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Effect of a diet intervention during pregnancy on dietary behavior in the randomized controlled Norwegian Fit for Delivery study

  • E. R. Hillesund (a1), E. Bere (a1), L. R. Sagedal (a2) (a3), I. Vistad (a2) (a3) and N. C. Øverby (a1)...

Abstract

A mother’s diet during pregnancy has the potential to influence both her own and her child’s short- and long-term health. This paper reports the effects of a randomized controlled diet intervention during pregnancy on dietary behavior post-intervention as reported in late pregnancy. The diet intervention was part of a lifestyle intervention targeting both diet and physical activity behaviors among nulliparous women participating in the randomized controlled Norwegian Fit for Delivery study (NFFD). Eligible women were enrolled in early pregnancy from eight healthcare clinics in southern Norway between 2009 and 2013. The diet intervention was based on 10 dietary recommendations that were conveyed during two counseling sessions by phone and in a pamphlet describing the recommendations and their simplified rationale. A diet score was constructed from a 43-item food frequency questionnaire (FFQ) and used to assess intervention effect on dietary behavior (score range 0–10). Between-group dietary differences post-intervention were estimated with analysis of covariance, with adjustment for baseline diet. A total of 508 women completed the FFQ both at baseline and post-intervention. There were no between-group differences in diet score and subscales at baseline. Post-intervention, the intervention group had higher overall diet score (control: 4.61, intervention: 5.04, P=0.013) and favorable dietary behavior in seven of the 10 dietary domains: ‘consumption of water relative to total beverage consumption’ (P=0.002), ‘having vegetables with dinner’ (P=0.027), ‘choosing fruits and vegetables for between-meal snacks’ (P=0.023), ‘buying small portion sizes of unhealthy foods’ (P=0.010), ‘limiting sugar intake’ (P=0.005), ‘avoiding eating beyond satiety’ (P=0.009) and ‘reading food labels’ (P=0.011). The NFFD diet intervention improved dietary behavior. Potential long-term clinical influence in mother and child will be investigated in further studies.

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Corresponding author

*Address for correspondence: E. R. Hillesund, Department of Public Health, Sports and Nutrition, University of Agder, Serviceboks 422, 4604 Kristiansand, Norway. (Email elisabet.r.hillesund@uia.no)

