Unit of Immunonutrition and Clinical Nutrition, Department of Rheumatology and Clinical Immunology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Biopolis, GR-41110 Larissa, Greece.
Unit of Reproductive Endocrinology, 1st Department of Obstetrics and Gynecology, Papageorgiou General Hospital, Aristotle University of Thessaloniki, GR-56403 Thessaloniki, Greece.
Nutrients. 2023 Apr 22;15(9):2019. doi: 10.3390/nu15092019.
The International Federation of Gynecology and Obstetrics (FIGO) nutrition checklist is a tool for everyday antenatal clinical practice, easy to use by most healthcare professionals, aiming to initiate a conversation regarding gestational weight gain (GWG) and nutrition and identify women who might require further assessment. The present cross-sectional study aimed to apply the FIGO nutrition checklist to pregnant women attending routine antenatal care and identify nutritional risk factors. Pregnant women ( = 200) were recruited from the outpatient pregnancy clinics of two hospitals in Thessaloniki and completed the checklist. The FIGO-diet quality score and the FIGO-nutritional risk score (NRS) were calculated. The results revealed that 99% of the women exhibited at least one nutritional risk factor based on the checklist. The median FIGO diet quality score of the sample was 4.0 (3.0-5.0), with 95% of the participants responding negatively to at least one question, indicating the need for improving diet quality. Improved diet quality was noted in cases of hyperemesis gravidarum and among those receiving vitamin D supplements. A large percentage of the participants (36%) exhibited five or more nutritional risk factors, as indicated by a total FIGO-NRS below 5. Women with low middle-upper arm circumference, indicative of protein-energy malnutrition (20.6% of the sample), exhibited more nutritional risk factors compared with the rest. On the other hand, being in the third trimester of pregnancy was associated with lower nutritional risk and, subsequently, better diet quality.
国际妇产科联合会（FIGO）营养检查表是一种日常产前临床实践工具，大多数医疗保健专业人员都易于使用，旨在就妊娠体重增加（GWG）和营养问题展开讨论，并确定可能需要进一步评估的女性。本横断面研究旨在将 FIGO 营养检查表应用于接受常规产前保健的孕妇，并确定营养风险因素。从塞萨洛尼基的两家医院的门诊妊娠诊所招募了 200 名孕妇，并完成了检查表。计算了 FIGO-饮食质量评分和 FIGO-营养风险评分（NRS）。结果显示，根据检查表，99%的女性至少存在一个营养风险因素。该样本的 FIGO 饮食质量中位数为 4.0（3.0-5.0），95%的参与者对至少一个问题的回答是否定的，这表明需要改善饮食质量。妊娠剧吐和服用维生素 D 补充剂的情况下，饮食质量有所改善。大多数参与者（36%）存在五个或更多营养风险因素，总 FIGO-NRS 低于 5。中上臂围低，表明存在蛋白质-能量营养不良（样本的 20.6%）的女性比其他女性存在更多的营养风险因素。另一方面，妊娠晚期与较低的营养风险相关，进而与更好的饮食质量相关。
