Assessment of energy and nutrient intake of sri lankan mothers with prior gestational diabetes mellitus at 6-week postpartum: A community-based study
Background: Gestational diabetes mellitus (GDM) is one of the leading causes for the future diabetes. Diet modification is an imperative part in attenuating this progression. Objectives: This study assessed energy and nutrient intakes of Sri Lankan mothers at 6 weeks after delivery, with the aim of...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Indian Journal of Public Health |
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| Online Access: | http://www.ijph.in/article.asp?issn=0019-557X;year=2023;volume=67;issue=3;spage=393;epage=398;aulast=Sundarapperuma |
| _version_ | 1797225504320782336 |
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| author | Thamudi Darshi Sundarapperuma Sudharshani Wasalathanthri Priyadarshika Hettiarachchi Champa Jayalakshmie Wijesinghe |
| author_facet | Thamudi Darshi Sundarapperuma Sudharshani Wasalathanthri Priyadarshika Hettiarachchi Champa Jayalakshmie Wijesinghe |
| author_sort | Thamudi Darshi Sundarapperuma |
| collection | DOAJ |
| description | Background: Gestational diabetes mellitus (GDM) is one of the leading causes for the future diabetes. Diet modification is an imperative part in attenuating this progression. Objectives: This study assessed energy and nutrient intakes of Sri Lankan mothers at 6 weeks after delivery, with the aim of developing specific dietary guidelines for postpartum mothers with GDM. Materials and Methods: A community-based, descriptive cross-sectional survey was conducted as a part of a quasi-experimental study. Nutrient and energy intakes were assessed among 100 mothers using 24-h dietary recall and a validated food frequency questionnaire. Energy and nutrient intakes were analyzed using NutriSurvey 2007 (EBISpro, Germany) which was modified for native food recipes and food composition tables for Sri Lanka. Results: The mean ± standard deviation intakes of total calories, carbohydrate, protein, and fat were 2817 ± 984 kcal, 445 ± 186 g, 95 ± 39 g, and 87 ± 58 g, respectively. The total calorie intake was significantly higher when compared to recommended levels based on the body mass index in both normal weight (3033 ± 1122 vs. 2300 kcal/d; P < 0.00) and overweight or obese (2759 ± 944 vs. 1800 kcal/d; P < 0.00) postpartum women. In the obese group, daily carbohydrate, fat, and protein intakes were significantly higher than the recommended values (P < 0.00). Folic acid intake was lower in both normal (23.7 vs. 400; P < 0.001) and obese or overweight (63 vs. 400; P < 0.001) groups. Conclusion: The study indicated that in majority of the mothers with GDM, the daily calorie and carbohydrate intakes were higher than the recommended. The findings suggest the need for developing a scientifically feasible and culturally acceptable dietary modification program. All macronutrients were taken more than the recommended amounts, especially in the overweight/obese group. |
| first_indexed | 2024-04-24T14:10:04Z |
| format | Article |
| id | doaj.art-c0bed5ab2e6d47f2a99c84e1dcbae1fe |
| institution | Directory Open Access Journal |
| issn | 0019-557X |
| language | English |
| last_indexed | 2024-04-24T14:10:04Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Public Health |
| spelling | doaj.art-c0bed5ab2e6d47f2a99c84e1dcbae1fe2024-04-03T09:31:37ZengWolters Kluwer Medknow PublicationsIndian Journal of Public Health0019-557X2023-01-0167339339810.4103/ijph.ijph_1521_22Assessment of energy and nutrient intake of sri lankan mothers with prior gestational diabetes mellitus at 6-week postpartum: A community-based studyThamudi Darshi SundarapperumaSudharshani WasalathanthriPriyadarshika HettiarachchiChampa Jayalakshmie WijesingheBackground: Gestational diabetes mellitus (GDM) is one of the leading causes for the future diabetes. Diet modification is an imperative part in attenuating this progression. Objectives: This study assessed energy and nutrient intakes of Sri Lankan mothers at 6 weeks after delivery, with the aim of developing specific dietary guidelines for postpartum mothers with GDM. Materials and Methods: A community-based, descriptive cross-sectional survey was conducted as a part of a quasi-experimental study. Nutrient and energy intakes were assessed among 100 mothers using 24-h dietary recall and a validated food frequency questionnaire. Energy and nutrient intakes were analyzed using NutriSurvey 2007 (EBISpro, Germany) which was modified for native food recipes and food composition tables for Sri Lanka. Results: The mean ± standard deviation intakes of total calories, carbohydrate, protein, and fat were 2817 ± 984 kcal, 445 ± 186 g, 95 ± 39 g, and 87 ± 58 g, respectively. The total calorie intake was significantly higher when compared to recommended levels based on the body mass index in both normal weight (3033 ± 1122 vs. 2300 kcal/d; P < 0.00) and overweight or obese (2759 ± 944 vs. 1800 kcal/d; P < 0.00) postpartum women. In the obese group, daily carbohydrate, fat, and protein intakes were significantly higher than the recommended values (P < 0.00). Folic acid intake was lower in both normal (23.7 vs. 400; P < 0.001) and obese or overweight (63 vs. 400; P < 0.001) groups. Conclusion: The study indicated that in majority of the mothers with GDM, the daily calorie and carbohydrate intakes were higher than the recommended. The findings suggest the need for developing a scientifically feasible and culturally acceptable dietary modification program. All macronutrients were taken more than the recommended amounts, especially in the overweight/obese group.http://www.ijph.in/article.asp?issn=0019-557X;year=2023;volume=67;issue=3;spage=393;epage=398;aulast=Sundarapperuma24-h dietary recallfood frequency questionnairegestational diabetes mellitusnutrient assessment |
| spellingShingle | Thamudi Darshi Sundarapperuma Sudharshani Wasalathanthri Priyadarshika Hettiarachchi Champa Jayalakshmie Wijesinghe Assessment of energy and nutrient intake of sri lankan mothers with prior gestational diabetes mellitus at 6-week postpartum: A community-based study Indian Journal of Public Health 24-h dietary recall food frequency questionnaire gestational diabetes mellitus nutrient assessment |
| title | Assessment of energy and nutrient intake of sri lankan mothers with prior gestational diabetes mellitus at 6-week postpartum: A community-based study |
| title_full | Assessment of energy and nutrient intake of sri lankan mothers with prior gestational diabetes mellitus at 6-week postpartum: A community-based study |
| title_fullStr | Assessment of energy and nutrient intake of sri lankan mothers with prior gestational diabetes mellitus at 6-week postpartum: A community-based study |
| title_full_unstemmed | Assessment of energy and nutrient intake of sri lankan mothers with prior gestational diabetes mellitus at 6-week postpartum: A community-based study |
| title_short | Assessment of energy and nutrient intake of sri lankan mothers with prior gestational diabetes mellitus at 6-week postpartum: A community-based study |
| title_sort | assessment of energy and nutrient intake of sri lankan mothers with prior gestational diabetes mellitus at 6 week postpartum a community based study |
| topic | 24-h dietary recall food frequency questionnaire gestational diabetes mellitus nutrient assessment |
| url | http://www.ijph.in/article.asp?issn=0019-557X;year=2023;volume=67;issue=3;spage=393;epage=398;aulast=Sundarapperuma |
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