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 inNutrients Vol. 10; no. 8; p. 1025
Main Authors Nguyen, Cong Luat, Hoang, Dong Van, Nguyen, Phung Thi Hoang, Ha, Anh Vo Van, Chu, Tan Khac, Pham, Ngoc Minh, Lee, Andy H, Duong, Dat Van, Binns, Colin W
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 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.
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
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– 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.)
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Issue 8
Keywords Vietnam
dietary intake
pregnancy
macronutrients
micronutrients
food intake
nutrients
Language English
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Snippet Inadequate intake of nutrients during pregnancy has been associated with poor pregnancy and infant outcomes; however, evidence remains limited in low-resource...
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StartPage 1025
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
URI https://www.ncbi.nlm.nih.gov/pubmed/30082626
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https://search.proquest.com/docview/2084913764
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Volume 10
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