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Proposal of a Mediterranean diet index for pregnant women

  • Miguel Mariscal-Arcas (a1), Ana Rivas (a1), Celia Monteagudo (a1), Alicia Granada (a1), Isabel Cerrillo (a2) and Fatima Olea-Serrano (a1)...
Abstract

Numerous studies have addressed the nutritional needs of pregnant women. The nutritional status of the woman before and during gestation affects the growth of the fetus and the course of the pregnancy and influences the risk of obesity for mother and infant. The aim of this study was to propose a diet quality index for pregnancy based on a Mediterranean-type diet (MDS-P), evaluating the diet of a group of pregnant women by applying the Mediterranean Diet Score (MDS) and evaluating their intake of micronutrients required in optimal amounts during pregnancy, such as Fe, folic acid and Ca. The data used to construct this index (MDS-P) were gathered by means of a FFQ specifically designed for pregnant women. The mean MDS of this group, was 4·31 (sd 1·32), considered to represent satisfactory compliance with the Mediterranean diet (range 0–8). The mean MDS-P (range 0–11), which also takes account of dietary intake or supplements of folic acid, Fe and Ca was 7·53 (sd 1·44), indicating a compliance of around 70 %. The present study findings suggest that the MDS-P, which evaluates the adequacy of folic acid, Fe and Ca as well as compliance with the Mediterranean diet, may represent a valid tool for the specific assessment of the diet of pregnant women living in countries in the Mediterranean area. Further studies are required to complete the validation process.

