Food intake and gestational weight gain in Swedish women

Bärebring, Linnea; Brembeck, Petra; Löf, Marie; Brekke, Hilde Kristin; Winkvist, Anna; Augustin, Hanna

doi:10.1186/s40064-016-2015-x

Cited by 17 publications

(22 citation statements)

References 17 publications

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“…While one study demonstrated that women who consumed at least three servings of fruits and vegetables per day presented less weight gain, 27 another study found no relationship between vegetable and fruit consumption and GWG. 28 The majority of our sample reported not eating beans every day. This result is in agreement with the last Household Budget Survey that indicated the decreased consumption of foods considered healthy and popular in Brazilian culture, such as beans, fruits, and vegetables.…”

Section: Discussionmentioning

confidence: 83%

The Role of Health-related Behaviors in Gestational Weight Gain among Women with Overweight and Obesity: A Cross-sectional Analysis

Paulino

Pinho-Pompeu

Raikov

et al. 2020

Rev Bras Ginecol Obstet

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Objective To evaluate the influence of health-related behaviors including food intake, physical activity, sleep time, smoking habits, stress, depression, and optimism on excessive gestational weight gain (GWG) among women with overweight and obesity. Methods A cross-sectional study was conducted at the Women's Hospital of the Universidade de Campinas, Campinas, state of São Paulo, Brazil, with 386 mediate postpartum women that fit the inclusion criteria of ≥ 19 years old, first prenatal care visit at or before 14 weeks, and single live baby. Dietary habits, physical exercise practice, sleep duration, smoking and alcohol habits were self-reported. Psychosocial history was evaluated using the Edinburgh Postpartum Depression Scale (EPDS), Perceived Stress Scale (PSS), and Life Orientation Test-Revised (LOT-R). Sociodemographic, obstetric, anthropometric, and neonatal data were retrieved from medical records. Descriptive statistics and stepwise logistic regression were performed. Results The prevalence of overweight and obesity was 29.27% and 24.61%, respectively, according to the body mass index (BMI). Excessive GWG was observed in 47.79% of women with overweight and in 45.26% of women with obesity. Excessive GWG among overweight and obese women was associated with inadequate vegetable and bean consumption (odds ratio [OR] = 2.95, 95% confidence interval [CI]: 1.35–6.46 and OR = 1.91; 95%CI: 1.01–3.63, respectively) and stress (OR = 1.63; 95%CI 1.01–2.64). After adjustment by maternal age, multiparity, sleep duration, smoking, and alcohol intake, we found that stress (PSS ≥ 20) was associated with excessive GWG in women with overweight or obesity (OR: 1.75; 95%CI: 1.03–2.96). Conclusion Among women with overweight and obesity, stress is the main variable associated with excessive GWG. Inadequate vegetables and beans consumption also showed association with excessive GWG.

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Section: Discussionmentioning

confidence: 83%

The Role of Health-related Behaviors in Gestational Weight Gain among Women with Overweight and Obesity: A Cross-sectional Analysis

Paulino

Pinho-Pompeu

Raikov

et al. 2020

Rev Bras Ginecol Obstet

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“…Unambiguous scores related to the abovementioned associations may have occurred because dietary patterns vary according to age, ethnicity, culture, and other lifestyle factors. In a study conducted among Swedish women, their intakes of caloric beverages, snacks, fish, and bread were positively related to excessive GWG [ 30 ]. Uusatilo et al found that greater adherence to a ‘fast food’ DP, characterized by high intakes of fast food items such as hamburgers and pizza, as well as sweets, soft drinks and added sugar, was positively associated with GWG [ 54 ].…”

Section: Discussionmentioning

confidence: 99%

“…Being underweight pre-pregnancy was significantly correlated with gaining too little weight compared to gaining weight within the guidelines. It is commonly emphasized that being underweight results in a higher risk of insufficient GWG, whereas being overweight and/or obese at the time of conception is related to a higher risk of excessive gain [ 1 , 6 , 27 , 30 ]. Fontaine et al showed that 33 to 50% of healthy weight women and 50 to 75% of overweight and obese women had excessive GWG [ 55 ].…”

