Division of Environmental Medicine, Norwegian Institute of Public Health, Oslo, Norway.
BMC Public Health. 2010 Dec 21;10:775. doi: 10.1186/1471-2458-10-775.
Little is known about the use of organic food during pregnancy. The aim of this study was to describe characteristics associated with the use of organic food among pregnant women participating in the Norwegian Mother and Child Cohort Study (MoBa).
The present study includes 63,561 women who during the years 2002-2007 answered two questionnaires, a general health questionnaire at gestational week 15 and a food frequency questionnaire at weeks 17-22. We used linear binomial regression with frequent versus rare use of organic food as outcome variable and characteristics of the respondent as independent variables. The outcome variable was derived from self-reported frequency of organic food use in six main food groups (milk/dairy, bread/cereal, eggs, vegetables, fruit and meat).
Organic eggs and vegetables were the food items which were most frequently reported to be used "often" or "mostly". The proportion of women reporting frequent intake of organic food was 9.1% (n = 5754). This group included more women in the lower (<25 years) and higher (>40 years) age-groups, with normal or low body mass index, who were vegetarians, exercised regularly (3+times weekly), consumed alcohol and smoked cigarettes during pregnancy (p < 0.001 for all, except alcohol: p=0.044). Further, participants with frequent organic consumption included more women in the lower (≤ 12 years) or higher (17 years +) category of educational attainment, women who were students or had a partner being a student, who belonged to the lowest household income group (both respondent and her partner earned <300,000 NOK), who entered the study 2005-2007, and who lived in an urban area (p < 0.001 for all).
The socio-economic characteristics of pregnant Norwegian women with frequent organic consumption did not unambiguously follow those typically associated with better health, such as higher levels of education and income. Rather, lower household income, and both lowest and highest levels of education were associated with a higher prevalence of frequent organic consumption. The results indicate that personal and socio-economic characteristics are important covariates and need to be included in future studies of potential health outcomes related to organic food consumption during pregnancy.
人们对孕妇食用有机食品的情况知之甚少。本研究的目的是描述参与挪威母亲和儿童队列研究(MoBa)的孕妇食用有机食品的特征。
本研究包括 63561 名女性,她们在 2002-2007 年期间回答了两份问卷,一份是在妊娠 15 周时的一般健康问卷,一份是在 17-22 周时的食物频率问卷。我们使用线性二项式回归,以经常或很少食用有机食品为因变量,以受访者的特征为自变量。因变量来自于自我报告的六种主要食物组(牛奶/乳制品、面包/谷物、鸡蛋、蔬菜、水果和肉类)中有机食品的食用频率。
有机鸡蛋和蔬菜是最常被报告为“经常”或“主要”食用的食物。报告经常食用有机食品的女性比例为 9.1%(n=5754)。这组女性包括更多年龄较小(<25 岁)和较大(>40 岁)、身体质量指数正常或较低、素食者、经常(每周 3 次以上)锻炼、怀孕期间饮酒和吸烟的女性(所有组 p<0.001,除了饮酒:p=0.044)。此外,经常食用有机食品的参与者还包括更多受教育程度较低(≤12 年)或较高(17 年及以上)的女性、学生或伴侣为学生的女性、收入最低的家庭(受访者及其伴侣的收入均<30 万挪威克朗)、2005-2007 年参加研究的女性,以及居住在城市地区的女性(所有组 p<0.001)。
挪威孕妇中经常食用有机食品的社会经济特征并不明确地与更好的健康状况相关,如更高的教育程度和收入。相反,较低的家庭收入以及最低和最高的教育程度与更高的经常食用有机食品的比例相关。研究结果表明,个人和社会经济特征是重要的协变量,需要在未来与孕妇食用有机食品相关的潜在健康结果的研究中加以考虑。