Weight Gain and Nutrition during Pregnancy: An Analysis of Clinical Practice Guidelines in the Asia-Pacific Region

Aoyama, Tomoko; Li, Donglai; Bay, Jacqueline

doi:10.3390/nu14061288

Cited by 19 publications

(16 citation statements)

References 27 publications

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“…Pre-pregnancy body mass and weight gain during pregnancy are useful measures of maternal nutrition. These factors interact to determine birth weight: on average, women with lower prepregnancy body mass needs to gain more weight during pregnancy to deliver infants of the same birth weight as women who start pregnancy with higher body mass [21]. The first estimates of pre pregnancy body mass and weight gain during pregnancy in India as compared to sub-Saharan Africa: 42.2% of Indian women are underweight when they begin pregnancy compared with 16.5% of African women.…”

Section: Discussionmentioning

confidence: 99%

Estimation of malondialdehyde and catalase activity in pregnant women at IIMS&R Hospital, Lucknow, India

Singh

Khan

et al. 2022

actabioina

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Background: During pregnancy, the physiological production of reactive oxygen species (ROS) is associated with a variety of maternal, placental, and fetal developmental functions. These functions are disrupted by excessive amounts of ROS, resulting to pregnancy complications. Different stages of pregnancy require a balance between oxidant and antioxidant production. Objective: The aim of this study is to investigate the status of malondialdehyde (MDA) and catalase (CAT) activity in pregnant and age matched non-pregnant women. Methods: In this cross-sectional study, a total of 74 participants were enrolled, including 37 pregnant and 37 age-matched non-pregnant women. The age range of participants was 18 to 40 years. MDA and CAT levels were measured spectrophotometrically. A p-value 0.05 was statistically significant. Results: Compared to non-pregnant women, the mean plasma level of MDA was considerably elevated in pregnant women (p<0.0001). However, the mean level of CAT activity in pregnant women was significantly lower than in non-pregnant women (p<0.0001) In pregnant women, there is a significant strong negative correlation between MDA levels and CAT activity (p<0.01). Conclusion: Pregnant women have high level of oxidative stress, indicating that the pregnant women are more susceptible to oxidative damage and may develop pregnancy-associated complications.

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Section: Discussionmentioning

confidence: 99%

Estimation of malondialdehyde and catalase activity in pregnant women at IIMS&R Hospital, Lucknow, India

Singh

Khan

et al. 2022

actabioina

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“…Kehamilan merupakan sebuah periode penting yang mampu memberikan pengaruh jangka panjang pada keturunan selanjutnya (Aoyama et al, 2022). Penelitian sebelumnya menyebutkan bahwa terjadinya kekurangan gizi selama masa kehamilan memiliki efek secara langsung pada ukuran dan komposisi tubuh pada masa kelahiran dan berpengaruh pada efek metabolik jangka panjang saat dewasa (Fall, 2011).…”

Section: Pendahuluanunclassified

Gambaran Tingkat Kecukupan Energi dan Tingkat Kecukupan Protein Ibu Hamil di Kota Malang

et al. 2022

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Chronic energy deficiency (CED) in pregnant women is still a nutritional problem in Indonesia. CED in pregnant women is caused by low energy and protein intake in pregnant women. The low energy and protein intake in pregnant women can cause disturbances in pregnancy and the baby in the womb. This research objective is to provide an overview of the level of energy and protein adequacy of pregnant women in the city of Malang. This study is a quantitative study with a cross-sectional design. The sample in this study was 64 pregnant women. The variables of energy adequacy and protein adequacy were obtained through online interviews. The instrument in this study used a Semi-Quantitative Food Frequency Questionnaire. Data analysis is descriptive. The results showed that the energy adequacy level was categorized as very less (54.7 percent), less (28.1 percent), normal (10.9 percent), and more (6.3 percent). The level of protein adequacy is categorized as very less (45.3 percent), less (23.4 percent), normal (7.8 percent), and more (23.4 percent). The level of energy and protein adequacy in pregnant women is at most included in the minimal category or very less compared to needs. Efforts to accelerate the fulfillment of energy and protein in pregnant women. Kekurangan energi kronis (KEK) pada ibu hamil masih menjadi masalah gizi di Indonesia. KEK pada ibu hamil disebabkan oleh rendahnya asupan energi dan protein pada ibu hamil. Rendahnya asupan energi dan protein pada ibu hamil dapat menyebabkan gangguan dalam kehamilan dan bayi dalam kandungan. Tujuan dari penelitian ini adalah untuk memberikan gambaran tingkat kecukupan energi dan protein pada ibu hamil di Kota Malang. Penelitian ini merupakan penelitian kuantitatif dengan desain potong lintang. Sampel dalam penelitian ini sebesar 64 ibu hamil. Variabel kecukupan energi dan kecukupan protein didapatkan melalui wawancara yang dilakukan secara online. Instrumen dalam penelitian ini menggunakan kuesioner Semi Quantitative Food Frequency Questionnaire. Analisis data bersifat deskriptif. Hasil penelitian menunjukkan tingkat kecukupan energi termasuk kategori minimal atau sangat kurang (54,7 persen), kurang (28,1 persen), normal (10,9 persen), dan lebih (6,3 persen). Tingkat kecukupan protein yang termasuk kategori minimal atau sangat kurang (45,3 persen), kurang (23,4 persen), normal (7,8 persen), dan lebih (23,4 persen). Tingkat kecukupan energi dan kecukupan protein pada ibu hamil paling banyak termasuk dalam kategori minimal atau sangat kurang dibandingkan dengan kebutuhan. Upaya percepatan pemenuhan energi dan protein pada ibu hamil sangat diperlukan.

