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Nishihara N, Haruna M, Usui Y, Yonezawa K, Hikita N, Sasagawa E, Nakano K, Tanaka M, Ohori R, Aoyama S, Sasaki S, Fujita M, Matsuzaki M, Suetsugu Y, Sato Y. Dietary Intake and Its Association with Birth Outcomes in Women with Nausea and Vomiting during the Second Trimester of Pregnancy: A Prospective Cohort Study in Japan. Nutrients 2023; 15:3383. [PMID: 37571320 PMCID: PMC10421251 DOI: 10.3390/nu15153383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Revised: 07/21/2023] [Accepted: 07/28/2023] [Indexed: 08/13/2023] Open
Abstract
Nausea and vomiting in pregnancy (NVP) is a common symptom. Although the influence of NVP during the first trimester on dietary intake and birth outcomes has been revealed, no study has focused on NVP during the second trimester. This study aimed to reveal whether NVP severity during the second trimester is associated with dietary intake, gestational weight gain (GWG), birth weight, and delivery week. Participants completed a questionnaire at 18-27 gestational weeks. NVP severity was assessed using the modified Pregnancy-Unique Quantification of Emesis and Nausea scale in the questionnaire. Dietary habits were assessed using a brief-type diet history questionnaire. In total, 825 responses were analyzed: 202 (24.5%), 135 (16.4%), and 8 (1.0%) women reported mild, moderate, and severe NVP, respectively; 480 (58.2%) women did not have NVP during the second trimester. No significant association was observed between energy and nutrient intake and no/mild and moderate/severe NVP. Women with moderate/severe NVP had lower total GWG than those with no/mild NVP (p = 0.007). There was no significant difference in low birth weight and preterm birth rates (p = 0.246 and p = 0.604). This is the first study to investigate whether NVP severity during the second trimester is associated with dietary intake and birth outcomes.
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Affiliation(s)
- Nao Nishihara
- Department of Midwifery and Women’s Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan; (N.N.); (Y.U.); (K.Y.); (N.H.); (E.S.); (K.N.); (M.T.); (R.O.); (S.A.)
| | - Megumi Haruna
- Department of Midwifery and Women’s Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan; (N.N.); (Y.U.); (K.Y.); (N.H.); (E.S.); (K.N.); (M.T.); (R.O.); (S.A.)
- Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan
| | - Yuriko Usui
- Department of Midwifery and Women’s Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan; (N.N.); (Y.U.); (K.Y.); (N.H.); (E.S.); (K.N.); (M.T.); (R.O.); (S.A.)
- Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan
| | - Kaori Yonezawa
- Department of Midwifery and Women’s Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan; (N.N.); (Y.U.); (K.Y.); (N.H.); (E.S.); (K.N.); (M.T.); (R.O.); (S.A.)
- Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan
| | - Naoko Hikita
- Department of Midwifery and Women’s Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan; (N.N.); (Y.U.); (K.Y.); (N.H.); (E.S.); (K.N.); (M.T.); (R.O.); (S.A.)
- Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan; (Y.S.); (Y.S.)
| | - Emi Sasagawa
- Department of Midwifery and Women’s Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan; (N.N.); (Y.U.); (K.Y.); (N.H.); (E.S.); (K.N.); (M.T.); (R.O.); (S.A.)
- Department of International Health Care and Midwifery, Graduate School of Nursing, Japanese Red Cross College of Nursing, Tokyo 150-0012, Japan
| | - Keiko Nakano
- Department of Midwifery and Women’s Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan; (N.N.); (Y.U.); (K.Y.); (N.H.); (E.S.); (K.N.); (M.T.); (R.O.); (S.A.)
| | - Moeko Tanaka
- Department of Midwifery and Women’s Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan; (N.N.); (Y.U.); (K.Y.); (N.H.); (E.S.); (K.N.); (M.T.); (R.O.); (S.A.)
| | - Riko Ohori
- Department of Midwifery and Women’s Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan; (N.N.); (Y.U.); (K.Y.); (N.H.); (E.S.); (K.N.); (M.T.); (R.O.); (S.A.)
- Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan
| | - Satoko Aoyama
- Department of Midwifery and Women’s Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan; (N.N.); (Y.U.); (K.Y.); (N.H.); (E.S.); (K.N.); (M.T.); (R.O.); (S.A.)
| | - Satoshi Sasaki
- Department of Social and Preventive Epidemiology, School of Public Health, The University of Tokyo, Tokyo 113-0033, Japan;
| | - Megumi Fujita
- Department of Clinical Nursing, Graduate School of Medical Science, Yamagata University, Yamagata 990-9585, Japan;
| | - Masayo Matsuzaki
- Department of Reproductive Health Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo 113-8510, Japan;
- Department of Children and Women’s Health, Division of Health Sciences, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan
| | - Yoshiko Suetsugu
- Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan; (Y.S.); (Y.S.)
| | - Yoko Sato
- Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan; (Y.S.); (Y.S.)
