Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?

Autores
Cormick, Gabriela; Betrán, Ana Pilar; Harbron, Janetta; Dannemann Purnat, Tina; Parker, Catherine; Hall, David; Seuc, Armando H.; Roberts, James M.; Belizan, Jose; Hofmeyr, G. Justus
Año de publicación
2018
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Maternal nutritional status before and during pregnancy is an important contributor to pregnancy outcomes and early child health. The aim of this study was to describe the preconceptional nutritional status and dietary intake during pregnancy in high-risk women from South Africa and Zimbabwe. Methods: This is a prospective observational study, nested to the CAP trial. Anthropometric measurements before and during pregnancy and dietary intake using 24-h recall during pregnancy were assessed. The Intake Distribution Estimation software (PC-SIDE) was used to evaluate nutrient intake adequacy taking the Estimated Average Requirement (EAR) as a cut-off point. Results: Three hundred twelve women who had pre-eclampsia in their last pregnancy and delivered in hospitals from South Africa and Zimbabwe were assessed. 73.7 and 60.2% women in South Africa and Zimbabwe, respectively started their pregnancy with BMI above normal (BMI ≥ 25) whereas the prevalence of underweight was virtually non-existent. The majority of women had inadequate intakes of micronutrients. Considering food and beverage intake only, none of the micronutrients measured achieved the estimated average requirement. Around 60% of pregnant women reported taking folic acid or iron supplements in South Africa, but almost none did so in Zimbabwe. Conclusion: We found a high prevalence of overweight and obesity and high micronutrient intake inadequacy in pregnant women who had the previous pregnancy complicated with pre-eclampsia. The obesity figures and micronutrient inadequacy are issues of concern that need to be addressed. Pregnant women have regular contacts with the health system; these opportunities could be used to improve diet and nutrition.
Fil: Cormick, Gabriela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. University of Cape Town; Sudáfrica
Fil: Betrán, Ana Pilar. World Health Organization; Suiza
Fil: Harbron, Janetta. University of Cape Town; Sudáfrica
Fil: Dannemann Purnat, Tina. World Health Organization; Dinamarca
Fil: Parker, Catherine. University of Fort Hare; Sudáfrica. Walter Sisulu University; Sudáfrica. University of the Witwatersrand; Sudáfrica
Fil: Hall, David. Stellenbosch University; Sudáfrica
Fil: Seuc, Armando H.. Instituto Nacional de Higiene; Cuba
Fil: Roberts, James M.. University of Pittsburgh; Estados Unidos
Fil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Hofmeyr, G. Justus. University of the Witwatersrand; Sudáfrica. Walter Sisulu University; Sudáfrica. University of Fort Hare; Sudáfrica
Materia
BMI
NUTRIENT INTAKE
OBESITY
PREGNANCY
SUPPLEMENT
WEIGHT
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/96818

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repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?Cormick, GabrielaBetrán, Ana PilarHarbron, JanettaDannemann Purnat, TinaParker, CatherineHall, DavidSeuc, Armando H.Roberts, James M.Belizan, JoseHofmeyr, G. JustusBMINUTRIENT INTAKEOBESITYPREGNANCYSUPPLEMENTWEIGHThttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Background: Maternal nutritional status before and during pregnancy is an important contributor to pregnancy outcomes and early child health. The aim of this study was to describe the preconceptional nutritional status and dietary intake during pregnancy in high-risk women from South Africa and Zimbabwe. Methods: This is a prospective observational study, nested to the CAP trial. Anthropometric measurements before and during pregnancy and dietary intake using 24-h recall during pregnancy were assessed. The Intake Distribution Estimation software (PC-SIDE) was used to evaluate nutrient intake adequacy taking the Estimated Average Requirement (EAR) as a cut-off point. Results: Three hundred twelve women who had pre-eclampsia in their last pregnancy and delivered in hospitals from South Africa and Zimbabwe were assessed. 