Development of a dietary screening questionnaire to predict excessive weight gain in pregnancy
| Autor: | Thorhallur I. Halldorsson, Ingibjorg Gunnarsdottir, Ingibjorg Th Hreidarsdottir, Bryndis Eva Birgisdottir, Hildur Hardardottir, Laufey Hrolfsdottir |
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| Přispěvatelé: | Matvæla- og næringarfræðideild (HÍ), Faculty of Food Science and Nutrition (UI), Læknadeild (HÍ), Faculty of Medicine (UI), Heilbrigðisvísindasvið (HÍ), School of Health Sciences (UI), Háskóli Íslands, University of Iceland |
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
food frequency questionnaire Iceland Body Mass Index 0302 clinical medicine Pregnancy Risk Factors Medicine Meðganga macrosomia 030212 general & internal medicine Nutrition and Dietetics Framingham Risk Score Dietary habits Obstetrics and Gynecology Gestational Weight Gain Cohort Gestation Female Original Article medicine.symptom maternal nutrition Adult Food frequency questionnaire Birth weight Gestational weight gain Macrosomia dietary screening Diet Surveys Young Adult 03 medical and health sciences Environmental health Humans Maternal nutrition Risk factor dietary habits Models Statistical 030109 nutrition & dietetics business.industry Public Health Environmental and Occupational Health Original Articles medicine.disease Dietary screening Confidence interval Diet Pregnancy Complications Pediatrics Perinatology and Child Health Spurningalistar business Weight gain Mataræði |
| Zdroj: | Maternal & Child Nutrition |
| ISSN: | 1740-8709 1740-8695 |
| DOI: | 10.1111/mcn.12639 |
| Popis: | Publisher's version (útgefin grein) Excessive gestational weight gain (GWG) is a risk factor for several adverse pregnancy outcomes, including macrosomia. Diet is one of the few modifiable risk factors identified. However, most dietary assessment methods are impractical for use in maternal care. This study evaluated whether a short dietary screening questionnaire could be used as a predictor of excessive GWG in a cohort of Icelandic women. The dietary data were collected in gestational weeks 11–14, using a 40-item food frequency screening questionnaire. The dietary data were transformed into 13 predefined dietary risk factors for an inadequate diet. Stepwise backward elimination was used to identify a reduced set of factors that best predicted excessive GWG. This set of variables was then used to calculate a combined dietary risk score (range 0–5). Information regarding outcomes, GWG (n = 1,326) and birth weight (n = 1,651), was extracted from maternal hospital records. In total, 36% had excessive GWG (Icelandic criteria), and 5% of infants were macrosomic (≥4,500 g). A high dietary risk score (characterized by a nonvaried diet, nonadequate frequency of consumption of fruits/vegetables, dairy, and whole grain intake, and excessive intake of sugar/artificially sweetened beverages and dairy) was associated with a higher risk of excessive GWG. Women with a high (≥4) versus low (≤2) risk score had higher risk of excessive GWG (relative risk = 1.23, 95% confidence interval, CI [1.002, 1.50]) and higher odds of delivering a macrosomic offspring (odds ratio = 2.20, 95% CI [1.14, 4.25]). The results indicate that asking simple questions about women's dietary intake early in pregnancy could identify women who should be prioritized for further dietary counselling and support. We are particularly grateful to the women who participated in the study. We would also like to acknowledge the work of the PREWICE staff and the great staff at the Ultrasound Department at Landspitali National University Hospital who made the study possible. |
| Databáze: | OpenAIRE |
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