Influence of dietary intake and decision‐making during pregnancy on birth outcomes

Aim This study aimed to examine dietary intake and decision‐making in a cohort of pregnant South‐East Queensland women to determine compliance with dietary guidelines and the relationships between dietary intake, decision‐making and birth outcomes. Methods Pregnant women attending maternity services...

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Bibliographic Details
Published in:Nutrition & dietetics 2020-07, Vol.77 (3), p.323-330
Main Authors: James‐McAlpine, Janelle M., Vincze, Lisa J., Vanderlelie, Jessica J., Perkins, Anthony V.
Format: Article
Language:English
Subjects:
Adult
birth outcomes
Cohort Studies
Cross-Sectional Studies
cultural diversity
Decision Making
diet
Diet - standards
Diet Surveys - instrumentation
Dietary guidelines
Female
Food
Food Preferences
Guideline Adherence
Humans
Nutrition
Nutrition Policy
nutritional status
Pregnancy
Pregnancy Complications - epidemiology
Pregnancy Outcome - epidemiology
Pregnant Women - psychology
Queensland - epidemiology
Tobacco Smoking - epidemiology
Womens health
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Summary:Aim This study aimed to examine dietary intake and decision‐making in a cohort of pregnant South‐East Queensland women to determine compliance with dietary guidelines and the relationships between dietary intake, decision‐making and birth outcomes. Methods Pregnant women attending maternity services at participating hospitals reported food frequency and motivations using the Maternal Outcomes and Nutrition Tool, a novel digital instrument. Birth outcomes were sourced from hospital records. A cross‐sectional cohort design was used to examine the data. Results Analysis demonstrated suboptimal intake of core food groups; meat and alternatives (median [IQR]) (2.6 [2.0‐3.4] serves/day) and grains (3.1 [2.1‐4.1]) fell below recommendations; fruit (3.8 [2.5‐5.3]) and discretionary foods (3.1 [2.1‐4.4]) exceeded them. Hypertensive disorders demonstrated a negative linear relationship with vegetable intake (P = .017). Cultural diversity was significantly associated with decreased birthweight (P = .022) but increased intake of meat and alternatives (3.1 vs 2.6, P 
ISSN:1446-6368
1747-0080
DOI:10.1111/1747-0080.12610