Relationships between excessive gestational weight gain and energy and macronutrient intake in pregnant women.
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ABSTRACT: OBJECTIVE:This study aimed to compare energy and macronutrient intake, birth weight, and anthropometric parameters (mid-upper arm circumference or tricipital skin-fold thickness) between women who had adequate and excessive gestational weight gain (GWG) during pregnancy. METHODS:We studied 115 pregnant women and divided them according to GWG into two groups: adequate GWG (n?=?49) and excessive GWG (n?=?66). We assessed the medical history, clinical examinations, and dietary habits through a detailed 7-day dietary recall using myfitnesspal software. RESULTS:Weight, body mass index, mid-upper arm circumference, and tricipital skin-fold thickness were significantly higher at the time of delivery in women with excessive GWG compared with those with adequate GWG. A lipid-based diet was a risk factor for excessive GWG (relative risk: 1.488, 95% confidence interval: 1.112-1.991), whereas a protein-based diet was a protective factor (relative risk: 0.6723, 95% confidence interval: 0.4431-1.020). We found no significant relationship between a carbohydrate-based diet and GWG. The total energy intake was significantly higher in the excessive GWG group than in the adequate GWG group. CONCLUSIONS:Mainly a lipid-based diet in pregnant women might represent a risk factor for excessive GWG. However, a protein-based diet is a protective factor for excessive GWG.
SUBMITTER: Rugina C
PROVIDER: S-EPMC7418251 | biostudies-literature | 2020 Aug
REPOSITORIES: biostudies-literature
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