Document Detail

Stress, depression, social support, and eating habits reduce diet quality in the first trimester in low-income women: a pilot study.
MedLine Citation:
PMID:  23017572     Owner:  NLM     Status:  MEDLINE    
Maternal diet quality influences birth outcomes. Yet, little research exists that assesses women's diet quality during the first trimester of pregnancy, a crucial time of placental and fetal development. This cross-sectional study, describing diet quality and its relationship with stress, depression, social support, and eating habits in the first trimester, may identify low-income women needing intensive dietary intervention. Seventy-one low-income women completed validated instruments measuring stress, depression, social support, and eating habits; had their height and weight measured; received training on portion-size estimation; and completed three 24-hour dietary recalls (1 weekend day and 2 nonconsecutive weekdays) from July 2009 to February 2010. Comparative and correlational analyses were done. Women with diet quality scores below the median (n=35) had more depression (9.6±5.1 vs 6.7±5.1) and stress (22.1±5.4 vs 19.3±4.8) and less control over meal preparation (5.0±1.5 vs 4.2±1.5) and support from others (52.0±12.0 vs 57.4±7.2) than did women with high diet quality scores (n=36). Diet quality was negatively related to depression (r=-0.41), stress (r=-0.35), skipping meals (r=-0.41), and control over meal preparation (r=-0.33), and positively related to support from others (r=0.38). Low-income women experiencing life stressors represent an at-risk group for low diet quality and may need intensive dietary intervention before and during pregnancy. More research designed to improve diet quality in low-income pregnant women is needed.
Eileen R Fowles; Jamie Stang; Miranda Bryant; Sunghun Kim
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of the Academy of Nutrition and Dietetics     Volume:  112     ISSN:  2212-2672     ISO Abbreviation:  J Acad Nutr Diet     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-28     Completed Date:  2012-12-04     Revised Date:  2013-10-17    
Medline Journal Info:
Nlm Unique ID:  101573920     Medline TA:  J Acad Nutr Diet     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1619-25     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.
University of Texas at Austin, School of Nursing, Austin, USA.
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MeSH Terms
Cross-Sectional Studies
Depression / epidemiology*
Diet / standards*,  statistics & numerical data
Diet Surveys
Food Habits
Maternal Nutritional Physiological Phenomena
Pilot Projects
Pregnancy / psychology*
Pregnancy Outcome
Pregnancy Trimester, First
Social Support*
Socioeconomic Factors
Stress, Psychological*
Women's Health
Young Adult
Grant Support
1R21NR010592-01A1/NR/NINR NIH HHS; R21 NR010592/NR/NINR NIH HHS

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