Dietary guideline adherence during preconception and pregnancy: A systematic review.

Caut, C; Leach, M; Steel, A

Dietary guideline adherence during preconception and pregnancy: A systematic review.

Caut, C Leach, M Steel, A

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Maternal and Child Nutrition, 2020, 16, (2)
Issue Date:: 2020

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Field	Value	Language
dc.contributor.author	Caut, C
dc.contributor.author	Leach, M
dc.contributor.author	Steel, A https://orcid.org/0000-0001-6643-9444
dc.date.accessioned	2020-08-12T05:39:42Z
dc.date.available	2019-10-30
dc.date.available	2020-08-12T05:39:42Z
dc.date.issued	2020
dc.identifier.citation	Maternal and Child Nutrition, 2020, 16, (2)
dc.identifier.issn	1740-8695
dc.identifier.issn	1740-8709
dc.identifier.uri	http://hdl.handle.net/10453/142062
dc.description.abstract	The aim of this study is to determine the level of adherence to dietary guidelines among men and women during preconception, and pregnant women, and factors associated with adherence. Searches were conducted in CINAHL, AMED, EMBASE, and Maternity and Infant Care from inception to March 2018. Observational studies assessing the primary outcome (adherence to dietary guidelines and/or nutritional recommendations) and/or secondary outcome (factors associated with adherence) were eligible. Study quality was assessed using the National Institutes of Health Quality Assessment Tool for Observational Cohort and Cross-sectional studies. Men or women (aged ≥18 years) who identified as trying/intending to conceive or were pregnant. Eighteen studies were included. The quality of studies was fair (44%) to good (56%). Most studies indicated preconceptual and pregnant women do not meet recommendations for vegetable, cereal grain, or folate intake. Pregnant women did not meet iron or calcium intake requirements in 91% and 55% of included studies, respectively, and also exceeded fat intake recommendations in 55% of included studies. Higher level education was associated with improved guideline adherence in pregnant women, whereas older age and non-smoking status were associated with greater guideline adherence in preconceptual and pregnant women. The findings of this review suggest that preconceptual and pregnant women may not be meeting the minimum requirements stipulated in dietary guidelines and/or nutritional recommendations. This could have potential adverse consequences for pregnancy and birth outcomes and the health of the offspring. Major knowledge gaps identified in this review, which warrant further investigation, are the dietary intakes of men during preconception, and the predictors of guideline adherence.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Maternal and Child Nutrition
dc.relation.isbasedon	10.1111/mcn.12916
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1111 Nutrition and Dietetics
dc.subject.classification	Nutrition & Dietetics
dc.title	Dietary guideline adherence during preconception and pregnancy: A systematic review.
dc.type	Journal Article
utslib.citation.volume	16
utslib.location.activity	England
utslib.for	1111 Nutrition and Dietetics
utslib.for	1111 Nutrition and Dietetics
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	open_access	*
pubs.consider-herdc	true
dc.date.updated	2020-08-12T05:39:39Z
pubs.issue	2
pubs.publication-status	Published online
pubs.volume	16
utslib.citation.issue	2

Abstract:

The aim of this study is to determine the level of adherence to dietary guidelines among men and women during preconception, and pregnant women, and factors associated with adherence. Searches were conducted in CINAHL, AMED, EMBASE, and Maternity and Infant Care from inception to March 2018. Observational studies assessing the primary outcome (adherence to dietary guidelines and/or nutritional recommendations) and/or secondary outcome (factors associated with adherence) were eligible. Study quality was assessed using the National Institutes of Health Quality Assessment Tool for Observational Cohort and Cross-sectional studies. Men or women (aged ≥18 years) who identified as trying/intending to conceive or were pregnant. Eighteen studies were included. The quality of studies was fair (44%) to good (56%). Most studies indicated preconceptual and pregnant women do not meet recommendations for vegetable, cereal grain, or folate intake. Pregnant women did not meet iron or calcium intake requirements in 91% and 55% of included studies, respectively, and also exceeded fat intake recommendations in 55% of included studies. Higher level education was associated with improved guideline adherence in pregnant women, whereas older age and non-smoking status were associated with greater guideline adherence in preconceptual and pregnant women. The findings of this review suggest that preconceptual and pregnant women may not be meeting the minimum requirements stipulated in dietary guidelines and/or nutritional recommendations. This could have potential adverse consequences for pregnancy and birth outcomes and the health of the offspring. Major knowledge gaps identified in this review, which warrant further investigation, are the dietary intakes of men during preconception, and the predictors of guideline adherence.

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http://hdl.handle.net/10453/142062