Low Dietary Intakes of Essential Nutrients during Pregnancy in Vietnam
Inadequate intake of nutrients during pregnancy has been associated with poor pregnancy and infant outcomes; however, evidence remains limited in low-resource settings in Asia. This paper assessed food, macronutrient, and micronutrient intakes among 1944 Vietnamese pregnant women. Dietary informatio...
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Published in | Nutrients Vol. 10; no. 8; p. 1025 |
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Format | Journal Article |
Language | English |
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06.08.2018
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Abstract | Inadequate intake of nutrients during pregnancy has been associated with poor pregnancy and infant outcomes; however, evidence remains limited in low-resource settings in Asia. This paper assessed food, macronutrient, and micronutrient intakes among 1944 Vietnamese pregnant women. Dietary information was collected via an interviewer-administered food frequency questionnaire, and nutrient intakes were estimated using the Vietnamese food composition tables. The levels of nutrient intakes were evaluated against the Vietnamese recommended nutrient intakes (RNI) for pregnancy. The diet profiles were reported as means and percentages. The average daily food intakes across socio-demographic factors were compared using ANOVA, with adjustment for multiple comparisons by the Tukey⁻Kramer test. Rice, fruits, and vegetables were the main food sources consumed. The mean energy intake was 2004 kcal/day with 15.9%, 31.8%, and 52.2% of energy deriving from proteins, fats, and carbohydrates, respectively. Just over half of the women did not meet the RNI for total energy intake. The intakes of essential micronutrients including folate, calcium, iron, and zinc were below the RNI, and almost all pregnant women failed to meet the recommendations for these micronutrients. The associations of maternal age, education, and pre-pregnancy body mass index with nutrient intakes varied across the nutrient subgroups. Targeted programs are needed to improve nutrient intakes in Vietnamese pregnant women. |
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AbstractList | Inadequate intake of nutrients during pregnancy has been associated with poor pregnancy and infant outcomes; however, evidence remains limited in low-resource settings in Asia. This paper assessed food, macronutrient, and micronutrient intakes among 1944 Vietnamese pregnant women. Dietary information was collected via an interviewer-administered food frequency questionnaire, and nutrient intakes were estimated using the Vietnamese food composition tables. The levels of nutrient intakes were evaluated against the Vietnamese recommended nutrient intakes (RNI) for pregnancy. The diet profiles were reported as means and percentages. The average daily food intakes across socio-demographic factors were compared using ANOVA, with adjustment for multiple comparisons by the Tukey⁻Kramer test. Rice, fruits, and vegetables were the main food sources consumed. The mean energy intake was 2004 kcal/day with 15.9%, 31.8%, and 52.2% of energy deriving from proteins, fats, and carbohydrates, respectively. Just over half of the women did not meet the RNI for total energy intake. The intakes of essential micronutrients including folate, calcium, iron, and zinc were below the RNI, and almost all pregnant women failed to meet the recommendations for these micronutrients. The associations of maternal age, education, and pre-pregnancy body mass index with nutrient intakes varied across the nutrient subgroups. Targeted programs are needed to improve nutrient intakes in Vietnamese pregnant women. Inadequate intake of nutrients during pregnancy has been associated with poor pregnancy and infant outcomes; however, evidence remains limited in low-resource settings in Asia. This paper assessed food, macronutrient, and micronutrient intakes among 1944 Vietnamese pregnant women. Dietary information was collected via an interviewer-administered food frequency questionnaire, and nutrient intakes were estimated using the Vietnamese food composition tables. The levels of nutrient intakes were evaluated against the Vietnamese recommended nutrient intakes (RNI) for pregnancy. The diet profiles were reported as means and percentages. The average daily food intakes across socio-demographic factors were compared using ANOVA, with adjustment for multiple comparisons by the Tukey-Kramer test. Rice, fruits, and vegetables were the main food sources consumed. The mean energy intake was 2004 kcal/day with 15.9%, 31.8%, and 52.2% of energy deriving from proteins, fats, and carbohydrates, respectively. Just over half of the women did not meet the RNI for total energy intake. The intakes of essential micronutrients including folate, calcium, iron, and zinc were below the RNI, and almost all pregnant women failed to meet the recommendations for these micronutrients. The associations of maternal age, education, and pre-pregnancy body mass index with nutrient intakes varied across the nutrient subgroups. Targeted programs are needed to improve nutrient intakes in Vietnamese pregnant women. |
Author | Chu, Tan Khac Duong, Dat Van Binns, Colin W Nguyen, Cong Luat Nguyen, Phung Thi Hoang Lee, Andy H Hoang, Dong Van Ha, Anh Vo Van Pham, Ngoc Minh |