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“…The Appraisal of Guidelines for REsearch and Evaluation tool (AGREE II) is the most commonly utilized tool to test the quality of CPGs, and it is considered the “gold standard” for CPG quality assessment. We used this methodology instead of AGREE- REX tool on the basis of previous studies on nutrition comparing both methods [ 13 , 14 ]. The published literature on nutrition in pregnancy is heterogeneous on many aspects of nutrition and weight gain in pregnancy, which likely reflects geographical differences and nutritional plans among the different countries.…”

Section: Introductionmentioning

confidence: 99%

Systematic Review and Critical Evaluation of Quality of Clinical Practice Guidelines on Nutrition in Pregnancy

et al. 2022

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Objective: To report the quality and clinical heterogeneity of the published clinical practice guidelines (CPGs) on nutrition in pregnancy. Methods: MEDLINE, Embase, Scopus, and ISI Web of Science databases were searched. The following aspects related to nutrition in pregnancy were addressed: specific requirements during pregnancy, description of a balanced diet, weight gain, prevention of food-borne, nutrition in peculiar sub-groups of women, and maternal or perinatal outcomes. The assessment of the risk of bias and quality assessment of the included CPGs were performed using “The Appraisal of Guidelines for REsearch and Evaluation (AGREE II)” tool divided in six quality domains: scope and purpose, stakeholder involvement, rigor of development, clarity of presentation, applicability, editorial independence. Mean ± standard deviation (SD) was used to summarize the scores across all the guidelines per domain. The quality of each guideline was computed using the scoring system proposed by Amer et al. A cut-off of >60% was sued to define a CGP as recommended. Results: Eighteen CPGs were included. There was a substantial heterogeneity in the recommended dose for vitamins, folic acid, and micronutrient intake during pregnancy among the different published CPGs. 27.8% (5/18) of the CPGs recommended a daily intake of folic acid of 200 mcg, 38.8% (7/18) 400 mcg, 16.7% (3/18) 600 mcg while the remaining CPGs suggested dose between 400 and 600–800 mc per day. Adequate maternal hydration was advocated in the large majority of included CPGs, but a specific amount of water intake was not reported in 83.3% (15/18) cases. There was also significant heterogeneity in various other aspects of nutrition recommendation among the different CPGs, including gestational weight gain (55.5%), prevention of food-borne diseases in pregnancy (72.2%), nutrition in particular groups of pregnant women (83.3%), maternal and perinatal outcomes (72.2%). The AGREE II standardized domain scores for the first overall assessment (OA1) had a mean of 65% but only half scored more than 60%. Conclusion: The published CPGs on nutrition in pregnancy show an overall good methodology, but also a substantial heterogeneity as regard as different major aspects on nutrition in pregnancy.

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Weight Gain and Nutrition during Pregnancy: An Analysis of Clinical Practice Guidelines in the Asia-Pacific Region

Cited by 19 publications

References 27 publications

Estimation of malondialdehyde and catalase activity in pregnant women at IIMS&R Hospital, Lucknow, India

Estimation of malondialdehyde and catalase activity in pregnant women at IIMS&R Hospital, Lucknow, India

Gambaran Tingkat Kecukupan Energi dan Tingkat Kecukupan Protein Ibu Hamil di Kota Malang

Systematic Review and Critical Evaluation of Quality of Clinical Practice Guidelines on Nutrition in Pregnancy

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