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01-12-2020 | Research article

Antenatal dietary concordance among mothers and fathers and gestational weight gain: a longitudinal study

Authors: Roger Figueroa, Jaclyn A. Saltzman, Augustine Kang, Fernanda Neri Mini, Kirsten K. Davison, Elsie M. Taveras

Published in: BMC Public Health | Issue 1/2020

Abstract

Background

Parent-child dietary concordance is associated with child diet, but the clinical implications of mother-father dietary concordance during pregnancy are unknown. This study evaluates antenatal mother-father dietary concordance and associations with gestational weight gain (GWG).

Methods

Mother-father (n = 111) dyads with low income reported their fruit/vegetable (FV), fast food (FF), and sugar-sweetened beverage (SSB) consumption frequency during the first trimester of pregnancy. From electronic health records, we collected height and self-reported pre-pregnancy weight and calculated pre-pregnancy body mass index (BMI). The primary outcome was excessive GWG for pre-pregnancy BMI. Dyads were categorized as healthy or unhealthy concordant (consuming similarly high or low amounts of FV, FF, or SSB), or mother-healthy or father-healthy discordant (consuming different amounts of FV, FF, or SSB). Multivariable and logistic regressions analyzed associations between dietary concordance and GWG.

Results

Mothers were Hispanic (25%), 43% White, 6% Black, and 23% Asian or Other. Most mothers were employed (62%) making <$50,000/year (64%). Average maternal GWG was 11.6 kg (SD = 6.40), and 36% had excessive GWG. Mothers in the mother-healthy discordant FV group (OR = 4.84; 95% CI = 1.29, 18.22) and the unhealthy concordant FF group (OR = 7.08; 95% CI = 2.08, 24.12) had higher odds for excessive GWG, compared to healthy concordant dyads. SSB concordance was associated with higher GWG in unadjusted, but not adjusted models.

Conclusions

Mothers had higher risk for excessive GWG when both partners had unhealthy FF consumption frequency, and when fathers had unhealthy FV consumption frequency. These findings imply that fathers should be involved in educational opportunities regarding dietary intake during pregnancy.

Beydoun MA, Wang Y. Parent–child dietary intake resemblance in the United States: evidence from a large representative survey. Soc Sci Med. 2009;68(12):2137–44. https://doi.org/10.1016/j.socscimed.2009.03.029.CrossRefPubMedPubMedCentral

Blake-Lamb T, Boudreau AA, Matathia S, Tiburcio E, Perkins ME, Roche B, et al. Strengthening integration of clinical and public health systems to prevent maternal-child obesity in the first 1,000Days: a collective impact approach. Contemp Clin Trials. 2018;65:46–52. https://doi.org/10.1016/j.cct.2017.12.001.CrossRefPubMed

Bogl L, Silventoinen K, Hebestreit A, Intemann T, Williams G, Michels N, et al. Familial resemblance in dietary intakes of children, adolescents, and parents: does dietary quality play a role? Nutrients. 2017;9(8):892. https://doi.org/10.3390/nu9080892.CrossRefPubMedCentral

Boutelle KN, Fulkerson JA, Neumark-Sztainer D, Story M, French SA. Fast food for family meals: relationships with parent and adolescent food intake, home food availability and weight status. Public Health Nutr. 2007;10(1):16–23. https://doi.org/10.1017/S136898000721794X.CrossRefPubMed

Cheng ER, Rifas-Shiman SL, Perkins ME, Rich-Edwards JW, Gillman MW, Wright R, Taveras EM. The influence of antenatal partner support on pregnancy outcomes. J Women's Health. 2016;25(7):672–9. https://doi.org/10.1089/jwh.2015.5462.CrossRef

Crane JMG, White J, Murphy P, Burrage L, Hutchens D. The effect of gestational weight gain by body mass index on maternal and neonatal outcomes. J Obstet Gynaecol Can. 2009;31(1):28–35. https://doi.org/10.1016/S1701-2163(16)34050-6.CrossRefPubMed

Davison KK, Charles JN, Khandpur N, Nelson TJ. Fathers’ perceived reasons for their underrepresentation in child Health Research and strategies to increase their involvement. Matern Child Health J. 2017;21(2):267–74. https://doi.org/10.1007/s10995-016-2157-z.CrossRefPubMedPubMedCentral

Didericksen KW, Berge JM, Hannan PJ, Harris SM, MacLehose RF, Neumark-Sztainer D. Mother-father-adolescent triadic concordance and discordance on home environment factors and adolescent disordered eating behaviors. Fam Syst Health. 2018;36(3):338–46. https://doi.org/10.1037/fsh0000325.CrossRefPubMedPubMedCentral

Guilloty NI, Soto R, Anzalota L, Rosario Z, Cordero JF, Palacios C. Diet, pre-pregnancy BMI, and gestational weight gain in Puerto Rican women. Matern Child Health J. 2015;19(11):2453–61. https://doi.org/10.1007/s10995-015-1764-4.CrossRefPubMedPubMedCentral

10.

Hedderson MM, Gunderson EP, Ferrara A. Gestational weight gain and risk of gestational diabetes mellitus. Obstet Gynecol. 2010;115(3):597–604. https://doi.org/10.1097/AOG.0b013e3181cfce4f.CrossRefPubMedPubMedCentral

11.

