Association between mealtimes of first and last meals and food consumption in pregnant women

Authors

DOI:

https://doi.org/10.33448/rsd-v11i14.35794

Keywords:

Gestação; Consumo alimentar; Refeições; Dieta; Qualidade.

Abstract

Eating an early first meal and a tendency towards morningness have been associated with healthy eating habits. The objective of the study was to investigate the association between mealtimes of first and last meals and food consumption of pregnant women. Methods: A cross-sectional study with 111 pregnant women who use a public health service. Sociodemographic, nutritional and health data were collected from medical records. Food consumption was assessed by habitual dietary intake. Nutritional value was determined with the DietPro® program (version 6.1) and diet quality was assessed through Diet Quality Index Adapted for Brazilian Pregnant Women (IQDAG).. The study was approved by the Research Ethics Committee of Universidade Federal de Viçosa (No. 4.098.560). Results: The mean age was 34.3 (±5.5) years. Pregnant women who had a late first meal and an early last meal (PR:2.55; 95% CI 1.41-4.63) presented a higher prevalence of vitamin B12 deficiency. On the other hand, pregnant women who had a late first meal and an early last meal (PR:4.74; 95%CI 1.50-15.04), and those who had  late first and last meals  (PR:4.31; 95%CI 1.37; 13.58), presented a higher prevalence of having an inadequate number of meals. Conclusion: Pregnant women who eat late have a higher prevalence of vitamin B12 deficiency and eating ≤3 meals during the day compared to those who eat early. The result reinforces the need for approaches to prenatal care based on mealtimes and nutrition aimed at improving the dietary profile of this population.

References

Africa, S., & Chakona, G. (2019). Food Taboos and Cultural Beliefs Influence Food Choice and Dietary Preferences among Pregnant. 1–18.

Aljuraiban, G. S., Chan, Q., Griep, L. M. O., Brown, I. J., Daviglus, M. L., Stamler, J., Horn, L. Van, Elliott, P., & Frost, G. S. (2014). The Impact of Eating Frequency and Time of Intake on Nutrient Quality and Body Mass Index: The INTERMAP Study, a Population-Based Study. Journal of the Academy of Nutrition and Dietetics, 1–10. https://doi.org/10.1016/j.jand.2014.11.017

Atalah, E., Castillo, C., Castro, R., & Aldea, A. (1997). [Proposal of a new standard for the nutritional assessment of pregnant women]. Revista medica de Chile, 125(12), 1429–1436.

Atencao, B. M. da S. A. ao pré-natal de baixo risco. D. de, & Atenção Básica. Editora do Ministério da Saúde, 2013. (2013). 32 32 2013 2013 (p. 190).

Bae, S., West, A. A., Yan, J., Jiang, X., Perry, C. A., Malysheva, O., Stabler, S. P., Allen, R. H., & Caudill, M. A. (2015). Vitamin B-12 status differs among pregnant, lactating, and control women with equivalent nutrient intakes. Journal of Nutrition, 145(7), 1507–1514. https://doi.org/10.3945/jn.115.210757

Chandler-Laney, P. C., Schneider, C. R., Gower, B. A., Granger, W. M., Mancuso, M. S., & Biggio, J. R. (2016). Association of late-night carbohydrate intake with glucose tolerance among pregnant African American women. Maternal and Child Nutrition, 12(4), 688–698. https://doi.org/10.1111/mcn.12181

Crivellenti, L. C., Cristina, D., Zuccolotto, C., & Sartorelli, D. S. (2018). Desenvolvimento de um Índice de Qualidade da Dieta Adaptado para Gestantes. Revista de Saúde Pública, 1–11. https://doi.org/10.11606/S1518-8787.2018052000184

De Almeida, C. A. N., Ricco, R. G., Del Ciampo, L. A., Souza, A. M., Pinho, A. P., & Dutra De Oliveira, J. E. (2004). Factors associated with iron deficiency anemia in Brazilian preschool children. Jornal de Pediatria, 80(3), 229–234. https://doi.org/10.2223/1188

Demétrio, F. (2010). Pirâmide alimentar para gestantes eutróficas de 19 a 30 anos. Revista de Nutricao, 23(5), 763–778. https://doi.org/10.1590/S1415-52732010000500007

