Cargando…

Pregnant Women Living with Obesity: A Cross-Sectional Observational Study of Dietary Quality and Pregnancy Outcomes

Good maternal nutrition is key to optimal maternal and foetal health. A poor-quality diet is often associated with obesity, and the prevalence and severity of maternal obesity has increased significantly in recent years. This study observed dietary intakes in pregnant women living with obesity and a...

Descripción completa

Detalles Bibliográficos
Autores principales: Charnley, Margaret, Newson, Lisa, Weeks, Andrew, Abayomi, Julie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8153277/
https://www.ncbi.nlm.nih.gov/pubmed/34068308
http://dx.doi.org/10.3390/nu13051652
_version_ 1783698764447350784
author Charnley, Margaret
Newson, Lisa
Weeks, Andrew
Abayomi, Julie
author_facet Charnley, Margaret
Newson, Lisa
Weeks, Andrew
Abayomi, Julie
author_sort Charnley, Margaret
collection PubMed
description Good maternal nutrition is key to optimal maternal and foetal health. A poor-quality diet is often associated with obesity, and the prevalence and severity of maternal obesity has increased significantly in recent years. This study observed dietary intakes in pregnant women living with obesity and assessed the quality of their diet. In total, 140 women with a singleton pregnancy, aged > 18 years and BMI ≥ 35 kg/m(2), were recruited from antenatal clinics, weighed and completed food diaries at 16-, 28- and 36-weeks’ gestation. Clinical data were recorded directly from the women’s medical records. Nutrient intake was determined using ‘Microdiet(TM)’, then compared to Dietary Reference Values (DRVs). Energy intakes were comparable with DRVs, but intakes of sugar and saturated fatty acids were significantly higher. Intake of fibre and several key micronutrients (Iron, Iodine, Folate and Vitamin D) were significantly low. Several adverse obstetric outcomes were higher than the general obstetric population. Women with obesity, often considered ‘over nourished’, may have diets deficient in essential micronutrients, often associated with poor obstetric outcomes. To address the intergenerational transmission of poor health via poor diets warrants a multi-disciplinary approach focusing away from ‘dieting’ onto positive messages, emphasising key nutrients required for good maternal and foetal health.
format Online
Article
Text
id pubmed-8153277
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-81532772021-05-27 Pregnant Women Living with Obesity: A Cross-Sectional Observational Study of Dietary Quality and Pregnancy Outcomes Charnley, Margaret Newson, Lisa Weeks, Andrew Abayomi, Julie Nutrients Article Good maternal nutrition is key to optimal maternal and foetal health. A poor-quality diet is often associated with obesity, and the prevalence and severity of maternal obesity has increased significantly in recent years. This study observed dietary intakes in pregnant women living with obesity and assessed the quality of their diet. In total, 140 women with a singleton pregnancy, aged > 18 years and BMI ≥ 35 kg/m(2), were recruited from antenatal clinics, weighed and completed food diaries at 16-, 28- and 36-weeks’ gestation. Clinical data were recorded directly from the women’s medical records. Nutrient intake was determined using ‘Microdiet(TM)’, then compared to Dietary Reference Values (DRVs). Energy intakes were comparable with DRVs, but intakes of sugar and saturated fatty acids were significantly higher. Intake of fibre and several key micronutrients (Iron, Iodine, Folate and Vitamin D) were significantly low. Several adverse obstetric outcomes were higher than the general obstetric population. Women with obesity, often considered ‘over nourished’, may have diets deficient in essential micronutrients, often associated with poor obstetric outcomes. To address the intergenerational transmission of poor health via poor diets warrants a multi-disciplinary approach focusing away from ‘dieting’ onto positive messages, emphasising key nutrients required for good maternal and foetal health. MDPI 2021-05-13 /pmc/articles/PMC8153277/ /pubmed/34068308 http://dx.doi.org/10.3390/nu13051652 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Charnley, Margaret
Newson, Lisa
Weeks, Andrew
Abayomi, Julie
Pregnant Women Living with Obesity: A Cross-Sectional Observational Study of Dietary Quality and Pregnancy Outcomes
title Pregnant Women Living with Obesity: A Cross-Sectional Observational Study of Dietary Quality and Pregnancy Outcomes
title_full Pregnant Women Living with Obesity: A Cross-Sectional Observational Study of Dietary Quality and Pregnancy Outcomes
title_fullStr Pregnant Women Living with Obesity: A Cross-Sectional Observational Study of Dietary Quality and Pregnancy Outcomes
title_full_unstemmed Pregnant Women Living with Obesity: A Cross-Sectional Observational Study of Dietary Quality and Pregnancy Outcomes
title_short Pregnant Women Living with Obesity: A Cross-Sectional Observational Study of Dietary Quality and Pregnancy Outcomes
title_sort pregnant women living with obesity: a cross-sectional observational study of dietary quality and pregnancy outcomes
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8153277/
https://www.ncbi.nlm.nih.gov/pubmed/34068308
http://dx.doi.org/10.3390/nu13051652
work_keys_str_mv AT charnleymargaret pregnantwomenlivingwithobesityacrosssectionalobservationalstudyofdietaryqualityandpregnancyoutcomes
AT newsonlisa pregnantwomenlivingwithobesityacrosssectionalobservationalstudyofdietaryqualityandpregnancyoutcomes
AT weeksandrew pregnantwomenlivingwithobesityacrosssectionalobservationalstudyofdietaryqualityandpregnancyoutcomes
AT abayomijulie pregnantwomenlivingwithobesityacrosssectionalobservationalstudyofdietaryqualityandpregnancyoutcomes