Abstract
This double cohort study aimed to evaluate the effect of tailored dietary guidance for pregnant women on dietary intake, nutritional status, and infant birth weight. Healthy pregnant women were recruited at an antenatal clinic during two phases over 2 years. The historical controls were analyzed a year prior to the intervention group. In both groups, data were collected at 19–26 gestational weeks (baseline) and at 34–37 gestational weeks (outcome measurement). The intervention included the following: (a) assessments of maternal dietary nutritional intake using the brief self-administered diet history questionnaire, (b) individual feedback based on the assessments of maternal nutritional status, (c) tailored guidance for a healthy diet, (d) original cooking recipes, and (e) goal sharing. Mann–Whitney U test was used to compare the outcome data between the groups. Of the 378 eligible women, 309 women had follow-up questionnaire data. Blood samples were obtained from 202 women. Despite a lack of improvement in reported dietary intake, plasma eicosapentaenoic acid (p =.002), docosahexaenoic acid (p <.001), arachidonic acid (p <.001), and dihomo-gamma-linolenic acid (p <.001) concentrations as well as maternal weight gain (p =.019) were significantly higher in the intervention group. However, serum folate (p =.031) concentration was significantly lower in the intervention group, and there were no significant differences between the groups in 25-hydroxy vitamin D levels, blood count, average birth weight, and rate of low birth weight infants. Assessment-based tailored guidance individualized to maternal dietary intake might partially contribute to improved nutrition in pregnant women.
| Language | English (US) |
|---|---|
| Article number | e12391 |
| Journal | Maternal and Child Nutrition |
| Volume | 13 |
| Issue number | 4 |
| DOIs | |
| State | Published - Oct 1 2017 |
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Keywords
- 25-hydroxy vitamin D
- docosahexaenoic acid
- eicosapentaenoic acid
- folate
- low birth weight
- tailored dietary guidance
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Obstetrics and Gynecology
- Nutrition and Dietetics
- Public Health, Environmental and Occupational Health
Cite this
Effect of tailored dietary guidance for pregnant women on nutritional status : A double-cohort study. / Haruna, Megumi; Shiraishi, Mie; Matsuzaki, Masayo; Yatsuki, Yuko; Yeo, Seon Ae.
In: Maternal and Child Nutrition, Vol. 13, No. 4, e12391, 01.10.2017.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Effect of tailored dietary guidance for pregnant women on nutritional status
T2 - Maternal and Child Nutrition
AU - Haruna,Megumi
AU - Shiraishi,Mie
AU - Matsuzaki,Masayo
AU - Yatsuki,Yuko
AU - Yeo,Seon Ae
PY - 2017/10/1
Y1 - 2017/10/1
N2 - This double cohort study aimed to evaluate the effect of tailored dietary guidance for pregnant women on dietary intake, nutritional status, and infant birth weight. Healthy pregnant women were recruited at an antenatal clinic during two phases over 2 years. The historical controls were analyzed a year prior to the intervention group. In both groups, data were collected at 19–26 gestational weeks (baseline) and at 34–37 gestational weeks (outcome measurement). The intervention included the following: (a) assessments of maternal dietary nutritional intake using the brief self-administered diet history questionnaire, (b) individual feedback based on the assessments of maternal nutritional status, (c) tailored guidance for a healthy diet, (d) original cooking recipes, and (e) goal sharing. Mann–Whitney U test was used to compare the outcome data between the groups. Of the 378 eligible women, 309 women had follow-up questionnaire data. Blood samples were obtained from 202 women. Despite a lack of improvement in reported dietary intake, plasma eicosapentaenoic acid (p =.002), docosahexaenoic acid (p <.001), arachidonic acid (p <.001), and dihomo-gamma-linolenic acid (p <.001) concentrations as well as maternal weight gain (p =.019) were significantly higher in the intervention group. However, serum folate (p =.031) concentration was significantly lower in the intervention group, and there were no significant differences between the groups in 25-hydroxy vitamin D levels, blood count, average birth weight, and rate of low birth weight infants. Assessment-based tailored guidance individualized to maternal dietary intake might partially contribute to improved nutrition in pregnant women.
AB - This double cohort study aimed to evaluate the effect of tailored dietary guidance for pregnant women on dietary intake, nutritional status, and infant birth weight. Healthy pregnant women were recruited at an antenatal clinic during two phases over 2 years. The historical controls were analyzed a year prior to the intervention group. In both groups, data were collected at 19–26 gestational weeks (baseline) and at 34–37 gestational weeks (outcome measurement). The intervention included the following: (a) assessments of maternal dietary nutritional intake using the brief self-administered diet history questionnaire, (b) individual feedback based on the assessments of maternal nutritional status, (c) tailored guidance for a healthy diet, (d) original cooking recipes, and (e) goal sharing. Mann–Whitney U test was used to compare the outcome data between the groups. Of the 378 eligible women, 309 women had follow-up questionnaire data. Blood samples were obtained from 202 women. Despite a lack of improvement in reported dietary intake, plasma eicosapentaenoic acid (p =.002), docosahexaenoic acid (p <.001), arachidonic acid (p <.001), and dihomo-gamma-linolenic acid (p <.001) concentrations as well as maternal weight gain (p =.019) were significantly higher in the intervention group. However, serum folate (p =.031) concentration was significantly lower in the intervention group, and there were no significant differences between the groups in 25-hydroxy vitamin D levels, blood count, average birth weight, and rate of low birth weight infants. Assessment-based tailored guidance individualized to maternal dietary intake might partially contribute to improved nutrition in pregnant women.
KW - 25-hydroxy vitamin D
KW - docosahexaenoic acid
KW - eicosapentaenoic acid
KW - folate
KW - low birth weight
KW - tailored dietary guidance
UR - http://www.scopus.com/inward/record.url?scp=85006250776&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85006250776&partnerID=8YFLogxK
U2 - 10.1111/mcn.12391
DO - 10.1111/mcn.12391
M3 - Article
VL - 13
JO - Maternal and Child Nutrition
JF - Maternal and Child Nutrition
SN - 1740-8695
IS - 4
M1 - e12391
ER -