Dietary Quality and Sociodemographic and Health Behavior Characteristics Among Pregnant Women Participating in the New York University Children's Health and Environment Study

Deierlein, Andrea; Ghassabian, Akhgar; Kahn, Linda G.; Afanasyeva, Yelena; Mehta‐Lee, Shilpi S.; Brubaker, Sara G.; Trasande, Leonardo

doi:10.3389/fnut.2021.639425

Cited by 19 publications

(12 citation statements)

References 64 publications

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“…Interestingly, in our study, although income was positively associated with diet quality in univariable analysis, the association was no longer statistically significant after multivariable adjustment, mainly due to the confounding effect of age and education. This result was in line with an urban pregnancy cohort in the United States (Deierlein et al, 2021). Similar to our findings, parity has been found to be inversely associated with diet quality in two US cohorts, and inversely associated with a 'health conscious' dietary pattern in a population-based cohort study in the United Kingdom (Bodnar & Siega-Riz, 2002;Northstone et al, 2008;Rifas-Shiman et al, 2009).…”

Section: Discussionsupporting

confidence: 92%

Diet quality during pregnancy and its association with social factors: 3D Cohort Study (Design, Develop, Discover)

Feng

Bédard

et al. 2022

Maternal & Child Nutrition

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Good diet quality during pregnancy provides adequate nutrition to support both the mothers and the fetus. The objective of this study is to describe the distribution of diet quality during pregnancy and to study the association between social factors and diet quality during pregnancy in a Canadian population. This study was based on 1535 pregnant women who provided dietary information in the 3D Cohort Study in Quebec, Canada. A 3‐day food record was used to collect dietary intake in the second trimester of pregnancy. A Canadian adaption of the Healthy Eating Index (HEI‐C) 2010 was used to quantify diet quality. Univariate and multiple linear regression models were used to calculate unadjusted and adjusted effect estimates and confidence intervals for the association between social factors and HEI‐C. The mean HEI‐C 2010 score in this study was 62.9 (SD: 11.2). Only 4.5% and 8.3% of the pregnant women consumed the recommended amounts of whole grains and ‘greens and beans’, respectively. Diet quality was lower in some subgroups of pregnant women. After multivariable adjustment, lower diet quality was observed in participants who were less educated, younger, overweight or obese before pregnancy, or parous. There was an interaction between ethnicity and immigration status on diet quality in pregnancy. These findings could be useful for health practitioners and policymakers in developing strategies to improve the diet quality of pregnant women.

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Section: Discussionsupporting

confidence: 92%

Diet quality during pregnancy and its association with social factors: 3D Cohort Study (Design, Develop, Discover)

Feng

Bédard

et al. 2022

Maternal & Child Nutrition

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“…The dietary intake of our study participants was concerning. Diet quality scores were lower than national norms [31], substantially lower than scores shown in other studies of pregnant women [42][43][44][45], and in the "failing" category proposed by Krebs-Smith and colleagues [30]. Mean scores in our sample were comparable, however, to another study where women with overweight/obesity had lower HEI scores than normal weight women [46].…”

Section: Discussioncontrasting

confidence: 82%

Effects of a behavioral intervention on physical activity, diet, and health-related quality of life in pregnant women with elevated weight: results of the HIPP randomized controlled trial

