2011
DOI: 10.1097/nnr.0b013e3182266461
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Predictors of Dietary Quality in Low-Income Pregnant Women

Abstract: Background Despite the potential importance of nutrition to pregnancy outcomes, little is known about the factors influencing dietary quality, especially during the first trimester. Objective To examine the relationships among distress (an index of depression and stress), social support, and eating habits with dietary quality in low-income pregnant women. Method A cross-sectional design and path analytic methods was used in a clinic-based sample of low-income women (n = 118) in their first trimester of pre… Show more

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Cited by 60 publications
(68 citation statements)
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“…Like in our study, family members and friends posed major obstacles to healthy eating in these investigations, both in controlling food cooked at home and in encouraging mothers to “eat for two.” However, we did not find that stress or depression were strong drivers of increased food consumption, differing from Paul et al and quantitative papers on the topic. 14,25 Instead, for the few women who spoke about the topic, depression and stress seemed to be more of an anorexiant than a food stimulator (data not shown). Our findings that food access, availability, and cost negatively influenced diet quality also differed from the Paul et al paper, 14 which may in part reflect our solely urban, African-American, overweight sample (compared to Paul's mixed race, mixed BMI, mixed urban and rural population) and the fact that only half of our sample took advantage of WIC benefits at the time of their interview (since data suggest that WIC participation does lead to improved diet quality).…”
Section: Discussionmentioning
confidence: 94%
“…Like in our study, family members and friends posed major obstacles to healthy eating in these investigations, both in controlling food cooked at home and in encouraging mothers to “eat for two.” However, we did not find that stress or depression were strong drivers of increased food consumption, differing from Paul et al and quantitative papers on the topic. 14,25 Instead, for the few women who spoke about the topic, depression and stress seemed to be more of an anorexiant than a food stimulator (data not shown). Our findings that food access, availability, and cost negatively influenced diet quality also differed from the Paul et al paper, 14 which may in part reflect our solely urban, African-American, overweight sample (compared to Paul's mixed race, mixed BMI, mixed urban and rural population) and the fact that only half of our sample took advantage of WIC benefits at the time of their interview (since data suggest that WIC participation does lead to improved diet quality).…”
Section: Discussionmentioning
confidence: 94%
“…Five of the eligible studies were a cohort design [15,20,21,23,36], one was a case–control design [37] and the remaining 19 studies were cross-sectional [7,8,19,22,24-34,38-41]. The majority of studies were published from 2009 onwards (n = 22, 84.6%), with precise publication years being; 2002 [26], 2007 [30], 2008 [25], 2009 [19,21,22,24,28,29,32,36-38], 2010 [7,33,34] and 2011 [8,15,20,23,27,31,39-41]. Eleven studies were undertaken in United States of America (USA) [19,26,29,31-34,39-42], three were conducted in Japan [22,23,27], two were undertaken in Spain [20,36].…”
Section: Resultsmentioning
confidence: 99%
“…The majority of studies were published from 2009 onwards (n = 22, 84.6%), with precise publication years being; 2002 [26], 2007 [30], 2008 [25], 2009 [19,21,22,24,28,29,32,36-38], 2010 [7,33,34] and 2011 [8,15,20,23,27,31,39-41]. Eleven studies were undertaken in United States of America (USA) [19,26,29,31-34,39-42], three were conducted in Japan [22,23,27], two were undertaken in Spain [20,36]. Remaining studies were conducted in the United Kingdom (UK) [21] Greece [15], Korea [37] China [30], France [25], Australia [7], Norway [8], Mediterranean Islands [28] and Europe (a combination of populations from Germany, Poland and Bulgaria) [38].…”
Section: Resultsmentioning
confidence: 99%
“…However, several quantitative examples demonstrate associations between both general psychosocial stress and pregnancy-specific stress and dietary behavior in this population (Lobel, Cannella et al 2008; Laraia, Siega-Riz et al 2009; Fowles, Bryant et al 2011). Our focus groups illustrate that low income, overweight/obese pregnant women are aware of the complex psychological and social factors that contribute to their eating behaviors and are interested in a comprehensive approach.…”
Section: Conclusion and Discussionmentioning
confidence: 94%