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Dietary supplements, guideline alignment and biochemical nutrient status in pregnancy: Findings from the Queensland Family Cohort pilot study.
Gallo, Linda A; Steane, Sarah E; Young, Sophia L; de Jersey, Susan; Schoenaker, Danielle A J M; Borg, Danielle J; Lockett, Jack; Collins, Clare E; Perkins, Anthony V; Kumar, Sailesh; Clifton, Vicki L; Wilkinson, Shelley A.
Afiliação
  • Gallo LA; School of Health, University of the Sunshine Coast, Petrie, QLD, Australia.
  • Steane SE; School of Biomedical Sciences, The University of Queensland, St Lucia, QLD, Australia.
  • Young SL; School of Biomedical Sciences, The University of Queensland, St Lucia, QLD, Australia.
  • de Jersey S; Mater Research Institute, The University of Queensland, South Brisbane, QLD, Australia.
  • Schoenaker DAJM; School of Health, University of the Sunshine Coast, Petrie, QLD, Australia.
  • Borg DJ; Department of Dietetics and Foodservices, Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Brisbane, QLD, Australia.
  • Lockett J; Centre for Health Services Research, The University of Queensland, Herston, QLD, Australia.
  • Collins CE; School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.
  • Perkins AV; MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.
  • Kumar S; NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS, Southampton, UK.
  • Clifton VL; Mater Research Institute, The University of Queensland, South Brisbane, QLD, Australia.
  • Wilkinson SA; Mater Research Institute, The University of Queensland, South Brisbane, QLD, Australia.
Matern Child Nutr ; 20(1): e13589, 2024 Jan.
Article em En | MEDLINE | ID: mdl-37947159
In high-income nations, multiple micronutrient (MMN) supplementation during pregnancy is a common practice. We aimed to describe maternal characteristics associated with supplement use and daily dose of supplemental nutrients consumed in pregnancy, and whether guideline alignment and nutrient status are related to supplement use. The Queensland Family Cohort is a prospective, Australian observational longitudinal study. Maternal characteristics, nutrient intake from food and supplements, and biochemical nutrient status were assessed in the second trimester (n = 127). Supplement use was reported by 89% of participants, of whom 91% reported taking an MMN supplement. Participants who received private obstetric care, had private health insurance and had greater alignment to meat/vegetarian alternatives recommendations were more likely to report MMN supplement use. Private obstetric care and general practitioner shared care were associated with higher daily dose of supplemental nutrients consumed compared with midwifery group practice. There was high reliance on supplements to meet nutrient reference values for folate, iodine and iron, but only plasma folate concentrations were higher in MMN supplement versus nonsupplement users. Exceeding the upper level of intake for folic acid and iron was more likely among combined MMN and individual supplement/s users, and associated with higher plasma concentrations of the respective nutrients. Given the low alignment with food group recommendations and potential risks associated with high MMN supplement use, whole food diets should be emphasized. This study confirms the need to define effective strategies for optimizing nutrient intake in pregnancy, especially among those most vulnerable where MMN supplement use may be appropriate.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Suplementos Nutricionais / Ácido Fólico Limite: Female / Humans / Pregnancy País/Região como assunto: Oceania Idioma: En Revista: Matern Child Nutr Assunto da revista: CIENCIAS DA NUTRICAO / PERINATOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Austrália

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Suplementos Nutricionais / Ácido Fólico Limite: Female / Humans / Pregnancy País/Região como assunto: Oceania Idioma: En Revista: Matern Child Nutr Assunto da revista: CIENCIAS DA NUTRICAO / PERINATOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Austrália