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Disparities exist between National food group recommendations and the dietary intakes of women.
BMC Womens Health. 2011 Aug 08; 11:37.BW

Abstract

BACKGROUND

Preconception and pregnancy dietary intakes can influence the health of future generations. In this study we compared the food intakes of reproductive-aged women by pregnancy status, to current Australian recommendations.

METHODS

Data are from the Australian Longitudinal Study on Women's Health, younger cohort aged 25-30 years in 2003, with self-reported status as pregnant (n = 606), trying to conceive (n = 454), given birth in the last 12 months (n = 829) or other (n = 5597). Diet was assessed using a validated 74-item food frequency questionnaire. Food group servings and nutrient intakes were compared to the Australian Guide to Healthy Eating (AGHE) and Australian Nutrient Reference Values (NRVs).

RESULTS

No women met all AGHE food group recommendations. Highest adherence rates [mean (95% CI) servings/day] were for meat [85%, 1.9(1.8-1.9)], fruit [44%, 2.1(2.1-2.2)] and dairy [35%, 1.8(1.8-1.9)], with < 14% meeting remaining recommendations. Women who achieved NRVs (folate, iron, calcium, zinc, fibre) for pregnancy, breastfeeding and adult life stages were 1.5%, 3.3% and 13.7%, respectively. Compared to AGHE, women consumed more servings of fruit (4.9 vs 4.0;P = 0.034) and dairy (3.4 vs 2.0;P = 0.006) to achieve pregnancy NRVs; more dairy (2.9 vs 2.0;P = 0.001), less fruit (3.9 vs 5.0;P < .001) and vegetables (3.4 vs 7.0;P < .001) to achieve breastfeeding NRVs; more fruit (3.6 vs 3.0;P < .001), dairy (2.5 vs 2.0;P < .001), meat (1.8 vs 1.5;P = 0.015), less vegetables (3.6 vs 5.0;P < .001) to achieve adult NRVs.

CONCLUSIONS

The AGHE does not align with contemporary diets of Australian women or enable them to meet all NRVs. Current tools to guide food consumption by women during pregnancy require revision.

Authors+Show Affiliations

School of Health Sciences, Faculty of Health, University of Newcastle, Callaghan, NSW, 2308, Australia.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21819627

Citation

Blumfield, Michelle L., et al. "Disparities Exist Between National Food Group Recommendations and the Dietary Intakes of Women." BMC Women's Health, vol. 11, 2011, p. 37.
Blumfield ML, Hure AJ, Macdonald-Wicks LK, et al. Disparities exist between National food group recommendations and the dietary intakes of women. BMC Womens Health. 2011;11:37.
Blumfield, M. L., Hure, A. J., Macdonald-Wicks, L. K., Patterson, A. J., Smith, R., & Collins, C. E. (2011). Disparities exist between National food group recommendations and the dietary intakes of women. BMC Women's Health, 11, 37. https://doi.org/10.1186/1472-6874-11-37
Blumfield ML, et al. Disparities Exist Between National Food Group Recommendations and the Dietary Intakes of Women. BMC Womens Health. 2011 Aug 8;11:37. PubMed PMID: 21819627.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Disparities exist between National food group recommendations and the dietary intakes of women. AU - Blumfield,Michelle L, AU - Hure,Alexis J, AU - Macdonald-Wicks,Lesley K, AU - Patterson,Amanda J, AU - Smith,Roger, AU - Collins,Clare E, Y1 - 2011/08/08/ PY - 2011/04/11/received PY - 2011/08/08/accepted PY - 2011/8/9/entrez PY - 2011/8/9/pubmed PY - 2012/2/1/medline SP - 37 EP - 37 JF - BMC women's health JO - BMC Womens Health VL - 11 N2 - BACKGROUND: Preconception and pregnancy dietary intakes can influence the health of future generations. In this study we compared the food intakes of reproductive-aged women by pregnancy status, to current Australian recommendations. METHODS: Data are from the Australian Longitudinal Study on Women's Health, younger cohort aged 25-30 years in 2003, with self-reported status as pregnant (n = 606), trying to conceive (n = 454), given birth in the last 12 months (n = 829) or other (n = 5597). Diet was assessed using a validated 74-item food frequency questionnaire. Food group servings and nutrient intakes were compared to the Australian Guide to Healthy Eating (AGHE) and Australian Nutrient Reference Values (NRVs). RESULTS: No women met all AGHE food group recommendations. Highest adherence rates [mean (95% CI) servings/day] were for meat [85%, 1.9(1.8-1.9)], fruit [44%, 2.1(2.1-2.2)] and dairy [35%, 1.8(1.8-1.9)], with < 14% meeting remaining recommendations. Women who achieved NRVs (folate, iron, calcium, zinc, fibre) for pregnancy, breastfeeding and adult life stages were 1.5%, 3.3% and 13.7%, respectively. Compared to AGHE, women consumed more servings of fruit (4.9 vs 4.0;P = 0.034) and dairy (3.4 vs 2.0;P = 0.006) to achieve pregnancy NRVs; more dairy (2.9 vs 2.0;P = 0.001), less fruit (3.9 vs 5.0;P < .001) and vegetables (3.4 vs 7.0;P < .001) to achieve breastfeeding NRVs; more fruit (3.6 vs 3.0;P < .001), dairy (2.5 vs 2.0;P < .001), meat (1.8 vs 1.5;P = 0.015), less vegetables (3.6 vs 5.0;P < .001) to achieve adult NRVs. CONCLUSIONS: The AGHE does not align with contemporary diets of Australian women or enable them to meet all NRVs. Current tools to guide food consumption by women during pregnancy require revision. SN - 1472-6874 UR - https://www.unboundmedicine.com/medline/citation/21819627/Disparities_exist_between_National_food_group_recommendations_and_the_dietary_intakes_of_women_ L2 - https://bmcwomenshealth.biomedcentral.com/articles/10.1186/1472-6874-11-37 DB - PRIME DP - Unbound Medicine ER -