Caroline de Barros Gomes1, Maíra Barreto Malta2, Maria Helena D'Aquino Benício2, Maria Antonieta de Barros Leite Carvalhaes3. 1. Postgraduate Program in Public Health, Botucatu Medical School, São Paulo State University (UNESP), CEP: 18.618-970Botucatu, SP, Brazil. 2. Department of Nutrition, School of Public Health, University of São Paulo, CEP: 01246-904São Paulo, SP, Brazil. 3. Department of Nursing, Botucatu Medical School, São Paulo State University (UNESP), CEP: 18.618-970Botucatu, SP, Brazil.
Abstract
OBJECTIVE: To investigate whether the consumption of ultra-processed foods (UPF) during pregnancy is associated with gestational weight gain (GWG). DESIGN: Cohort study with collection of two 24-h dietary recalls during each gestational trimester obtained on non-consecutive days and differentiating weekday v. weekend/holiday. The foods were classified according to the NOVA system into fresh or minimally processed foods and their culinary preparations, processed and UPF and subsequently analysed as a percentage contribution to dietary energy. The outcome was average GWG in the second and in the third trimesters, expressed in g/week. SETTING: Botucatu, a medium-sized Brazilian city. PARTICIPANTS: Pregnant women with regular obstetric risk (n 259) undergoing prenatal care in primary healthcare. RESULTS: In a multiple linear regression model, it was found that an increase of 1 percentage point in energy consumption from UPF in the third gestational trimester led to an average increase of 4·17 (95 % CI 0·55; 7·79) g in weekly GWG in this period. There was no association between second-trimester UPF consumption and GWG. CONCLUSIONS: Consumption of UPF in the third gestational trimester is positively associated with average weekly GWG in this period.
OBJECTIVE: To investigate whether the consumption of ultra-processed foods (UPF) during pregnancy is associated with gestational weight gain (GWG). DESIGN: Cohort study with collection of two 24-h dietary recalls during each gestational trimester obtained on non-consecutive days and differentiating weekday v. weekend/holiday. The foods were classified according to the NOVA system into fresh or minimally processed foods and their culinary preparations, processed and UPF and subsequently analysed as a percentage contribution to dietary energy. The outcome was average GWG in the second and in the third trimesters, expressed in g/week. SETTING: Botucatu, a medium-sized Brazilian city. PARTICIPANTS: Pregnant women with regular obstetric risk (n 259) undergoing prenatal care in primary healthcare. RESULTS: In a multiple linear regression model, it was found that an increase of 1 percentage point in energy consumption from UPF in the third gestational trimester led to an average increase of 4·17 (95 % CI 0·55; 7·79) g in weekly GWG in this period. There was no association between second-trimester UPF consumption and GWG. CONCLUSIONS: Consumption of UPF in the third gestational trimester is positively associated with average weekly GWG in this period.
Authors: Samrawit F Yisahak; Stefanie N Hinkle; Sunni L Mumford; Jessica L Gleason; Katherine L Grantz; Cuilin Zhang; Jagteshwar Grewal Journal: Diabetes Care Date: 2022-09-01 Impact factor: 17.152
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