Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?
Background: Maternal nutritional status before and during pregnancy is an important contributor to pregnancy outcomes and early child health. The aim of this study was to describe the preconceptional nutritional status and dietary intake during pregnancy in high-risk women from South Africa and Zimb...
| Authors: | ; ; ; ; ; ; ; ; ; |
|---|---|
| Format: | Article |
| Status: | Published version |
| Publication date: | 2018 |
| Country: | Argentina |
| Institution: | Consejo Nacional de Investigaciones Científicas y Técnicas |
| Repository: | CONICET Digital (CONICET) |
| Language: | English |
| OAI Identifier: | oai:ri.conicet.gov.ar:11336/96818 |
| Online Access: | http://hdl.handle.net/11336/96818 |
| Access Level: | Open access |
| Keyword: | BMI NUTRIENT INTAKE OBESITY PREGNANCY SUPPLEMENT WEIGHT https://purl.org/becyt/ford/3.3 https://purl.org/becyt/ford/3 |
| _version_ | 1878402864082059264 |
|---|---|
| author | Cormick, Gabriela |
| author2 | Betrán, Ana Pilar Harbron, Janetta Dannemann Purnat, Tina Parker, Catherine Hall, David Seuc, Armando H. Roberts, James M. Belizan, Jose Hofmeyr, G. Justus |
| author2_role | author author author author author author author author author |
| author_browse | Belizan, Jose Betrán, Ana Pilar Cormick, Gabriela Dannemann Purnat, Tina Hall, David Harbron, Janetta Hofmeyr, G. Justus Parker, Catherine Roberts, James M. Seuc, Armando H. |
| author_facet | Cormick, Gabriela Betrán, Ana Pilar Harbron, Janetta Dannemann Purnat, Tina Parker, Catherine Hall, David Seuc, Armando H. Roberts, James M. Belizan, Jose Hofmeyr, G. Justus |
| author_role | author |
| collection | CONICET Digital (CONICET) |
| description | Background: Maternal nutritional status before and during pregnancy is an important contributor to pregnancy outcomes and early child health. The aim of this study was to describe the preconceptional nutritional status and dietary intake during pregnancy in high-risk women from South Africa and Zimbabwe. Methods: This is a prospective observational study, nested to the CAP trial. Anthropometric measurements before and during pregnancy and dietary intake using 24-h recall during pregnancy were assessed. The Intake Distribution Estimation software (PC-SIDE) was used to evaluate nutrient intake adequacy taking the Estimated Average Requirement (EAR) as a cut-off point. Results: Three hundred twelve women who had pre-eclampsia in their last pregnancy and delivered in hospitals from South Africa and Zimbabwe were assessed. 73.7 and 60.2% women in South Africa and Zimbabwe, respectively started their pregnancy with BMI above normal (BMI ≥ 25) whereas the prevalence of underweight was virtually non-existent. The majority of women had inadequate intakes of micronutrients. Considering food and beverage intake only, none of the micronutrients measured achieved the estimated average requirement. Around 60% of pregnant women reported taking folic acid or iron supplements in South Africa, but almost none did so in Zimbabwe. Conclusion: We found a high prevalence of overweight and obesity and high micronutrient intake inadequacy in pregnant women who had the previous pregnancy complicated with pre-eclampsia. The obesity figures and micronutrient inadequacy are issues of concern that need to be addressed. Pregnant women have regular contacts with the health system; these opportunities could be used to improve diet and nutrition. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | AR_10f2e58eaf910b2d80dbe3c8b4f4e470 |
| identifier_str_mv | Cormick, Gabriela; Betrán, Ana Pilar; Harbron, Janetta; Dannemann Purnat, Tina; Parker, Catherine; et al.; Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?; BioMed Central; BMC Pregnancy and Childbirth; 18; 1; 6-2018; 1-10 1471-2393 CONICET Digital CONICET |
| institution | Consejo Nacional de Investigaciones Científicas y Técnicas |
| instname_str | Consejo Nacional de Investigaciones Científicas y Técnicas |
| language | eng |
| network_acronym_str | AR |
| network_name_str | Argentina |
| oai_identifier_str | oai:ri.conicet.gov.ar:11336/96818 |
| publishDate | 2018 |
| publishDateSort | 2018 |
| publisher | BioMed Central |
| publisherStr | BioMed Central |
