Differential dietary intake and contribution of ultra-processed foods during pregnancy according to nutritional status
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Differential dietary intake and contribution of ultra-processed foods during pregnancy according to nutritional status. / Granich-Armenta, Adriana; Contreras-Manzano, Alejandra; Cantoral, Alejandra; Christensen, Dirk L; Marrón-Ponce, Joaquín A; Ávila-Jímenez, Laura; Ramírez-Silva, Ivonne; Rivera Dommarco, Juan A; Grunnet, Louise G; Bygbjerg, Ib C; Lamadrid-Figueroa, Héctor.
In: Frontiers in Nutrition, Vol. 11, 1400513, 2024.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Differential dietary intake and contribution of ultra-processed foods during pregnancy according to nutritional status
AU - Granich-Armenta, Adriana
AU - Contreras-Manzano, Alejandra
AU - Cantoral, Alejandra
AU - Christensen, Dirk L
AU - Marrón-Ponce, Joaquín A
AU - Ávila-Jímenez, Laura
AU - Ramírez-Silva, Ivonne
AU - Rivera Dommarco, Juan A
AU - Grunnet, Louise G
AU - Bygbjerg, Ib C
AU - Lamadrid-Figueroa, Héctor
N1 - Copyright © 2024 Granich-Armenta, Contreras-Manzano, Cantoral, Christensen, Marrón-Ponce, Ávila-Jímenez, Ramírez-Silva, Rivera Dommarco, Grunnet, Bygbjerg and Lamadrid-Figueroa.
PY - 2024
Y1 - 2024
N2 - INTRODUCTION: Frequent consumption of ultra-processed foods (UPFs) during pregnancy is linked to excess intake of added sugar, fat, and sodium and inadequacy of several micronutrients. Diet quality during pregnancy should be maximized as inadequate levels of key nutrients and excessive intake of energy and added sugar might influence mother-child health. We aimed to estimate the contribution (% of total calories) of ultra-processed products to the total energy intake by pre-gestational body mass index (BMI) categories and Hb status during pregnancy in participants from the MAS-Lactancia Cohort.METHODS: Pre-gestational weight, hemoglobin levels, 24-h dietary intake recall interviews, and sociodemographic data were collected during the second and third trimesters of pregnancy. Reported consumed foods were categorized using the NOVA classification, and the contribution of calories from each NOVA category was estimated using the Mexican Food Database. We estimated medians and interquartile ranges (p25 and p75) for dietary intake and energy contributions. The comparison of intake between the second and third trimesters was done using the Wilcoxon test. In addition, a quantile regression model with an interaction between pre-gestational BMI and Hb levels status in tertiles over the percentage of energy from UPFs was adjusted by age and socioeconomic status.RESULTS: The contribution to total energy intake from UPFs was 27.4% in the second trimester and 27% in the third trimester (with no statistical difference). The percentage of energy intake from UPFs was higher in women who started pregnancy with obesity and presented the lowest levels of Hb (1st tertile), 23.1, 35.8, and 44.7% for the 25th, 50th, and 75th percentiles, respectively, compared to those with normal BMI and the highest tertile of Hb levels: 18, 29.0, and 38.6% for the 25th, 50th, and 75th percentiles, respectively.CONCLUSION: In conclusion, UPF intake in pregnant women is similar to the general population and was higher for those with pre-gestational obesity and the lowest tertile of Hb levels. UPF contributes also to sugar, saturated fat, and sodium, which may adversely affect the health of mothers and their offspring.
AB - INTRODUCTION: Frequent consumption of ultra-processed foods (UPFs) during pregnancy is linked to excess intake of added sugar, fat, and sodium and inadequacy of several micronutrients. Diet quality during pregnancy should be maximized as inadequate levels of key nutrients and excessive intake of energy and added sugar might influence mother-child health. We aimed to estimate the contribution (% of total calories) of ultra-processed products to the total energy intake by pre-gestational body mass index (BMI) categories and Hb status during pregnancy in participants from the MAS-Lactancia Cohort.METHODS: Pre-gestational weight, hemoglobin levels, 24-h dietary intake recall interviews, and sociodemographic data were collected during the second and third trimesters of pregnancy. Reported consumed foods were categorized using the NOVA classification, and the contribution of calories from each NOVA category was estimated using the Mexican Food Database. We estimated medians and interquartile ranges (p25 and p75) for dietary intake and energy contributions. The comparison of intake between the second and third trimesters was done using the Wilcoxon test. In addition, a quantile regression model with an interaction between pre-gestational BMI and Hb levels status in tertiles over the percentage of energy from UPFs was adjusted by age and socioeconomic status.RESULTS: The contribution to total energy intake from UPFs was 27.4% in the second trimester and 27% in the third trimester (with no statistical difference). The percentage of energy intake from UPFs was higher in women who started pregnancy with obesity and presented the lowest levels of Hb (1st tertile), 23.1, 35.8, and 44.7% for the 25th, 50th, and 75th percentiles, respectively, compared to those with normal BMI and the highest tertile of Hb levels: 18, 29.0, and 38.6% for the 25th, 50th, and 75th percentiles, respectively.CONCLUSION: In conclusion, UPF intake in pregnant women is similar to the general population and was higher for those with pre-gestational obesity and the lowest tertile of Hb levels. UPF contributes also to sugar, saturated fat, and sodium, which may adversely affect the health of mothers and their offspring.
U2 - 10.3389/fnut.2024.1400513
DO - 10.3389/fnut.2024.1400513
M3 - Journal article
C2 - 38946788
VL - 11
JO - Frontiers in Nutrition
JF - Frontiers in Nutrition
SN - 2296-861X
M1 - 1400513
ER -
ID: 397611752