Dietary patterns are influenced by socio-demographic conditions of women in childbearing age: a cohort study of pregnant women

Autor(es)

Teixeira, Juliana Araujo ^[1] ; Castro, Teresa Gontijo ^{[2, 3]} ; Grant, Cameron C. ^{[2, 3, 4]} ; Wall, Clare R. ^{[2, 5]} ; da Silva Castro, Ana Lucia ^[6] ; Vieira Francisco, Rossana Pulcineli ^[6] ; Vieira, Sandra Elisabete ^[7] ; Dias Medici Saldiva, Silvia Regina ^[8] ; Marchioni, Dirce Maria ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Sch Publ Hlth, Dept Nutr, BR-01246904 Sao Paulo - Brazil

^[2] Univ Auckland, Ctr Longitudinal Res He Ara Ki Mua, Auckland 1072 - New Zealand

^[3] Univ Auckland, Dept Paediat Child & Youth Hlth, Auckland 1142 - New Zealand

^[4] Starship Childrens Hosp, Auckland Dist Hlth Board, Auckland 1023 - New Zealand

^[5] Univ Auckland, Sch Med Sci, Discipline Nutr & Dietet, Auckland 1023 - New Zealand

^[6] Univ Sao Paulo, Sch Med, Dept Obstet & Gynecol, BR-05403000 Sao Paulo - Brazil

^[7] Univ Sao Paulo, Sch Med, Dept Pediat, BR-05403000 Sao Paulo - Brazil

^[8] Hlth Inst Sao Paulo State, Dept Hlth, BR-01314000 Sao Paulo - Brazil

• Tipo de documento: Artigo Científico
• Fonte: BMC PUBLIC HEALTH; v. 18, MAR 1 2018.
• Citações Web of Science: 5

Resumo

Background: Women's health during their reproductive years and whilst pregnant has implications for their children's health, both in utero and during childhood. Associations of women's pre-pregnancy dietary patterns (DP) with maternal socio-demographic characteristics and nutrient intake were investigated in ProcriAr cohort study in Sao Paulo/Brazil, 2012. Methods: The DPs of 454 women were investigated by principal component factor analysis, using dietary information from a validated 110-item food frequency questionnaire. Multiple linear regression models identified independent associations between DPs and maternal socio-demographic characteristics and Spearman's correlation determined associations between DPs and nutrients intake. Results: Participants' mean age was 26.1 years (standard deviation = 6.3), 10.3% had more than 8 years of formal education, 30% were migrants from outside of the Southeast of Brazil, 48% were employed, 13% were smokers, and 51% were overweight/obese. Four DPs were derived: `Lentils, whole grains and soups,' `Snacks, sandwiches, sweets and soft drinks,' `Seasoned vegetables and lean meats,' and `Sweetened juices, bread and butter, rice and beans'. The `Lentils, whole grains and soups' score was positively related to maternal age, being non-smoker and born in the South, North or Midwest of Brazil. The `Snacks, sandwiches, sweets and soft drinks' score was positively related to higher maternal education, and negatively related to age, lack of formal work and being born in the Northeast region. The `Seasoned vegetables and lean meats' score was positively related to higher maternal education. The `Sweetened juices, bread and butter, rice and beans' score was positively related to unemployment and to no family history of hypertension, and negatively related to maternal overweight and obesity. Dietary intake of fruits and vegetables, foods that require preparation, nutrients from one-carbon metabolism, protein, iron, calcium and vitamin D were correlated with the `Seasoned vegetables and lean meats'. Dietary intake of sugar-sweetened and alcoholic beverages, industrialized and takeaway foods, and foods rich in sugar, energy, fat, and synthetic folate were correlated with the `Snacks, sandwiches, sweets and soft drinks'. Conclusions: Findings from this study add perspectives to be considered in the implementation of health interventions, which could improve women's nutritional status and provide an adequate environment for the developing fetus. (AU)

• Processo FAPESP: 08/57717-6 - Instituto Nacional de Análise Integrada de Risco Ambiental
• Beneficiário: Thais Mauad
• Modalidade de apoio: Auxílio à Pesquisa - Temático
• Processo FAPESP: 14/12647-1 - Evidências sobre a relação entre metabolismo do folato e carbono-1 e três desfechos de importância em saúde: baixo peso ao nascer, persistência da infecção por HPV em homens e fatores de risco para doenças cardiovasculares
• Beneficiário: Juliana Araujo Teixeira
• Modalidade de apoio: Bolsas no Brasil - Doutorado
• Processo FAPESP: 09/17315-9 - Influência dos fatores nutricionais e poluentes atmosféricos urbanos na saúde pulmonar de crianças: um estudo de coorte em gestantes da zona oeste do município de São Paulo
• Beneficiário: Silvia Regina Dias Medici Saldiva
• Modalidade de apoio: Auxílio à Pesquisa - Regular