Zerfu Taddese Alemu, Mekuria Aleme
College of Health Sciences Dilla University Dilla Ethiopia.
Maternal and Child WellBeing (MCW) Unit African Population and Health Research Center Nairobi Kenya.
Food Sci Nutr. 2019 Sep 5;7(10):3286-3292. doi: 10.1002/fsn3.1188. eCollection 2019 Oct.
The intake of fiber-rich foods during pregnancy has several health benefits to the pregnant woman including lowering the risks of diabetes, preeclampsia, and constipation. However, little is known about the content, daily intake levels, and adequacy of fiber among pregnant women in many low-income settings. We aimed to identify common food items and determine adequacy of dietary fiber intake levels among pregnant women in rural Ethiopia. Dietary data were collected from a subsample ( = 55) of pregnant women enrolled to a larger prospective cohort study ( = 414). Dietary intake level was measured using repeated 24-hr dietary recall method and weighing the total amount of daily food. Fiber content was determined using the Weende method supplemented by other sources.The mean [±] dietary fiber intake level was 25.89 [±5.09 mg/g] per day, which declined across pregnancy trimester from 26.01 [±9.18 mg/g] to 22.67 [±9.01 mg/g] and 24.56 [±9.98 mg/g] during the first, to second and third pregnancy trimesters, respectively. Boiled cereals and coffee contributed to nearly two-thirds (63.2%) of the daily fiber intake, while the major bulk of daily food, enjera, contributed to less than a quarter (24.3%) of the fiber intake. Though dietary patterns favor diversified intake for fiber, the mean intake levels below the recommended levels and proportion of women getting adequate to the physiologic stages of pregnancy were inadequate compared to the standard. Mothers, in such community, could benefit from increasing overall intake of existing food to satisfy their fiber needs during pregnancy.
孕期摄入富含纤维的食物对孕妇有诸多健康益处,包括降低患糖尿病、先兆子痫和便秘的风险。然而,在许多低收入地区,人们对孕妇膳食纤维的含量、每日摄入量以及充足程度知之甚少。我们旨在确定埃塞俄比亚农村孕妇常见的食物种类,并确定其膳食纤维摄入量是否充足。饮食数据来自一项大型前瞻性队列研究中抽取的一个子样本(n = 55)的孕妇(该队列研究样本量n = 414)。采用重复24小时饮食回顾法并称重每日食物总量来测量饮食摄入量。膳食纤维含量通过魏登法测定,并辅以其他来源的数据。膳食纤维的平均每日摄入量为25.89[±5.09毫克/克],在孕期各阶段有所下降,孕早期为26.01[±9.18毫克/克],孕中期降至22.67[±9.01毫克/克],孕晚期为24.56[±9.98毫克/克]。煮制谷物和咖啡几乎占每日膳食纤维摄入量的三分之二(63.2%),而日常主食英吉拉(一种埃塞俄比亚传统发酵面饼)的膳食纤维摄入量占比不到四分之一(24.3%)。尽管饮食模式有利于多样化摄入膳食纤维,但与标准相比,平均摄入量低于推荐水平,且达到孕期生理阶段充足摄入量的女性比例不足。在这样的社区中,母亲们可以通过增加现有食物的总体摄入量来满足孕期对纤维的需求。