Association between sociodemographics factors and dietary patterns during pregnancy
Palabras clave:
Demographic data, Factor analysis, Food consumption, Pregnant women, Socioeconomic factorsResumen
Objective
To investigate the association between socio-demographic factors and dietary patterns in pregnancy.
Methods
Cross-sectional study with baseline data from a cohort of 421 postpartum women aged 18 and 45 years resident in Rio de Janeiro, Brazil. Dietary intake was evaluated with a validated food frequency questionnaire at 15 days following delivery, having as time frame the second and third pregnancy trimesters. Dietary patterns were identified using factor analysis for principal components analysis. The association between socio-demographic factors and the identified dietary patterns was assessed with multiple linear regression analysis.
Results
Two dietary patterns were identified: i) healthy: fruits; green vegetables; vegetables; fish; roots, corn and potato; milk and dairy and herbal tea mate, and negatively loadings for alcohol and coffee and ii) mixed: rice; bean;flour and pasta; breads; cake and cookies; soda and juice; sugar and sweets; fatty foods; meats; chicken; and eggs. The linear regression showed that the income (β=0.0002; 95%CI: 0.0002-0.0004) and schooling (β=0.0491; 95%CI: 0.0264-0.0718) were positively associated with healthy pattern, and parity (β=-0.1044; 95%CI: -0.1665- -0.0423) and skin color (β=-0.3102; 95%CI: -0.5256- -0.0947) were negatively associated. Skin color (β=0.1647; 95%CI: 0.0378- 0.2916) and marital status (β=0.1065; 95%CI: 0.0062- 0.2067) were positively associated with mixed pattern and income (β=-0.0001; 95%CI:-0.0002- -0.0001) and schooling (β=-0.0281; 95%CI: -0.0417- -0.0146) were negatively associated.
Conclusion
Socio-demographic factors such as income, schooling, skin color, marital status and parity were associated with dietary patterns in this sample of postpartum women residents in Rio de Janeiro.
Citas
Castro MBT, Kac G, Sichieri R. Padrão de consumo alimentar em mulheres no pós-parto atendidas em um centro municipal de saúde do Rio de Janeiro, Brasil. Cad Saúde Pública. 2006; 22(6):1159-70. doi: 10.1590/S0102-311X2006000600005
Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013; 382(9890): 427-51. doi: 10.1016/S0140-6736(13)60937-X
Pinto E, Barros H, Silva IS. Dietary intake and nutritional adequacy prior to conception and during pregnancy: A follow-up study in the north of Portugal. Public Health Nutr. 2008; 12(7):922-31. doi: 10.1017/S1368980008003595
Castro MBT, Kac G, Leon AP, Sichieri R. High-protein diet promotes a moderate postpartum weight loss in a prospective cohort of Brazilian women. Nutrition. 2009, 25(11-12):1120-8. doi: 10.1016/ j.nut.2009.02.006
Kubota K, Itoh H, Tasaka M, Naito H, Fukuoka Y, Muramatsu Kato K, et al. Changes of maternal dietary intake, bodyweight and fetal growth throughout pregnancy in pregnant Japanese women. J Obstet Gynaecol Res. 2013; 39(9): 1383-90. doi: 10.1111/jog.12070
Hu HB. Dietary pattern analysis: A new direction in nutritional epidemiology. Curr Opin Lipidol. 2002; 13(1):3-9.
Baião M, Deslandes SF. Alimentação na gestação e puerpério. Rev Nutr. 2006; 19(2):245-53. doi: 10.1590/S1415-52732006000200011
Gedrich K. Determinants of nutritional behavior: A multitude of levers for successful intervention. Appetite. 2003; 41(3):231-8.
Northstone K, Emmett P, Rogers I. Dietary patterns in pregnancy and associations with socio demographic and lifestyle factors. Eur J Clin Nutr. 2008; 62(4):471-9. doi: 10.1038/sj.ejcn.1602741
Kant AK. Dietary patterns and health outcomes. J Am Diet Assoc. 2004; 104(4):615-35.
Cucó G, Fernández-Ballart J, Sala J, Viladrich C, Iranzo R, Vila J, et al. Dietary patterns and associated lifestyles in preconception, pregnancy and postpartum. Eur J Clin Nutr. 2006; 60(3):364-71. doi: 10.1038/sj.ejcn.1602324
Arkkola T, Uusitalo U, Kronberg-Kippila C, Männisto S, Virtanen M, Kenward MG, et al. Seven distinct dietary patterns identified among pregnant Finnish women: Associations with nutrient intake and sociodemographic factors. Public Health Nutr. 2007; 11(2):176-82. doi: 10.1017/S13689800 07000420
Lenz A, Olinto MT, Dias-da-Costa JS, Alves AL, Balbinotti M, Pattussi MP, et al. Socioeconomic, demographic and lifestyle factors associated with dietary patterns of women living in Southern Brazil. Cad Saúde Publica. 2009; 25(6):1297-306. doi: 10.1590/S0102-311X2009000600012
Olinto MTA. Padrões alimentares: análise de componentes principais. In: Kac G, Sichieri R, Gigante DP. Epidemiologia nutricional. Rio de Janeiro: Fiocruz; 2007. p.213-25.
