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Dietary intake of energy and nutrients in relation to resting energy expenditure and anthropometric parameters of Czech pregnant women

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Abstract

Purpose

The aim of this study was to evaluate the dietary intake of energy and nutrients (DIEN) of Czech pregnant women and to assess relationships with body size variables during pregnancy.

Methods

One hundred and fifty-two randomly recruited healthy pregnant Czech women, who were normoglycemic, euthyroid, nonsmokers, not anemic, and not users of chronic medications or abusers of alcohol or drugs from countryside and city with different education, were recruited for the study. Anthropometric parameters were measured and resting energy expenditure obtained by indirect calorimetry after 12 h of fasting during four phases of pregnancy. DIEN was evaluated from self-reported dietary intake records over 7 days.

Results

Positive correlations were demonstrated between measured resting energy expenditure and intake of energy, substrates and some minerals and vitamins, and negative correlations between DIEN and anthropometric parameters. Lower dietary intake of energy and differences between dietary intake of nutrients and recommended daily allowances during pregnancy of Czech women were documented.

Conclusions

The difference between pregnancy body weight and ideal body weight was shown to be a determinant of DIEN. From recent knowledge on prevention of various pathological states, the supplementation or modification of nutritional intake of food with folate, iron, vitamin D, zinc, iodine and fiber for Czech pregnant women is recommended.

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Acknowledgments

Financial support from project MZO 00179906 and SVV/2011/263-003of the Czech Republic is gratefully acknowledged. The authors are grateful to Ian McColl MD PhD for language assistance with the manuscript. We thank all participating pregnant women, contributors Placha M, Malikova P, Syslova M, Zdanovcova R, and practicing gynecologists Karnikova T, MD and Leskova J, MD for cooperation in this study and Klemera P, assoc.prof., RNDr, PhD for adjudication of statistical evaluation.

Conflict of interest

There are no financial conflicts of interest for any author.

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Authors and Affiliations

  1. Faculty of Pharmacy, Charles University in Prague, Heyrovskeho 1203, Hradec Kralove, 500 05, Czech Republic

    Miloslav Hronek & Pavlina Doubkova

  2. Department of Research and Development, University Hospital and Faculty of Medicine, Hradec Kralove, Czech Republic

    Miloslav Hronek & Zdenek Zadak

  3. Department of Gerontology and Metabolism, University Hospital and Faculty of Medicine, Hradec Kralove, Czech Republic

    Dana Hrnciarikova

Authors
  1. Miloslav Hronek
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  2. Pavlina Doubkova
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  3. Dana Hrnciarikova
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  4. Zdenek Zadak
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Corresponding author

Correspondence to Miloslav Hronek.

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Hronek, M., Doubkova, P., Hrnciarikova, D. et al. Dietary intake of energy and nutrients in relation to resting energy expenditure and anthropometric parameters of Czech pregnant women. Eur J Nutr 52, 117–125 (2013). https://doi.org/10.1007/s00394-011-0293-1

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  • DOI: https://doi.org/10.1007/s00394-011-0293-1

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