73.7 and 60.2% women in South Africa and Zimbabwe, respectively started their pregnancy with BMI above normal (BMI ≥ 25) whereas the prevalence of underweight was virtually non-existent. The majority of women had inadequate intakes of micronutrients. Considering food and beverage intake only, none of the micronutrients measured achieved the estimated average requirement. Around 60% of pregnant women reported taking folic acid or iron supplements in South Africa, but almost none did so in Zimbabwe. Conclusion: We found a high prevalence of overweight and obesity and high micronutrient intake inadequacy in pregnant women who had the previous pregnancy complicated with pre-eclampsia. The obesity figures and micronutrient inadequacy are issues of concern that need to be addressed. Pregnant women have regular contacts with the health system; these opportunities could be used to improve diet and nutrition.Fil: Cormick, Gabriela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. University of Cape Town; SudáfricaFil: Betrán, Ana Pilar. World Health Organization; SuizaFil: Harbron, Janetta. University of Cape Town; SudáfricaFil: Dannemann Purnat, Tina. World Health Organization; DinamarcaFil: Parker, Catherine. University of Fort Hare; Sudáfrica. Walter Sisulu University; Sudáfrica. University of the Witwatersrand; SudáfricaFil: Hall, David. Stellenbosch University; SudáfricaFil: Seuc, Armando H.. Instituto Nacional de Higiene; CubaFil: Roberts, James M.. University of Pittsburgh; Estados UnidosFil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: Hofmeyr, G. Justus. University of the Witwatersrand; Sudáfrica. Walter Sisulu University; Sudáfrica. University of Fort Hare; SudáfricaBioMed Central2018-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/96818Cormick, Gabriela; Betrán, Ana Pilar; Harbron, Janetta; Dannemann Purnat, Tina; Parker, Catherine; et al.; Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?; BioMed Central; BMC Pregnancy and Childbirth; 18; 1; 6-2018; 1-101471-2393CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-018-1885-zinfo:eu-repo/semantics/altIdentifier/doi/10.1186/s12884-018-1885-zinfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T09:43:27Zoai:ri.conicet.gov.ar:11336/96818instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-03 09:43:27.343CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?
title Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?
spellingShingle Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?
Cormick, Gabriela
BMI
NUTRIENT INTAKE
OBESITY
PREGNANCY
SUPPLEMENT
WEIGHT
title_short Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?
title_full Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?
title_fullStr Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?
title_full_unstemmed Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?
title_sort Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?
dc.creator.none.fl_str_mv Cormick, Gabriela
Betrán, Ana Pilar
Harbron, Janetta
Dannemann Purnat, Tina
Parker, Catherine
Hall, David
Seuc, Armando H.
Roberts, James M.
Belizan, Jose
Hofmeyr, G. Justus
author Cormick, Gabriela
author_facet Cormick, Gabriela
Betrán, Ana Pilar
Harbron, Janetta
Dannemann Purnat, Tina
Parker, Catherine
Hall, David
Seuc, Armando H.
Roberts, James M.
Belizan, Jose
Hofmeyr, G. Justus
author_role author
author2 Betrán, Ana Pilar
Harbron, Janetta
Dannemann Purnat, Tina
Parker, Catherine
Hall, David
Seuc, Armando H.
Roberts, James M.
Belizan, Jose
Hofmeyr, G. Justus
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv BMI
NUTRIENT INTAKE
OBESITY
PREGNANCY
SUPPLEMENT
WEIGHT
topic BMI
NUTRIENT INTAKE
OBESITY
PREGNANCY
SUPPLEMENT
WEIGHT
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: Maternal nutritional status before and during pregnancy is an important contributor to pregnancy outcomes and early child health. The aim of this study was to describe the preconceptional nutritional status and dietary intake during pregnancy in high-risk women from South Africa and Zimbabwe. Methods: This is a prospective observational study, nested to the CAP trial. Anthropometric measurements before and during pregnancy and dietary intake using 24-h recall during pregnancy were assessed. The Intake Distribution Estimation software (PC-SIDE) was used to evaluate nutrient intake adequacy taking the Estimated Average Requirement (EAR) as a cut-off point. Results: Three hundred twelve women who had pre-eclampsia in their last pregnancy and delivered in hospitals from South Africa and Zimbabwe were assessed. 73.7 and 60.2% women in South Africa and Zimbabwe, respectively started their pregnancy with BMI above normal (BMI ≥ 25) whereas the prevalence of underweight was virtually non-existent. The majority of women had inadequate intakes of micronutrients. Considering food and beverage intake only, none of the micronutrients measured achieved the estimated average requirement. Around 60% of pregnant women reported taking folic acid or iron supplements in South Africa, but almost none did so in Zimbabwe. Conclusion: We found a high prevalence of overweight and obesity and high micronutrient intake inadequacy in pregnant women who had the previous pregnancy complicated with pre-eclampsia. The obesity figures and micronutrient inadequacy are issues of concern that need to be addressed. Pregnant women have regular contacts with the health system; these opportunities could be used to improve diet and nutrition.
