Access to nutrition advice and knowledge, attitudes and practices of pregnant women in Ireland: A cross-sectional study

IF 2.9 3区医学 Q3 NUTRITION & DIETETICS Journal of Human Nutrition and Dietetics Pub Date : 2024-06-17 DOI:10.1111/jhn.13342

Elaine K. McCarthy, Clodagh Ní Riada, Roisin O'Brien, Hannah Minogue, Fergus P. McCarthy, Mairead E. Kiely

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Abstract

Background

Healthy nutritional status, appropriate gestational weight gain and a balanced diet are important predictors of perinatal health outcomes. However, gaps exist in the translation of nutrition recommendations into dietary practices of women before and during pregnancy. The present study explored the relationship between access to nutrition advice, nutrition knowledge, attitudes and practices among pregnant women.

Methods

Pregnant women aged > 18 years in Ireland were eligible to complete a self-administered survey consisting of four subsections (demographics, nutrition knowledge, attitudes and practices) delivered online through Qualtrics.

Results

In this convenience sample (n = 334, median [interquartile range] gestation, 25.0 [16.0, 34.0] weeks), 85% had at least an honours bachelor degree and 88.9% planned their pregnancy. Two out of five women received nutrition advice during their pregnancy, mostly from a midwife. Based on the percentage of correct answers (of 15 questions), women with previous nutrition education (e.g., school home economics) had better median [interquartile range] nutrition knowledge than those with none (80.0% [66.7, 86.7%] vs. 73.3% [60.0, 80.0%], p < 0.001). Those who received nutrition advice during pregnancy did not score higher than those who did not (73.3% [66.7, 80.0%] vs. 73.3% [66.7, 80.0%], p = 0.6). Over three-quarters of participants considered nutritional supplement use to be very or extremely important. Although 73.6% and 92.4% took supplements prior to and during pregnancy, only 25.7% reported compliance with periconceptional folic acid supplementation guidelines. Half of respondents considered healthy eating during pregnancy as very or extremely important.

Conclusions

Access to nutrition advice during pregnancy was inadequate with poor nutrition knowledge, attitudes and practices observed. Accessible, evidence-based nutrition education for women prior to and during pregnancy is required.

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爱尔兰孕妇获得营养建议的机会以及她们的知识、态度和做法：一项横断面研究。

背景：健康的营养状况、适当的妊娠体重增加和均衡的饮食是预测围产期健康状况的重要指标。然而，在将营养建议转化为妇女孕前和孕期饮食实践方面还存在差距。本研究探讨了孕妇获得营养建议、营养知识、态度和做法之间的关系：爱尔兰年龄大于 18 岁的孕妇有资格完成一项自填式调查，该调查包括四个子部分（人口统计学、营养知识、态度和做法），通过 Qualtrics 在线进行：在这项方便抽样调查中（n = 334，妊娠中位数[四分位数间距]为 25.0 [16.0, 34.0]周），85%的人至少拥有荣誉学士学位，88.9%的人计划怀孕。五分之二的妇女在怀孕期间接受过营养建议，其中大部分来自助产士。根据正确答案的百分比（15 个问题），接受过营养教育（如学校家政学）的妇女比未接受过营养教育的妇女拥有更好的营养知识中位数[四分位间范围]（80.0% [66.7, 86.7%] vs. 73.3% [60.0, 80.0%]，p）：孕期获得营养建议的机会不足，营养知识、态度和做法均不佳。需要在孕前和孕期为妇女提供可获得的、以证据为基础的营养教育。

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来源期刊

Journal of Human Nutrition and Dietetics 医学-营养学

CiteScore

5.30

自引率

15.20%

发文量

133

审稿时长

6-12 weeks

期刊介绍： Journal of Human Nutrition and Dietetics is an international peer-reviewed journal publishing papers in applied nutrition and dietetics. Papers are therefore welcomed on: - Clinical nutrition and the practice of therapeutic dietetics - Clinical and professional guidelines - Public health nutrition and nutritional epidemiology - Dietary surveys and dietary assessment methodology - Health promotion and intervention studies and their effectiveness - Obesity, weight control and body composition - Research on psychological determinants of healthy and unhealthy eating behaviour. Focus can for example be on attitudes, brain correlates of food reward processing, social influences, impulsivity, cognitive control, cognitive processes, dieting, psychological treatments. - Appetite, Food intake and nutritional status - Nutrigenomics and molecular nutrition - The journal does not publish animal research The journal is published in an online-only format. No printed issue of this title will be produced but authors will still be able to order offprints of their own articles.