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Pregnancy as a time for dietary change?

  • Annie S. Anderson (a1)
Abstract

It is thought that nutrition during pregnancy plays a key role in the well-being of the mother and the newborn infant, and further influences health during childhood and adulthood. Pregnancy is a time of increased nutritional requirements, but many of these requirements will be met by adaptive physiological changes that occur during gestation, with little need to alter maternal dietary intake. A modest increment of food which provides 0.8 MJ/d (above prepregnant requirements) during the third trimester is considered adequate to meet the needs of fetal and maternal growth, and to satisfy the small increase in requirements of many macro- and micronutrients. However, requirements for vitamin D and folic acid increase substantially, and should be met primarily by supplementation. Food selection may also be altered to avoid a range of food-borne diseases and toxic constituents. There are a number of psycho-social reasons why pregnancy might be considered a good time for promoting changes in dietary behaviour for the health of the wider family. However, pregnancy may be a bad time to promote dietary change if it is perceived to involve slimming, if nutritional requirements are greatest before pregnancy, or if dietary changes made are harmful. There is little evidence to support educational interventions as successful at changing dietary behaviour during pregnancy. Pregnancy may be best viewed as an opportunity for maintaining good dietary selections and for building knowledge for future action, and should not be seen as the only opportunity for promoting dietary change within the life course.

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Copyright
Corresponding author
Corresponding Author: Professor Annie S. Anderson, fax +44 1382 496452, email a.s.anderson@dundee.ac.uk
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L Adams (1982) Consumers' views of antenatal education. Health Education Journal 41, 1216.

AS Anderson , D Campbell & R Shepherd (1993) Nutrition knowledge, attitude to healthier eating and dietary intake in pregnant compared to non-pregnant women. Journal of Human Nutrition and Dietetics 6, 335353.

AS Anderson & R Shepherd (1989) Beliefs and attitudes towards healthier eating among women attending maternity hospital. Journal of Nutrition Education 21, 208213.

AS Anderson , D Umapathy , L Palumbo & DWM Pearson (1988) Nutrition knowledge assessed by a structured questionnaire in a group of medical inpatients. Journal of Human Nutrition and Dietetics 1, 3946.

D Campbell & I MacGillivray (1975) The effect of a low calorie diet or a thiazide diuretic on the incidence of pre-eclampsia and birthweight. British Journal of Obstetrics and Gynaecology 82, 572577.

DM Campbell , MH Hall , DJ Barker , J Cross , AW Shiell & KM Godfrey (1996) Diet in pregnancy and the offspring's blood pressure 40 years later. British Journal of Obstetrics and Gynaecology 103, 273280.

CM Devine , CF Bove & CM Olson (2000) Continuity and change in women's weight orientations and lifestyle practices through pregnancy and the postpartum period: the influence of life course trajectories and transitional events. Social Science and Medicine 50, 567582.

DVI Fairweather (1968) Nausea and vomiting in pregnancy. American Journal of Obstetrics and Gynecology 102, 135175.

SM Flaxman & PW Sherman (2000) Morning sickness: a mechanism for protecting mother and embryo. Quarterly Review of Biology 75, 113148.

K Godfrey , S Robinson , DJ Barker , C Osmond & V Cox (1996) Maternal nutrition in early and late pregnancy in relation to placental and fetal growth. British Medical Journal 312, 410414.

CN Hales , DJP Barker , PMS Clark , LJ Cox , C Fall & C Osmond (1991) Fetal and infant growth and impaired glucose tolerance at age 64. British Medical Journal 303, 10191022.

B Kehrer & V Wolin (1979) Impact of income maintenance on birthweight, evidence from the Gary experiment. Journal of Human Resources 14, 434462.

F Matthews , P Yudkin , RF Smith & A Neil (2000) Nutrient intakes during pregnancy: the influence of smoking and age. Journal of Epidemiology and Community Health 54, 1723.

MRC Vitamin Study Research Group (1991) Prevention of neural tube defects: results of the Medical Research Council Vitamin Study. Lancet 338, 131137.

A Oakley (1984) The Captured Womb. A History of the Medical Care of Pregnant Women. Oxford: Basil Blackwell Ltd.

A Prentice (2000) Calcium in pregnancy and lactation. Annual Review of Nutrition 20, 249272.

LC Stene , J Ulriksen , P Magnus & G Joner (2000) Use of cod liver oil during pregnancy associated with lower risk of TypeI diabetes in the offspring. Diabetologia 43, 10931098.

M Stevens (1990) Strategies to influence nutrition behaviour. Journal of Human Nutrition and Dietetics 3, 183198.

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Proceedings of the Nutrition Society
  • ISSN: 0029-6651
  • EISSN: 1475-2719
  • URL: /core/journals/proceedings-of-the-nutrition-society
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