Pre-pregnancy BMI influences the association of dietary quality and gestational weight gain: the SECOST study

Poor diet quality in pregnancy could impact gestational weight gain (GWG) and consequently fetal growth and development. But today there is limited data available on gestational diet quality. This study investigated the association between diet quality in each pregnancy trimester and GWG in Malaysia...

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Main Authors: Yong, Heng Yaw, Mohd Shariff, Zalilah, Mohd Yusof, Barakatun Nisak, Rejali, Zulida, Tee, Yvonne Yee Siang, Bindels, Jacques, van der Beek, Eline M.
Format: Article
Language:English
Published: MDPI 2019
Online Access:http://psasir.upm.edu.my/id/eprint/38248/1/38248.pdf
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author Yong, Heng Yaw
Mohd Shariff, Zalilah
Mohd Yusof, Barakatun Nisak
Rejali, Zulida
Tee, Yvonne Yee Siang
Bindels, Jacques
van der Beek, Eline M.
author_facet Yong, Heng Yaw
Mohd Shariff, Zalilah
Mohd Yusof, Barakatun Nisak
Rejali, Zulida
Tee, Yvonne Yee Siang
Bindels, Jacques
van der Beek, Eline M.
author_sort Yong, Heng Yaw
collection UPM
description Poor diet quality in pregnancy could impact gestational weight gain (GWG) and consequently fetal growth and development. But today there is limited data available on gestational diet quality. This study investigated the association between diet quality in each pregnancy trimester and GWG in Malaysian women. Diet quality was assessed using the modified Healthy Eating Index for Malaysians (HEI). Total GWG was defined as the difference between measured weight at last prenatal visit and pre-pregnancy weight. About one-fourth of women (23.3%) had excessive total GWG. There were significant differences in the HEI component score across trimesters, except for fruits. Overall, overweight/obese women had lower total HEI score (51.49–55.40) during pregnancy compared to non-overweight/obese women (53.38–56.50). For non-overweight/obese women, higher total HEI scores in the second and third trimesters were significantly associated with lower risk of inadequate GWG (aOR = 0.97, 95% CI = 0.95–0.99, p = 0.01) and higher risk of excessive GWG (aOR = 1.04, 95% CI = 1.01–1.07, p = 0.03), respectively. Overweight/obese women with higher total HEI scores in the second (aOR = 1.04, 95% CI = 1.01–1.07, p = 0.02) and third trimester (aOR = 1.04, 95% CI = 1.01–1.08, p = 0.02) were significantly at higher risk for excessive GWG. Pregnant women had relatively low diet quality throughout pregnancy. Diet quality and GWG association differed according to pre-pregnancy BMI with excessive GWG more likely to be associated with higher total HEI scores in the third trimester.
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spelling upm.eprints-382482020-05-04T16:07:24Z http://psasir.upm.edu.my/id/eprint/38248/ Pre-pregnancy BMI influences the association of dietary quality and gestational weight gain: the SECOST study Yong, Heng Yaw Mohd Shariff, Zalilah Mohd Yusof, Barakatun Nisak Rejali, Zulida Tee, Yvonne Yee Siang Bindels, Jacques van der Beek, Eline M. Poor diet quality in pregnancy could impact gestational weight gain (GWG) and consequently fetal growth and development. But today there is limited data available on gestational diet quality. This study investigated the association between diet quality in each pregnancy trimester and GWG in Malaysian women. Diet quality was assessed using the modified Healthy Eating Index for Malaysians (HEI). Total GWG was defined as the difference between measured weight at last prenatal visit and pre-pregnancy weight. About one-fourth of women (23.3%) had excessive total GWG. There were significant differences in the HEI component score across trimesters, except for fruits. Overall, overweight/obese women had lower total HEI score (51.49–55.40) during pregnancy compared to non-overweight/obese women (53.38–56.50). For non-overweight/obese women, higher total HEI scores in the second and third trimesters were significantly associated with lower risk of inadequate GWG (aOR = 0.97, 95% CI = 0.95–0.99, p = 0.01) and higher risk of excessive GWG (aOR = 1.04, 95% CI = 1.01–1.07, p = 0.03), respectively. Overweight/obese women with higher total HEI scores in the second (aOR = 1.04, 95% CI = 1.01–1.07, p = 0.02) and third trimester (aOR = 1.04, 95% CI = 1.01–1.08, p = 0.02) were significantly at higher risk for excessive GWG. Pregnant women had relatively low diet quality throughout pregnancy. Diet quality and GWG association differed according to pre-pregnancy BMI with excessive GWG more likely to be associated with higher total HEI scores in the third trimester. MDPI 2019 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/38248/1/38248.pdf Yong, Heng Yaw and Mohd Shariff, Zalilah and Mohd Yusof, Barakatun Nisak and Rejali, Zulida and Tee, Yvonne Yee Siang and Bindels, Jacques and van der Beek, Eline M. (2019) Pre-pregnancy BMI influences the association of dietary quality and gestational weight gain: the SECOST study. International Journal of Environmental Research and Public Health, 16 (19). art. no. 3735. pp. 1-12. ISSN 1661-7827; ESSN: 1660-4601 https://www.mdpi.com/1660-4601/16/19/3735 10.3390/ijerph16193735
spellingShingle Yong, Heng Yaw
Mohd Shariff, Zalilah
Mohd Yusof, Barakatun Nisak
Rejali, Zulida
Tee, Yvonne Yee Siang
Bindels, Jacques
van der Beek, Eline M.
Pre-pregnancy BMI influences the association of dietary quality and gestational weight gain: the SECOST study
title Pre-pregnancy BMI influences the association of dietary quality and gestational weight gain: the SECOST study
title_full Pre-pregnancy BMI influences the association of dietary quality and gestational weight gain: the SECOST study
title_fullStr Pre-pregnancy BMI influences the association of dietary quality and gestational weight gain: the SECOST study
title_full_unstemmed Pre-pregnancy BMI influences the association of dietary quality and gestational weight gain: the SECOST study
title_short Pre-pregnancy BMI influences the association of dietary quality and gestational weight gain: the SECOST study
title_sort pre pregnancy bmi influences the association of dietary quality and gestational weight gain the secost study
url http://psasir.upm.edu.my/id/eprint/38248/1/38248.pdf
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