Clin Nutr Res.  2017 Jan;6(1):27-37. 10.7762/cnr.2017.6.1.27.

Nutrient Intake according to Weight Gain during Pregnancy, Job Status, and Household Income

Affiliations
  • 1Department of Food and Nutrition, Keimyung University, Daegu 42601, Korea. choimj@kmu.ac.kr

Abstract

The objective of this study was to investigate the association of nutrient intake and pregnancy outcome mediated by weight gain during pregnancy, job status, and household income. Maternal age, educational level, self-reported pre-pregnancy weights, educational level, and household income were collected from the women at 2 months postpartum. For each offspring, weight at birth, length at birth, and gestational age were collected. Participants were asked to report the frequency of consumption of foods between 28-42 weeks into the pregnancy. Diet was assessed by using a validated 106-item semi-quantitative food-frequency questionnaire (SQFFQ) and women were asked portions and quantities based on pictures, food models, and measuring tools such as cups or teaspoons. Results showed that women who gained below the recommended weight gain during pregnancy, within, and over were 25.3%, 38.7%, 36.0%, respectively. In comparison to weight gain and the offspring's length and weight at birth, the offspring of mothers with a lower weight gain had a higher length. Energy, protein, vitamin B2, vitamin C, calcium, and potassium were significantly lower at employed group. We did not observe a significant difference between birth characteristics and maternal nutrient intake by income. Infants with a higher ponderal index at birth were born to women with a higher pre-pregnancy body mass index (BMI).

Keyword

Pregnancy women; Nutrient intake; Gestational weight gain; Ponderal index

MeSH Terms

Ascorbic Acid
Body Mass Index
Calcium
Diet
Family Characteristics*
Female
Gestational Age
Humans
Infant
Maternal Age
Mothers
Parturition
Postpartum Period
Potassium
Pregnancy Outcome
Pregnancy*
Riboflavin
Weight Gain*
Weights and Measures
Ascorbic Acid
Calcium
Potassium
Riboflavin

