Tags

Type your tag names separated by a space and hit enter

The association between portion size, nutrient intake and gestational weight gain: a secondary analysis in the WATCH study 2006/7.
J Hum Nutr Diet. 2016 Jun; 29(3):271-80.JH

Abstract

BACKGROUND

Excessive gestational weight gain (GWG) is associated with adverse maternal-child health outcomes. Managing energy intake and GWG versus optimising nutrient intake can be challenging. The present study aimed to examine the relationships between dietary portion size, GWG and nutrient intakes during pregnancy. It is hypothesised that, after adjustment for potential confounders, portion size would be positively associated with both GWG and nutrient intakes during pregnancy.

METHODS

Prospective data were obtained for 179 Australian women from the Women and Their Children's Health Study. A validated food frequency questionnaire was used at 18-24 and 36-40 weeks of gestation to quantify diet and portion size during the previous 3 months of pregnancy. Nutrient intakes were compared with Australian Nutrient Reference Values (NRVs). GWG was measured up to 36 weeks and compared with the Institute of Medicine weight gain recommendations (WtAdh).

RESULTS

In multivariate regression models, portion size factor (PSF) was positively associated with GWG in women with high socio-economic status (SES; β = 0.20, P = 0.04) and those with an overweight/obese pre-pregnancy body mass index (BMI) (β = 0.28, P = 0.04). PSF uniquely accounted for 8.2% and 3.7% of the variability in GWG for women with high SES and overweight/obese pre-pregnancy BMIs, respectively. Nutrient intakes and PSF were similar regardless of WtAdh. Women achieved NRVs for calcium and zinc in all PSF categories. Most of the women with large PSF still failed to achieve the NRVs for folate (95.7%), iron (89.6%) and fibre (85.5%).

CONCLUSIONS

All women require advice on quality food choices during pregnancy to optimise health outcomes. Targeting portion size alone is insufficient to manage GWG but may prove to be a valuable tool in pregnant women of high SES and/or those who are overweight/obese pre-pregnancy.

Authors+Show Affiliations

Department of Nutrition and Dietetics, Southern Clinical School of Medicine, Monash University, Clayton, VIC, Australia.Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands.School of Health Sciences, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia. Priority Research Centre in Physical Activity and Nutrition, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia.School of Health Sciences, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia. Priority Research Centre in Physical Activity and Nutrition, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia.School of Health, University of New England, Armidale, NSW, Australia.School of Health Sciences, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia. Priority Research Centre in Physical Activity and Nutrition, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26249316

Citation

Blumfield, M L., et al. "The Association Between Portion Size, Nutrient Intake and Gestational Weight Gain: a Secondary Analysis in the WATCH Study 2006/7." Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association, vol. 29, no. 3, 2016, pp. 271-80.
Blumfield ML, Schreurs M, Rollo ME, et al. The association between portion size, nutrient intake and gestational weight gain: a secondary analysis in the WATCH study 2006/7. J Hum Nutr Diet. 2016;29(3):271-80.
Blumfield, M. L., Schreurs, M., Rollo, M. E., MacDonald-Wicks, L. K., Kokavec, A., & Collins, C. E. (2016). The association between portion size, nutrient intake and gestational weight gain: a secondary analysis in the WATCH study 2006/7. Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association, 29(3), 271-80. https://doi.org/10.1111/jhn.12330
Blumfield ML, et al. The Association Between Portion Size, Nutrient Intake and Gestational Weight Gain: a Secondary Analysis in the WATCH Study 2006/7. J Hum Nutr Diet. 2016;29(3):271-80. PubMed PMID: 26249316.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The association between portion size, nutrient intake and gestational weight gain: a secondary analysis in the WATCH study 2006/7. AU - Blumfield,M L, AU - Schreurs,M, AU - Rollo,M E, AU - MacDonald-Wicks,L K, AU - Kokavec,A, AU - Collins,C E, Y1 - 2015/08/07/ PY - 2015/8/8/entrez PY - 2015/8/8/pubmed PY - 2017/1/5/medline KW - gestational weight gain KW - nutrient intake KW - portion size KW - pregnancy SP - 271 EP - 80 JF - Journal of human nutrition and dietetics : the official journal of the British Dietetic Association JO - J Hum Nutr Diet VL - 29 IS - 3 N2 - BACKGROUND: Excessive gestational weight gain (GWG) is associated with adverse maternal-child health outcomes. Managing energy intake and GWG versus optimising nutrient intake can be challenging. The present study aimed to examine the relationships between dietary portion size, GWG and nutrient intakes during pregnancy. It is hypothesised that, after adjustment for potential confounders, portion size would be positively associated with both GWG and nutrient intakes during pregnancy. METHODS: Prospective data were obtained for 179 Australian women from the Women and Their Children's Health Study. A validated food frequency questionnaire was used at 18-24 and 36-40 weeks of gestation to quantify diet and portion size during the previous 3 months of pregnancy. Nutrient intakes were compared with Australian Nutrient Reference Values (NRVs). GWG was measured up to 36 weeks and compared with the Institute of Medicine weight gain recommendations (WtAdh). RESULTS: In multivariate regression models, portion size factor (PSF) was positively associated with GWG in women with high socio-economic status (SES; β = 0.20, P = 0.04) and those with an overweight/obese pre-pregnancy body mass index (BMI) (β = 0.28, P = 0.04). PSF uniquely accounted for 8.2% and 3.7% of the variability in GWG for women with high SES and overweight/obese pre-pregnancy BMIs, respectively. Nutrient intakes and PSF were similar regardless of WtAdh. Women achieved NRVs for calcium and zinc in all PSF categories. Most of the women with large PSF still failed to achieve the NRVs for folate (95.7%), iron (89.6%) and fibre (85.5%). CONCLUSIONS: All women require advice on quality food choices during pregnancy to optimise health outcomes. Targeting portion size alone is insufficient to manage GWG but may prove to be a valuable tool in pregnant women of high SES and/or those who are overweight/obese pre-pregnancy. SN - 1365-277X UR - https://www.unboundmedicine.com/medline/citation/26249316/The_association_between_portion_size_nutrient_intake_and_gestational_weight_gain:_a_secondary_analysis_in_the_WATCH_study_2006/7_ L2 - https://doi.org/10.1111/jhn.12330 DB - PRIME DP - Unbound Medicine ER -