Faculty of Health and Behavioural Sciences, School of Human Movements and Nutrition Sciences, The University of Queensland, St Lucia, Queensland.
Faculty of Medicine, School of Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK.
Nutr Diet. 2022 Nov;79(5):602-615. doi: 10.1111/1747-0080.12733. Epub 2022 Mar 30.
Modifiable behaviours during the first 1000 days of life influence developmental trajectories of adult chronic diseases. Despite this, sub-optimal dietary intakes during pregnancy and excessive gestational weight gain are common. Very little is known about partners' dietary patterns and the influence on women's pregnancy dietary patterns. We aimed to examine dietary intake during pregnancy among women and their partners, and gestational weight gain patterns in the Queensland Family Cohort pilot study.
The Queensland Family Cohort is a prospective, observational study piloted at a Brisbane (Australia) tertiary maternity hospital from 2018 to 2021. Participant characteristics, weight gain, dietary and nutrient intake were assessed.
Data were available for 194 pregnant women and their partners. Poor alignment with Australian Guide to Healthy Eating recommendations was observed. Highest alignment was for fruit (40% women) and meat/alternatives (38% partners) and lowest for breads/cereals (<1% women) and milk/alternatives (13% partners). Fewer women (4.4%-60.3%) than their partners (5.4%-92.3%) met guidelines for all micronutrient intakes from food alone, particularly folic acid, iodine, and iron. Women were more likely to meet daily recommendations for fruit, vegetables, dairy, bread/cereals, and meat/alternatives when their partners also met recommendations. Women with a higher pre-pregnancy body mass index were more likely to gain above recommended weight gain ranges.
In this contemporary cohort of pregnant women and their partners, sub-optimal dietary patterns and deficits in some nutrients were common. There is an urgent need for evidence-informed public health policy and programs to improve diet quality during pregnancy due to intergenerational effects.
生命最初 1000 天中的可改变行为会影响成年期慢性疾病的发展轨迹。尽管如此，妊娠期间饮食摄入不足和妊娠体重过度增加的情况仍很常见。关于伴侣的饮食模式及其对女性妊娠饮食模式的影响，人们知之甚少。我们旨在检查昆士兰家庭队列研究试点中女性及其伴侣在妊娠期间的饮食摄入情况和妊娠体重增加模式。
昆士兰家庭队列是一项前瞻性观察性研究，于 2018 年至 2021 年在布里斯班（澳大利亚）一家三级妇产医院进行试点。评估了参与者的特征、体重增加、饮食和营养摄入情况。
共有 194 名孕妇及其伴侣的数据可用。观察到与澳大利亚健康饮食指南的一致性较差。水果（40%的女性）和肉类/替代品（38%的伴侣）的一致性最高，而面包/谷物（<1%的女性）和牛奶/替代品（13%的伴侣）的一致性最低。与伴侣相比（5.4%-92.3%），较少的女性（4.4%-60.3%）满足所有来自食物的微量营养素摄入指南，特别是叶酸、碘和铁。当伴侣也符合建议时，女性更有可能满足水果、蔬菜、乳制品、面包/谷物和肉类/替代品的每日推荐摄入量。孕前体重指数较高的女性更有可能增加超过推荐的体重增加范围。
在这个当代的孕妇及其伴侣队列中，饮食模式不佳且某些营养素不足的情况很常见。由于代际影响，迫切需要制定基于证据的公共卫生政策和计划，以改善妊娠期间的饮食质量。