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Corresponding author
*Corresponding author: Dr Fatima Olea-Serrano, fax +34 958 249577, email folea@ugr.es
References
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1Laraia BA, Siega-Riz AM, Kaufman JS, et al. (2004) Proximity of supermarkets is positively associated with diet quality index for pregnancy. Prev Med 39, 869875.
2Dapcich V, Salvador Castell G, Ribas Barba L, et al. (2004) Guía de la Alimentación Saludable. Madrid: Ed Sociedad Española de Nutrición Comunitaria.
3King JC (2003) The risk of maternal nutritional depletion and poor outcomes increases in early or closely spaced pregnancies. J Nutr 133, 1732S1736S.
4Neggers Y & Goldenberg RL (2003) Some thoughts on body mass index, micronutrient intakes and pregnancy outcomes. J Nutr 133, 37S40S.
5Fall CHD, Yajnik CS, Rao S, et al. (2003) Micronutrient and fetal growth. J Nutr 133, 47S56S.
6Shaw GM, Schaffer D, Velie EM, et al. (1995) Periconceptional vitamin use, dietary folate, and the occurrence of neural tube defects. Epidemiology 6, 219226.
7Siega-Riz AM, Herrmann TS, Savitz DA, et al. (2001) The frequency of eating during pregnancy and its effect on preterm delivery. Am J Epidemiol 153, 647652.
8Scholl TO (2008) Maternal nutrition before and during pregnancy. Nestle Nutr Workshop Ser Pediatr Program 61, 7989.
9Lederman SA, Alfasi G & Deckelbaum RJ (2002) Pregnancy associated obesity in black women in New York City. Matern Child Health J 6, 3742.
10Laraia BA, Bodnar LM & Siega-Riz AM (2007) Pregravid body mass index is negatively associated with diet quality during pregnancy. Public Health Nutr 10, 920926.
11Siega-Riz AM, Savitz DA, Zeisel SH, et al. (2004) Second trimester folate status and preterm birth. Am J Obstet Gynecol 191, 18511857.
12Czeizel AE & Puho E (2005) Maternal use of nutritional supplements during the first month of pregnancy and decreased risk of Down's syndrome: case–control study. Nutrition 21, 698704.
13Saldana TM, Siega-Riz AM & Adair LS (2004) Effects of macronutrient intake on the development of glucose intolerance during pregnancy. Am J Clin Nutr 70, 479486.
14Scholl TO, Chen X, Khoo CS, et al. (2004) The dietary glycemic index during pregnancy: influence on infant birth weight, fetal growth, and biomarkers of carbohydrate metabolism. Am J Epidemiol Mar 159, 467474.
15Pick ME, Edwards M, Moreau D, et al. (2005) Assessment of diet quality in pregnant women using the Healthy Eating Index. J Am Diet Assoc 105, 240246.
16Mikkelsen TB, Osterdal ML, Knudsen VK, et al. (2008) Association between a Mediterranean-type diet and risk of preterm birth among Danish women: a prospective cohort study. Acta Obstet Gynecol Scand 87, 325330.
17Kant AK (1996) Indexes of overall diet quality: a review. J Am Diet Assoc 96, 785791.
18Drewnowski A, Henderson SA, Driscoll A, et al. (1997) The Dietary Variety Score: assessing diet quality in healthy young and older adults. J Am Diet Assoc 97, 266271.
19Kennedy ET, Ohls J, Carlson S, et al. (1995) The Healthy Eating Index: design and applications. J Am Diet Assoc 95, 11031108.
20Kim S, Haines PS, Siega-Riz AM, et al. (2003) The Diet Quality Index International (DQI-I) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. J Nutr 133, 34763484.
21Tur JA, Romaguera D & Pons A (2005) The Diet Quality Index-International (DQI-I): is it a useful tool to evaluate the quality of the Mediterranean diet? Br J Nutr 93, 369376.
22Mariscal-Arcas M, Romaguera D, Rivas A, et al. (2007) Diet quality of young people in southern Spain evaluated by a Mediterranean adaptation of the Diet Quality Index-International (DQI-I). Br J Nutr 98, 12671273.
23Bodnar LM & Siega-Riz AM (2002) Diet Quality Index for Pregnancy detects variation in diet and differences by sociodemographic factors. Public Health Nutr 5, 801809.
24Doyle W, Srivastava A, Crawford MA, et al. (2001) Inter-pregnancy folate and iron status of women in an inner-city population. Br J Nutr 86, 8187.
25Ramakrishnan U, Neufeld LM, González-Cossío T, et al. (2004) Multiple micronutrient supplements during pregnancy do not reduce anemia or improve iron status compared to iron-only supplements in semirural Mexico. J Nutr 134, 898903.
26Harvey LJ, Dainty JR, Hollands WJ, et al. (2007) Effect of high-dose iron supplements on fractional zinc absorption and status in pregnant women. Am J Clin Nutr 85, 131136.
27Palma S, Perez-Iglesias R, Prieto D, et al. (2008) Iron but not folic acid supplementation reduces the risk of low birthweight in pregnant women without anaemia: a case–control study. J Epidemiol Community Health 62, 120124.
28Trichopoulou A, Costacou T, Bamia C, et al. (2003) Adherence to a Mediterranean diet and survival in a Greek population. N Engl J Med 348, 25992608.
29Granada-Garcia A (2006) Estimación de la Exposición Neonatal a Pesticidas Organoclorados, Disruptores Endocrinos. Granada: University of Granada.
30SENC (2001) Guías Alimentarias para la Población Española: Recomendaciones para una Dieta Saludable. Madrid: Ed. IM&C.
31Rivas A, Cerrillo I, Granada A, et al. (2007) Pesticide exposure of two age groups of women and its relationship with their diet. Sci Total Environ 382, 1421.
32Moreiras O, Carbajal A, Cabrera L, et al. (2007) Tablas de Composición de Alimentos, 11th ed.Madrid: Pirámide.
33Trichopoulou A, Kouris-Blazos A, Wahlqvist ML, et al. (1995) Diet and overall survival in elderly people. Br Med J 311, 14571460.
34Bach A, Serra-Majem L, Carrasco JL, et al. (2006) The use of indexes evaluating the adherence to the Mediterranean diet in epidemiological studies: a review. Public Health Nutr 9, 132146.
35Novartis, Jimenez Cruz A Cervera Ral P & Bacardí Gascón M (2001) Novartis-Dietsource version 1.2. ©0105071807.
36Trichopoulou A, Bamia C & Trichopoulos D (2005) Mediterranean diet and survival among patients with coronary heart disease in Greece. Arch Intern Med 165, 929935.
37Tur JA, Romaguera D & Pons A (2004) Adherence to the Mediterranean dietary pattern among the population of the Balearic Islands. Br J Nutr 92, 341346.
38Bach-Faig A, Geleva D, Carrasco JL, et al. (2006) Evaluating associations between Mediterranean diet adherence indexes and biomarkers of diet and disease. Public Health Nutr 9, 11101117.
39Trichopoulou A, Bamia C, Norat T, et al. (2007) Modified Mediterranean diet and survival after myocardial infarction: the EPIC-Elderly study. Eur J Epidemiol 22, 871881.
40Bondia-Pons I, Serra-Majem L, Castellote AI, et al. (2007) Compliance with the European and national nutritional objectives in a Mediterranean population. Eur J Clin Nutr 61, 13451351.
41Panagiotakos DB, Pitsavos C, Chrysohoou C, et al. (2008) The effect of clinical characteristics and dietary habits on the relationship between education status and 5-year incidence of cardiovascular disease: the ATTICA study. Eur J Nutr 47, 258265.
42Hardin-Fanning F (2008) The effects of a Mediterranean-style dietary pattern on cardiovascular disease risk. Nurs Clin North Am 43, 105115.
43Vioque J, Weinbrenner T, Castelló A, et al. (2008) Intake of fruits and vegetables in relation to 10-year weight gain among Spanish adults. Obesity 16, 664670.
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British Journal of Nutrition
  • ISSN: 0007-1145
  • EISSN: 1475-2662
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