Fil: Cormick, Gabriela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. University of Cape Town; Sudáfrica
Fil: Betrán, Ana Pilar. World Health Organization; Suiza
Fil: Harbron, Janetta. University of Cape Town; Sudáfrica
Fil: Dannemann Purnat, Tina. World Health Organization; Dinamarca
Fil: Parker, Catherine. University of Fort Hare; Sudáfrica. Walter Sisulu University; Sudáfrica. University of the Witwatersrand; Sudáfrica
Fil: Hall, David. Stellenbosch University; Sudáfrica
Fil: Seuc, Armando H.. Instituto Nacional de Higiene; Cuba
Fil: Roberts, James M.. University of Pittsburgh; Estados Unidos
Fil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Hofmeyr, G. Justus. University of the Witwatersrand; Sudáfrica. Walter Sisulu University; Sudáfrica. University of Fort Hare; Sudáfrica
description Background: Maternal nutritional status before and during pregnancy is an important contributor to pregnancy outcomes and early child health. The aim of this study was to describe the preconceptional nutritional status and dietary intake during pregnancy in high-risk women from South Africa and Zimbabwe. Methods: This is a prospective observational study, nested to the CAP trial. Anthropometric measurements before and during pregnancy and dietary intake using 24-h recall during pregnancy were assessed. The Intake Distribution Estimation software (PC-SIDE) was used to evaluate nutrient intake adequacy taking the Estimated Average Requirement (EAR) as a cut-off point. Results: Three hundred twelve women who had pre-eclampsia in their last pregnancy and delivered in hospitals from South Africa and Zimbabwe were assessed. 73.7 and 60.2% women in South Africa and Zimbabwe, respectively started their pregnancy with BMI above normal (BMI ≥ 25) whereas the prevalence of underweight was virtually non-existent. The majority of women had inadequate intakes of micronutrients. Considering food and beverage intake only, none of the micronutrients measured achieved the estimated average requirement. Around 60% of pregnant women reported taking folic acid or iron supplements in South Africa, but almost none did so in Zimbabwe. Conclusion: We found a high prevalence of overweight and obesity and high micronutrient intake inadequacy in pregnant women who had the previous pregnancy complicated with pre-eclampsia. The obesity figures and micronutrient inadequacy are issues of concern that need to be addressed. Pregnant women have regular contacts with the health system; these opportunities could be used to improve diet and nutrition.
publishDate 2018
dc.date.none.fl_str_mv 2018-06
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/96818
Cormick, Gabriela; Betrán, Ana Pilar; Harbron, Janetta; Dannemann Purnat, Tina; Parker, Catherine; et al.; Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?; BioMed Central; BMC Pregnancy and Childbirth; 18; 1; 6-2018; 1-10
1471-2393
CONICET Digital
CONICET
url http://hdl.handle.net/11336/96818
identifier_str_mv Cormick, Gabriela; Betrán, Ana Pilar; Harbron, Janetta; Dannemann Purnat, Tina; Parker, Catherine; et al.; Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?; BioMed Central; BMC Pregnancy and Childbirth; 18; 1; 6-2018; 1-10
1471-2393
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-018-1885-z
info:eu-repo/semantics/altIdentifier/doi/10.1186/s12884-018-1885-z
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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