Correlates of Prenatal Diet Quality in Low-Income Hispanic Women
Correlates of Prenatal Diet Quality in Low-Income Hispanic Women
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DOI：
10.1016/j.jand.2019.02.004
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发表时间：
2019-08-01
影响因子：
4.8
通讯作者：
Gross, Rachel
中科院分区：
文献类型：
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作者：
Berube, Lauren Thomas;Messito, Mary Jo;Gross, Rachel
背景低收入的西班牙裔妇女有产前饮食质量差的风险。与产前饮食质量相关的这组妇女understudied.Objective本研究的目的是探讨经济，文化，社会心理和生活方式的相关性和产前饮食质量在低收入的西班牙裔women.Design横断面分析的数据，从孕妇参加了早期试验，一项从怀孕开始的基于初级保健的儿童肥胖预防计划的随机对照试验。该试验从2012年至2014年招募了纽约市一家大型城市医疗中心附属诊所的女性。经济，文化，社会心理和生活方式的变量收集使用一个全面的基线问卷。在过去的一年中，饮食摄入量进行了评估，使用块食物频率问卷2005年双语版本。参与者这项研究招募了低收入的西班牙裔妇女之间的28和32孕周（N=519）主要结果测量产前饮食质量通过2015年健康饮食指数进行测量。进行统计分析未校正和校正的多变量线性回归分析，以确定财务、文化、心理社会和生活方式相关因素与2015年健康饮食指数总分之间的独立关联。结果总体产前饮食质量较差（平均健康饮食指数2015年总分=69.0 +/- 9.4）。大多数妇女没有达到总蔬菜（65.3%），全谷物（97.1%），乳制品（74.8%），脂肪酸（84.4%），精制谷物（79.8%），钠（97.5%），饱和脂肪（92.9%）和添加糖（66.5%）的最高分数。妇女谁报告屏幕时间2小时/天，没有体力活动，和那些出生在UnitedStates.Conclusions产前饮食质量低收入的西班牙裔孕妇是次优。这项横断面研究揭示了低收入西班牙裔妇女的文化和生活方式因素与产前饮食质量之间的关联。需要进行纵向研究，以确定长期影响和特定行为，以进行有效的干预研究。
Background Low-income Hispanic women are at-risk of poor prenatal diet quality. Correlates associated with prenatal diet quality in this group of women are understudied.Objective The objective of this study was to examine the associations between financial, cultural, psychosocial, and lifestyle correlates and prenatal diet quality in low income Hispanic women.Design This cross-sectional analysis used data from pregnant women enrolled in the Starting Early Trial, a randomized-controlled trial of a primary-care based child obesity prevention program beginning in pregnancy. The trial enrolled women from clinics affiliated with a large urban medical center in New York City from 2012 to 2014. Financial, cultural, psychosocial, and lifestyle variables were collected using a comprehensive baseline questionnaire. Usual dietary intakes over the past year were assessed using the Block Food Frequency Questionnaire 2005 bilingual version.Participants The study enrolled low-income Hispanic women between 28 and 32 gestational weeks (N=519).Main outcome measures Prenatal diet quality was measured by the Healthy Eating Index 2015.Statistical analyses performed Unadjusted and adjusted multivariable linear regression analyses were performed to determine independent associations between financial, cultural, psychosocial, and lifestyle correlates and Healthy Eating Index 2015 total score.Results Overall prenatal diet quality was poor (mean Healthy Eating Index 2015 total score=69.0 +/- 9.4). Most women did not meet the maximum score for total vegetables (65.3%), whole grains (97.1%), dairy (74.8%), fatty acids (84.4%), refined grains (79.8%), sodium (97.5%), saturated fats (92.9%), and added sugars (66.5%). Women who reported screen time 2 hours/day, no physical activity, and those born in the United States.Conclusions Prenatal diet quality of low-income pregnant Hispanic women was sub optimal. This cross-sectional study revealed associations between cultural and lifestyle factors and prenatal diet quality in low-income Hispanic women. Longitudinal studies are needed to determine long-term influences and specific behaviors to target for effective intervention studies.