Assessment of dietary diversity and nutritional status of pregnant women in Islamabad, Pakistan. .
Assessment of dietary diversity and nutritional status of pregnant women in Islamabad, Pakistan. .
复制标题
巴基斯坦伊斯兰堡孕妇膳食多样性和营养状况评估。
DOI：
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发表时间：
2014
期刊：
影响因子：
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通讯作者：
S. Khan
中科院分区：
文献类型：
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作者：
Fatima Ali;I. Thaver;S. Khan
背景
产妇营养不足是产妇发病率和死亡率的最重要原因之一，在发展中国家尤其如此。母体营养与胎儿营养直接相关。这项研究旨在确定伊斯兰堡拉瓦尔品第地区不同社会经济条件的孕妇的饮食多样性，并确定饮食多样性与营养状况的关系。
方法
这是一项横断面调查，涉及350名怀孕中期和晚期的孕妇，在巴基斯坦医学科学研究所(PIMS)伊斯兰堡妇幼保健中心门诊部进行。使用了半定性问卷，其中包括关于社会人口学特征、社会经济状况、营养状况和三天饮食回忆的结构化问题。第二部分也包括关于饮食观念的问题
结果
其中，47%的孕妇孕前BMI正常，22%的孕妇超重，17%的孕妇肥胖，只有12%的孕妇体重不足。同样，28.1%的人患有贫血症。89%的孕妇表现出中等的饮食多样性，而只有5%的孕妇表现出低和高的饮食多样性。饮食多样性与孕妇的社会人口学或社会经济地位无关。尽管怀孕中期(p=0.2)和晚期(p=0.049)的体重增加与饮食多样性呈正相关，但超过74%的孕妇体重增加低于推荐水平。没有证据表明血红蛋白与饮食多样性之间存在关联(p=0.51)。
结论
饮食多样性是孕妇微量营养素充分性的良好替代指标，然而，如果增加食物消耗量，它可以更好地指示孕妇营养状况的决定因素。
BACKGROUND
Maternal under-nutrition is one of the most important causes of maternal morbidity and mortality, particularly in the developing countries. Maternal nutrition has direct association with foetal nutrition. This study aimed to identify dietary diversity and determine any relationship of dietary diversity with nutritional status of pregnant women belonging to different socioeconomic conditions in Rawalpindi Islamabad region.
METHODS
It was a cross sectional survey involving 350 pregnant women in their second and third trimesters, conducted in outpatient department of Maternal and Child health centre at Pakistan Institute of Medical Sciences (PIMS) Islamabad. A semi qualitative questionnaire was used that contained structured questions regarding socio-demographic features, socioeconomic status, nutritional status, and three day dietary recall. A second section comprising of questions regarding dietary perceptions was also
RESULTS
Out of total, 47% of pregnant women had normal pre-gestational BMI while, 22% were overweight, 17% obese, and only 12% of pregnant women were under weight. Similarly 28.1% were anaemic. Medium dietary diversity was observed in 89% of pregnant women, while only 5% showed low, and high dietary diversity. Dietary diversity was not associated with sociodemographic, or socioeconomic status of pregnant women. Even though weight gain during second (p=0.2) and third trimesters (p=0.049) had a positive relationship with dietary diversity, more than 74% of pregnant women gained less than recommended level of weight gain. No association could be proven between haemoglobin and dietary diversity (p=0.51).
CONCLUSION
Dietary diversity is a good proxy indicator for micronutrient adequacy in pregnant women, however if quantity of food consumed is added it can give better indication of determinants of nutritional status of pregnant women.
影响因子：
4.2
作者：
Wu, GY;Bazer, FW;Spencer, TE
通讯作者：
Spencer, TE