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Revista Matronas

Revista Matronas

DICIEMBRE 2018 N° 3 Volumen 6

Dietary habits and physical activity during pregnancy

Section: Originales

How to quote

Sánchez Blanco R, Sánchez Garzón R, Talavera Escribano M. Hábitos alimentarios y actividad física durante el embarazo. Matronas hoy. 2018; 6(3):27-34.

Authors

1 Raquel Sánchez Blanco, 2 Rosario Sánchez Garzón, 3 Marcos Talavera Escribano

Position

1, 3 Estudiantes de Grado en Ciencias de la Actividad Física y del Deporte.2 Matrona. Hospital Central de la Defensa "Gómez Ulla". Madrid.

Contact email: rsgarzon@hotmail.com

Abstract

Introduction: there is awareness that 22.2% of pregnant women in Spain are obese, and 23% are overweight; besides, only a low proportion of women are taking folic acid before conception in order to prevent neural tube closure (NTC) defects; therefore, it is necessary to find out the situation of women in this setting, in order to prevent complications in mother and fetus due to these causes, if any.
Objective: to identify the knowledge of a group of volunteer pregnant women, at pregnancy initiation, regarding special needs for diet and nutrition, physical activity habits during pregnancy, and intake of folic acid before conception.
Methodology: an observational descriptive study on dietary habits, physical activity and intake of folic acid, in order to assess the level of knowledge by a group of pregnant women in a sample of 55 first-time pregnant women, randomly selected, monitored for their pregnancy at the HCD (Hospital Gómez Ulla) in the Community of Madrid, who answered an 11-item questionnaire (Liker scale) for data collection.
Results: out of the participants, 45% claimed that they had been informed “little or nothing” about the adequate diet during pregnancy; 83% of them were more careful with their diet vs. 17% who were not. 31% of the participants believed that they had to eat a larger quantity of food because of their pregnancy; 45% of them had five meals per day vs. 54% who had < 5 meals and 1% who had > 5 meals. Only 65% stated that they had been informed about the importance of folic acid.
Regarding physical activity, 63% reported that they had been informed “little or nothing” about its benefits during pregnancy; 38% had considered to do moderate physical activity regularly, 40% did not do any moderate physical activity regularly due to lack of time and habit, though 11% justified that they were very afraid to do any physical activity during this period. 67% of women would be willing to pay a professional in the field of physical activity.
Conclusions: It is necessary to lead a change of lifestyle for pregnant women for prevention, by offering them a dietary-nutrition and physical activity plan adequate to this period in their lives, and very specifically during pregnancy, as well as to ensure the preconception intake of folic acid.

Keywords:

pregnancy; obesity; nutrition; physical activity; folic acidprevention

Versión en Español

Título:

