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Fibre intake and evolution of BMI: from pre-pregnancy to postpartum.
- Source :
-
Public health nutrition [Public Health Nutr] 2013 Aug; Vol. 16 (8), pp. 1403-13. Date of Electronic Publication: 2012 Aug 24. - Publication Year :
- 2013
-
Abstract
- Objective: To evaluate the effect of fibre intake on the evolution of maternal BMI from pregnancy to postpartum and to identify dietary patterns associated with fibre intake.<br />Design: Cohort study. Food intake was obtained using an FFQ. Focused principal component analysis was used focusing on the variables: postpartum weight retention and total dietary fibre intake. Poisson regression models with robust variance were built in order to measure the effect of fibre intake during the postpartum period on obesity risk.<br />Setting: Primary care clinics in southern Brazil.<br />Subjects: Pregnant women (n 370) were followed until the 5th month postpartum.<br />Results: The highest contribution to fibre intake came from the consumption of beans. Consumption of bread and rice indicated a common Brazilian food pattern along with beans. Participants retained a median of 4.4 (interquartile range 0.6, 7.9) kg of weight gained during pregnancy. Obesity risk, defined as an unfavourable evolution of BMI during pregnancy and postpartum, was present in 189 (55.1%) women. Individual food items did not have an important effect on weight retention. In Poisson regression adjusting for maternal age, pre-pregnancy BMI and total gestational weight gain, inadequate postpartum fibre intake increased obesity risk by 24% (relative risk 51.24; 95% CI 1.05, 1.47).<br />Conclusions: Important maternal weight retention occurred in these women. Adequate fibre intake may reduce obesity risk in the period following childbirth.
- Subjects :
- Adult
Body Weight
Brazil
Cohort Studies
Female
Humans
Nutrition Policy
Obesity prevention & control
Poisson Distribution
Risk Factors
Socioeconomic Factors
Surveys and Questionnaires
Women's Health
Young Adult
Body Mass Index
Dietary Fiber administration & dosage
Energy Intake
Postpartum Period
Pregnancy
Subjects
Details
- Language :
- English
- ISSN :
- 1475-2727
- Volume :
- 16
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Public health nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 22916703
- Full Text :
- https://doi.org/10.1017/S1368980012003849