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Reported health, social support, stress and associations with choline intake in pregnant women in central South Africa: the NuEMI study 2018–2019

BACKGROUND: The health and well-being of pregnant women can influence pregnancy outcomes and are closely associated with social support and experiences of stress. Poor nutrition predisposes to poor health with choline intake affecting pregnancy outcome. This study determined reported health, social...

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Autores principales: Robb, Liska, Jordaan, Elizabeth Margaretha, Joubert, Gina, Ngounda, Jennifer, Walsh, Corinna May
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10061903/
https://www.ncbi.nlm.nih.gov/pubmed/36997971
http://dx.doi.org/10.1186/s13690-023-01061-y
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author Robb, Liska
Jordaan, Elizabeth Margaretha
Joubert, Gina
Ngounda, Jennifer
Walsh, Corinna May
author_facet Robb, Liska
Jordaan, Elizabeth Margaretha
Joubert, Gina
Ngounda, Jennifer
Walsh, Corinna May
author_sort Robb, Liska
collection PubMed
description BACKGROUND: The health and well-being of pregnant women can influence pregnancy outcomes and are closely associated with social support and experiences of stress. Poor nutrition predisposes to poor health with choline intake affecting pregnancy outcome. This study determined reported health, social support, and stress and how these factors are associated with choline intake in pregnancy. METHODS: A cross sectional study was performed. Pregnant women in their second and third trimesters attending a high-risk antenatal clinic at a regional hospital in Bloemfontein, South Africa, were included. Trained fieldworkers obtained information during structured interviews using standardised questionnaires. Logistic regression with backward selection (p < 0.05) was used to select significant independent factors associated with choline intake. Variables with a p-value < 0.15 in bivariate analysis were considered for inclusion in the model. RESULTS: Median age and gestation in the sample (N = 682) were 31.8 years and 32.0 weeks, respectively. Most participants (84.7%) consumed less than the adequate intake (AI) of 450 mg of choline per day. Most participants (69.0%) were either overweight or obese. One in eight participants (12.6%) reported not having anyone that could help them in times of need, more than one third (36.0%) reported having unpayable debt and one in twelve (8.4%) reported experiencing physical abuse by their partners. Normotensive participants and those using anti-retroviral therapy (ART) (thus HIV-infected), were more likely to consume choline in amounts below the AI (p = 0.042 and p = 0.011, respectively). Logistic regression analysis showed that the odds of consuming choline in amounts below the AI were lower for participants that were not using ART versus those using ART, with an odds ratio of 0.53. CONCLUSION: HIV-infected participants were more likely to consume choline in levels below the AI. This vulnerable group should be the focus of targeted efforts to improve choline intake.
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spelling pubmed-100619032023-03-31 Reported health, social support, stress and associations with choline intake in pregnant women in central South Africa: the NuEMI study 2018–2019 Robb, Liska Jordaan, Elizabeth Margaretha Joubert, Gina Ngounda, Jennifer Walsh, Corinna May Arch Public Health Research BACKGROUND: The health and well-being of pregnant women can influence pregnancy outcomes and are closely associated with social support and experiences of stress. Poor nutrition predisposes to poor health with choline intake affecting pregnancy outcome. This study determined reported health, social support, and stress and how these factors are associated with choline intake in pregnancy. METHODS: A cross sectional study was performed. Pregnant women in their second and third trimesters attending a high-risk antenatal clinic at a regional hospital in Bloemfontein, South Africa, were included. Trained fieldworkers obtained information during structured interviews using standardised questionnaires. Logistic regression with backward selection (p < 0.05) was used to select significant independent factors associated with choline intake. Variables with a p-value < 0.15 in bivariate analysis were considered for inclusion in the model. RESULTS: Median age and gestation in the sample (N = 682) were 31.8 years and 32.0 weeks, respectively. Most participants (84.7%) consumed less than the adequate intake (AI) of 450 mg of choline per day. Most participants (69.0%) were either overweight or obese. One in eight participants (12.6%) reported not having anyone that could help them in times of need, more than one third (36.0%) reported having unpayable debt and one in twelve (8.4%) reported experiencing physical abuse by their partners. Normotensive participants and those using anti-retroviral therapy (ART) (thus HIV-infected), were more likely to consume choline in amounts below the AI (p = 0.042 and p = 0.011, respectively). Logistic regression analysis showed that the odds of consuming choline in amounts below the AI were lower for participants that were not using ART versus those using ART, with an odds ratio of 0.53. CONCLUSION: HIV-infected participants were more likely to consume choline in levels below the AI. This vulnerable group should be the focus of targeted efforts to improve choline intake. BioMed Central 2023-03-30 /pmc/articles/PMC10061903/ /pubmed/36997971 http://dx.doi.org/10.1186/s13690-023-01061-y Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Robb, Liska
Jordaan, Elizabeth Margaretha
Joubert, Gina
Ngounda, Jennifer
Walsh, Corinna May
Reported health, social support, stress and associations with choline intake in pregnant women in central South Africa: the NuEMI study 2018–2019
title Reported health, social support, stress and associations with choline intake in pregnant women in central South Africa: the NuEMI study 2018–2019
title_full Reported health, social support, stress and associations with choline intake in pregnant women in central South Africa: the NuEMI study 2018–2019
title_fullStr Reported health, social support, stress and associations with choline intake in pregnant women in central South Africa: the NuEMI study 2018–2019
title_full_unstemmed Reported health, social support, stress and associations with choline intake in pregnant women in central South Africa: the NuEMI study 2018–2019
title_short Reported health, social support, stress and associations with choline intake in pregnant women in central South Africa: the NuEMI study 2018–2019
title_sort reported health, social support, stress and associations with choline intake in pregnant women in central south africa: the nuemi study 2018–2019
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10061903/
https://www.ncbi.nlm.nih.gov/pubmed/36997971
http://dx.doi.org/10.1186/s13690-023-01061-y
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