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Behavioral Determinants of Objectively Assessed Diet Quality in Obese Pregnancy

Interventions to promote healthy pregnancy in women with obesity by improving diet quality have been widely unsuccessful. We hypothesized that diet quality is determined by eating behaviors, but evidence in women with obesity is lacking. We evaluated diet quality and eating behavior in 56 women with...

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Autores principales: Most, Jasper, Rebello, Candida J., Altazan, Abby D., Martin, Corby K., St Amant, Marshall, Redman, Leanne M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6682916/
https://www.ncbi.nlm.nih.gov/pubmed/31248020
http://dx.doi.org/10.3390/nu11071446
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author Most, Jasper
Rebello, Candida J.
Altazan, Abby D.
Martin, Corby K.
St Amant, Marshall
Redman, Leanne M.
author_facet Most, Jasper
Rebello, Candida J.
Altazan, Abby D.
Martin, Corby K.
St Amant, Marshall
Redman, Leanne M.
author_sort Most, Jasper
collection PubMed
description Interventions to promote healthy pregnancy in women with obesity by improving diet quality have been widely unsuccessful. We hypothesized that diet quality is determined by eating behaviors, but evidence in women with obesity is lacking. We evaluated diet quality and eating behavior in 56 women with obesity (mean ± SEM, 36.7 ± 0.7 kg/m(2), 46% White, 50% nulliparous) early in pregnancy (14.9 ± 0.1 weeks). Diet quality was objectively assessed with food photography over six days and defined by Healthy Eating Index. Eating behaviors were assessed by validated questionnaires. Women reported consuming diets high in fat (38 ± 1% of energy) and the HEI was considered “poor” on average (46.7 ± 1.3), and for 71% of women. Diet quality was independently associated with education level (p = 0.01), food cravings (p < 0.01), and awareness towards eating (p = 0.01). Cravings for sweets and fast foods were positively correlated with respective intakes of these foods (p < 0.01 and p = 0.04, respectively), whereas cravings for fruits and vegetables did not relate to diet intake. We provide evidence of the determinants of poor diet quality in pregnant women with obesity. Based on this observational study, strategies to improve diet quality and pregnancy outcomes are to satisfy cravings for healthy snacks and foods, and to promote awareness towards eating behaviors.
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spelling pubmed-66829162019-08-09 Behavioral Determinants of Objectively Assessed Diet Quality in Obese Pregnancy Most, Jasper Rebello, Candida J. Altazan, Abby D. Martin, Corby K. St Amant, Marshall Redman, Leanne M. Nutrients Article Interventions to promote healthy pregnancy in women with obesity by improving diet quality have been widely unsuccessful. We hypothesized that diet quality is determined by eating behaviors, but evidence in women with obesity is lacking. We evaluated diet quality and eating behavior in 56 women with obesity (mean ± SEM, 36.7 ± 0.7 kg/m(2), 46% White, 50% nulliparous) early in pregnancy (14.9 ± 0.1 weeks). Diet quality was objectively assessed with food photography over six days and defined by Healthy Eating Index. Eating behaviors were assessed by validated questionnaires. Women reported consuming diets high in fat (38 ± 1% of energy) and the HEI was considered “poor” on average (46.7 ± 1.3), and for 71% of women. Diet quality was independently associated with education level (p = 0.01), food cravings (p < 0.01), and awareness towards eating (p = 0.01). Cravings for sweets and fast foods were positively correlated with respective intakes of these foods (p < 0.01 and p = 0.04, respectively), whereas cravings for fruits and vegetables did not relate to diet intake. We provide evidence of the determinants of poor diet quality in pregnant women with obesity. Based on this observational study, strategies to improve diet quality and pregnancy outcomes are to satisfy cravings for healthy snacks and foods, and to promote awareness towards eating behaviors. MDPI 2019-06-26 /pmc/articles/PMC6682916/ /pubmed/31248020 http://dx.doi.org/10.3390/nu11071446 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Most, Jasper
Rebello, Candida J.
Altazan, Abby D.
Martin, Corby K.
St Amant, Marshall
Redman, Leanne M.
Behavioral Determinants of Objectively Assessed Diet Quality in Obese Pregnancy
title Behavioral Determinants of Objectively Assessed Diet Quality in Obese Pregnancy
title_full Behavioral Determinants of Objectively Assessed Diet Quality in Obese Pregnancy
title_fullStr Behavioral Determinants of Objectively Assessed Diet Quality in Obese Pregnancy
title_full_unstemmed Behavioral Determinants of Objectively Assessed Diet Quality in Obese Pregnancy
title_short Behavioral Determinants of Objectively Assessed Diet Quality in Obese Pregnancy
title_sort behavioral determinants of objectively assessed diet quality in obese pregnancy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6682916/
https://www.ncbi.nlm.nih.gov/pubmed/31248020
http://dx.doi.org/10.3390/nu11071446
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