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Nutrition quality of pregnant women based on body mass index and the content of selected nutrients and energy in the daily diet
, 1
Affiliations- Department of Nursing in Gynecology and Obstetrics, School of Health Sciences in Katowice, Medical University of Silesia in Katowice, Poland
open access
Abstract
Objectives: BMI of pregnant women is influenced by the percentage of energy and the content of individual nutrients in the daily diet. The aim of the study was to evaluate nutrition quality based on BMI values of women with physiological course of pregnancy and to determine correlations between BMI and the content of selected nutrients and energy in the daily diet.
Material and methods: The study was carried out among healthy women between the first and fourth day after childbirth. It was conducted using a standardized questionnaire of the National Health Institute: DHQ II. In total, 103 women met the inclusion criteria. The analyses were performed with the use of a data analysis software system called Statistica 10.0.
Results: The mean BMI before pregnancy was 22.30 ± 3.19 kg/m2. The mean BMI before delivery was 27.87 ± 3.9 kg/m2. The analysis of selected nutrient intake in relation to the nutritional status based on BMI before pregnancy showed no statistically significant differences. It was found that women with normal BMI (18.5–24.9 kg/m2) consumed foods of lower energy value than those with BMI over 25 kg/m2. These differences were statistically significant for daily energy intake and for the mean content of carbohydrates in the daily diet. Intake of selected nutrients was correlated in a statistically significant way with the nutritional status during pregnancy based on pre-partum BMI values. The higher the percentage of energy in the daily diet, the higher the pre-partum BMI values. Similar correlations were found for total fats, carbohydrates, protein, saturated fatty acids, mono- and polyunsaturated fatty acids, calcium, magnesium, vitamin D, water contained in foods, fluids and total sugars.
Conclusions: Dietary energy and carbohydrate content has a significant impact on BMI of pregnant women. During pregnancy, BMI increases with an increase in saturated fatty acid consumption. Intake of selected nutrients was correlated in a statistically significant way with the nutritional status during pregnancy based on BMI values.
Abstract
Objectives: BMI of pregnant women is influenced by the percentage of energy and the content of individual nutrients in the daily diet. The aim of the study was to evaluate nutrition quality based on BMI values of women with physiological course of pregnancy and to determine correlations between BMI and the content of selected nutrients and energy in the daily diet.
Material and methods: The study was carried out among healthy women between the first and fourth day after childbirth. It was conducted using a standardized questionnaire of the National Health Institute: DHQ II. In total, 103 women met the inclusion criteria. The analyses were performed with the use of a data analysis software system called Statistica 10.0.
Results: The mean BMI before pregnancy was 22.30 ± 3.19 kg/m2. The mean BMI before delivery was 27.87 ± 3.9 kg/m2. The analysis of selected nutrient intake in relation to the nutritional status based on BMI before pregnancy showed no statistically significant differences. It was found that women with normal BMI (18.5–24.9 kg/m2) consumed foods of lower energy value than those with BMI over 25 kg/m2. These differences were statistically significant for daily energy intake and for the mean content of carbohydrates in the daily diet. Intake of selected nutrients was correlated in a statistically significant way with the nutritional status during pregnancy based on pre-partum BMI values. The higher the percentage of energy in the daily diet, the higher the pre-partum BMI values. Similar correlations were found for total fats, carbohydrates, protein, saturated fatty acids, mono- and polyunsaturated fatty acids, calcium, magnesium, vitamin D, water contained in foods, fluids and total sugars.
Conclusions: Dietary energy and carbohydrate content has a significant impact on BMI of pregnant women. During pregnancy, BMI increases with an increase in saturated fatty acid consumption. Intake of selected nutrients was correlated in a statistically significant way with the nutritional status during pregnancy based on BMI values.
Keywords
nutrition in pregnancy; nutritional status of pregnant women; DHQ II
About this articleTitle
Nutrition quality of pregnant women based on body mass index and the content of selected nutrients and energy in the daily diet
Journal
Issue
Article type
Research paper
Pages
642-646
Published online
2021-06-16
Page views
933
Article views/downloads
681
DOI
Pubmed
Bibliographic record
Ginekol Pol 2021;92(9):642-646.