Section: Discussionmentioning

confidence: 99%

“…Maternal pre-pregnancy body mass index (BMI) [ 1 , 27 ], diet [ 28 – 30 ], physical activity [ 27 , 29 ], smoking status [ 31 ] and socio-demographic factors [ 1 , 32 – 34 ] are listed as the main determinants of GWG. Women who were overweight or obese prior to pregnancy were significantly more likely to exceed weight guidelines [ 1 , 27 , 34 ].…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with gestational weight gain: a cross-sectional survey

Suliga

Rokitaⴕ

Adamczyk-Gruszka

et al. 2018

BMC Pregnancy Childbirth

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BackgroundThe aim of this study was to describe the dietary patterns in pregnant women and determine the association between diet factors, pre-pregnancy body mass index, socio-demographic characteristics and gestational weight gain.MethodsThe analysis was conducted on a group of 458 women. Cut-off values of gestational weight gain adequacy were based on recommendations published by the US Institute of Medicine and were body mass index-specific. Logistic regression analysis was used to assess the risk of the occurrence of inadequate or excessive gestational weight gain. Dietary patterns were identified by factor analysis.ResultsThree dietary patterns characteristic of pregnant women in Poland were identified: ‘unhealthy’, ‘varied’ and ‘prudent’. The factor associated with increased risk of inadequate gestational weight gain was being underweight pre-pregnancy (OR = 2.61; p = 0.018). The factor associated with increased risk of excessive weight gain were being overweight or obese pre-pregnancy (OR = 7.00; p = 0.031) and quitting smoking (OR = 7.32; p = 0.019). The risk of excessive weight gain was decreased by being underweight pre-pregnancy (OR = 0.20; p = 0.041), being in the third or subsequent pregnancy compared to being in the first (OR = 0.37; p = 0.018), and having a high adherence to a prudent dietary pattern (OR = 0.47; p = 0.033).ConclusionsWomen who were overweight or obese pre-pregnancy and those who quit smoking at the beginning of pregnancy should be provided with dietary guidance to prevent excessive gestational weight gain.Electronic supplementary materialThe online version of this article (10.1186/s12884-018-2112-7) contains supplementary material, which is available to authorized users.

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“…Neither of the previous studies have investigated associations between diet and GWG. We have previously shown, in a study of well-educated women, that higher intake of caloric beverages, snacks, fish and bread during pregnancy is associated with higher GWG [18]. To our knowledge, there are no population-based data published on dietary quality and GWG in Sweden.…”

Section: Introductionmentioning

confidence: 94%

Poor Dietary Quality Is Associated with Low Adherence to Gestational Weight Gain Recommendations among Women in Sweden

2020

Self Cite

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Appropriate gestational weight gain (GWG) is important for fetal development and maternal health, but it is unclear what dietary factors predict GWG. The aim of this study was to investigate the association between dietary quality during pregnancy and GWG. In total, 1113 pregnant women were recruited when registering for antenatal care. GWG was defined according to the Institute of Medicine (IOM) guidelines. GWG was calculated as measured body weight at registration for antenatal care, to gestational week 37 ± 2. Dietary intake was assessed using a food frequency questionnaire (FFQ) administered in gestational week >31. In total, 40% gained within the IOM GWG recommendations, 25% had insufficient GWG and 35% excessive GWG. Women with a poor or fair quality diet gained approximately 2 kg more than women with a high-quality diet. Poor dietary quality was also associated with higher odds of excessive GWG, due to fat quality and intake of discretionary foods. In conclusion, poor quality dietary intake is associated with lower adherence to the guidelines on weight gain in pregnancy. A diet characterised by high-quality fat intake, low consumption of discretionary foods and high nutrient intake may promote healthy weight gain and prevent excessive GWG.

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Food intake and gestational weight gain in Swedish women

Cited by 17 publications

References 17 publications

The Role of Health-related Behaviors in Gestational Weight Gain among Women with Overweight and Obesity: A Cross-sectional Analysis

The Role of Health-related Behaviors in Gestational Weight Gain among Women with Overweight and Obesity: A Cross-sectional Analysis

Factors associated with gestational weight gain: a cross-sectional survey

Poor Dietary Quality Is Associated with Low Adherence to Gestational Weight Gain Recommendations among Women in Sweden

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