Archives of Gynecology and Obstetrics

, Volume 283, Issue 2, pp 185–190

Longitudinal analysis of changes in energy intake and macronutrient composition during pregnancy and 6 weeks post-partum

  • Neda Talai Rad
  • Claudia Ritterath
  • Tina Siegmund
  • Cornelia Wascher
  • Gerda Siebert
  • Wolfgang Henrich
  • Kai J. Buhling
Materno-fetal Medicine



This prospective study was carried out in order to investigate changes in nutritional intake during pregnancy with regard to caloric intake and macronutrient composition in normal-weight pregnant women.


Using food scales, 32 healthy pregnant women estimated their food intake over a period of 2 days at gestational week 16, 22, 30, 36 and, in addition, 6 weeks after delivery. The recorded food logs were analyzed with respect to caloric intake and macronutrient composition.


The women’s age was averaged 29.6 ± 4.5 years, and the mean pre-pregnancy BMI was 22.4 ± 2.5 kg/m2. Mean weight gain was 16.5 ± 4.5 kg. On average, birth took place during the 40th week of gestation, with the babies having a mean birth weight of 3,515 ± 406 g. Caloric intake during the gestation period and post-partum showed no statistically significant changes and added up 9,237 ± 1,876 kJ/day during the 16th week of gestation, 9,496 ± 2,437 kJ/day during the 22nd, 9,073 ± 1,863 kJ/day during the 30th, 9,525 ± 2,135 kJ/day during the 36th week and 8,445 ± 2,160 kJ/day 6 weeks after delivery. No significant changes were observed in the composition of macronutrients during the pregnancy. The daily composition of macronutrients was as follows: carbohydrates 281 ± 57 g/day (51.7%), fat 86 ± 16 g/day (35.8%) and protein 75 ± 13 g/day (13.9%). However, we observed a decrease in carbohydrate intake of 239 ± 72 g/day (48%) after birth.


Healthy pregnant women showed no significant changes in their caloric intake or nutritional profiles. Performed with an accurate measurement, this prospective study shows that healthy pregnant require neither increased caloric intake nor a change in macronutrient composition.


Pregnancy Nutrition Energy intake Macronutrients Weight gain 


  1. 1.
    Durnin JV, McKillop FM, Grant S, Fitzgerald G (1985) Is nutritional status endangered by virtually no extra intake during pregnancy? Lancet 2:823–825CrossRefPubMedGoogle Scholar
  2. 2.
    Prentice AM, Goldberg GR (2000) Energy adaptations in human pregnancy: Limits and long-term consequences. Am J Clin Nutr 71:1226–1237Google Scholar
  3. 3.
    Butte NF, Wong WW, Treuth MS, Ellis KJ, Smith EO (2004) Energy requirements during pregnancy based on total energy expenditure and energy disposition. Am J Clin Nutr 79:1078–1087PubMedGoogle Scholar
  4. 4.
    Prentice AM, Spaaij CJK, Goldberg GR et al (1996) Energy requirements of pregnant and lactating women. Eur J Clin Nutr 50:82–111Google Scholar
  5. 5.
    Durnin JV, McKillop FM, Grant S, Fitzgerald G (1987) Energy requirements of pregnancy in Scotland. Lancet 2:897–900CrossRefPubMedGoogle Scholar
  6. 6.
    van Raaij JM, Vermaat-Miedema SH, Schonk CM, Peek ME, Hautvast JG (1987) Energy requirements of pregnancy in the Netherlands. Lancet 2:953–955PubMedGoogle Scholar
  7. 7.
    Durnin JV (1991) Energy requirements of pregnancy. Diabetes 40:152–156PubMedGoogle Scholar
  8. 8.
    Kopp-Hoolihan LE, van Loan MD, Wong WW, King JC (1999) Longitudinal assessment of energy balance in well-nourished, pregnant women. Am J Clin Nutr 69:697–704PubMedGoogle Scholar
  9. 9.
    Poppit SD, Prentice AM, Goldberg GR, Whitehead RG (1994) Energy-sparing strategies to protect human fetal growth. Am J Obstet Gynecol 171:118–125Google Scholar
  10. 10.
    Picciano MF (2003) Pregnancy and lactation: physical adjustments, nutritional requirements and the role of dietary supplements. J Nutr 133:1997–2002Google Scholar
  11. 11.
    DACH Referenzwerte für Nährstoffzufuhr (2001) 1. Auflage, DGE, ÖGE, SGE, SVEGoogle Scholar
  12. 12.
    Institute of Medicine (2002/2005) Dietary reference intakes (DRIs) for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acidsGoogle Scholar
  13. 13.
    Souci SW, Fachmann W, Kraut H (1989/1990) Food composition and nutrition tables. Wissenschaftliche Verlagsgesellschaft, StuttgartGoogle Scholar
  14. 14.
    Institute of Medicine (1990) Nutrition during pregnancy: weight gain and nutritional supplements. National Academy Press, Washington, DCGoogle Scholar
  15. 15.
    Moore VM, Davies MJ, Willson KJ, Worsley A, Robinson JS (2004) Dietary composition of pregnant women is related to size of the baby at birth. J Nutr 134:1820–1826PubMedGoogle Scholar
  16. 16.
    Mathews F, Yudkin P, Neil A (1999) Influence of maternal nutrition on outcome of pregnancy: prospective cohort study. Br Med J 319:339–343Google Scholar
  17. 17.
    Godfrey K, Robinson S, Barker DJP, Osmond C (1996) Maternal nutrition in early and late pregnancy in relation to placental and fetal growth. Br Med J 312:410–414Google Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Neda Talai Rad
    • 1
  • Claudia Ritterath
    • 1
  • Tina Siegmund
    • 1
  • Cornelia Wascher
    • 1
  • Gerda Siebert
    • 2
  • Wolfgang Henrich
    • 1
  • Kai J. Buhling
    • 1
    • 3
  1. 1.Klinik für GeburtsmedizinUniversitätsmedizin BerlinBerlinGermany
  2. 2.Institut für medizinische BiometrieCharité-Universitätsmedizin BerlinBerlinGermany
  3. 3.Hormonsprechstunde der Klinik und Poliklinik für GynäkologieUniversitätsklinikum Hamburg-EppendorfHamburgGermany

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