Jen V, Erler NS, Tielemans MJ, Braun KV, Jaddoe VW, Franco OH, Voortman T. Mothers’ intake of sugar-containing beverages during pregnancy and body composition of their children during childhood: the generation R study. Am J Clin Nutr. 2017;105(4):834–41. https://doi.org/10.3945/ajcn.116.147934.CrossRefPubMed

12.

Lagiou P, Tamimi RM, Mucci LA, Adami H-O, Hsieh C-C, Trichopoulos D. Diet during pregnancy in relation to maternal weight gain and birth size. Eur J Clin Nutr. 2004;58(2):231–7. https://doi.org/10.1038/sj.ejcn.1601771.CrossRefPubMed

13.

Macario E, Sorensen G. Spousal similarities in fruit and vegetable consumption. Am J Health Promot. 1998;12(6):369–77. https://doi.org/10.4278/0890-1171-12.6.369.CrossRefPubMed

14.

Martin LT, McNamara MJ, Milot AS, Halle T, Hair EC. The effects of father involvement during pregnancy on receipt of prenatal care and maternal smoking. Matern Child Health J. 2007;11(6):595–602. https://doi.org/10.1007/s10995-007-0209-0.CrossRefPubMed

15.

Meyler D, Stimpson JP, Peek MK. Health concordance within couples: a systematic review. Soc Sci Med. 2007;64(11):2297–310. https://doi.org/10.1016/j.socscimed.2007.02.007.CrossRefPubMed

16.

Oken E, Baccarelli AA, Gold DR, Kleinman KP, Litonjua AA, De Meo D, et al. Cohort profile: project viva. Int J Epidemiol. 2015;44(1):37–48. https://doi.org/10.1093/ije/dyu008.CrossRefPubMed

17.

Oken E, Rifas-Shiman SL, Field AE, Frazier AL, Gillman MW. Maternal gestational weight gain and offspring weight in adolescence. Obstet Gynecol. 2008;112(5):999–1006. https://doi.org/10.1097/AOG.0b013e31818a5d50.CrossRefPubMedPubMedCentral

18.

Oken E, Taveras EM, Kleinman KP, Rich-Edwards JW, Gillman MW. Gestational weight gain and child adiposity at age 3 years. Am J Obstet Gynecol. 2007;196(4):322.e1–8. https://doi.org/10.1016/j.ajog.2006.11.027.CrossRef

19.

Rasmussen KM, Catalano PM, Yaktine AL. New guidelines for weight gain during pregnancy: what obstetrician/gynecologists should know. Curr Opin Obstet Gynecol. 2009;21(6):521–6. https://doi.org/10.1097/GCO.0b013e328332d24e.CrossRefPubMedPubMedCentral

20.

Rifas-Shiman SL, Rich-Edwards JW, Kleinman KP, Oken E, Gillman MW. Dietary quality during pregnancy varies by maternal characteristics in project viva: a US cohort. J Am Diet Assoc. 2009;109(6):1004–11. https://doi.org/10.1016/j.jada.2009.03.001.CrossRefPubMedPubMedCentral

21.

Schierberl Scherr AE, McClure Brenchley KJ, Gorin AA. Examining a ripple effect: do spouses’ behavior changes predict each Other’s weight loss? J Obes. 2013;2013:1–8. https://doi.org/10.1155/2013/297268.CrossRef

22.

Stephenson J, Heslehurst N, Hall J, Schoenaker DAJM, Hutchinson J, Cade JE, et al. Before the beginning: nutrition and lifestyle in the preconception period and its importance for future health. Lancet. 2018;391(10132):1830–41. https://doi.org/10.1016/S0140-6736(18)30311-8.CrossRefPubMedPubMedCentral

23.

Stuebe AM, Oken E, Gillman MW. Associations of diet and physical activity during pregnancy with risk for excessive gestational weight gain. Am J Obstet Gynecol. 2009;201(1):58.e1–8. https://doi.org/10.1016/j.ajog.2009.02.025.CrossRef

24.

U.S. Department of Agriculture, & U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2010. 7th ed; 2010. Retrieved from U.S. Government Printing Office website: www.dietaryguidelines.gov.

25.

U.S. Department of Health and Human Services, O. of D. P. and H. P. Healthy People. n.d.:2020 Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/nutrition-and-weight-status/objectives.

26.

Vaarno J, Niinikoski H, Kaljonen A, Aromaa M, Lagström H. Mothers’ restrictive eating and food neophobia and fathers’ dietary quality are associated with breast-feeding duration and introduction of solid foods: the STEPS study. Public Health Nutr. 2015;18(11):1991–2000. https://doi.org/10.1017/S1368980014002663.CrossRefPubMed

27.

Wang Y, Beydoun MA, Li J, Liu Y, Moreno LA. Do children and their parents eat a similar diet? Resemblance in child and parental dietary intake: systematic review and meta-analysis. J Epidemiol Community Health. 2011;65(2):177–89. https://doi.org/10.1136/jech.2009.095901.CrossRefPubMed

Title: Antenatal dietary concordance among mothers and fathers and gestational weight gain: a longitudinal study
Authors: Roger Figueroa
Jaclyn A. Saltzman
Augustine Kang
Fernanda Neri Mini
Kirsten K. Davison
Elsie M. Taveras
Publication date: 01-12-2020
Publisher: BioMed Central
Published in: BMC Public Health / Issue 1/2020
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-020-09182-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Antenatal dietary concordance among mothers and fathers and gestational weight gain: a longitudinal study

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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