References

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1. Lim, SS, Vos, T, Flaxman, AD, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012; 380, 22242260.
2. Hanson, MA, Gluckman, PD. Developmental origins of health and disease – global public health implications. Best Pract Res Clin Obstet Gynaecol. 2015; 29, 2431.
3. Barker, D, Barker, M, Fleming, T, Lampl, M. Developmental biology: support mothers to secure future public health. Nature. 2013; 504, 209211.
4. Alfaradhi, MZ, Ozanne, SE. Developmental programming in response to maternal overnutrition. Front Genet. 2011; 2, 27.
5. Barker, DJP, Lampl, M, Roseboom, T, Winder, N. Resource allocation in utero and health in later life. Placenta. 2012; 33(Suppl. 2), e30e34.
6. Hanson, M, Godfrey, KM, Lillycrop, KA, Burdge, GC, Gluckman, PD. Developmental plasticity and developmental origins of non-communicable disease: theoretical considerations and epigenetic mechanisms. Prog Biophys Mol Biol. 2011; 106, 272280.
7. Barker, DJP, Thornburg, KL. The obstetric origins of health for a lifetime. Clin Obstet Gynecol. 2013; 56, 511519.
8. Catalano, P, deMouzon, SH. Maternal obesity and metabolic risk to the offspring: why lifestyle interventions may have not achieved the desired outcomes. Int J Obes. 2015; 39, 642649.
9. Rasmussen, KM, Catalano, PM, Yaktine, AL. New guidelines for weight gain during pregnancy: what obstetrician/gynecologists should know. Curr Opin Obstet Gynecol. 2009; 21, 521526.
10. Rasmussen, KM, Yaktine, AL, eds. Weight Gain During Pregnancy: Reexamining the Guidelines. 2009. The National Academies Press: Washington, DC.
11. von Ruesten, A, Brantsæter, AL, Haugen, M, et al. Adherence of pregnant women to Nordic dietary guidelines in relation to postpartum weight retention: results from the Norwegian Mother and Child Cohort Study. BMC Public Health. 2014; 14, 7586.
12. Haugen, M, Brantsæter, AL, Winkvist, A, et al. Associations of pre-pregnancy body mass index and gestational weight gain with pregnancy outcome and postpartum weight retention: a prospective observational cohort study. BMC Pregnancy Childbirth. 2014; 14, 201.
13. Thangaratinam, S, Rogozinska, E, Jolly, K, et al. Effects of interventions in pregnancy on maternal weight and obstetric outcomes: meta-analysis of randomised evidence. BMJ. 2012; 344, e2088.
14. Dodd, JM, Turnbull, D, McPhee, AJ, et al. Antenatal lifestyle advice for women who are overweight or obese: LIMIT randomised trial. BMJ. 2014; 348, 11.
15. Poston, L, Bell, R, Croker, H, et al. Effect of a behavioural intervention in obese pregnant women (the UPBEAT study): a multicentre, randomised controlled trial. Lancet Diabetes Endocrinol. 2015; 3, 767777.
16. Muktabhant, B, Lumbiganon, P, Ngamjarus, C, Dowswell, T. Interventions for preventing excessive weight gain during pregnancy. Cochrane Database Syst Rev. 2012; 4, CD007145.
17. Muktabhant, B, Lawrie, TA, Lumbiganon, P, Laopaiboon, M. Diet or exercise, or both, for preventing excessive weight gain in pregnancy. Cochrane Database Syst Rev. 2015; 6, CD007145.
18. Tobias, DB, Bao, W. Diet during pregnancy and gestational weight gain. Curr Nutr Rep. 2014; 3, 289297.
19. Sagedal, LR, Øverby, NC, Bere, E, et al. Lifestyle intervention to limit gestational weight gain: the Norwegian Fit for Delivery randomised controlled trial. BJOG: An International Journal Of Obstetrics And Gynaecology, 2016; doi:10.1111/1471-0528.13862.
20. Sagedal, LR, Overby, NC, Lohne-Seiler, H, et al. Study protocol: fit for delivery – can a lifestyle intervention in pregnancy result in measurable health benefits for mothers and newborns? A randomised controlled trial. BMC Public Health. 2013; 13, 132. doi:10.1186/1471-2458-13-132.
21. Overby, NC, Hillesund, ER, Sagedal, LR, Vistad, I, Bere, E. The Fit for Delivery study: rationale for the recommendations and test-retest reliability of a dietary score measuring adherence to 10 specific recommendations for prevention of excessive weight gain during pregnancy. Matern Child Nutr. 2015; 11, 2032.
22. Twisk, J, Proper, K. Evaluation of the results of a randomised controlled trial: how to define changes between baseline and follow-up. J Clin Epidemiol. 2004; 57, 223228.
23. Hanson, MA, Gluckman, PD. Early developmental conditioning of later health and disease: physiology or pathophysiology? Physiol Rev. 2014; 94, 10271076.
24. Hanson, MA, Bardsley, A, De-Regil, LM, et al. The International Federation of Gynecology and Obstetrics (FIGO) recommendations on adolescent, preconception, and maternal nutrition: ‘Think Nutrition First’. Int J Gynaecol Obstet. 2015; 131(Suppl. 4), S213S213.
25. Moses, RG, Casey, SA, Quinn, EG, et al. Pregnancy and Glycemic Index Outcomes study: effects of low glycemic index compared with conventional dietary advice on selected pregnancy outcomes. Am J Clin Nutr. 2014; 99, 517523.
26. Gresham, E, Byles, JE, Bisquera, A, Hure, AJ. Effects of dietary interventions on neonatal and infant outcomes: a systematic review and meta-analysis. Am J Clin Nutr. 2014; 100, 12981321.
27. Hu, FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002; 13, 39.
28. van de Mortel, T. Faking it: social desirability response bias in self-report research. Aust J Adv Nurs. 2008; 25, 4048.

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