Document Detail

Household food insecurity is associated with self-reported pregravid weight status, gestational weight gain, and pregnancy complications.
MedLine Citation:
PMID:  20430130     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Household food insecurity is positively associated with weight among women. The association between household food insecurity and pregnancy-related weight gain and complications is not well understood.
OBJECTIVE: To identify whether an independent association exists between household food insecurity and pregnancy-related complications.
DESIGN: Data from the Pregnancy, Infection, and Nutrition prospective cohort study were used to assess household food insecurity retrospectively using the US Department of Agriculture 18-item Core Food Security Module among 810 pregnant women with incomes < or =400% of the income/poverty ratio, recruited between January 2001 and June 2005 and followed through pregnancy.
MAIN OUTCOME MEASURES: Self-reported pregravid body mass index, gestational weight gain, second trimester anemia, pregnancy-induced hypertension, and gestational diabetes mellitus.
STATISTICAL ANALYSES PERFORMED: Multivariate linear, multinomial logistic, and logistic regression analyses.
RESULTS: Among 810 pregnant women, 76% were from fully food secure, 14% were from marginally food secure, and 10% were from food insecure households. In adjusted models, living in a food insecure household was significantly associated with severe pregravid obesity (adjusted odds ratio 2.97, 95% confidence intervals [CIs] 1.44 to 6.14), higher gestational weight gain (adjusted beta coefficient 1.87, 95% CI 0.13 to 3.62), and with a higher adequacy of weight gain ratio (adjusted beta .27, 95% CI 0.07 to 0.50). Marginal food security was significantly associated with gestational diabetes mellitus (adjusted odds ratio 2.76, 95% CI 1.00 to 7.66).
CONCLUSIONS: This study highlights the possibility that living in a food insecure household during pregnancy may increase risk of greater weight gain and pregnancy complications.
Barbara A Laraia; Anna Maria Siega-Riz; Craig Gundersen
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Journal of the American Dietetic Association     Volume:  110     ISSN:  1878-3570     ISO Abbreviation:  J Am Diet Assoc     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-30     Completed Date:  2010-05-07     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  7503061     Medline TA:  J Am Diet Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  692-701     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2010 American Dietetic Association. Published by Elsevier Inc. All rights reserved.
Department of Medicine, Center for Health and Community, University of California, San Francisco, CA 94118, USA.
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MeSH Terms
Anemia / epidemiology,  etiology
Body Mass Index
Cohort Studies
Confidence Intervals
Diabetes, Gestational / epidemiology,  etiology
Food Supply* / statistics & numerical data
Hypertension, Pregnancy-Induced / epidemiology,  etiology
Logistic Models
Multivariate Analysis
Obesity / complications*,  epidemiology*
Odds Ratio
Pregnancy Complications / epidemiology*,  etiology
Self Disclosure
Socioeconomic Factors
Weight Gain*
Grant Support
HD28684/HD/NICHD NIH HHS; K01 HD047122-01A1/HD/NICHD NIH HHS; M01 RR000046-47/RR/NCRR NIH HHS; R01 HD028684-05/HD/NICHD NIH HHS; R24 HD050924-07/HD/NICHD NIH HHS; RR00046/RR/NCRR NIH HHS
Comment In:
J Am Diet Assoc. 2010 May;110(5):690-1   [PMID:  20430129 ]

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