Well-being in pregnancy: an examination of the effect of socioeconomic, dietary and lifestyle factors including impact of a low glycaemic index dietary intervention
Well-being in pregnancy: an examination of the effect of socioeconomic, dietary and lifestyle factors including impact of a low glycaemic index dietary intervention
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DOI：
10.1038/ejcn.2013.212
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发表时间：
2014-01-01
影响因子：
4.7
通讯作者：
McAuliffe, F. M.
中科院分区：
文献类型：
--
作者：
Horan, M. K.;McGowan, C. A.;McAuliffe, F. M.
背景/目的：幸福感与成年人的饮食质量和生活方式有关；然而，关于怀孕的数据很少。这项研究的目的是研究孕期幸福感与社会经济状况、饮食和生活方式的关系，并考虑低血糖指数(GI)饮食干预对幸福感的影响。收集了以下数据：教育程度、饮食摄入量(食物频率问卷)、体育活动(自报)和幸福感(WHO-5项幸福感指数-以百分比表示)。结果：幸福感与教育和体育活动呈正相关。受教育程度越高，幸福感百分比得分越高；每周步行30分钟，幸福感得分增加1.1分，R-adj(2)2.4%(F=7.260，P=0.001)。干预低GI组幸福感评分显著低于常规饮食组(56.3%vs59.9%，P=0.015)。根据食物日记计算出的幸福感和胃肠道状况之间没有相关性(P=0.469)。孕期幸福感与微量营养素摄入量无关。结论：孕期幸福感与文化程度、体力活动呈独立正相关，与低GI饮食干预呈负相关。这些发现不仅对有情绪低落风险的女性有重要意义，而且对医疗保健专业人员在咨询女性怀孕期间健康生活方式的重要性时也有重要意义。
BACKGROUND/OBJECTIVE: Well-being has been linked to the quality of diet and lifestyle in adults; however, there is a paucity of data in pregnancy. The aim of this study was to examine the relationship between well-being and socioeconomic status, diet and lifestyle during pregnancy and to consider the effect of intervention with low glycaemic index (GI) diet on well-being.SUBJECTS/METHODS: This was a cohort analysis of 619 participants of the ROLO study (Randomised cOntrol trial of LOw GI diet versus no dietary intervention to prevent recurrence of fetal macrosomia). The following data were collected: educational attainment, dietary intakes (food frequency questionnaire), physical activity (self-reported) and well-being (WHO-5-Item Wellbeing Index-expressed as a percentage).RESULTS: Well-being was positively associated with education and physical activity. Third-level education was associated with a 3.07-point higher well-being percentage score, and each day that an individual achieved > 30 min walking per week was associated with a 1.10-point increase in percentage well-being score, R-adj(2) 2.4% (F = 7.260, P = 0.001). The intervention low GI group had a significantly lower percentage well-being score than the usual diet group (56.3% vs 59.9%, P = 0.015). No correlation was noted between well-being and GI status calculated from food diaries (P = 0.469). Well-being was not associated with micronutrient intake.CONCLUSIONS: Well-being in pregnancy was independently and positively associated with education and physical activity and negatively associated with low GI dietary intervention. These findings have significance not only for women at risk of low mood but also for healthcare professionals when counselling women about the importance of healthy lifestyle in pregnancy.