web-based dietary intervention in early pregnancy and neonatal outcomes: a randomized controlled trial.
| Autor: | Kennedy, R A K, Reynolds, C M E, Cawley, S, O'Malley, E, McCartney, D M, Turner, M J |
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| Předmět: |
BIRTH weight
CHI-squared test DIET FOLIC acid HEALTH behavior INGESTION EVALUATION of medical care MOTHERS NONPARAMETRIC statistics NUTRITION policy NUTRITIONAL requirements PRENATAL care QUESTIONNAIRES STATISTICAL sampling T-test (Statistics) WORLD Wide Web ACCESS to information BODY mass index RANDOMIZED controlled trials FOOD diaries DATA analysis software DESCRIPTIVE statistics PREGNANCY |
| Zdroj: | Journal of Public Health; Jun2019, Vol. 41 Issue 2, p371-378, 8p |
| Abstrakt: | Background Maternal nutrition is a determinant of pregnancy outcomes. Few studies have evaluated the potential of online nutrition resources to modify behaviour. This randomized controlled trial aimed to determine whether access to a customized evidence-based nutrition website in pregnancy improved neonatal outcomes. Methods Women <18 weeks gestation were recruited at their convenience. The control group received standard care. In addition to standard care, the intervention group received access to an evidence-based nutrition website, customized to the preferences of pregnant women. Results Of the 250 women, there were no differences in characteristics between the two groups. Of the women, 91.0% reported they make a conscious effort currently to eat a healthy diet. However, only 19.6% met dietary requirements for calcium, 13.2% for iron, 2.7% for folate and 2.3% for iodine. The most popular website section was pregnancy nutrition advice but engagement was not sustained. Access to the website was not associated with any improvement in clinical outcomes (P > 0.05). Conclusions We found that provision of a customized website providing nutrition information, did not improve neonatal outcomes. Future studies should explore whether redesign with website interactivity or embedding information on popular digital platforms sustains women's engagement and modifies dietary behaviour. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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