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dc.contributor.authorJames-McAlpine, Janelle M
dc.contributor.authorVincze, Lisa J
dc.contributor.authorVanderlelie, Jessica J
dc.contributor.authorPerkins, Anthony V
dc.date.accessioned2020-06-01T04:43:38Z
dc.date.available2020-06-01T04:43:38Z
dc.date.issued2020
dc.identifier.issn1446-6368
dc.identifier.doi10.1111/1747-0080.12610
dc.identifier.urihttp://hdl.handle.net/10072/394062
dc.description.abstractAim: This study aimed to examine dietary intake and decision-making in a cohort of pregnant South-East Queensland women to determine compliance with dietary guidelines and the relationships between dietary intake, decision-making and birth outcomes. Methods: Pregnant women attending maternity services at participating hospitals reported food frequency and motivations using the Maternal Outcomes and Nutrition Tool, a novel digital instrument. Birth outcomes were sourced from hospital records. A cross-sectional cohort design was used to examine the data. Results: Analysis demonstrated suboptimal intake of core food groups; meat and alternatives (median [IQR]) (2.6 [2.0-3.4] serves/day) and grains (3.1 [2.1-4.1]) fell below recommendations; fruit (3.8 [2.5-5.3]) and discretionary foods (3.1 [2.1-4.4]) exceeded them. Hypertensive disorders demonstrated a negative linear relationship with vegetable intake (P =.017). Cultural diversity was significantly associated with decreased birthweight (P =.022) but increased intake of meat and alternatives (3.1 vs 2.6, P <.001) compared to Caucasian women; median intake of meat and alternatives was lower in women who reported smoking in the examined time frame. Smokers were less likely to declare health motives for food selection than non-smokers; smoking and health were inversely associated with increasing maternal age. Food choice was primarily sensory-driven. Conclusions: This cohort demonstrated poor adherence to dietary guidelines. Culturally and linguistically diverse women and smokers exhibit dietary behaviours which may contribute to suboptimal birth outcomes; targeted nutrition counselling may improve outcomes in these women. These findings highlight the need for transdisciplinary maternity care and provide a foundation for further research aimed at optimising nutrition-related birth outcomes in at-risk groups.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley
dc.relation.ispartofjournalNutrition & Dietetics
dc.subject.fieldofresearchFood sciences
dc.subject.fieldofresearchNutrition and dietetics
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchcode3006
dc.subject.fieldofresearchcode3210
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsbirth outcomes
dc.subject.keywordscultural diversity
dc.titleInfluence of dietary intake and decision-making during pregnancy on birth outcomes
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationJames-McAlpine, JM; Vincze, LJ; Vanderlelie, JJ; Perkins, AV, Influence of dietary intake and decision-making during pregnancy on birth outcomes, Nutrition & Dietetics, 2020
dcterms.dateAccepted2020-01-23
dc.date.updated2020-05-20T03:40:52Z
dc.description.versionAccepted Manuscript (AM)
gro.description.notepublicThis publication was entered as an advanced online version.
gro.rights.copyright© 2020 Dietitians Association of Australia. This is the peer reviewed version of the following article: Influence of dietary intake and decision‐making during pregnancy on birth outcomes, Nutrition & Dietetics, 2020, which has been published in final form at https://doi.org/10.1111/1747-0080.12610. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
gro.hasfulltextFull Text
gro.griffith.authorVincze, Lisa J.


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