Department of Rehabilitation & Sport Sciences, Faculty of Health & Social Sciences, Bournemouth University, Bournemouth BH1 3LT, UK.
Centre for Midwifery, Maternal & Perinatal Health, Faculty of Health & Social Sciences, Bournemouth University, Bournemouth BH1 3LT, UK.
Nutrients. 2020 Sep 24;12(10):2921. doi: 10.3390/nu12102921.
Poor diet quality is a major cause of maternal obesity. We aimed to investigate a priori and a-posteriori derived dietary patterns in childbearing-aged women in UK. An online survey assessed food intake, physical activity (PA), anthropometry and socio-demographics. An a priori defined diet quality was determined via Mediterranean diet (MD) adherence score and Exploratory Factor Analysis (EFA) derived dietary patterns (DPs). Multiple linear regression explored associations between DPs with anthropometric measures, PA and socio-demographics. Participants ( = 123) had low-to-medium MD adherence (average MD-score: 4.0 (2.0)). Age was positively associated with higher MD adherence (X (2) = 13.14, = 0.01). EFA revealed three DPs: 'fruits, nuts, vegetables and legumes' ("Vegetarian-style" DP); 'sweets, cereals, dairy products and potatoes' ("Dairy, sweets and starchy foods" DP); and 'eggs, seafood and meats' ("Protein-rich" DP). "Vegetarian-style" DP was positively associated with higher maternal educational level ( < 0.01) and PA ( = 0.01), but negatively with white ethnicity ( < 0.01). "Dairy, sweets and starchy foods" DP was positively associated with white ethnicity ( = 0.03) and negatively with age ( = 0.03). "Protein-rich" DP was positively associated with age ( < 0.001) and negatively with PA ( = 0.01). A poor diet quality was found among childbearing-aged women; notably in the younger age category, those of white ethnicity, that were more physically inactive and with a lower socioeconomic background.
不良的饮食质量是导致孕产妇肥胖的一个主要原因。我们旨在英国的育龄妇女中,预先和事后推断出饮食模式。在线调查评估了食物摄入、身体活动(PA)、人体测量学和社会人口统计学。通过地中海饮食(MD)依从性评分和探索性因子分析(EFA)得出的饮食模式(DPs)来确定预先定义的饮食质量。多元线性回归分析了 DPs 与人体测量指标、PA 和社会人口统计学之间的关联。参与者(n=123)的 MD 依从性处于低-中水平(平均 MD 评分:4.0(2.0))。年龄与更高的 MD 依从性呈正相关(X ²(2)=13.14, =0.01)。EFA 揭示了三种 DPs:“水果、坚果、蔬菜和豆类”(“素食主义者” DP);“甜食、谷物、奶制品和土豆”(“奶制品、甜食和淀粉类食物” DP);和“鸡蛋、海鲜和肉类”(“富含蛋白质” DP)。“素食主义者” DP 与较高的母亲教育水平呈正相关(<0.01)和 PA(=0.01),但与白种人呈负相关(<0.01)。“奶制品、甜食和淀粉类食物” DP 与白种人呈正相关(=0.03),与年龄呈负相关(=0.03)。“富含蛋白质” DP 与年龄呈正相关(<0.001),与 PA 呈负相关(=0.01)。研究发现,育龄妇女的饮食质量较差;特别是在年轻的年龄组中,白种人、身体活动较少、社会经济背景较低的人,情况更为严重。