Dietary patterns in obese pregnant women; influence of a behavioral intervention of diet and physical activity in the UPBEAT randomized controlled trial. Issue 1 (December 2016)
- Record Type:
- Journal Article
- Title:
- Dietary patterns in obese pregnant women; influence of a behavioral intervention of diet and physical activity in the UPBEAT randomized controlled trial. Issue 1 (December 2016)
- Main Title:
- Dietary patterns in obese pregnant women; influence of a behavioral intervention of diet and physical activity in the UPBEAT randomized controlled trial
- Authors:
- Flynn, Angela
Seed, Paul
Patel, Nashita
Barr, Suzanne
Bell, Ruth
Briley, Annette
Godfrey, Keith
Nelson, Scott
Oteng-Ntim, Eugene
Robinson, Sian
Sanders, Thomas
Sattar, Naveed
Wardle, Jane
Poston, Lucilla
Goff, Louise - Abstract:
- Abstract Background Understanding dietary patterns in obese pregnant women will inform future intervention strategies to improve pregnancy outcomes and the health of the child. The aim of this study was to investigate the effect of a behavioral intervention of diet and physical activity advice on dietary patterns in obese pregnant woman participating in the UPBEAT study, and to explore associations of dietary patterns with pregnancy outcomes. Methods In the UPBEAT randomized controlled trial, pregnant obese women from eight UK multi-ethnic, inner-city populations were randomly assigned to receive a diet/physical activity intervention or standard antenatal care. The dietary intervention aimed to reduce glycemic load and saturated fat intake. Diet was assessed using a food frequency questionnaire (FFQ) at baseline (15+0 -18+6 weeks' gestation), post intervention (27+0 -28+6 weeks) and in late pregnancy (34+0 -36+0 weeks). Dietary patterns were characterized using factor analysis of the baseline FFQ data, and changes compared in the control and intervention arms. Patterns were related to pregnancy outcomes in the combined control/intervention cohort (n = 1023). Results Four distinct baseline dietary patterns were defined; Fruit and vegetables, African/Caribbean, Processed, and Snacks, which were differently associated with social and demographic factors. The UPBEAT intervention significantly reduced the Processed (−0.14; 95% CI −0.19, −0.08, P <0.0001) and Snacks (−0.24; 95%Abstract Background Understanding dietary patterns in obese pregnant women will inform future intervention strategies to improve pregnancy outcomes and the health of the child. The aim of this study was to investigate the effect of a behavioral intervention of diet and physical activity advice on dietary patterns in obese pregnant woman participating in the UPBEAT study, and to explore associations of dietary patterns with pregnancy outcomes. Methods In the UPBEAT randomized controlled trial, pregnant obese women from eight UK multi-ethnic, inner-city populations were randomly assigned to receive a diet/physical activity intervention or standard antenatal care. The dietary intervention aimed to reduce glycemic load and saturated fat intake. Diet was assessed using a food frequency questionnaire (FFQ) at baseline (15+0 -18+6 weeks' gestation), post intervention (27+0 -28+6 weeks) and in late pregnancy (34+0 -36+0 weeks). Dietary patterns were characterized using factor analysis of the baseline FFQ data, and changes compared in the control and intervention arms. Patterns were related to pregnancy outcomes in the combined control/intervention cohort (n = 1023). Results Four distinct baseline dietary patterns were defined; Fruit and vegetables, African/Caribbean, Processed, and Snacks, which were differently associated with social and demographic factors. The UPBEAT intervention significantly reduced the Processed (−0.14; 95% CI −0.19, −0.08, P <0.0001) and Snacks (−0.24; 95% CI −0.31, −0.17, P <0.0001) pattern scores. In the adjusted model, baseline scores for the African/Caribbean (quartile 4 compared with quartile 1:OR = 2.46; 95% CI 1.41, 4.30) and Processed (quartile 4 compared with quartile 1:OR = 2.05; 95% CI 1.23, 3.41) patterns in the entire cohort were associated with increased risk of gestational diabetes. Conclusions In a diverse cohort of obese pregnant women an intensive dietary intervention improved Processed and Snack dietary pattern scores. African/Caribbean and Processed patterns were associated with an increased risk of gestational diabetes, and provide potential targets for future interventions. Trial registration Current controlled trials;ISRCTN89971375 … (more)
- Is Part Of:
- International journal of behavioral nutrition and physical activity. Volume 13:Issue 1(2016)
- Journal:
- International journal of behavioral nutrition and physical activity
- Issue:
- Volume 13:Issue 1(2016)
- Issue Display:
- Volume 13, Issue 1 (2016)
- Year:
- 2016
- Volume:
- 13
- Issue:
- 1
- Issue Sort Value:
- 2016-0013-0001-0000
- Page Start:
- 1
- Page End:
- 12
- Publication Date:
- 2016-12
- Subjects:
- Dietary patterns -- Obesity -- Pregnancy -- Gestational diabetes
Diet -- Periodicals
Physical fitness -- Periodicals
613.2 - Journal URLs:
- http://www.ijbnpa.org/ ↗
http://www.pubmedcentral.nih.gov/tocrender.fcgi?journal=243 ↗
http://link.springer.com/ ↗ - DOI:
- 10.1186/s12966-016-0450-2 ↗
- Languages:
- English
- ISSNs:
- 1479-5868
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 10008.xml