| reponame_str | CONICET Digital (CONICET) |
| spelling | Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe? Cormick, Gabriela Betrán, Ana Pilar Harbron, Janetta Dannemann Purnat, Tina Parker, Catherine Hall, David Seuc, Armando H. Roberts, James M. Belizan, Jose Hofmeyr, G. Justus BMI NUTRIENT INTAKE OBESITY PREGNANCY SUPPLEMENT WEIGHT https://purl.org/becyt/ford/3.3 https://purl.org/becyt/ford/3 Background: Maternal nutritional status before and during pregnancy is an important contributor to pregnancy outcomes and early child health. The aim of this study was to describe the preconceptional nutritional status and dietary intake during pregnancy in high-risk women from South Africa and Zimbabwe. Methods: This is a prospective observational study, nested to the CAP trial. Anthropometric measurements before and during pregnancy and dietary intake using 24-h recall during pregnancy were assessed. The Intake Distribution Estimation software (PC-SIDE) was used to evaluate nutrient intake adequacy taking the Estimated Average Requirement (EAR) as a cut-off point. Results: Three hundred twelve women who had pre-eclampsia in their last pregnancy and delivered in hospitals from South Africa and Zimbabwe were assessed. 73.7 and 60.2% women in South Africa and Zimbabwe, respectively started their pregnancy with BMI above normal (BMI ≥ 25) whereas the prevalence of underweight was virtually non-existent. The majority of women had inadequate intakes of micronutrients. Considering food and beverage intake only, none of the micronutrients measured achieved the estimated average requirement. Around 60% of pregnant women reported taking folic acid or iron supplements in South Africa, but almost none did so in Zimbabwe. Conclusion: We found a high prevalence of overweight and obesity and high micronutrient intake inadequacy in pregnant women who had the previous pregnancy complicated with pre-eclampsia. The obesity figures and micronutrient inadequacy are issues of concern that need to be addressed. Pregnant women have regular contacts with the health system; these opportunities could be used to improve diet and nutrition. Fil: Cormick, Gabriela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. University of Cape Town; Sudáfrica Fil: Betrán, Ana Pilar. World Health Organization; Suiza Fil: Harbron, Janetta. University of Cape Town; Sudáfrica Fil: Dannemann Purnat, Tina. World Health Organization; Dinamarca Fil: Parker, Catherine. University of Fort Hare; Sudáfrica. Walter Sisulu University; Sudáfrica. University of the Witwatersrand; Sudáfrica Fil: Hall, David. Stellenbosch University; Sudáfrica Fil: Seuc, Armando H.. Instituto Nacional de Higiene; Cuba Fil: Roberts, James M.. University of Pittsburgh; Estados Unidos Fil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina Fil: Hofmeyr, G. Justus. University of the Witwatersrand; Sudáfrica. Walter Sisulu University; Sudáfrica. University of Fort Hare; Sudáfrica BioMed Central http://hdl.handle.net/11336/96818 Cormick, Gabriela; Betrán, Ana Pilar; Harbron, Janetta; Dannemann Purnat, Tina; Parker, Catherine; et al.; Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?; BioMed Central; BMC Pregnancy and Childbirth; 18; 1; 6-2018; 1-10 1471-2393 CONICET Digital CONICET |
| spellingShingle | Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe? Cormick, Gabriela BMI NUTRIENT INTAKE OBESITY PREGNANCY SUPPLEMENT WEIGHT https://purl.org/becyt/ford/3.3 https://purl.org/becyt/ford/3 |
| status_str | publishedVersion |
| title | Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe? |
| title_full | Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe? |
| title_fullStr | Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe? |
| title_full_unstemmed | Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe? |
| title_short | Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe? |
| title_sort | Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe? |
| topic | BMI NUTRIENT INTAKE OBESITY PREGNANCY SUPPLEMENT WEIGHT https://purl.org/becyt/ford/3.3 https://purl.org/becyt/ford/3 |
| topic_facet | BMI NUTRIENT INTAKE OBESITY PREGNANCY SUPPLEMENT WEIGHT https://purl.org/becyt/ford/3.3 https://purl.org/becyt/ford/3 |
| url | http://hdl.handle.net/11336/96818 |