fruit and vegetable intake by Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) participation and poverty status among pregnant, and postpartum women participating in the Infant Feeding Practice Study II (IFPSII). Methods IFPSII (2005-2007) followed US women from third trimester through 1 year postpartum through mailed questionnaires measuring income, WIC participation, breastfeeding; and dietary history questionnaires (DHQ) assessing prenatal/postnatal fruit and vegetable consumption. Poverty measurements used U.S. Census Bureau Federal Poverty thresholds to calculate percent of poverty index ratio (PIR) corresponding to WIC's financial eligibility (≤185 % PIR). Comparison groups: WIC recipients; WIC eligible (≤185 % PIR), but non-recipients; and women not financially WIC eligible (>185 % PIR). IFPSII participants who completed at least one DHQ were included. Intake variation among WIC/poverty groups was assessed by Kruskal-Wallis tests and between groups by Mann-Whitney Wilcoxon tests and logistic regression. Mann-Whitney Wilcoxon tests examined postnatal intake by breastfeeding. Results Prenatal vegetable intake significantly varied by WIC/poverty groups (p = 0.04) with WIC recipients reporting significantly higher intake than women not financially WIC eligible (p = 0.02); association remained significant adjusting for confounders [odds ratio 0.66 (95 % confidence interval: 0.49-0.90)]. Prenatal fruit and postnatal consumption did not significantly differ by WIC/poverty groups. Postnatal intake was significantly higher among breastfeeding than non-breastfeeding women (fruit: p < 0.0001; vegetable: p = 0.006). Conclusions for Practice Most intakes did not significantly differ by WIC/poverty groups and thus prompts research on WIC recipient's dietary behaviors, reasons for non-participation in WIC, and the influence of the recent changes to the WIC food package.

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Diet Quality as Measured by the Healthy Eating Index and the Association with Lipid Profile in Low-Income Women in Early Postpartum

Cited by 61 publications

References 53 publications

Learning to like vegetables during breastfeeding: a randomized clinical trial of lactating mothers and infants

Learning to like vegetables during breastfeeding: a randomized clinical trial of lactating mothers and infants

Postpartum diet quality in Australian women following a gestational diabetes pregnancy

Prenatal and Postnatal Fruit and Vegetable Intake Among US Women: Associations with WIC Participation

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