Newby PK, Tucker KL. Empirically derived eating patterns using factor or cluster analysis: A review. Nutr Rev. 2004; 62(5):177-203.
Wirfält E, Drake I, Wallström P. What do review papers conclude about food and dietary patterns? Food Nutr Res. 2013; 57:20523. doi: 10.3402/fnr.v 57i0.20523
Hoffmann JF, Camey S, Olinto MTA, Schmidt MI, Ozcariz SGI, Melere C, et al. Dietary patterns during pregnancy and the association with sociodemographic characteristics among women attending general practices in southern Brazil: The ECCAGe Study. Cad Saúde Pública. 2013; 29(5):970-80. doi: 10.1590/S0102-311X2013000900014
Meltzer HM, Brantsæter AL, Ydersbond TA, Alexander J, Haugen M. Methodological challenges when monitoring the diet of pregnant women in a large study: Experiences from the Norwegian Mother and Children Cohort Study (MOBA). Matern Child Nutr. 2008; 4(1):14-27. doi: 10.1111/ j.1740-8709.2007.00104.x
Sichieri R, Everhart JE. Validity of a Brazilian Food Frequency Questionnaire against dietary recalls and estimated energy intake. Nutr Res. 1998; 18(10): 1649-59.
Martinez ME, Marshall JR, Sechrest L. Invited commentary: Factor analysis and the search for objectivity. Am J Epidemiol. 1998; 148(1):17-9. 21. Sichieri R. Epidemiologia da obesidade. Rio de Janeiro: EdUERJ; 1998.
Pinheiro ABV. Tabela para avaliação de consumo alimentar em medidas caseiras. 3ª ed. Rio de Janeiro: Atheneu; 1996.
Centro de Informática em Saúde. Programa de apoio à nutrição. São Paulo: Unifesp; 1995.
Instituto Brasileiro de Geografia e Estatística. Estudo nacional da despesa familiar: tabela de composição de alimentos. Rio de Janeiro: IBGE; 1985.
Kac G, Benício MHD, Valente JG, Velásquez Meléndez G. Postpartum weight retention among women in Rio de Janeiro: A follow-up study. Cad Saúde Pública. 2003: 19(Supl 1):S149-61. doi: 10.1590/S0102-311X2003000700016
Thompson JMD, Wall C, Becroft DMO, Robinson E, Wild CJ, Mitchell EA. Maternal dietary patterns in pregnancy and the association with small-for gestational-age infants. Br J Nutr. 2010; 103(11): 1665-73. doi: 10.1017/S0007114509993606
Alves ALS, Olinto MTA, Costa JSD, Bairros FS, Balbinotti MAA. Padrões alimentares de mulheres adultas residentes em área urbana no Sul do Brasil. Rev Saúde Pública. 2006; 40(5):865-73. doi: 10.1590/S0034-89102006000600017
Laaksonen M, Prattala R, Helasoja V, Uutela A, Lahelma E. Income and health behaviours: Evidence from monitoring surveys among Finnish adults. J Epidemiol Community Health. 2003; 57(9):711-7. doi: 10.1136/jech.57.9.711
Braveman PA, Cubbin C, Egerter S, Chideya S, Marchi KS, Metzler M, et al. Socioeconomic status in health research: One size does not fit all. JAMA. 2005; 294(22):2879-88. doi:10.1001/jama.294.2 2.2879 30. Attree P. Low-income mothers, nutrition and health: A systematic review of qualitative evidence. Matern Child Nutr. 2005; 1(4):227-40.
Reyes NR, Klotz AA, Herring SJ. A qualitative study of motivators and barriers to healthy eating in pregnancy for low-income, overweight, African American mothers. J Acad Nutr Diet. 2013; 113(9): 1175-81. doi: 10.1016/ j.jand.2013.05.014
Olinto MTA, Willett WC, Gigante DP, Victora GC. Sociodemographic and lifestyle characteristics in relation to dietary patterns among young Brazilian adults. Public Health Nutr. 2010; 14(1):150-9. doi: 10.1017/S136898001000162X
Sichieri R. Dietary patterns and their associations with obesity in the Brazilian city of Rio de Janeiro. Obes Res. 2002; 10(1):42-8.
Victora CG, Matijasevich A, Silveira MF, Santos IS, Barros AJD, Barros FC. Socio-economic and ethnic group inequities in antenatal care quality in the public and private sector in Brazil. Health Policy Plan. 2010; 25(4):253-61. doi: 10.1093/heapol/czp065
Mondini L, Monteiro CA. Mudanças no padrão de alimentação da população urbana brasileira (1962-1988). Rev Saúde Pública. 1994; 28(6):433-9.
Souza AM, Pereira RA, Yokoo EM, Levy RB, Sichieri R. Alimentos mais consumidos no Brasil: Inquérito nacional de alimentação 2008-2009. Rev Saúde Pública. 2013; 47(1 Supl):190S-9S. doi: 10.1590/S0 034-89102013000700005
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Derechos de autor 2023 Maria Beatriz Trindade de CASTRO, Rita Adriana Gomes de SOUZA, Ana Amélia Freitas VILELA, Gilberto KAC
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.