2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'BackgroundImproved understanding of vegetable intake changes between
|
|
|
|
|
|
|
|
pregnancy and postpartum may inform future intervention targets to
|
|
|
|
|
|
|
|
establish healthy home food environments. Therefore, the goal of this
|
|
|
|
|
|
|
|
study was to explore the changes in vegetable intake between pregnancy
|
|
|
|
|
|
|
|
and the postnatal period and explore maternal and sociodemographic
|
|
|
|
|
|
|
|
factors that are associated with these changes.MethodsWe examined
|
|
|
|
|
|
|
|
sociodemographic, dietary, and health characteristics of healthy mothers
|
|
|
|
|
|
|
|
18-43y from the prospective Infant Feeding Practices II cohort (n=847)
|
|
|
|
|
|
|
|
(2005-2012). Mothers completed a modified version of the diet history
|
|
|
|
|
|
|
|
questionnaire, a food-frequency measure, developed by the National
|
|
|
|
|
|
|
|
Cancer Institute. We created four categories of mothers, those that
|
|
|
|
|
|
|
|
were: meeting vegetablerecommendations post- but not prenatally (n=121;
|
|
|
|
|
|
|
|
improved intake), not meeting vegetable recommendations during pregnancy
|
|
|
|
|
|
|
|
and postnatally (n=370; stable inadequate), meeting recommendations pre-
|
|
|
|
|
|
|
|
but not postnatally (n=123; reduced intake), and meeting recommendations
|
|
|
|
|
|
|
|
at both time points (n=233; stable adequate). To make our results more
|
|
|
|
|
|
|
|
relevant to public health recommendations, we were interested in
|
|
|
|
|
|
|
|
comparing the improved vegetable intake group vs. stable inadequate
|
|
|
|
|
|
|
|
vegetable intake group, as well as those that reduced their vegetable
|
|
|
|
|
|
|
|
intake compared to the stable adequate vegetable intake group. Separate
|
|
|
|
|
|
|
|
multivariable-adjusted logistic regression were used to examine
|
|
|
|
|
|
|
|
sociodemographic predictors of improved vs. stable inadequate and
|
|
|
|
|
|
|
|
reduced vs. stable adequate vegetable intake.ResultsWomen with improved
|
|
|
|
|
|
|
|
vegetable intake vs. stable inadequate smoked fewercigarettes while
|
|
|
|
|
|
|
|
women with reduced vegetable intake vs. stable adequate were more likely
|
|
|
|
|
|
|
|
to experience less pregnancy weight gain. In adjusted models, employed
|
|
|
|
|
|
|
|
women had greater odds of reduced vegetable intake (OR=1.64 95\% CI
|
|
|
|
|
|
|
|
1.14-2.36). In exploratory analyses, employment was associated with
|
|
|
|
|
|
|
|
greater odds of reduced vegetable intake among low-income (OR=1.79; 95\%
|
|
|
|
|
|
|
|
CI 1.03-3.1), but not higher income women (OR=1.31; 95\% CI 0.94-1.84).
|
|
|
|
|
|
|
|
After further adjustment for paid maternity leave, employment was no
|
|
|
|
|
|
|
|
longer associated with vegetable intake among lower income women (OR:
|
|
|
|
|
|
|
|
1.53; 95\% CI: 0.76-3.05).ConclusionsMore women with reduced vs. stable
|
|
|
|
|
|
|
|
adequate vegetable intake were lower income and worked full time.
|
|
|
|
|
|
|
|
Improved access to paid maternity leave may help reduce disparities in
|
|
|
|
|
|
|
|
vegetable quality between lower and higher income women.'
|
|
|
|
affiliation: 'Tovar, A (Corresponding Author), Univ Rhode Isl, Dept Nutr \& Food Sci,
|
|
|
|
41 Lower Coll Rd, Kingston, RI 02881 USA.
|
|
|
|
|
|
|
|
Tovar, Alison; Vadiveloo, Maya, Univ Rhode Isl, Dept Nutr \& Food Sci, 41 Lower
|
|
|
|
Coll Rd, Kingston, RI 02881 USA.
|
|
|
|
|
|
|
|
Kaar, Jill L.; Dabelea, Dana, Univ Colorado Anschutz Med Campus, Sch Med, Dept Pediat,
|
|
|
|
Aurora, CO USA.
|
|
|
|
|
|
|
|
McCurdy, Karen, Univ Rhode Isl, Dept Human Dev \& Family Studies, Kingston, RI 02881
|
|
|
|
USA.
|
|
|
|
|
|
|
|
Field, Alison E., Brown Univ, Dept Epidemiol, Providence, RI 02912 USA.
|
|
|
|
|
|
|
|
Kaar, Jill L.; Dabelea, Dana, Univ Colorado Anschutz Med Campus, Colorado Sch Publ
|
|
|
|
Hlth, Dept Epidemiol, Aurora, CO USA.'
|
|
|
|
article-number: '267'
|
|
|
|
author: Tovar, Alison and Kaar, Jill L. and McCurdy, Karen and Field, Alison E. and
|
|
|
|
Dabelea, Dana and Vadiveloo, Maya
|
|
|
|
author-email: Alison\_tovar@uri.edu
|
|
|
|
author_list:
|
|
|
|
- family: Tovar
|
|
|
|
given: Alison
|
|
|
|
- family: Kaar
|
|
|
|
given: Jill L.
|
|
|
|
- family: McCurdy
|
|
|
|
given: Karen
|
|
|
|
- family: Field
|
|
|
|
given: Alison E.
|
|
|
|
- family: Dabelea
|
|
|
|
given: Dana
|
|
|
|
- family: Vadiveloo
|
|
|
|
given: Maya
|
|
|
|
da: '2023-09-28'
|
|
|
|
doi: 10.1186/s12884-019-2353-0
|
|
|
|
eissn: 1471-2393
|
|
|
|
files: []
|
|
|
|
journal: BMC PREGNANCY AND CHILDBIRTH
|
|
|
|
keywords: Vegetable intake; Pregnancy; Employment; Maternity leave
|
|
|
|
keywords-plus: 'DIET QUALITY; FEEDING PRACTICES; WEIGHT STATUS; FOOD CHOICES;
|
|
|
|
|
|
|
|
CONSUMPTION; PATTERNS; FRUIT; AGE; MACRONUTRIENT; ACCEPTANCE'
|
|
|
|
language: English
|
|
|
|
month: JUL 26
|
|
|
|
number-of-cited-references: '42'
|
|
|
|
orcid-numbers: 'Kaar, Jill Landsbaugh/0000-0001-9487-7476
|
|
|
|
|
|
|
|
Tovar, Alison/0000-0002-1559-592X'
|
|
|
|
papis_id: 91c70cc97b0de62795fd78e7050a0f7d
|
|
|
|
ref: Tovar2019maternalvegetable
|
|
|
|
researcherid-numbers: 'Kaar, Jill Landsbaugh/K-8121-2019
|
|
|
|
|
|
|
|
Field, Alison/AAA-4508-2021
|
|
|
|
|
|
|
|
'
|
|
|
|
times-cited: '9'
|
|
|
|
title: Maternal vegetable intake during and after pregnancy
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000477624200001
|
|
|
|
usage-count-last-180-days: '1'
|
|
|
|
usage-count-since-2013: '4'
|
|
|
|
volume: '19'
|
|
|
|
web-of-science-categories: Obstetrics \& Gynecology
|
|
|
|
year: '2019'
|