AuthorAffiliation | 5 Department of Epidemiology, Faculty of Public Health, Hai Phong University of Medicine and Pharmacy, Hai Phong 180000, Vietnam 2 School of Public Health, Faculty of Health Sciences, Curtin University, Perth, WA 6102, Australia; nthphungytcc@ump.edu.au (P.T.H.N); anhhvv@pnt.edu.vn (A.V.V.H); cktan@hpmu.edu.vn (T.K.C.); minh.pn@tnu.edu.vn (N.M.P); Andy.Lee@curtin.edu.au (A.H.L.) 4 Department of Environmental and Occupational Health, Pham Ngoc Thach University of Medicine, Ho Chi Minh City 700000, Vietnam 7 Department of Sexual & Reproductive Health, United Nations Population Fund, Hanoi 100000, Vietnam; dat@unfpa.org 1 National Institute of Hygiene and Epidemiology, Hanoi 100000, Vietnam; luatcong.nguyen@postgrad.curtin.edu.au (C.L.N.); hvd@nihe.org.vn (D.V.H.) 3 Department of Nutrition and Food, Faculty of Public Health, University of Medicine and Pharmacy, Ho Chi Minh City 700000, Vietnam 6 Department of Epidemiology, Faculty of Public Health, Thai Nguyen University of Medicine and Pharmac |
AuthorAffiliation_xml | – name: 1 National Institute of Hygiene and Epidemiology, Hanoi 100000, Vietnam; luatcong.nguyen@postgrad.curtin.edu.au (C.L.N.); hvd@nihe.org.vn (D.V.H.) – name: 7 Department of Sexual & Reproductive Health, United Nations Population Fund, Hanoi 100000, Vietnam; dat@unfpa.org – name: 5 Department of Epidemiology, Faculty of Public Health, Hai Phong University of Medicine and Pharmacy, Hai Phong 180000, Vietnam – name: 2 School of Public Health, Faculty of Health Sciences, Curtin University, Perth, WA 6102, Australia; nthphungytcc@ump.edu.au (P.T.H.N); anhhvv@pnt.edu.vn (A.V.V.H); cktan@hpmu.edu.vn (T.K.C.); minh.pn@tnu.edu.vn (N.M.P); Andy.Lee@curtin.edu.au (A.H.L.) – name: 4 Department of Environmental and Occupational Health, Pham Ngoc Thach University of Medicine, Ho Chi Minh City 700000, Vietnam – name: 6 Department of Epidemiology, Faculty of Public Health, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen 250000, Vietnam – name: 3 Department of Nutrition and Food, Faculty of Public Health, University of Medicine and Pharmacy, Ho Chi Minh City 700000, Vietnam |
Author_xml | – sequence: 1 givenname: Cong Luat orcidid: 0000-0002-5516-2977 surname: Nguyen fullname: Nguyen, Cong Luat email: luatcong.nguyen@postgrad.curtin.edu.au, luatcong.nguyen@postgrad.curtin.edu.au organization: School of Public Health, Faculty of Health Sciences, Curtin University, Perth, WA 6102, Australia. luatcong.nguyen@postgrad.curtin.edu.au – sequence: 2 givenname: Dong Van orcidid: 0000-0001-8274-1520 surname: Hoang fullname: Hoang, Dong Van email: hvd@nihe.org.vn organization: National Institute of Hygiene and Epidemiology, Hanoi 100000, Vietnam. hvd@nihe.org.vn – sequence: 3 givenname: Phung Thi Hoang surname: Nguyen fullname: Nguyen, Phung Thi Hoang email: nthphungytcc@ump.edu.au, nthphungytcc@ump.edu.au organization: Department of Nutrition and Food, Faculty of Public Health, University of Medicine and Pharmacy, Ho Chi Minh City 700000, Vietnam. nthphungytcc@ump.edu.au – sequence: 4 givenname: Anh Vo Van surname: Ha fullname: Ha, Anh Vo Van email: anhhvv@pnt.edu.vn, anhhvv@pnt.edu.vn organization: Department of Environmental and Occupational Health, Pham Ngoc Thach University of Medicine, Ho Chi Minh City 700000, Vietnam. anhhvv@pnt.edu.vn – sequence: 5 givenname: Tan Khac surname: Chu fullname: Chu, Tan Khac email: cktan@hpmu.edu.vn, cktan@hpmu.edu.vn organization: Department of Epidemiology, Faculty of Public Health, Hai Phong University of Medicine and Pharmacy, Hai Phong 180000, Vietnam. cktan@hpmu.edu.vn – sequence: 6 givenname: Ngoc Minh surname: Pham fullname: Pham, Ngoc Minh email: minh.pn@tnu.edu.vn, minh.pn@tnu.edu.vn organization: Department of Epidemiology, Faculty of Public Health, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen 250000, Vietnam. minh.pn@tnu.edu.vn – sequence: 7 givenname: Andy H surname: Lee fullname: Lee, Andy H email: Andy.Lee@curtin.edu.au organization: School of Public Health, Faculty of Health Sciences, Curtin University, Perth, WA 6102, Australia. Andy.Lee@curtin.edu.au – sequence: 8 givenname: Dat Van surname: Duong fullname: Duong, Dat Van email: dat@unfpa.org organization: Department of Sexual & Reproductive Health, United Nations Population Fund, Hanoi 100000, Vietnam. dat@unfpa.org – sequence: 9 givenname: Colin W orcidid: 0000-0002-6220-3933 surname: Binns fullname: Binns, Colin W email: C.Binns@curtin.edu.au organization: School of Public Health, Faculty of Health Sciences, Curtin University, Perth, WA 6102, Australia. C.Binns@curtin.edu.au |
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SubjectTerms | Adolescent Adult Body mass Body mass index Body size Calcium Carbohydrates Demographics Diet Diet Surveys Dietary Carbohydrates - administration & dosage Dietary Fats - administration & dosage Dietary intake Dietary Proteins - administration & dosage Energy Intake Energy Metabolism Essential nutrients Fats Female Folic acid Food Food composition food intake Food sources Health risk assessment Humans Iron macronutrients Maternal Nutritional Physiological Phenomena Micronutrients Middle Aged Nutrients Nutritional Status Nutritive Value Pregnancy Proteins Recommended Dietary Allowances Subgroups Variance analysis Vietnam Young Adult Zinc |
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Title | Low Dietary Intakes of Essential Nutrients during Pregnancy in Vietnam |
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