Englund-Ögge, L., Birgisdottir, B. E., Sengpiel, V., Brantsæter, A. L., Haugen, M., Myhre, R., Meltzer, H. M., & Jacobsson, B. (2017). Meal frequency patterns and glycemic properties of maternal diet in relation to preterm delivery: Results from a large prospective cohort study. PLoS ONE, 12(3), 1–18. https://doi.org/10.1371/journal.pone.0172896

Gaal, S., Kerr, M. A., Ward, M., McNulty, H., & Livingstone, M. B. E. (2018). Breakfast consumption in the UK: Patterns, nutrient intake and diet quality. a study from the international breakfast research initiative group. Nutrients, 10(8). https://doi.org/10.3390/nu10080999

Gibney, M. J., Barr, S. I., Bellisle, F., Drewnowski, A., Fagt, S., Livingstone, B., Masset, G., Moreiras, G. V., Moreno, L. A., Smith, J., Vieux, F., Thielecke, F., & Hopkins, S. (2018). Breakfast in human nutrition: The international breakfast research initiative. Nutrients, 10(5), 1–12. https://doi.org/10.3390/nu10050559

Gontijo, C. A., Balieiro, L. C. T., Teixeira, G. P., Fahmy, W. M., Crispim, C. A., & Maia, Y. C. D. P. (2020). Effects of timing of food intake on eating patterns, diet quality and weight gain during pregnancy. British Journal of Nutrition, 123(8), 922–933. https://doi.org/10.1017/S0007114519003398

Gontijo, C. A., Borges, B., Cabral, M., Cristina, L., Balieiro, T., Teixeira, G. P., Fahmy, W. M., Cristina, Y., Maia, D. P., & Crispim, C. A. (2019). Time-related eating patterns and chronotype are associated with diet quality in pregnant women. Chronobiology International, 36(1), 75–84. https://doi.org/10.1080/07420528.2018.1518328

Henriksen, T. (2008). The macrosomic fetus: A challenge in current obstetrics. Acta Obstetricia et Gynecologica Scandinavica, 87(2), 134–145. https://doi.org/10.1080/00016340801899289

Hernández-Díaz, S., Boeke, C. E., Romans, A. T., Young, B., Margulis, A. V., McElrath, T. F., Ecker, J. L., & Bateman, B. T. (2014). Triggers of spontaneous preterm delivery - Why today? Paediatric and Perinatal Epidemiology, 28(2), 79–87. https://doi.org/10.1111/ppe.12105

Hill, A. M., Nunnery, D. L., Ammerman, A., & Dharod, J. M. (2019). Racial / Ethnic Differences in Diet Quality and Eating Habits Among WIC Pregnant Women : Implications for Policy and Practice. https://doi.org/10.1177/0890117119883584

Kinsey, A. W., & Ormsbee, M. J. (2015). The health impact of nighttime eating: Old and new perspectives. Nutrients, 7(4), 2648–2662. https://doi.org/10.3390/nu7042648

Kouroglou, E., Anagnostis, P., Daponte, A., & Bargiota, A. (2019). Vitamin B12 insufficiency is associated with increased risk of gestational diabetes mellitus: a systematic review and meta-analysis. Endocrine, 66(2), 149–156. https://doi.org/10.1007/s12020-019-02053-1

Lisboa, C. S., Bittencourt, L. D. J., Santana, J. D. M., & Dos Santos, D. B. (2017). Assistência Nutricional No Pré-Natal De Mulheres Atendidas Em Unidades De Saúde Da Família De Um Município Do Recôncavo Da Bahia: Um Estudo De Coorte. DEMETRA: Alimentação, Nutrição & Saúde, 12(3), 713–732. https://doi.org/10.12957/demetra.2017.28439

Loy, S. L., Loo, R. S. X., Godfrey, K. M., Chong, Y. S., Shek, L. P. C., Tan, K. H., Chong, M. F. F., Chan, J. K. Y., & Yap, F. (2020). Chrononutrition during pregnancy: A review on maternal night-time eating. Nutrients, 12(9), 1–16. https://doi.org/10.3390/nu12092783

Loy, S. L., Wee, P. H., Colega, M. T., Cheung, Y. B., Aris, I. M., Chan, J. K. Y., Godfrey, K. M., Gluckman, P. D., Tan, K. H., Shek, L. P. C., Chong, Y. S., Natarajan, P., Müller-Riemenschneider, F., Lek, N., Rajadurai, V. S., Tint, M. T., Lee, Y. S., Chong, M. F. F., & Yap, F. (2017). Maternal night-fasting interval during pregnancy is directly associated with neonatal head circumference and adiposity in girls but not boys. Journal of Nutrition, 147(7), 1384–1391. https://doi.org/10.3945/jn.117.250639

