Department of Clinical Nutrition and Dietetics, Research Institute of Medical & Health Sciences (RIMHS), College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.
Department of Nutrition and Food Sciences, American University of Beirut, Beirut, Lebanon.
Matern Child Nutr. 2021 Oct;17(4):e13199. doi: 10.1111/mcn.13199. Epub 2021 May 11.
Although a number of international diet and lifestyle guidelines during pregnancy (DLGP) exist in the literature, contextualization to low- and middle-income settings is less common. The aim of this study was to present the Lebanese DLGP and to describe the process followed for their development. A mixed-method approach was used including a review and synthesis of existing international DLGP and a consensus building nominal group technique (NGT) with a multidisciplinary group of experts (n = 11). During the meeting, participants identified the themes of the guidelines, formulated the wording of each themes' guideline and translated the guidelines to the Arabic language. Consensus was defined as an agreement of 80%. Reviewing the literature, a list of 17 main topics were found to be common themes for the DLGP. For the Lebanese DLGP, participants in the NGT meeting selected seven themes from this list: gestational weight gain, diet diversity, hydration, food safety, harmful foods, physical activity and breastfeeding. In addition, the group formulated three themes based on merging/modifying existing themes: supplementation, alcohol and smoking and religious fasting. Two context-specific new themes emerged: wellbeing and nutrition resilience. For each of the identified themes, the group agreed upon the wording of its guidelines and description. This study is the first from the Eastern Mediterranean Region to develop through consensus building, context and culture-specific dietary and lifestyle guidelines for pregnant women. Putting maternal nutrition at the heart of tackling malnutrition and its detrimental health outcomes is a core investment for a better maternal and child health.
尽管文献中存在许多国际孕期饮食和生活方式指南（DLGP），但将其与中低收入环境进行背景化处理的情况较少见。本研究旨在提出黎巴嫩的 DLGP，并描述其制定过程。采用了混合方法，包括对现有的国际 DLGP 进行审查和综合，以及对一个多学科专家小组（n=11）进行共识性的名义群体技术（NGT）会议。在会议期间，参与者确定了指南的主题，制定了每个主题指南的措辞，并将指南翻译成阿拉伯语。共识定义为 80%的同意。在审查文献时，发现了 17 个主要主题，这些主题是 DLGP 的共同主题。对于黎巴嫩的 DLGP，NGT 会议的参与者从这个列表中选择了七个主题：妊娠期体重增加、饮食多样性、水合作用、食品安全、有害食物、身体活动和母乳喂养。此外，该小组还根据合并/修改现有主题制定了三个主题：补充剂、酒精和吸烟以及宗教禁食。两个特定于背景的新主题出现了：幸福感和营养弹性。对于确定的每个主题，小组都同意其指南和描述的措辞。本研究是东地中海区域第一个通过共识建立、背景和文化特定的孕妇饮食和生活方式指南的研究。将孕产妇营养置于解决营养不良及其不良健康后果的核心地位，是改善母婴健康的一项核心投资。