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Boutté AK, Turner-McGrievy GM, Wilcox S, Liu J, Eberth JM, Kaczynski AT. Associations of maternal stress and/or depressive symptoms with diet quality during pregnancy: a narrative review. Nutr Rev 2021; 79:495-517. [PMID: 32529223 DOI: 10.1093/nutrit/nuaa019] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Pregnancy can be a stressful time for many women; however, it is unclear if higher stress and depressive symptoms are associated with poorer diet quality during pregnancy. OBJECTIVE The aims for this narrative review were to (1) synthesize findings of original, peer-reviewed studies that examined associations of stress and/or depressive symptoms with diet quality during pregnancy; (2) review the measurement tools used to assess stress, depressive symptoms, and diet quality; (3) identify current gaps in the extant literature; and (4) offer recommendations for future research. METHODS A search strategy was used to identify peer-reviewed manuscripts published between January 1997 and October 2018, using the following databases: PubMed, CINAHL Complete, PsycINFO, Academic Search Complete, and Psychology & Behavioral Sciences Collection. The search was updated December 2019. Two reviewers independently assessed title, abstract, and full-text of the studies that met the inclusion criteria. Data were extracted and a quality assessment was conducted. RESULTS Twenty-seven observational studies were identified in this review (21 cross-sectional and 6 longitudinal). In 22 studies, higher stress and/or depressive symptoms were associated with poorer diet quality or unhealthy dietary patterns; 5 studies found no association. Findings are mixed and inconclusive regarding the relationship among stress, depressive symptoms, and food groups related to diet quality and frequency of fast-food consumption. CONCLUSIONS The current data suggest stress and depressive symptoms may be a barrier to proper diet quality during pregnancy; however, variability in the assessment tools, timing of assessments, and use of covariates likely contribute to the inconsistency in study findings. Gaps in the literature include limited use of longitudinal study designs, limited use of comprehensive diet-quality indices, underrepresentation of minority women, and lack of multilevel theoretical frameworks. Studies should address these factors to better assess associations of stress and/or depressive symptoms with diet quality during pregnancy.
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Affiliation(s)
- Alycia K Boutté
- Department of Health Promotion, Education, and Behavior, Graduate Trainee, Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA
| | - Gabrielle M Turner-McGrievy
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA
| | - Sara Wilcox
- Department of Exercise Science, Director, Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA
| | - Jihong Liu
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA
| | - Jan M Eberth
- Department of Epidemiology and Biostatistics, Deputy Director, SC Rural Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA
| | - Andrew T Kaczynski
- Department of Health Promotion, Education, and Behavior, Co-Investigator, Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA
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Chang MW, Schaffir J, Brown R, Wegener DT. Mediation by self-efficacy in the relation between social support and dietary intake in low-income postpartum women who were overweight or obese. Appetite 2019; 140:248-254. [PMID: 31141706 DOI: 10.1016/j.appet.2019.05.031] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Revised: 05/23/2019] [Accepted: 05/23/2019] [Indexed: 10/26/2022]
Abstract
PURPOSE Using baseline data from a prevention of weight gain intervention study, we investigated whether self-efficacy mediated the relations between social support and dietary intake of saturated fat, fast food, fruit and vegetable in low-income postpartum women who were overweight or obese. METHODS Participants (N = 740) completed validated measures of self-reported social support, self-efficacy, and dietary intake of saturated fat, fast food, fruit and vegetable. We performed composite indicator structural equation modeling to test the mediation effect. Effect size was calculated using proportion of maximum possible (POMP) scores in the endogenous variables (e.g., fast food) per unit change in the exogenous variable. RESULTS When including the influence of self-efficacy as a mediator, social support indirectly influenced dietary intake of saturated fat (p ≤ 0.001, POMP = -0.77%), fast food (p ≤ 0.001, POMP = -0.28%), and fruit and vegetable (p ≤ 0.001, POMP = 0.53%). Thus, these data are consistent with self-efficacy mediating the relations between social support and dietary intake of saturated fat, fast food, fruit and vegetable in low-income postpartum women who were overweight or obese. CONCLUSION Dietary interventions aiming to decrease saturated fat and fast food intake and increase fruit and vegetable intake for the target population may consider including practical skills for increasing social support and self-efficacy that can be implemented in daily life.
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Affiliation(s)
- Mei-Wei Chang
- The Ohio State University College of Nursing, 1585 Neil Avenue, Columbus, OH, 43210, USA.
| | - Jonathan Schaffir
- The Ohio State University Department of Obstetrics & Gynecology, 370 W, 9th Avenue, Columbus, OH, 43210, USA.
| | - Roger Brown
- University of Wisconsin-Madison, School of Nursing, 600 Highland Avenue, Madison, WI, 53792, USA.
| | - Duane T Wegener
- The Ohio State University Department of Psychology, 1835 Neil Avenue, Columbus, OH, 43210, USA.
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