Adherence to nutritional guidelines in pregnancy: evidence from the Growing Up in New Zealand birth cohort study

作者：Morton Susan M B; Grant Cameron C^*; Wall Clare R; Carr Polly E Atatoan; Bandara Dinusha K; Schmidt Johanna M; Ivory Vivienne; Inskip Hazel M; Camargo Carlos A Jr

来源：Public Health Nutrition, 2014, 17(9): 1919-1929.

DOI：10.1017/S1368980014000482

• Diet
• Ethnic groups
• New Zealand
• Nutrition policy
• Pregnancy

Objective: To determine adherence to nutritional guidelines by pregnant women in New Zealand and maternal characteristics associated with adherence. %26lt;br%26gt;Design: A cohort of the pregnant women enrolled into New Zealand%26apos;s new birth cohort study, Growing Up in New Zealand. %26lt;br%26gt;Setting: Women residing within a North Island region of New Zealand, where one-third of the national population lives. %26lt;br%26gt;Subjects: Pregnant women (n 5664) were interviewed during 2009-2010. An FFQ was administered during the face-to-face interview. %26lt;br%26gt;Results: The recommended daily number of servings of vegetables and fruit (%26gt;= 6) were met by 25 % of the women; of breads and cereals (%26gt;= 6) by 26 %; of milk and milk products (= 3) by 58 %; and of lean meat, meat alternatives and eggs (= 2) by 21 %. One in four women did not meet the recommendations for any food group. Only 3 % met all four food group recommendations. Although adherence to recommendation for the vegetables/fruit group did not vary by ethnicity (P = 0.38), it did vary for the breads/cereals, milk/milk products and meat/eggs groups (all P %26lt; 0.001). Adherence to recommendations for the vegetables/fruit group was higher among older women (P = 0.001); for the breads/cereals group was higher for women with previous children (P %26lt; 0.001) and from lower-income households (P %26lt; 0.001); and for the meat/eggs group was higher for women with previous children (P = 0.003) and from lower-income households (P = 0.004). %26lt;br%26gt;Conclusions: Most pregnant women in New Zealand do not adhere to nutritional guidelines in pregnancy, with only 3 % meeting the recommendations for all four food groups. Adherence varies more so with ethnicity than with other sociodemographic characteristics.

• 出版日期2014-9