Lifestyle and Dietary Habits of an Obese Pregnant Cohort
Obese pregnant women are the focus of numerous dietary and lifestyle intervention studies, however there is a paucity of literature examining the habitual dietary and lifestyle habits of this population. This paper aims to assess maternal dietary and lifestyle habits in an obese cohort, in order to identify priority areas to be addressed in future studies and in clinical practice. This prospective observational study recruited 100 pregnant women with a body mass index 30.0–39.9 kg/m2 from routine antenatal clinics. Dietary intakes were assessed using a 3-day food diary and a structured lifestyle questionnaire assessed physical activity levels, smoking and alcohol habits and wellbeing. Macronutrient intakes as a percentage of total energy were not compliant to healthy eating guidelines with an inadequate intake of carbohydrate and excess intake of saturated fat. Compliance to recommended intakes of calcium, iron, folate and vitamin D was poor from diet alone. The consumption of energy dense food groups high in fat and sugar was greater than for published pregnant populations and the general female non-pregnant population. One-third of women reported engaging in weekly physical activity that would comply with recommendations for pregnant women while 25 % reported low mood status indicating potential depression. High intakes of energy-dense processed foods and poor compliance to micronutrient recommendations are critical dietary issues of concern among obese pregnant women. Low mood is a barrier to motivation for changing behaviour which would also need to be addressed in future lifestyle intervention studies.
KeywordsPregnancy Obesity Maternal nutrition Dietary intakes
The authors would like to thank all participants in the study for their generous contribution of time. This work was funded by the National Maternity Hospital Research Fund.
Conflict of interest
The authors declare that they have no conflict of interest.
- 6.Tanentsapf, I., Heitmann, B. L., & Adegboye, A. R. A. (2011). Systematic review of clinical trials on dietary interventions to prevent excessive weight gain during pregnancy among, abnormal weight, overweight and obese women. BMC Pregnancy Childbirth, 11(81), 1–12.Google Scholar
- 14.Food Standards Agency. (2002). McCance and widdowson’s. In The composition of foods, (sixth summary edition. Cambridge: Royal Society of Chemistry.Google Scholar
- 15.Irish Universities Nutrition Alliance. (2011). National adult nutrition survey, summary report. (Walton J, Ed.). IUNA http://www.iuna.net/wp-content/uploads/2010/12/National-Adult-Nutrition-Survey-Summary-Report-March-2011.pdf.
- 16.Health Promotion Policy Unit. (1987).Guidelines for preparing information and advice to the general public on healthy eating. Dublin: Department of Health and Children.Google Scholar
- 17.Report on Health and Social Subjects 41 Dietary reference values (DRVs) for food energy and nutrients for the UK, Report of the Panel on DRVs of the Committee on Medical Aspects of Food Policy (COMA). (1991). The Stationary Office. London.Google Scholar
- 18.Food Safety Authority of Ireland. (1999). Recommended dietary allowances for Ireland. Dublin: FSAI.Google Scholar
- 21.Goldberg, G. R., Black, A. E., Jebb, S. A., Cole, T. J., Murgatroyd, P. R., Coward, W. A., et al. (1991). Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut-off limits to identify under-recording. European Journal of Clinical Nutrition, 45, 569–581.PubMedGoogle Scholar
- 24.Ward M, McGee H, Morgan K, Van Lente E, Layte R, Barry M, et al. SLÁN. (2007). Survey of lifestyle, attitudes and nutrition in Ireland. ‘One Island—One Lifestyle?’ Health and lifestyles in the Republic of Ireland and Northern Ireland: Comparing the population surveys SLÁN 2007 and NIHSWS 2005. Published 2009. http://www.drugsandalcohol.ie/12449/1/slan_oneisland.pdf.
- 26.Bech, P., Olsen, L. R., Kjoller, M., & Rasmussen, M. K. (2003). Measuring wellbeing rather than the absence of distress symptoms: A comparison of the SF-36 Mental Health subscale and the WHO-5 well-being scale. International Journal of Methods in Psychiatric Research, 12, 85–91.PubMedCrossRefGoogle Scholar
- 27.Institute of Medicine. (2009). Weight gain during pregnancy: Re-examining the guidelines. National Academies Press.Google Scholar
- 33.De-Regil, L. M., Fernández-Gaxiola, A. C., Dowswell, T., & Peña-Rosas, J. P. (2010). Effects and safety of periconceptional folate supplementation for preventing birth defects. The Cochrane Database of Systematic Reviews, 6, CD007950.Google Scholar