Kay Melissa C, Wasser Heather, Adair Linda S, Thompson Amanda L, Siega-Riz Anna Maria, Suchindran Chirayath M, Bentley Margaret E
Department of Nutrition, University of North Carolina at Chapel Hill, Carolina Population Center, 137 E. Franklin St, CB 8120, Chapel Hill, NC 27516, United States.
Department of Nutrition, University of North Carolina at Chapel Hill, Carolina Population Center, 137 E. Franklin St, CB 8120, Chapel Hill, NC 27516, United States.
Appetite. 2017 Oct 1;117:161-167. doi: 10.1016/j.appet.2017.06.023. Epub 2017 Jun 23.
The postpartum period can impact diet quality and subsequently place women at greater risk for overweight or obesity. This study examined consumption of key food groups during the first 2 years postpartum among low income, non-Hispanic black, first-time mothers. Data were from the Infant Care, Feeding and Risk of Obesity Study, a cohort of 217 mother-infant dyads, followed from 3 to 18 months postpartum, collected from 2003 to 2007. At each study visit (3, 6, 9, 12, and 18 months) 24-h dietary recalls were collected. Consumption levels were compared to those recommended from the 2010 Dietary Guidelines for Americans (DGAs) for each of the following food groups: fruits, vegetables, grains, whole grains, protein foods and dairy, as well as an estimated upper limit for sugar-sweetened beverage (SSB) consumption. At each time point, mothers met recommended intake levels for grains and protein foods only. In random-intercept logistic regression models, no demographic or household characteristics were associated with a likelihood of consuming recommended levels for any of the food groups according to the DGAs. Given the low intake of fruits, vegetables, whole grains and lean protein foods and high intake of SSBs and refined grains, interventions targeting women's diet during the postpartum period are warranted.
产后时期会影响饮食质量,进而使女性面临超重或肥胖的更大风险。本研究调查了低收入、非西班牙裔黑人初产妇产后头两年关键食物组的摄入量。数据来自婴儿护理、喂养与肥胖风险研究,该队列包括217对母婴二元组,从产后3个月至18个月进行跟踪,数据收集时间为2003年至2007年。在每次研究访视(3、6、9、12和18个月)时,收集24小时饮食回忆。将以下每种食物组的摄入量水平与《2010年美国膳食指南》(DGAs)建议的水平进行比较:水果、蔬菜、谷物、全谷物、蛋白质类食物和乳制品,以及含糖饮料(SSB)摄入量的估计上限。在每个时间点,母亲们仅达到了谷物和蛋白质类食物的推荐摄入量水平。在随机截距逻辑回归模型中,根据DGAs,没有任何人口统计学或家庭特征与摄入任何食物组推荐水平的可能性相关。鉴于水果、蔬菜、全谷物和瘦肉蛋白类食物摄入量低,而SSB和精制谷物摄入量高,有必要针对产后女性的饮食进行干预。