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Diet and deprivation in pregnancy

  • Paul Haggarty (a1) (a2), Doris M. Campbell (a2), Susan Duthie (a1), Katherine Andrews (a1), Gwen Hoad (a1), Chandrika Piyathilake (a3) and Geraldine McNeill (a4)...
Abstract

Deprivation is associated with poor pregnancy outcome but the role of nutrition as a mediating factor is not well understood. We carried out a prospective cohort study of 1461 singleton pregnancies in Aberdeen, UK during 2000–6. We measured nutrient intake and supplement use, B vitamin and homocysteine status, birth weight, gestational age, neonatal treatment and socio-economic deprivation status. Women in the most deprived deciles were approximately 6 years younger and half as likely to take folic acid supplements periconceptually as the least deprived mothers. Deprivation was associated with low blood folate, high homocysteine and diets low in protein, fibre and many of the vitamins and minerals. The diets of the more deprived women were also characterised by low intakes of fruit, vegetables and oily fish and higher intakes of processed meat, fried potatoes, crisps and snacks. Deprivation was related to preterm birth (OR 1·14 (95 % CI 1·03, 1·25); P = 0·009) and whether the baby required neonatal treatment (OR 1·07 (95 % CI 1·01, 1·14); P = 0·028). Low birth weight was more common in women consuming diets low in vitamin C (OR 0·79 (95 % CI 0·64, 0·97); P = 0·028), riboflavin (OR 0·77 (95 % CI 0·63, 0·93); P = 0·008), pantothenic acid (OR 0·79 (95 % CI 0·65, 0·97); P = 0·023) and sugars (OR 0·78 (95 % CI 0·64, 0·96); P = 0·017) even after adjustment for deprivation index, smoking, marital status and parity. Deprivation in pregnancy is associated with diets poor in specific nutrients and poor diet appears to contribute to inequalities in pregnancy outcome. Improving the nutrient intake of disadvantaged women of childbearing age may potentially improve pregnancy outcome.

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Corresponding author
*Corresponding author: Dr P. Haggarty, fax +44 1224 716622, email p.haggarty@abdn.ac.uk
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2J Pryor , PA Silva & M Brooke (1995) Growth, development and behaviour in adolescents born small-for-gestational-age. J Paediatr Child Health 31, 403407.

3SD Shenkin , JM Starr & IJ Deary (2004) Birth weight and cognitive ability in childhood: a systematic review. Psychol Bull 130, 9891013.

4M Richards , R Hardy , D Kuh , (2001) Birth weight and cognitive function in the British 1946 birth cohort: longitudinal population based study. BMJ 322, 199203.

5DJP Barker (1995) Fetal origins of coronary heart disease. BMJ 311, 171174.

6C Dibben , M Sigala & A Macfarlane (2006) Area deprivation, individual factors and low birth weight in England: is there evidence of an ‘area effect’? J Epidemiol Community Health 60, 10531059.

7L Fairley (2005) Changing patterns of inequality in birthweight and its determinants: a population-based study, Scotland 1980–2000. Paediatr Perinat Epidemiol 19, 342351.

8L Fairley & AH Leyland (2006) Social class inequalities in perinatal outcomes: Scotland 1980–2000. J Epidemiol Community Health 60, 3136.

9MD Gisselmann (2006) The influence of maternal childhood and adulthood social class on the health of the infant. Soc Sci Med 63, 10231033.

10K Moser , L Li & C Power (2003) Social inequalities in low birth weight in England and Wales: trends and implications for future population health. J Epidemiol Community Health 57, 687691.

11N Spencer , S Bambang , S Logan , (1999) Socioeconomic status and birth weight: comparison of an area-based measure with the Registrar General's social class. J Epidemiol Community Health 53, 495498.

12M Bartley , C Power , D Blane , (1994) Birth weight and later socioeconomic disadvantage: evidence from the 1958 British cohort study. BMJ 309, 14751478.

13P Attree (2005) Low-income mothers, nutrition and health: a systematic review of qualitative evidence. Matern Child Nutr 1, 227240.

15D Campbell , M Hall , J Lemon , (1993) Clinical birthweight standards for a total population in the 1980s. Br J Obstet Gynaecol 100, 436445.

24F Mathews , P Yudkin & A Neil (1999) Influence of maternal nutrition on outcome of pregnancy: prospective cohort study. BMJ 319, 339343.

25P Lagiou , L Mucci , R Tamimi , (2005) Micronutrient intake during pregnancy in relation to birth size. Eur J Nutr 44, 5259.

26A Badart-Smook , AC van Houwelingen , MD Al , (1997) Fetal growth is associated positively with maternal intake of riboflavin and negatively with maternal intake of linoleic acid. J Am Diet Assoc 97, 867870.

28P Muennig , N Sohler & B Mahato (2007) Socioeconomic status as an independent predictor of physiological biomarkers of cardiovascular disease: evidence from NHANES. Prev Med 45, 3540.

29DB Panagiotakos , C Pitsavos , Y Manios , (2005) Socio-economic status in relation to risk factors associated with cardiovascular disease, in healthy individuals from the ATTICA study. Eur J Cardiovasc Prev Rehabil 12, 6874.

30NE Adler & DH Rehkopf (2007) U.S. disparities in health: description, causes, and mechanisms. Annu Rev Public Health 29, 235252.

31AE Borders , WA Grobman , LB Amsden , (2007) Chronic stress and low birth weight neonates in a low-income population of women. Obstet Gynecol 109, 331338.

32KM Paarlberg , AJ Vingerhoets , J Passchier , (1999) Psychosocial predictors of low birthweight: a prospective study. Br J Obstet Gynaecol 106, 834841.

33MJ Meaney , M Szyf & JR Seckl (2007) Epigenetic mechanisms of perinatal programming of hypothalamic-pituitary-adrenal function and health. Trends Mol Med 13, 269277.

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British Journal of Nutrition
  • ISSN: 0007-1145
  • EISSN: 1475-2662
  • URL: /core/journals/british-journal-of-nutrition
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