Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?

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dc.contributor.authorCormick, Gabriela
dc.contributor.authorBetrán, Ana P
dc.contributor.authorHarbron, Janetta
dc.contributor.authorDannemann Purnat, Tina
dc.contributor.authorParker, Catherine
dc.contributor.authorHall, David
dc.contributor.authorSeuc, Armando H
dc.contributor.authorRoberts, James M
dc.contributor.authorBelizán, José M
dc.contributor.authorHofmeyr, G J
dc.date.accessioned2018-07-11T09:18:55Z
dc.date.available2018-07-11T09:18:55Z
dc.date.issued2018-06-15
dc.date.updated2018-06-17T03:36:05Z
dc.description.abstractBackground Maternal nutritional status before and during pregnancy is an important contributor to pregnancy outcomes and early child health. The aim of this study was to describe the preconceptional nutritional status and dietary intake during pregnancy in high-risk women from South Africa and Zimbabwe. Methods This is a prospective observational study, nested to the CAP trial. Anthropometric measurements before and during pregnancy and dietary intake using 24-h recall during pregnancy were assessed. The Intake Distribution Estimation software (PC-SIDE) was used to evaluate nutrient intake adequacy taking the Estimated Average Requirement (EAR) as a cut-off point. Results Three hundred twelve women who had pre-eclampsia in their last pregnancy and delivered in hospitals from South Africa and Zimbabwe were assessed. 73.7 and 60.2% women in South Africa and Zimbabwe, respectively started their pregnancy with BMI above normal (BMI ≥ 25) whereas the prevalence of underweight was virtually non-existent. The majority of women had inadequate intakes of micronutrients. Considering food and beverage intake only, none of the micronutrients measured achieved the estimated average requirement. Around 60% of pregnant women reported taking folic acid or iron supplements in South Africa, but almost none did so in Zimbabwe. Conclusion We found a high prevalence of overweight and obesity and high micronutrient intake inadequacy in pregnant women who had the previous pregnancy complicated with pre-eclampsia. The obesity figures and micronutrient inadequacy are issues of concern that need to be addressed. Pregnant women have regular contacts with the health system; these opportunities could be used to improve diet and nutrition. Trial registration PACTR201105000267371 . Registered 06 December 2010.
dc.identifier.apacitationCormick, G., Betrán, A. P., Harbron, J., Dannemann Purnat, T., Parker, C., Hall, D., ... Hofmeyr, G. J. (2018). Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?. <i>BMC Pregnancy and Childbirth</i>, http://hdl.handle.net/11427/28288en_ZA
dc.identifier.chicagocitationCormick, Gabriela, Ana P Betrán, Janetta Harbron, Tina Dannemann Purnat, Catherine Parker, David Hall, Armando H Seuc, James M Roberts, José M Belizán, and G J Hofmeyr "Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?." <i>BMC Pregnancy and Childbirth</i> (2018) http://hdl.handle.net/11427/28288en_ZA
dc.identifier.citationCormick, G., Betrán, A. P., Harbron, J., Purnat, T. D., Parker, C., Hall, D., ... & Hofmeyr, G. J. (2018). Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?. BMC pregnancy and childbirth, 18(1), 236.
dc.identifier.ris TY - Journal Article AU - Cormick, Gabriela AU - Betrán, Ana P AU - Harbron, Janetta AU - Dannemann Purnat, Tina AU - Parker, Catherine AU - Hall, David AU - Seuc, Armando H AU - Roberts, James M AU - Belizán, José M AU - Hofmeyr, G J AB - Background Maternal nutritional status before and during pregnancy is an important contributor to pregnancy outcomes and early child health. The aim of this study was to describe the preconceptional nutritional status and dietary intake during pregnancy in high-risk women from South Africa and Zimbabwe. Methods This is a prospective observational study, nested to the CAP trial. Anthropometric measurements before and during pregnancy and dietary intake using 24-h recall during pregnancy were assessed. The Intake Distribution Estimation software (PC-SIDE) was used to evaluate nutrient intake adequacy taking the Estimated Average Requirement (EAR) as a cut-off point. Results Three hundred twelve women who had pre-eclampsia in their last pregnancy and delivered in hospitals from South Africa and Zimbabwe were assessed. 73.7 and 60.2% women in South Africa and Zimbabwe, respectively started their pregnancy with BMI above normal (BMI ≥ 25) whereas the prevalence of underweight was virtually non-existent. The majority of women had inadequate intakes of micronutrients. Considering food and beverage intake only, none of the micronutrients measured achieved the estimated average requirement. Around 60% of pregnant women reported taking folic acid or iron supplements in South Africa, but almost none did so in Zimbabwe. Conclusion We found a high prevalence of overweight and obesity and high micronutrient intake inadequacy in pregnant women who had the previous pregnancy complicated with pre-eclampsia. The obesity figures and micronutrient inadequacy are issues of concern that need to be addressed. Pregnant women have regular contacts with the health system; these opportunities could be used to improve diet and nutrition. Trial registration PACTR201105000267371 . Registered 06 December 2010. DA - 2018-06-15 DB - OpenUCT DP - University of Cape Town J1 - BMC Pregnancy and Childbirth LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe? TI - Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe? UR - http://hdl.handle.net/11427/28288 ER - en_ZA
dc.identifier.urihttps://doi.org/10.1186/s12884-018-1885-z
dc.identifier.urihttp://hdl.handle.net/11427/28288
dc.identifier.vancouvercitationCormick G, Betrán AP, Harbron J, Dannemann Purnat T, Parker C, Hall D, et al. Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?. BMC Pregnancy and Childbirth. 2018; http://hdl.handle.net/11427/28288.en_ZA
dc.language.isoen
dc.publisherBioMed Central
dc.publisher.departmentDivision of Human Nutritionen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rights.holderThe Author(s).
dc.sourceBMC Pregnancy and Childbirth
dc.source.urihttps://bmcpregnancychildbirth.biomedcentral.com/
dc.subject.otherNutrient intake
dc.subject.otherWeight
dc.subject.otherPregnancy
dc.subject.otherSupplement
dc.subject.otherObesity
dc.subject.otherBMI
dc.titleAre women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?
dc.typeJournal Article
uct.type.filetypeText
uct.type.filetypeImage
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