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Falling short of dietary guidelines - What do Australian pregnant women really know? A cross sectional study.
Women Birth. 2017 Feb; 30(1):9-17.WB

Abstract

BACKGROUND

Maternal diets are not consistent with dietary guidance and this may affect the health of mothers and their infants. Nutrition knowledge and motivation may be important factors.

AIMS

To assess pregnant women's diets in relation to consistency with the Australian Guidelines for Healthy Eating (AGHE); factors influencing women's adherence to the recommendations; and women's attitudes towards pregnancy-specific nutrition information.

METHODS

A cross-sectional study using convenience sampling was undertaken at five hospitals in New South Wales (Australia) and through an online link (October 2012 to July 2013). N=388 pregnant women completed the survey. Categorical data were analysed using Chi square and logistic regression with significance set at P<0.05.

FINDINGS

Most participants were highly motivated to adopt a healthy diet, believed they were trying to do so and that knowing about nutrition in pregnancy was highly important. Reported dietary intakes were poor. No pregnant women met the recommended intakes for all five food groups. Poor knowledge of these recommendations was evident. Knowledge of selected recommendations (for Fruit, Vegetables, and Breads and Cereals) increased the likelihood of those foods' consumption 8 (95% confidence interval [CI], 2.3-27.7), 9.1 (95% CI, 2.6-31.3) and 6.8 (95% CI, 3.4-13.7) times respectively.

CONCLUSION

Pregnant women had high levels of motivation and confidence in their ability to achieve a healthy diet and understand dietary recommendations, but actually demonstrated poor knowledge and poor adherence to guidelines. Mistaken or false beliefs may be a barrier to effective nutrition education strategies.

Authors+Show Affiliations

School of Health and Society, Faculty of Social Sciences, University of Wollongong, Northfields Avenue, Wollongong, New South Wales 2522, Australia. Electronic address: kb391@uowmail.edu.au.School of Health and Society, Faculty of Social Sciences, University of Wollongong, Northfields Avenue, Wollongong, New South Wales 2522, Australia. Electronic address: hyeatman@uow.edu.au.School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Northfields Avenue, Wollongong, New South Wales 2522, Australia; School of Nursing and Midwifery, Higher Education Division, CQ University, 90 Goodchap Street, Noosaville, Queensland 4566, Australia. Electronic address: m.williamson@cqu.edu.au.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27317129

Citation

Bookari, Khlood, et al. "Falling Short of Dietary Guidelines - what Do Australian Pregnant Women Really Know? a Cross Sectional Study." Women and Birth : Journal of the Australian College of Midwives, vol. 30, no. 1, 2017, pp. 9-17.
Bookari K, Yeatman H, Williamson M. Falling short of dietary guidelines - What do Australian pregnant women really know? A cross sectional study. Women Birth. 2017;30(1):9-17.
Bookari, K., Yeatman, H., & Williamson, M. (2017). Falling short of dietary guidelines - What do Australian pregnant women really know? A cross sectional study. Women and Birth : Journal of the Australian College of Midwives, 30(1), 9-17. https://doi.org/10.1016/j.wombi.2016.05.010
Bookari K, Yeatman H, Williamson M. Falling Short of Dietary Guidelines - what Do Australian Pregnant Women Really Know? a Cross Sectional Study. Women Birth. 2017;30(1):9-17. PubMed PMID: 27317129.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Falling short of dietary guidelines - What do Australian pregnant women really know? A cross sectional study. AU - Bookari,Khlood, AU - Yeatman,Heather, AU - Williamson,Moira, Y1 - 2016/06/15/ PY - 2016/03/08/received PY - 2016/05/29/revised PY - 2016/05/31/accepted PY - 2016/6/19/pubmed PY - 2017/4/25/medline PY - 2016/6/19/entrez KW - Dietary guidelines KW - Knowledge KW - Motivation KW - Nutrition KW - Pregnancy SP - 9 EP - 17 JF - Women and birth : journal of the Australian College of Midwives JO - Women Birth VL - 30 IS - 1 N2 - BACKGROUND: Maternal diets are not consistent with dietary guidance and this may affect the health of mothers and their infants. Nutrition knowledge and motivation may be important factors. AIMS: To assess pregnant women's diets in relation to consistency with the Australian Guidelines for Healthy Eating (AGHE); factors influencing women's adherence to the recommendations; and women's attitudes towards pregnancy-specific nutrition information. METHODS: A cross-sectional study using convenience sampling was undertaken at five hospitals in New South Wales (Australia) and through an online link (October 2012 to July 2013). N=388 pregnant women completed the survey. Categorical data were analysed using Chi square and logistic regression with significance set at P<0.05. FINDINGS: Most participants were highly motivated to adopt a healthy diet, believed they were trying to do so and that knowing about nutrition in pregnancy was highly important. Reported dietary intakes were poor. No pregnant women met the recommended intakes for all five food groups. Poor knowledge of these recommendations was evident. Knowledge of selected recommendations (for Fruit, Vegetables, and Breads and Cereals) increased the likelihood of those foods' consumption 8 (95% confidence interval [CI], 2.3-27.7), 9.1 (95% CI, 2.6-31.3) and 6.8 (95% CI, 3.4-13.7) times respectively. CONCLUSION: Pregnant women had high levels of motivation and confidence in their ability to achieve a healthy diet and understand dietary recommendations, but actually demonstrated poor knowledge and poor adherence to guidelines. Mistaken or false beliefs may be a barrier to effective nutrition education strategies. SN - 1878-1799 UR - https://www.unboundmedicine.com/medline/citation/27317129/Falling_short_of_dietary_guidelines___What_do_Australian_pregnant_women_really_know_A_cross_sectional_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1871-5192(16)30049-X DB - PRIME DP - Unbound Medicine ER -