Evaluation of dietary pattern in early pregnancy using the FIGO Nutrition Checklist compared to a food frequency questionnaire
Evaluation of dietary pattern in early pregnancy using the FIGO Nutrition Checklist compared to a food frequency questionnaire
OBJECTIVE: To evaluate the reliability and utility of the FIGO Nutrition Checklist to identify dietary and nutritional inadequacy in early pregnancy by comparing it against nutritional indicators and dietary quality indices (Dietary Approaches to Stop Hypertension [DASH] score, Mediterranean Diet Score [MDS], and Dietary Quality Index-International [DQI-I]), derived by a locally validated food frequency questionnaire (FFQ).
METHODS: A prospective cohort study of healthy Chinese pregnant women randomly recruited between September 2017 and April 2018 at their first antenatal appointment. Women completed the FIGO Nutrition Checklist (translated into Chinese) and the FFQ. Spearman correlation was performed to examine association between the Checklist and dietary quality indices or food and nutrient intakes, calculated based on dietary data from the FFQ.
RESULTS: Of 160 participants, 156 (97.5%) completed both the FIGO Nutrition Checklist and FFQ and were included. There were 148 (95%) women who reported at least one suboptimal dietary behavior using the Checklist. Checklist score was significantly associated with dietary quality indices (DASH ρ=0.344, P<0.001; DQI-I ρ=0.304, P<0.001; MDS ρ=0.164, P=0.041). The Checklist question on fruit/vegetables was significantly associated with fiber, vitamin C, and fruit and vegetable intake as calculated from the FFQ (0.325 ≤ ρ ≤0.441, P<0.001). The question on dairy intake was significantly associated with intake of calcium, milk and dairy products captured via FFQ (0.576 ≤ ρ ≤0.655, P<0.001).
CONCLUSION: This study supports the use of the FIGO Nutrition Checklist to identify women with suboptimal dietary quality in early pregnancy.
FIGO Nutrition Checklist, Maternal health, Nutrition, Obesity, Pregnancy
37-44
Tsoi, Kit Ying
754af170-7947-4500-a075-16d84c2e7d44
Chan, Ruth S.M.
bd455b80-bd03-4a9b-a228-5b877d4f9bec
Li, Liz Sin
31937941-9123-4703-9c51-cf2f5d0f405f
McAuliffe, Fionnuala M.
4338a5d7-8afc-4565-8edc-6c9928311c47
Hanson, Mark
1952fad1-abc7-4284-a0bc-a7eb31f70a3f
Tam, Wing Hung
401dfaa5-a7f6-4250-8a90-29a6272abfe6
Ma, Ronald C.W.
b32f8ba6-d7d6-42a4-a677-002cf03400e7
September 2020
Tsoi, Kit Ying
754af170-7947-4500-a075-16d84c2e7d44
Chan, Ruth S.M.
bd455b80-bd03-4a9b-a228-5b877d4f9bec
Li, Liz Sin
31937941-9123-4703-9c51-cf2f5d0f405f
McAuliffe, Fionnuala M.
4338a5d7-8afc-4565-8edc-6c9928311c47
Hanson, Mark
1952fad1-abc7-4284-a0bc-a7eb31f70a3f
Tam, Wing Hung
401dfaa5-a7f6-4250-8a90-29a6272abfe6
Ma, Ronald C.W.
b32f8ba6-d7d6-42a4-a677-002cf03400e7
Tsoi, Kit Ying, Chan, Ruth S.M., Li, Liz Sin, McAuliffe, Fionnuala M., Hanson, Mark, Tam, Wing Hung and Ma, Ronald C.W.
(2020)
Evaluation of dietary pattern in early pregnancy using the FIGO Nutrition Checklist compared to a food frequency questionnaire.
International Journal of Gynecology & Obstetrics, 151 (S1), .
(doi:10.1002/ijgo.13324).
Abstract
OBJECTIVE: To evaluate the reliability and utility of the FIGO Nutrition Checklist to identify dietary and nutritional inadequacy in early pregnancy by comparing it against nutritional indicators and dietary quality indices (Dietary Approaches to Stop Hypertension [DASH] score, Mediterranean Diet Score [MDS], and Dietary Quality Index-International [DQI-I]), derived by a locally validated food frequency questionnaire (FFQ).
METHODS: A prospective cohort study of healthy Chinese pregnant women randomly recruited between September 2017 and April 2018 at their first antenatal appointment. Women completed the FIGO Nutrition Checklist (translated into Chinese) and the FFQ. Spearman correlation was performed to examine association between the Checklist and dietary quality indices or food and nutrient intakes, calculated based on dietary data from the FFQ.
RESULTS: Of 160 participants, 156 (97.5%) completed both the FIGO Nutrition Checklist and FFQ and were included. There were 148 (95%) women who reported at least one suboptimal dietary behavior using the Checklist. Checklist score was significantly associated with dietary quality indices (DASH ρ=0.344, P<0.001; DQI-I ρ=0.304, P<0.001; MDS ρ=0.164, P=0.041). The Checklist question on fruit/vegetables was significantly associated with fiber, vitamin C, and fruit and vegetable intake as calculated from the FFQ (0.325 ≤ ρ ≤0.441, P<0.001). The question on dairy intake was significantly associated with intake of calcium, milk and dairy products captured via FFQ (0.576 ≤ ρ ≤0.655, P<0.001).
CONCLUSION: This study supports the use of the FIGO Nutrition Checklist to identify women with suboptimal dietary quality in early pregnancy.
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More information
Accepted/In Press date: 22 June 2020
e-pub ahead of print date: 7 September 2020
Published date: September 2020
Additional Information:
Funding Information:
The FIGO Nutrition Checklist was developed by the FIGO Adolescent, Preconception, and Maternal Nutrition Working Group and Nutrition Checklist subgroup. RCMW acknowledges support from the Diabetes and Endocrine Research Fund of the Chinese University of Hong Kong in conducting this study.
Publisher Copyright:
© 2020 The Authors. International Journal of Gynecology and Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics
© 2020 The Authors. International Journal of Gynecology and Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.
Keywords:
FIGO Nutrition Checklist, Maternal health, Nutrition, Obesity, Pregnancy
Identifiers
Local EPrints ID: 443896
URI: http://eprints.soton.ac.uk/id/eprint/443896
ISSN: 1879-3479
PURE UUID: c7587649-6070-4fe1-a23f-cd93c2150c3e
Catalogue record
Date deposited: 16 Sep 2020 16:34
Last modified: 17 Mar 2024 02:51
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Contributors
Author:
Kit Ying Tsoi
Author:
Ruth S.M. Chan
Author:
Liz Sin Li
Author:
Fionnuala M. McAuliffe
Author:
Wing Hung Tam
Author:
Ronald C.W. Ma
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