Hábitos alimentarios y actividad física durante el embarazo

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

Bibliography

  1. World Health Organization (WHO). Global Status Report on non-communicable diseases 2014 [internet]. Ginebra: WHO; 2014. [cited 8 nov 2018]. Available from: http://www.who.int/nmh/publications/ncd-status-report-2014/en/
  2. Aranceta J, Pérez-Rodrigo C, Serra-Majem L, Ribas-Barba L, Quiles-Izquierdo J, Vioque J, et al. Prevalencia de la obesidad en España: resultados del estudio SEEDO 2000. Med Clin (Barc). 2003; 120:608-12.
  3. Aranceta-Bartrina J, Serra-Majem L, Foz-Sala M, Moreno-Esteban B, Grupo Colaborativo SEEDO. Prevalencia de obesidad en España. Med Clin (Barc). 2005; 125:460-6.
  4. Gutiérrez-Fisac JL, Guallar-Castillón P, León-Muñoz LM, Graciani A, Banegas JR, Rodríguez-Artalejo F. Prevalence of general and abdominal obesity in the adult population of Spain, 2008-2010: the ENRICA study. Obes Rev. 2012; 13:388-92.
  5. Aranceta-Bartrina J, Pérez-Rodrigo C, Alberdi-Aresti G, Ramos-Carrera N, Lázaro-Masedo S. Prevalencia de obesidad general y obesidad abdominal en la población adulta española (25-64 años) 2014-2015: estudio ENPE. Rev Esp Cardiol. [internet] 2016 [citado 8 nov 2018]; 69:579-87. Disponible: http://www.revespcardiol.org/es/prevalencia-obesidad-general-obesidad-abdominal/articulo/90453754/#bib67
  6. Instituto Nacional de Estadística (INE). Ine Base. Partos Año 2016. INE [internet] 2016 [citado 8 nov 2018]. Disponible en: https://www.ine.es/jaxi/Tabla.htm?path=/t20/e301/parto/a2016/l0/&file=09001.px&L=0
  7. SEEDO, SEEN, SEGO. La obesidad se debe prevenir en el embarazo. Día Mundial de la Obesidad 2016. SEEDO [internet] 2016 [citado 8 nov 2018]. Disponible en: https://www.seedo.es/images/site/notasprensa/SEEDO_NP_Embarazo_y_obesidadDef.pdf
  8. Ramachenderan J, Bradford J, McLean M. Maternal obesity and pregnancy complications: a review. Aust N Z J Obstet Gynaecol. 2008; 48:228-35.
  9. Dietl J. Maternal obesity and complications during pregnancy. Journal of Perinatal Medicine. 2005; 33(2):100-5.
  10. Barau G, Robillard P, Hulsey T, Dedecker F, Laffite A, Gérrardin P, et al. Linear association between maternal pre-pregnancy body mass index and risk of caesarean section in term deliveries. BJOG 2006; 113:1173-7.
  11. Sherrard A, Platt RW, Vallerand D, Usher RH, Zhang X, Kramer MS. Maternal anthropometric risk factors for caesarean delivery before or after onset of labour. BJOG septiembre 2007; 114(9).
    12.    Fuchs F, Senat MV, Rey E, Balayla J, Chaillet N, Bouyer J, et al. Impact of maternal obesity on the incidence of pregnancy complications in France and Canada. Sci Rep. 2017 Sep 7; 7(1):10859.
  12. EUROCAT. European surveillance of congenital anomalies. Neural Tube Defects and Folic Acid. What is the Story in Europe? EUROCAT [internet]. [cited 8 n ov 2018]. Available from: http://www.eurocat-network.eu/preventionandriskfactors/folicacid
  13. MRC Vitamin Study Research Group. Prevención de defectos del tubo neural: resultados del Medical Research Council Vitamin Study. Lancet 1991; 338(8760):131-7.
  14. Ministerio de Sanidad y Consumo. Guía para la prevención de defectos congénitos [internet]. Madrid: Ministerio de Sanidad y Consumo; 2006. [citado 8 nov 2018]. Disponible en: http://www.mscbs.gob.es/profesionales/prestacionesSanitarias/publicaciones/docs/GuiaPrevencionDDCC.pdf
  15. SOGC‐Clinical Practice Guideline. Pre‐conceptional vitamin/folic acid supplementation 2007: the use of folic acid in combination with a multivitamin supplement for the prevention of neural tube defects and other congenital anomalies. J Obstet Gynaecol Can. [internet] 2008 [cited 8 nov 2018]; 30(8):193. Available from: http://www.sogc.org/media/pdf/advisories/JOGC‐dec‐07‐FOLIC.pdf
  16. Prinz‐Langenohl R, Brämswig S, Tobolski O, Smulders YM, Smith DEC. Finglas PM. [6S]‐5‐ methyltetrahydrofolate increases plasma folate more effectively than folic acid in women with the homozygous or wild‐type 677C,T polymorphism of methylenetetrahydrofolate reductase. Br J Pharm 2009; 158:2014‐21.
  17. McMahon DM, Liu J, Zhang H, Torres ME, Best RG. Maternal obesity, folate intake, and neural tube defects in offspring. Birth Defects Res A Clin Mol Teratol. 2013 Feb; 97(2):115-22.
  18. Huang HY, Chen HL, Feng LP. Maternal obesity and the risk of neural tube defects in offspring: A meta-analysis. Obes Res Clin Pract. 2017 Mar-Apr; 11(2):188-97.
  19. Rasmussen SA, Chu SY, Kim SY, Schmid CH, Lau J. Maternal obesity and risk of neural tube defects: a metaanalysis. Am J Obstet Gynecol. 2008 Jun; 198(6):611-9.
  20. Wang M, Wang ZP, Gao LJ, Gong R, Sun XH, Zhao ZT. Maternal body mass index and the association between folic acid supplements and neural tube defects. Acta Paediatr. 2013 Sep; 102(9):908-13.
  21. Shaw GM, Velie EM, Schaffer D. Risk of neural tube defect-affected pregnancies among obese women. JAMA 1996; 275:1093-6.
  22. Werler M, Louik C, Shapiro S, Mitchell A. Prepregnant weight in relation to risk of neural tube defects. JAMA 1996; 275:1089-92.
  23. Sociedad Española de Ginecología y Obstetricia (SEGO). Control prenatal del embarazo normal Protocolos Pro Sego. Protocolo actualizado mayo de 2017. Madrid: SEGO; 2017.
  24. Sociedad Española de Ginecología y Obstetricia (SEGO). Obesidad y embarazo.  Guía práctica de asistencia. Madrid: SEGO; 2011. p.15-21.
  25. Fabre E, Bermejo R, DovalL JL, Pérez Campos E, Martínez Salmean J, Lete I. Estudio observacional, transversal, de una muestra representativa de las mujeres españolas en edad fértil, sobre los cuidados, hábitos y promoción de la salud previamente y durante el embarazo: Estudio GESTMUJER. Progresos de Obstetricia y Ginecología 2014; 57(7):285-90.
    27.    Sánchez Blanco R. Consejos sobre hábitos alimenticios y ejercicios físicos [blog]. [citado 8 nov 2018]. Disponible en: https://rsanchezblan.wixsite.com/habitosyactfisica