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Sociodemographic, Lifestyle, Environmental and Pregnancy-Related Determinants of Dietary Patterns during Pregnancy.
Wesolowska, Ewelina; Jankowska, Agnieszka; Trafalska, Elzbieta; Kaluzny, Pawel; Grzesiak, Mariusz; Dominowska, Jolanta; Hanke, Wojciech; Calamandrei, Gemma; Polanska, Kinga.
Afiliação
  • Wesolowska E; Department of Environmental Epidemiology, Nofer Institute of Occupational Medicine, 91-348 Lodz, Poland. ewelina.wesolowska@imp.lodz.pl.
  • Jankowska A; Department of Environmental Epidemiology, Nofer Institute of Occupational Medicine, 91-348 Lodz, Poland. agnieszka.jankowska@imp.lodz.pl.
  • Trafalska E; Department of Hygiene and Epidemiology, Medical University of Lodz, 90-647 Lodz, Poland. elzbieta.trafalska@umed.lodz.pl.
  • Kaluzny P; Department of Environmental Epidemiology, Nofer Institute of Occupational Medicine, 91-348 Lodz, Poland. pawel.kaluzny@imp.lodz.pl.
  • Grzesiak M; Obstetrics, Perinatology and Gynecology Department, Polish Mother's Memorial Hospital Research Institute, 93-338 Lodz, Poland. mariusz.grzesiak@gmail.com.
  • Dominowska J; Department of Teaching Midwifery, Medical University of Lodz, 90-419 Lodz, Poland. jolad48@wp.pl.
  • Hanke W; Department of Environmental Epidemiology, Nofer Institute of Occupational Medicine, 91-348 Lodz, Poland. wojciech.hanke@imp.lodz.pl.
  • Calamandrei G; Centre for Behavioral Sciences and Mental Health, National Institute of Health, I-00161 Rome, Italy. gemma.calamandrei@iss.it.
  • Polanska K; Department of Environmental Epidemiology, Nofer Institute of Occupational Medicine, 91-348 Lodz, Poland. kinga.polanska@imp.lodz.pl.
Article em En | MEDLINE | ID: mdl-30832307
Background: Characterization of dietary patterns represents a valid and meaningful measure of overall diet quality and nutrient intake. The study aims at evaluating the sociodemographic, lifestyle, environmental, and pregnancy-related determinants of maternal dietary patterns during pregnancy. Methods: The analysis was conducted on a group of pregnant women from the Polish Mother and Child Cohort (REPRO_PL). During the second trimester of pregnancy, 1306 women filled in a modified version of the validated food frequency questionnaire (FFQ). Dietary patterns were estimated using an exploratory factor analysis. Potential dietary determinants were assessed via a questionnaire or biomarker measurements (saliva cotinine level). Results: Two dietary patterns were identified. The Prudent dietary pattern was characterized by high consumption of fruit, vegetables, legumes, whole grains, poultry, and low-fat dairy products, while the Western dietary pattern included high intake of refined grains, processed meat, potatoes, and very low intake of whole grains. Clear sociodemographic, environmental, lifestyle, and pregnancy-related determinants of diet quality were established. Older age (ß = 0.2; p < 0.01), higher educational level (ß = 0.3; p < 0.01), and socioeconomic status (SES) (ß = 0.2; p < 0.01), overweight/obesity before (ß = 0.3; p < 0.01), as well as physical activity during pregnancy (ß = 0.2; p = 0.01) were positive determinants of a healthier diet (increasing Prudent⁻Western difference in dietary pattern scores). On the other hand, parity (ß = -0.2; p = 0.04) and living in small cities (ß = -0.3; p = 0.02) were significantly related to a rather Western dietary pattern. Conclusions: The current study presents evidence on specific factors influencing dietary patterns. They need to be accounted for in educational programs and interventions focused on healthy diet recommendations during pregnancy.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Ingestão de Energia / Exercício Físico / Comportamento Alimentar / Dieta Ocidental / Dieta Saudável / Estilo de Vida Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Pregnancy País como assunto: Europa Idioma: En Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Ingestão de Energia / Exercício Físico / Comportamento Alimentar / Dieta Ocidental / Dieta Saudável / Estilo de Vida Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Pregnancy País como assunto: Europa Idioma: En Ano de publicação: 2019 Tipo de documento: Article