Reference

1. Jans G, Matthys C, Bogaerts A, Lannoo M, Verhaeghe J, Van der Schueren B, Devlieger R. Maternal micronutrient deficiencies and related adverse neonatal outcomes after bariatric surgery: a systematic review. Adv Nutr. 2015; 15:420–429.
Article
2. Institute of Medicine (US) and National Research Council (US) Committee to Reexamine IOM Pregnancy Weight Guidelines. Rasmussen KM, Yaktine AL, editors. Weight gain during pregnancy: reexamining the guidelines. Washington, D.C.: National Academies Press;2009.
Article
3. Butte NF, Ellis KJ, Wong WW, Hopkinson JM, Smith EO. Composition of gestational weight gain impacts maternal fat retention and infant birth weight. Am J Obstet Gynecol. 2003; 189:1423–1432.
Article
4. Clapp JF 3rd. Maternal carbohydrate intake and pregnancy outcome. Proc Nutr Soc. 2002; 61:45–50.
Article
5. Knudsen VK, Heitmann BL, Halldorsson TI, Sørensen TI, Olsen SF. Maternal dietary glycaemic load during pregnancy and gestational weight gain, birth weight and postpartum weight retention: a study within the Danish National Birth Cohort. Br J Nutr. 2013; 109:1471–1478.
Article
6. Starling AP, Brinton JT, Glueck DH, Shapiro AL, Harrod CS, Lynch AM, Siega-Riz AM, Dabelea D. Associations of maternal BMI and gestational weight gain with neonatal adiposity in the Healthy Start study. Am J Clin Nutr. 2015; 101:302–309.
Article
7. Martin CL, Siega-Riz AM, Sotres-Alvarez D, Robinson WR, Daniels JL, Perrin EM, Stuebe AM. Maternal dietary patterns during pregnancy are associated with child growth in the first 3 years of life. J Nutr. 2016; 146:2281–2288.
Article
8. Mathews F, Yudkin P, Neil A. Influence of maternal nutrition on outcome of pregnancy: prospective cohort study. BMJ. 1999; 319:339–343.
Article
9. Maternal anthropometry and pregnancy outcomes. A WHO collaborative study. Bull World Health Organ. 1995; 73:Suppl. 1–98.
Article
10. De Wals P, Tairou F, Van Allen MI, Uh SH, Lowry RB, Sibbald B, Evans JA, Van den Hof MC, Zimmer P, Crowley M, Fernandez B, Lee NS, Niyonsenga T. Reduction in neural-tube defects after folic acid fortification in Canada. N Engl J Med. 2007; 357:135–142.
Article
11. National Research Institute of Health (KR). Korean genome and epidemiology study [Internet]. 2014. cited 2016 December 20. Available from http://www.nih.go.kr.
Article
12. Ministry of Food and Drug Safety (KR). Ministry of Food and Drug Safety survey [Internet]. 2014. cited 2016 December 20. Available from http://www.mfds.go.kr.
Article
13. Pinto E, Barros H, dos Santos Silva I. Dietary intake and nutritional adequacy prior to conception and during pregnancy: a follow-up study in the north of Portugal. Public Health Nutr. 2009; 12:922–931.
Article
14. Ministry of Health and Welfare (KR). The Korean Nutrition Society. Dietary reference intakes for Koreans 2015. Sejong: Ministry of Health and Welfare;2016.
Article
15. Goletzke J, Buyken AE, Louie JC, Moses RG, Brand-Miller JC. Dietary micronutrient intake during pregnancy is a function of carbohydrate quality. Am J Clin Nutr. 2015; 102:626–632.
Article
16. Widen EM, Whyatt RM, Hoepner LA, Ramirez-Carvey J, Oberfield SE, Hassoun A, Perera FP, Gallagher D, Rundle AG. Excessive gestational weight gain is associated with long-term body fat and weight retention at 7 y postpartum in African American and Dominican mothers with underweight, normal, and overweight prepregnancy BMI. Am J Clin Nutr. 2015; 102:1460–1467.
Article
17. Siega-Riz AM, Viswanathan M, Moos MK, Deierlein A, Mumford S, Knaack J, Thieda P, Lux LJ, Lohr KN. A systematic review of outcomes of maternal weight gain according to the Institute of Medicine recommendations: birthweight, fetal growth, and postpartum weight retention. Am J Obstet Gynecol. 2009; 201:339.e1–339.14.
Article
18. Fall CH, Yajnik CS, Rao S, Davies AA, Brown N, Farrant HJ. Micronutrients and fetal growth. J Nutr. 2003; 133:1747S–56S.
Article
19. Salafia CM, Charles AK, Maas EM. Placenta and fetal growth restriction. Clin Obstet Gynecol. 2006; 49:236–256.
Article
20. Khashan AS, Kenny LC. The effects of maternal body mass index on pregnancy outcome. Eur J Epidemiol. 2009; 24:697–705.
Article
21. Cnattingius S, Villamor E, Johansson S, Edstedt Bonamy AK, Persson M, Wikström AK, Granath F. Maternal obesity and risk of preterm delivery. JAMA. 2013; 309:2362–2370.
