Effects of Individual Dietary Intervention on Nutrient Intake in Postpartum Japanese Women: A Randomized Controlled Trial

No dietary intervention that focuses on the diet quality of postpartum women has been developed in Japan, although most postpartum women experience an insufficient intake of vitamins and minerals. We aimed to examine whether dietary intervention, based on the health belief model, at both 1 and 3 mon...

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Main Authors: Mie Shiraishi, Masayo Matsuzaki, Rina Tsunematsu, Sachi Watanabe, Risa Kobayashi, Megumi Haruna
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/9/3272
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author Mie Shiraishi
Masayo Matsuzaki
Rina Tsunematsu
Sachi Watanabe
Risa Kobayashi
Megumi Haruna
author_facet Mie Shiraishi
Masayo Matsuzaki
Rina Tsunematsu
Sachi Watanabe
Risa Kobayashi
Megumi Haruna
author_sort Mie Shiraishi
collection DOAJ
description No dietary intervention that focuses on the diet quality of postpartum women has been developed in Japan, although most postpartum women experience an insufficient intake of vitamins and minerals. We aimed to examine whether dietary intervention, based on the health belief model, at both 1 and 3 months postpartum affects nutrient intake and food group consumption at 6 months postpartum. A randomized controlled trial was conducted at a university hospital in Tokyo between 2015 and 2016. Healthy women at 1 month postpartum were randomly allocated to either an intervention group (<i>n</i> = 100) or a control group (<i>n</i> = 94). Dietary intervention included dietary assessment, individual feedback, and dietary guidance. The dietary intakes between the two groups were compared using the Mann-Whitney <i>U</i> test. At 6 months postpartum, the energy-adjusted intakes of protein, total dietary fiber, potassium, magnesium, phosphorus, zinc, vitamin B<sub>6</sub>, and β-carotene were significantly higher in the intervention group than in the control group. The changes in energy-adjusted intakes of total dietary fiber and iron from 1 month postpartum to 6 months postpartum were significantly different between the two groups. Dietary intervention based on the health belief model improved nutrition at 6 months postpartum, although the impact was limited.
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spelling doaj.art-97c73793609444eab378ea6f20c25dbc2023-11-22T14:40:06ZengMDPI AGNutrients2072-66432021-09-01139327210.3390/nu13093272Effects of Individual Dietary Intervention on Nutrient Intake in Postpartum Japanese Women: A Randomized Controlled TrialMie Shiraishi0Masayo Matsuzaki1Rina Tsunematsu2Sachi Watanabe3Risa Kobayashi4Megumi Haruna5Department of Midwifery and Women’s Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, JapanDepartment of Midwifery and Women’s Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, JapanDepartment of Midwifery and Women’s Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, JapanDepartment of Midwifery and Women’s Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, JapanDepartment of Midwifery and Women’s Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, JapanDepartment of Midwifery and Women’s Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, JapanNo dietary intervention that focuses on the diet quality of postpartum women has been developed in Japan, although most postpartum women experience an insufficient intake of vitamins and minerals. We aimed to examine whether dietary intervention, based on the health belief model, at both 1 and 3 months postpartum affects nutrient intake and food group consumption at 6 months postpartum. A randomized controlled trial was conducted at a university hospital in Tokyo between 2015 and 2016. Healthy women at 1 month postpartum were randomly allocated to either an intervention group (<i>n</i> = 100) or a control group (<i>n</i> = 94). Dietary intervention included dietary assessment, individual feedback, and dietary guidance. The dietary intakes between the two groups were compared using the Mann-Whitney <i>U</i> test. At 6 months postpartum, the energy-adjusted intakes of protein, total dietary fiber, potassium, magnesium, phosphorus, zinc, vitamin B<sub>6</sub>, and β-carotene were significantly higher in the intervention group than in the control group. The changes in energy-adjusted intakes of total dietary fiber and iron from 1 month postpartum to 6 months postpartum were significantly different between the two groups. Dietary intervention based on the health belief model improved nutrition at 6 months postpartum, although the impact was limited.https://www.mdpi.com/2072-6643/13/9/3272breastfeedingfoodnutrition assessmentpostpartum periodrandomized controlled trial
spellingShingle Mie Shiraishi
Masayo Matsuzaki
Rina Tsunematsu
Sachi Watanabe
Risa Kobayashi
Megumi Haruna
Effects of Individual Dietary Intervention on Nutrient Intake in Postpartum Japanese Women: A Randomized Controlled Trial
Nutrients
breastfeeding
food
nutrition assessment
postpartum period
randomized controlled trial
title Effects of Individual Dietary Intervention on Nutrient Intake in Postpartum Japanese Women: A Randomized Controlled Trial
title_full Effects of Individual Dietary Intervention on Nutrient Intake in Postpartum Japanese Women: A Randomized Controlled Trial
title_fullStr Effects of Individual Dietary Intervention on Nutrient Intake in Postpartum Japanese Women: A Randomized Controlled Trial
title_full_unstemmed Effects of Individual Dietary Intervention on Nutrient Intake in Postpartum Japanese Women: A Randomized Controlled Trial
title_short Effects of Individual Dietary Intervention on Nutrient Intake in Postpartum Japanese Women: A Randomized Controlled Trial
title_sort effects of individual dietary intervention on nutrient intake in postpartum japanese women a randomized controlled trial
topic breastfeeding
food
nutrition assessment
postpartum period
randomized controlled trial
url https://www.mdpi.com/2072-6643/13/9/3272
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