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Associations of maternal diet quality with weight gain during pregnancy and obesity at three-year postpartum in Jakarta

Dietary changes during pregnancy (DP) and post-partum are essential for women’s nutrition status and the health of their offspring. We compared the diet quality DP and at 3-year post-partum (3YPP) and assessed the relationship between maternal diet quality and nutritional status using a prospective...

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Autores principales: Octavia, Lestari, Agustina, Rina, Sartika, Arindah Nur, Utami, Annisa Dwi, Dewi, Yayang Aditia, Hayuningtyas, Anastasia, Winanda, Mutia, Prafiantini, Erfi, Asmarinah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7775051/
https://www.ncbi.nlm.nih.gov/pubmed/33382776
http://dx.doi.org/10.1371/journal.pone.0244449
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author Octavia, Lestari
Agustina, Rina
Sartika, Arindah Nur
Utami, Annisa Dwi
Dewi, Yayang Aditia
Hayuningtyas, Anastasia
Winanda, Mutia
Prafiantini, Erfi
Asmarinah,
author_facet Octavia, Lestari
Agustina, Rina
Sartika, Arindah Nur
Utami, Annisa Dwi
Dewi, Yayang Aditia
Hayuningtyas, Anastasia
Winanda, Mutia
Prafiantini, Erfi
Asmarinah,
author_sort Octavia, Lestari
collection PubMed
description Dietary changes during pregnancy (DP) and post-partum are essential for women’s nutrition status and the health of their offspring. We compared the diet quality DP and at 3-year post-partum (3YPP) and assessed the relationship between maternal diet quality and nutritional status using a prospective cohort design among women in East Jakarta. In total, 107 women were recruited from the study in 2014 and followed up at 3YPP in 2018. The mid-upper arm circumference (MUAC), weight, and height were evaluated. Food consumption data were collected from repeated 24-h recalls. The validated US Diet Quality Index-Pregnancy (DQI-P) scores with eight components were calculated using the food consumption data and compared between DP and 3YPP. Associations of the DQI-P score with the MUAC and weight gain DP and body mass index (BMI) at 3YPP were analyzed using multivariable linear and logistic regression. The median of the DQI-P score DP was significantly higher than at 3YPP [35 (27; 42) versus 27 (19; 30); p-value <0.001, respectively]. The higher DQI-P score was associated with increased weight gain DP of 3.3 kg (adjusted β = 3.30, 95% confidence interval = 1.06–5.54) after adjusting for the mother's age and household income. The DQI-P score was not associated with an increased risk of chronic energy deficiency DP and overweight–obesity at 3YPP. Thus, the diet adequacy was associated with weight gain DP but did not affect the MUAC DP and BMI at 3YPP. The DQI-P score DP was slightly better than the diet at 3YPP; however, the overall diet quality was inadequate. In conclusion, a higher DQI-P score was associated with increased weight gain DP of 3.3 kg but was not associated with other nutritional status indices in DP and 3YPP. Innovative dietary quality improvement programs are required to reduce malnutrition risk in pregnant and reproductive-age women.
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spelling pubmed-77750512021-01-11 Associations of maternal diet quality with weight gain during pregnancy and obesity at three-year postpartum in Jakarta Octavia, Lestari Agustina, Rina Sartika, Arindah Nur Utami, Annisa Dwi Dewi, Yayang Aditia Hayuningtyas, Anastasia Winanda, Mutia Prafiantini, Erfi Asmarinah, PLoS One Research Article Dietary changes during pregnancy (DP) and post-partum are essential for women’s nutrition status and the health of their offspring. We compared the diet quality DP and at 3-year post-partum (3YPP) and assessed the relationship between maternal diet quality and nutritional status using a prospective cohort design among women in East Jakarta. In total, 107 women were recruited from the study in 2014 and followed up at 3YPP in 2018. The mid-upper arm circumference (MUAC), weight, and height were evaluated. Food consumption data were collected from repeated 24-h recalls. The validated US Diet Quality Index-Pregnancy (DQI-P) scores with eight components were calculated using the food consumption data and compared between DP and 3YPP. Associations of the DQI-P score with the MUAC and weight gain DP and body mass index (BMI) at 3YPP were analyzed using multivariable linear and logistic regression. The median of the DQI-P score DP was significantly higher than at 3YPP [35 (27; 42) versus 27 (19; 30); p-value <0.001, respectively]. The higher DQI-P score was associated with increased weight gain DP of 3.3 kg (adjusted β = 3.30, 95% confidence interval = 1.06–5.54) after adjusting for the mother's age and household income. The DQI-P score was not associated with an increased risk of chronic energy deficiency DP and overweight–obesity at 3YPP. Thus, the diet adequacy was associated with weight gain DP but did not affect the MUAC DP and BMI at 3YPP. The DQI-P score DP was slightly better than the diet at 3YPP; however, the overall diet quality was inadequate. In conclusion, a higher DQI-P score was associated with increased weight gain DP of 3.3 kg but was not associated with other nutritional status indices in DP and 3YPP. Innovative dietary quality improvement programs are required to reduce malnutrition risk in pregnant and reproductive-age women. Public Library of Science 2020-12-31 /pmc/articles/PMC7775051/ /pubmed/33382776 http://dx.doi.org/10.1371/journal.pone.0244449 Text en © 2020 Octavia et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Octavia, Lestari
Agustina, Rina
Sartika, Arindah Nur
Utami, Annisa Dwi
Dewi, Yayang Aditia
Hayuningtyas, Anastasia
Winanda, Mutia
Prafiantini, Erfi
Asmarinah,
Associations of maternal diet quality with weight gain during pregnancy and obesity at three-year postpartum in Jakarta
title Associations of maternal diet quality with weight gain during pregnancy and obesity at three-year postpartum in Jakarta
title_full Associations of maternal diet quality with weight gain during pregnancy and obesity at three-year postpartum in Jakarta
title_fullStr Associations of maternal diet quality with weight gain during pregnancy and obesity at three-year postpartum in Jakarta
title_full_unstemmed Associations of maternal diet quality with weight gain during pregnancy and obesity at three-year postpartum in Jakarta
title_short Associations of maternal diet quality with weight gain during pregnancy and obesity at three-year postpartum in Jakarta
title_sort associations of maternal diet quality with weight gain during pregnancy and obesity at three-year postpartum in jakarta
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7775051/
https://www.ncbi.nlm.nih.gov/pubmed/33382776
http://dx.doi.org/10.1371/journal.pone.0244449
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