Article
22. Gernand AD, Christian P, Paul RR, Shaikh S, Labrique AB, Schulze KJ, Shamim AA, West KP Jr. Maternal weight and body composition during pregnancy are associated with placental and birth weight in rural Bangladesh. J Nutr. 2012; 142:2010–2016.
Article
23. Chong MF, Chia AR, Colega M, Tint MT, Aris IM, Chong YS, Gluckman P, Godfrey KM, Kwek K, Saw SM, Yap F, van Dam RM, Lee YS; GUSTO Study Group. Maternal protein intake during pregnancy is not associated with offspring birth weight in a multiethnic Asian population. J Nutr. 2015; 145:1303–1310.
Article
24. Abu-Saad K, Fraser D. Maternal nutrition and birth outcomes. Epidemiol Rev. 2010; 32:5–25.
25. Renault KM, Carlsen EM, Nørgaard K, Nilas L, Pryds O, Secher NJ, Cortes D, Jensen JE, Olsen SF, Halldorsson TI. Intake of carbohydrates during pregnancy in obese women is associated with fat mass in the newborn offspring. Am J Clin Nutr. 2015; 102:1475–1481.
26. Switkowski KM, Jacques PF, Must A, Kleinman KP, Gillman MW, Oken E. Maternal protein intake during pregnancy and linear growth in the offspring. Am J Clin Nutr. 2016; 104:1128–1136.
Article
27. Elango R, Ball RO. Protein and amino acid requirements during pregnancy. Adv Nutr. 2016; 7:839S–44S.
Article
28. Godfrey KM, Barker DJ, Robinson S, Osmond C. Maternal birthweight and diet in pregnancy in relation to the infant’s thinness at birth. Br J Obstet Gynaecol. 1997; 104:663–667.
Article
29. Han YS, Lee SS. Association of nutrient intake and pregnancy outcome with gestational weight gain. Korean J Nutr. 2010; 43:141–151.
Article
30. Masih SP, Plumptre L, Ly A, Berger H, Lausman AY, Croxford R, Kim YI, O’Connor DL. Pregnant canadian women achieve recommended intakes of one-carbon nutrients through prenatal supplementation but the supplement composition, including choline, requires reconsideration. J Nutr. 2015; 145:1824–1834.
Article
31. Stover PJ. Physiology of folate and vitamin B12 in health and disease. Nutr Rev. 2004; 62:S3–12.
Article
32. Halicioglu O, Sutcuoglu S, Koc F, Ozturk C, Albudak E, Colak A, Sahin E, Asik Akman S. Vitamin B12 and folate statuses are associated with diet in pregnant women, but not with anthropometric measurements in term newborns. J Matern Fetal Neonatal Med. 2012; 25:1618–1621.
Article
33. Refsum H. Folate, vitamin B12 and homocysteine in relation to birth defects and pregnancy outcome. Br J Nutr. 2001; 85:Suppl 2. S109–13.
Article
34. Kim H, Hwang JY, Ha EH, Park H, Ha M, Lee SJ, Hong YC, Chang N. Association of maternal folate nutrition and serum C-reactive protein concentrations with gestational age at delivery. Eur J Clin Nutr. 2011; 65:350–356.
35. Hogeveen M, Blom HJ, van der Heijden EH, Semmekrot BA, Sporken JM, Ueland PM, den Heijer M. Maternal homocysteine and related B vitamins as risk factors for low birthweight. Am J Obstet Gynecol. 2010; 202:572.e1–572.e6.
36. Bergen NE, Jaddoe VW, Timmermans S, Hofman A, Lindemans J, Russcher H, Raat H, Steegers-Theunissen RP, Steegers EA. Homocysteine and folate concentrations in early pregnancy and the risk of adverse pregnancy outcomes: the Generation R Study. BJOG. 2012; 119:739–751.
Article
37. Adrogué HJ, Madias NE. Sodium and potassium in the pathogenesis of hypertension. N Engl J Med. 2007; 356:1966–1978.
Article
38. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2014: Korea National Health and Nutrition Examination Survey (KNHANES VI-2). Cheongju: Korea Centers for Disease Control and Prevention;2015.
Article
39. Omotayo MO, Dickin KL, O’Brien KO, Neufeld LM, De Regil LM, Stoltzfus RJ. Calcium supplementation to prevent preeclampsia: translating guidelines into practice in low-income countries. Adv Nutr. 2016; 7:275–278.
Article
40. Hu FB, Rimm E, Smith-Warner SA, Feskanich D, Stampfer MJ, Ascherio A, Sampson L, Willett WC. Reproducibility and validity of dietary patterns assessed with a food-frequency questionnaire. Am J Clin Nutr. 1999; 69:243–249.
Article
41. Crozier SR, Robinson SM, Godfrey KM, Cooper C, Inskip HM. Women’s dietary patterns change little from before to during pregnancy. J Nutr. 2009; 139:1956–1963.
Article
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