Pregnancy-specific dietary guidelines for Americans are not met: Findings from a pilot study.

Pregnancy-specific dietary guidelines for Americans are not met: Findings from a pilot study.
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DOI:
10.1002/rfc2.63
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发表时间:
2023-12
期刊:
Reproductive, female and child health
影响因子:
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通讯作者:
Gregory, Katherine E
Gregory, Katherine E
中科院分区:
其他
文献类型:
--
作者:
El Habbal, Noura;Filatava, Evgenia J;Overton, Nicolette E;Gregas, Matt;Gregory, Katherine E

文献摘要

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评估孕妇孕期膳食摄入量和对2020-2025年美国孕妇专用膳食指南(DGA)的遵守情况。这是一项回顾性观察性研究。研究人群包括分娩足月婴儿(妊娠37周)的妇女。参与者在出生后被给予饮食筛选问卷(DSQ),并被要求回忆他们在怀孕最后一个月的饮食摄入量。然后将参与者的估计膳食摄入量与2020-2025年的DGA进行比较,其中包括对孕妇的具体建议。在完成DSQ的51名女性中,没有人摄入了所有被调查饮食因素的推荐量。具体来说,只有一名女性(2%)达到了推荐的水果摄入量,11名女性(22%)达到了推荐的钙摄入量,25名女性(49%)超过了推荐的添加糖摄入量上限,没有一名女性(0%)达到了蔬菜、全谷物、乳制品和纤维的摄入量。在我们的研究中,妇女在怀孕的最后一个月没有遵守妊娠特异性DGA的建议。我们的研究结果强调需要提高产妇的营养意识和教育,以提高对DGA的依从性。在我们的研究中,没有一名女性符合最新的《2020 - 2025年美国人饮食指南》(DGA)关于所有饮食因素(蔬菜、水果、全谷物、乳制品、钙、纤维和添加糖)的孕期特定饮食指南的建议,这表明怀孕最后一个月的饮食摄入量低于最佳水平。产前营养咨询和教育工作是必要的,以优化产妇意识和遵守DGA的建议。进一步评估目前产前饮食摄入量是改善孕产妇和儿童健康的一项公共卫生优先事项。
To assess maternal dietary intake during pregnancy and adherence to the 2020–2025 pregnancy‐specific Dietary Guidelines for Americans (DGA). This was a retrospective observational study. The study population consisted of women who gave birth to term infants (>37 weeks of gestation). Participants were given the Dietary Screener Questionnaire (DSQ) after birth and asked to recall their dietary intake in the last month of pregnancy. Participants' estimated dietary intakes were then compared to the 2020–2025 DGA which includes specific recommendations for pregnant women. Out of 51 women who completed the DSQ, none consumed the recommended amounts of all surveyed dietary factors. Specifically, only one woman (2%) met the recommended intake of fruits, 11 women (22%) met the recommended intake of calcium, 25 women (49%) exceeded the recommended upper limit for added sugar intake, and none of the women (0%) met the intake of vegetables, whole grains, dairy and fiber. Women in our study did not adhere to the pregnancy‐specific DGA recommendations in the last month of pregnancy. Our findings underscore the need to increase maternal nutritional awareness and education to improve adherence to the DGA. None of the women in our study met the latest pregnancy‐specific 2020‐2025 Dietary Guidelines for Americans (DGA) recommendations for all dietary factors (vegetables, fruits, whole grains, dairy, calcium, fiber and added sugar) revealing suboptimal dietary intake in the last month of pregnancy. Prenatal nutritional counseling and education efforts are warranted to optimize maternal awareness and adherence to the DGA recommendations. Further assessment of current prenatal dietary intake is a public health priority to improve maternal and child health.