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Published in: Maternal and Child Health Journal 11/2015

01-11-2015

Diet, Pre-pregnancy BMI, and Gestational Weight Gain in Puerto Rican Women

Authors: Natacha I. Guilloty, Roxana Soto, Liza Anzalota, Zaira Rosario, José F. Cordero, Cristina Palacios

Published in: Maternal and Child Health Journal | Issue 11/2015

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Abstract

Objectives

To describe the dietary patterns in pregnant woman and determine the association between diet factors, pre-pregnancy Body Mass Index (BMI) and socio-demographic characteristics with gestational weight gain (GWG).

Methods

This is a secondary analysis of a longitudinal cohort study of pregnant women exploring the risk factors for preterm birth, the Puerto Rico Testsite for Exploring Contamination Threats program. Recruitment was conducted during 2011–2014. Data was collected from multiple sources. GWG was calculated using maternal weight recorded in the medical records at the first and last prenatal visits and classified according to the Institute of Medicine guidelines. Sociodemographic characteristics were obtained at baseline using an interviewed-based questionnaire. Participants completed a self-administered food frequency questionnaire at 20–28 weeks to assess dietary patterns. Analysis of associations between variables was conducted using Chi Square tests.

Results

A total of 160 women with term pregnancies were included in this analysis. Mean pre-pregnancy BMI was 25.4 ± 5.48 kg/m2, with 44.4 % classified as overweight/obese. Excessive GWG was observed in 24.4 % of the participants. Socio-demographic characteristics were not associated with GWG. Being overweight/obese at the start of pregnancy was significantly associated with excessive GWG (p < 0.05). In addition, women consuming one or more fruit drinks per day were more likely to have an excessive GWG while those consuming less than one fruit drink per day were more likely to have an adequate GWG (p < 0.05).

Conclusions for Practice

Being obese before pregnancy and frequently consuming fruit drinks were important determinants of excessive GWG in this group.
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Metadata
Title
Diet, Pre-pregnancy BMI, and Gestational Weight Gain in Puerto Rican Women
Authors
Natacha I. Guilloty
Roxana Soto
Liza Anzalota
Zaira Rosario
José F. Cordero
Cristina Palacios
Publication date
01-11-2015
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 11/2015
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-015-1764-4

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