Wilcox

Liu

Turner‐McGrievy

et al. 2022

Int J Behav Nutr Phys Act

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Background Physical activity (PA), diet, and health-related quality of life (HRQOL) are related to maternal and infant health, but interventions to improve these outcomes are needed in diverse pregnant women with elevated weight. Methods Health In Pregnancy and Postpartum (HIPP) was a randomized controlled trial. Women who were pregnant (N=219, 44% African American, 56% white) with overweight or obesity but otherwise healthy were randomized to a behavioral intervention grounded in Social Cognitive Theory (n=112) or to standard care (n=107). The intervention group received an in-depth counseling session, a private Facebook group, and 10 content-based counseling calls with accompanying behavioral podcasts followed by weekly or biweekly counseling calls until delivery. The standard care group received monthly mailings and 10 podcasts focused on healthy pregnancy. PA (SenseWear armband), diet (ASA24), and HRQOL (SF-12) measures were obtained from blinded assessors at baseline (<16 weeks) and late pregnancy (32 weeks). Mixed model repeated measures regression models tested treatment (Group x Time) and within-group effects. We hypothesized that intervention participants would have higher levels of PA, a better-quality diet, and higher HRQOL than standard care participants. Exploratory analyses examined whether changes in outcomes over time differed according to whether participants had recommended, excessive, or inadequate weight gain. Results Treatment effects favored intervention participants for vegetable intake (d=0.40, p<0.05) and % whole grains (d=0.60, p<0.01). HRQOL mental component improved in both groups, but less in intervention than standard care participants (d=-0.33, p<0.05). Time effects demonstrated that total PA, steps/day, and HRQOL physical component declined significantly in both groups. Within-group effects showed that diet quality significantly improved in intervention participants. Moderate-intensity PA declined significantly in standard care participants, whereas light-intensity PA declined and sedentary behavior increased significantly in intervention participants. Finally, exploratory analyses showed that total PA and light PA increased whereas sedentary behavior decreased among those meeting guidelines for weight gain, with opposite patterns seen among those with excessive or inadequate weight gain. Conclusions The intervention improved several dietary outcomes but had modest impacts on PA and HRQOL, underscoring the challenge of behavior change during pregnancy. Trial registration This trial was registered in ClinicalTrials.gov on 10/09/2014. NCT02260518

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“…Higher LBS and DQD indicated more insufficient intake and a more imbalanced diet. The negative association between adherence to dietary guidelines and mental disorders has been reported among Western countries (56,57). This study added related evidence in China, where lifestyle components of lactating women are significantly different from those in Western countries.…”

Section: Discussionmentioning

confidence: 50%

Association Between Dietary Quality and Postpartum Depression in Lactating Women: A Cross-Sectional Survey in Urban China

et al. 2021

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Background: Evidence on the effects of dietary quality on the risk of postpartum depression in the Chinese population is limited. This study aimed to examine the association between dietary quality and postpartum depression in Chinses lactating women.Methods: A total of 939 participants from 10 cities were included in this analysis. A one-time 24-h dietary recall was used to obtain the data on food consumption and dietary quality was assessed based on Diet Balance Index. The Edinburgh postnatal depression scale was considered at a cutoff point of 10 to detect postpartum depression. Poisson regression models were used to explore the association of dietary quality with postpartum depression.Results: Depressed women tended to have a more inadequate intake of vegetables and have more insufficient food variety. The median (25th, 75th) of the overall high bound score (HBS), low bound score (LBS), and diet quality distance (DQD) was 9 (5, 14), 30 (25, 37), and 40 (34, 47), respectively. Compared with subjects with the lowest quartile of LBS, those with the highest quartile of LBS had a higher risk of postpartum depression [adjusted prevalence ratio (aPR), 1.08; 95% confidence interval (95% CI), 1.01, 1.15; P for trend, 0.043]. We also observed a significant association between DQD and postpartum depression (Q4 vs. Q1: aPR, 1.07; 95% CI: 1.00, 1.14; P for trend, 0.036).Conclusion: Poor dietary quality was associated with postpartum depression in Chinese lactating women.

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Dietary Quality and Sociodemographic and Health Behavior Characteristics Among Pregnant Women Participating in the New York University Children's Health and Environment Study

Cited by 19 publications

References 64 publications

Diet quality during pregnancy and its association with social factors: 3D Cohort Study (Design, Develop, Discover)

Diet quality during pregnancy and its association with social factors: 3D Cohort Study (Design, Develop, Discover)

Effects of a behavioral intervention on physical activity, diet, and health-related quality of life in pregnant women with elevated weight: results of the HIPP randomized controlled trial

Association Between Dietary Quality and Postpartum Depression in Lactating Women: A Cross-Sectional Survey in Urban China

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