{"id":13148,"date":"2017-03-01T00:00:00","date_gmt":"2018-12-03T17:54:48","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/racial-or-ethnic-and-socioeconomic-inequalities-in-adherence\/"},"modified":"2018-12-03T18:54:48","modified_gmt":"2018-12-03T17:54:48","slug":"racial-or-ethnic-and-socioeconomic-inequalities-in-adherence","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/racial-or-ethnic-and-socioeconomic-inequalities-in-adherence\/","title":{"rendered":"Racial or Ethnic and Socioeconomic Inequalities in Adherence to National Dietary Guidance in a Large Cohort of US Pregnant Women."},"content":{"rendered":"

BACKGROUND<\/strong>
\nThe significance of periconceptional nutrition for optimizing offspring and maternal health and reducing social inequalities warrants greater understanding of diet quality among US women.<\/p>\n

OBJECTIVE<\/strong>
\nOur objective was to evaluate racial or ethnic and education inequalities in periconceptional diet quality and sources of energy and micronutrients.<\/p>\n

DESIGN<\/strong>
\nCross-sectional analysis of data from the Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-to-Be cohort.<\/p>\n

PARTICIPANTS AND SETTING<\/strong>
\nNulliparous women (N=7,511) were enrolled across eight US medical centers from 2010 to 2013.<\/p>\n

MAIN OUTCOME MEASURES<\/strong>
\nA semiquantitative food frequency questionnaire assessing usual dietary intake during the 3 months around conception was self-administered during the first trimester. Diet quality, measured using the Healthy Eating Index-2010 (HEI-2010), and sources of energy and micronutrients were the outcomes.<\/p>\n

STATISTICAL ANALYSES<\/strong>
\nDifferences in diet quality were tested across maternal racial or ethnic and education groups using F tests associated with analysis of variance and χ(2) tests.<\/p>\n

RESULTS<\/strong>
\nHEI-2010 score increased with higher education, but the increase among non-Hispanic black women was smaller than among non-Hispanic whites and Hispanics (interaction P value <0.0001). For all groups, average scores for HEI-2010 components were below recommendations. Top sources of energy were sugar-sweetened beverages, pasta dishes, and grain desserts, but sources varied by race or ethnicity and education. Approximately 34% of energy consumed was from empty calories (the sum of energy from added sugars, solid fats, and alcohol beyond moderate levels). The primary sources of iron, folate, and vitamin C were juices and enriched breads.<\/p>\n

CONCLUSIONS<\/strong>
\nDiet quality is suboptimal around conception, particularly among women who are non-Hispanic black, Hispanic, or who had less than a college degree. Diet quality could be improved by substituting intakes of refined grains and foods empty in calories with vegetables, peas and beans (legumes), seafood, and whole grains.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-13148","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"","annee":"2017","mois":"3","numero":"","page":"","auteurs":[{"ID":7705,"post_author":"0","post_date":"2018-12-03 17:52:02","post_date_gmt":"2018-12-03 16:52:02","post_content":"","post_title":"Lisa M Bodnar","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"lisa-m-bodnar","to_ping":"","pinged":"","post_modified":"2018-12-03 17:52:02","post_modified_gmt":"2018-12-03 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