Keywords
nutrition in pregnancy
nutritional status of pregnant women
DHQ II
Authors
Patrycja Krawczyk
Urszula Sioma-Markowska
References (18)- Dörsam AF, Preißl H, Micali N, et al. The Impact of Maternal Eating Disorders on Dietary Intake and Eating Patterns during Pregnancy: A Systematic Review. Nutrients. 2019; 11(4).
- Hoover EA, Louis JM. Optimizing Health: Weight, Exercise, and Nutrition in Pregnancy and Beyond. Obstet Gynecol Clin North Am. 2019; 46(3): 431–440.
- Bellver J, Mariani G. Impact of parental over- and underweight on the health of offspring. Fertil Steril. 2019; 111(6): 1054–1064.
- Prescott SL. Early Nutrition as a Major Determinant of 'Immune Health': Implications for Allergy, Obesity and Other Noncommunicable Diseases. Nestle Nutr Inst Workshop Ser. 2016; 85: 1–17.
- DHQII. http://appliedresearch.cancer.gov/dhq2/ (12.06.2014).
- Tiffon C. The Impact of Nutrition and Environmental Epigenetics on Human Health and Disease. Int J Mol Sci. 2018; 19(11).
- Maslova E, Halldorsson TI, Astrup A, et al. Dietary protein-to-carbohydrate ratio and added sugar as determinants of excessive gestational weight gain: a prospective cohort study. BMJ Open. 2015; 5(2): e005839.
- Diemert A, Lezius S, Pagenkemper M, et al. Maternal nutrition, inadequate gestational weight gain and birth weight: results from a prospective birth cohort. BMC Pregnancy Childbirth. 2016; 16: 224.
- Ostachowska-Gąsior A. Podaż białka w diecie kobiet ciężarnych o prawidłowym i nieprawidłowym stanie odżywienia przed ciążą a masa ciała noworodka. Probl Hig Epidemiol. 2008; 89(4): 537–542.
- Pudło H, Respondek M. Nutritional programming - the impact of nutrition of pregnant women on the health of their children. Journal of Education, Health and Sport. 2016; 6(7): 589–600.
- Jarosz M, Rychlik R, Charzewska J. Normy żywienia dla populacji Polski i ich zastosowanie. IŻŻ, Warszawa 2020.
- Jarosz M, Bułhak-Jachymczyk B. Normy żywienia człowieka. Podstawy prewencji otyłości i chorób niezakaźnych. PZWL, Warszawa 2020.
- Wawrzyniak A, Hamułka J, Kosowska B. Ocena spożycia energii, tłuszczu i cholesterolu u kobiet w ciąży. Żyw Człow Metab. 2003; 30(1/2): 520–526.
- Wada N, Yamada H, Motoyama S, et al. Maternal high-fat diet exaggerates diet-induced insulin resistance in adult offspring by enhancing inflammasome activation through noncanonical pathway of caspase-11. Mol Metab. 2020; 37: 100988.
- Kwon EJ, Kim YJu. What is fetal programming?: a lifetime health is under the control of in utero health. Obstet Gynecol Sci. 2017; 60(6): 506–519.
- Renault KM, Carlsen EM, Nørgaard K, et al. Intake of Sweets, Snacks and Soft Drinks Predicts Weight Gain in Obese Pregnant Women: Detailed Analysis of the Results of a Randomised Controlled Trial. PLoS One. 2015; 10(7): e0133041.
- Mousa A, Naqash A, Lim S. Macronutrient and Micronutrient Intake during Pregnancy: An Overview of Recent Evidence. Nutrients. 2019; 11(2).
- WHO recommendations on antenatal care for a positive pregnancy experience. 2017.05. https://www.who.int/publications/i/item/9789241549912 (13.12.2020).
