3
Revista Matronas

Revista Matronas

SEPTIEMBRE 2018 N° 2 Volumen 6

Objective: to prevent gestational pregnancy. Exploring diet habits in pregnant women from two Autonomous Communities

Section: Originales

How to quote

Díez-Ibarbia A, Moreno-Román E, Herrero-Fernández N. Objetivo: evitar la obesidad gestacional. Explorando los hábitos dietéticos en mujeres gestantes de dos CC.AA. Matronas hoy 2018; 6(3):18-30.

Authors

1 Alba Díez-Ibarbia, 2 Estefanía Moreno-Román, 1 Natalia Herrero-Fernández

Contact email: iez_alba@hotmail.com

Abstract

Introduction: it has been confirmed that both the pregestational body mass index and weight gain during pregnancy are two factors that will increase the risks during pregnancy, delivery and puerperium. Following a balanced diet reduces the risks of having a newborn > 4 kilos, the incidence of respiratory distress, and will lead to a shorter stay in hospital. In Spain, 55% of 18-to-44-year-old women are overweight, and 26.9% suffer obesity, which represents a problem for the Public Health System in terms of the health of pregnant women and those of childbearing age. Objective: to explore the diet habits in pregnant women from the autonomous communities of Cantabria and La Rioja. Specifically, to determine the differences in diet habits followed by pregnant women in both Autonomous Communities. Material and methods: a prospective study with pregnant women living in the Autonomous Communities of Cantabria and La Rioja, from 32 pregnancy weeks onwards, meeting the inclusion criteria, through completion of an ad hoc questionnaire. Results: of these women, 44% had a pregestational body mass index (BMI) higher than normal (44% were overweight and 6% presented 1st degree obesity); 54.45% of pregnant women reported that they exercised before pregnancy, and 64.52% during pregnancy, while 63% followed a varied diet, although only 30% reported following a balanced diet. In Cantabria, 92.97% of women modified their diet during pregnancy, and 44% in La Rioja. During pregnancy, 9 out of 10 pregnant women ate between four and five meals a day, with lunch as their main meal. Even though it was a minority, pregnant women continued smoking. Likewise, it is worth highlighting a higher intake of fruit, pulses and eggs in La Rioja, while more vegetables were eaten in Cantabria. The use of dairy products was similar in both regions. Discussion and conclusions: there are no statistically significant differences between healthy lifestyles followed by pregnant women in Cantabria vs. those in La Rioja. It is necessary to reinforce the importance of maintaining an adequate weight, physical activity and nutrition in all women, but particularly in pregnant women. The midwife is essential to achieve this in maternal preparation.

Keywords:

diet habits; pregnancy; healthy diet; midwife

Versión en Español

Título:

Objetivo: evitar la obesidad gestacional. Explorando los hábitos dietéticos en mujeres gestantes de dos CC.AA.

Artículo completo no disponible en este idioma / Full article is not available in this language

Bibliography

  1. Walsh JM, McAuliffe FM. Impact of maternal nutrition on pregnancy outcome. Does it matter what pregnant women eat? Best Practice & Research Clinical Obstetrics and Gynaecology. 2015; 29(63-68).
  2. Bookari K, Yeatman H, Williamson M. Exploring Australian women’s level of nutrition knowledge during pregnancy: a cross-sectional study. Dovepress Journal: International Journal of Women's Health. 2016; 8:405-19.
  3. Horvitz E, Hark L, Catalano PM. Nutrition During Pregnancy. Obstetrics: Normal and Problem Pregnancies. 7th ed. Philadelphia: Elsevier; 2017.
  4. Instituto Nacional de Estadística. 4.6 Determinantes de salud (sobrepeso, consumo de fruta y verdura, tipo de lactancia, actividad física, cuidados en el entorno familiar) [internet]. 2014. [citado 16 ago 2018]. Disponible en: http://www.ine.es/ss/Satellite?L=es_ES&c=INESeccion_C&cid=1259926457058&p=1254735110672&pagename=ProductosYServicios%2FPYSLayout
  5. Sociedad Española de Endocrinología y Nutrición. Patrón de dieta mediterránea para la población general [internet]. [citado 16 ago 2018]. Disponible en: http://www.seen.es/publico/recDieteticas.aspx
  6. Sociedad Española de Dietética y Ciencias de la Alimentación. Recomendaciones de alimentación para la población española. [internet]. [citado 16 ago 2018]. Disponible en: http://www.nutricion.org/recursos_y_utilidades/rec_alim_saludable.htm
  7. Grupo de trabajo de la Guía de práctica clínica de atención en el embarazo y puerperio. Guía de práctica clínica de atención en el embarazo y puerperio.  Guías de Práctica Clínica en el SNS; 2014.
  8. Sociedad Española de Nutrición Comunitaria. Guía de la alimentación saludable. Madrid; SENC; 2007.
  9. Kominiarek MA, Rajan P. Nutrition Recommendations in Pregancy and Lactation. Med Clin North Am. 2016; 6:1199-215.
  10. Blumfield ML, Hure AJ, MacDonald LK, Patterson AJ, Smith R, Collins CE. Disparities exist between National food group recommendations and the dietary intakes of women. BMC Women's Health. 2011; 11:11-37.
  11. Szwajcer EM, Hiddink GJ, Koelen MA, Van Woerkum CMJ. Nutrition awareness and pregnancy: Implications for the life course perspective. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2007; 135:58-64.
  12. Frias AE, Grove KL. Obesity: a transgenerational problem linked to nutrition during pregnancy. Semin Reprod Med. 2012; 30(6):472-8.
  13. Organización Mundial de la Salud (OMS). Datos y cifras sobre obesidad infantil [internet]. [citado 16 ago 2018]. Disponible en:  http://www.who.int/end-childhood-obesity/facts/es/
  14. Agencia Española de Consumo, Seguridad Alimentaria y Nutrición (aecosan). Estudio de vigilancia del crecimiento, alimentación, actividad física, desarrollo infantil y obesidad en España, 2015 [internet]. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad; 2016. [citado 16 ago 2018]. Disponible en: http://www.aecosan.msssi.gob.es/AECOSAN/docs/documentos/nutricion/observatorio/Estudio_ALADINO_2015.pdf
  15. Veguillas E. The Green Revolution, entendiendo la revolución veggie. Latern [internet] 2017. [cited 16 ago 2018]. Available from: http://www.lantern.es/2017/02/the-green-revolution-entendiendo-la-revolucion-veggie/  
  16. Agencia Española de Seguridad Alimentaria y Nutrición. ENIDE 2011 Encuesta Nacional de Ingesta Dietética Española [internet]. Madrid: Ministerio de Sanidad, Política Social e Igualdad; 2011. [citado 16 ago 2018]. Disponible en: https://www.west-info.eu/files/Report188.pdf
  17. Fundación Española de Nutrición. Encuesta de nutrición de la Comunidad de Madrid (ENUCAM). Documentos técnicos de Salud Pública nº D137. Dirección General de Prevención y Promoción de la Salud, Comunidad de Madrid [internet]. Madrid: AESON; 2014. [citado 16 ago 2018]. Disponible en: http://www.aecosan.msssi.gob.es/AECOSAN/docs/documentos/nutricion/observatorio/ENUCAM_2014.pdf