McHill, A. W., Phillips, A. J. K., Czeisler, C. A., Keating, L., Yee, K., Barger, L. K., Garaulet, M., Scheer, F. A. J. L., & Klerman, E. B. (2017). Later circadian timing of food intake is associated with increased body fat. American Journal of Clinical Nutrition, 106(5), 1213–1219. https://doi.org/10.3945/ajcn.117.161588

Misan, N., Paczkowska, K., Szmyt, M., Kapska, K., Tomczak, L., Breborowicz, G. H., & Ropacka-Lesiak, M. (2019). Nutritional behavior in pregnancy. Ginekologia Polska, 90(9), 527–533. https://doi.org/10.5603/GP.2019.0090

Molloy, A. M., Kirke, P. N., Brody, L. C., Scott, J. M., & Mills, J. L. (2008). Effects of folate and vitamin B12 deficiencies during pregnancy on fetal, infant, and child development. Food and Nutrition Bulletin, 29(2 SUPPL.), 101–111. https://doi.org/10.1177/15648265080292s114

Murakami, K., Livingstone, M. B. E., Fujiwara, A., & Sasaki, S. (2018). Breakfast in Japan: Findings from the 2012 national health and nutrition survey. Nutrients, 10(10), 1–17. https://doi.org/10.3390/nu10101551

Paoli, A., Tinsley, G., Bianco, A., & Moro, T. (2019). The influence of meal frequency and timing on health in humans: The role of fasting. Nutrients, 11(4), 1–19. https://doi.org/10.3390/nu11040719

Pinho-Pompeu, M., Paulino, D. S. M., & Surita, F. G. (2020). Influence of breakfast and meal frequency in calcium intake among pregnant adolescents. Maternal and Child Nutrition, 16(4), 1–8. https://doi.org/10.1111/mcn.13034

Sato-mito, N., Shibata, S., Sasaki, S., & Sato, K. (2011). Dietary intake is associated with human chronotype as assessed by both morningness – eveningness score and preferred midpoint of sleep in young Japanese women. 62(August), 525–532. https://doi.org/10.3109/09637486.2011.560563

Shiraishi, M., Haruna, M., & Matsuzaki, M. (2019). Effects of Skipping Breakfast on Dietary Intake and Circulating and Urinary Nutrients During Pregnancy. Asia Pacific Journal of Clinical Nutrition, 28(1), 99–105. https://doi.org/10.6133/apjcn.201903_28(1).0014

Siega-Riz, A. M., Herrmann, T. S., Savitz, D. A., & Thorp, J. M. (2001). Frequency of eating during pregnancy and its effect on preterm delivery. American Journal of Epidemiology, 153(7), 647–652. https://doi.org/10.1093/aje/153.7.647

USDA/DHHS. (2005). Dietary Guidelines for Americans by U.S.Department of Health and Human Services and U.S.Department of Agriculture_ _. [Monograph on the Internet], 6th Editio(Available at: http://www.health.gov/dietaryguidelines/dga2005/document/), Accessed June 7, 2007.

Willett, W., & Stampfer, M. (2009). Implications of Total Energy Intake for Epidemiologic Analyses. Nutritional Epidemiology, 124(1), 17–27. https://doi.org/10.1093/acprof:oso/9780195122978.003.11

World Health Organization. (1995). WHO_TRS_854.pdf. In Journal of Geriatric Oncology. 1(1), 40–44. https://www.analesdepediatria.org/en-tuberculosis-in-paediatric-age-group-articulo-S2341287920302544

Downloads

Published

24/10/2022

How to Cite

GOTINE, A. R. E. M. .; FILGUEIRAS, . M. de S. .; RIBEIRO, S. A. V. .; ARAÚJO , R. M. A. .; LOPES, . L. J. .; PEREIRA, P. F. .; PEREIRA, P. F. . Association between mealtimes of first and last meals and food consumption in pregnant women . Research, Society and Development, [S. l.], v. 11, n. 14, p. e196111435794, 2022. DOI: 10.33448/rsd-v11i14.35794. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/35794. Acesso em: 26 apr. 2024.

Issue

Section

Health Sciences