A Community Prenatal Intervention in Social Nutrition: Evaluating the Impact on Pregnancy and Birthweight Outcomes

Nutrients

Annie Brodeur-Doucet¹  Alex Dumas²  Bénédicte Fontaine-Bisson³  Elise Carbonneau³ 

[1] Montreal Dietary Dispensary, Montreal, QC H3H 1J3, Canada;School of Human Kinetics, University of Ottawa, Ottawa, ON K1N 6N5, Canada;School of Nutrition Sciences, University of Ottawa, Ottawa, ON K1N 6N5, Canada;

关键词: perinatal intervention;    pregnancy;    social nutrition;    immigrant;    vulnerability;    gestational diabetes mellitus;   

DOI  :  10.3390/nu14061151

来源: DOAJ

【 摘 要 】

This study aims to assess the associations between structural features of the Montreal Diet Dispensary’s social nutrition intervention and pregnancy (i.e., anemia, gestational diabetes mellitus (GDM), gestational weight gain (GWG), hypertension) and birthweight outcomes (i.e., small- or large-for-gestational-age) among pregnant women, most of them recent immigrants. The study consists of a secondary analysis of the digital client database of the Montreal Diet Dispensary (n = 2925). Logistic regressions were used to estimate the odds of pregnancy and birthweight outcomes, depending on structural features of the intervention. Pregnant women who attended a welcoming group session presented lower odds of GDM and anemia compared to those who did not attend. A longer duration of intervention was also associated with lower odds of GDM and anemia. Each additional appointment with a dietitian was associated with higher odds of excessive GWG and lower odds of insufficient GWG only among women with a pre-pregnancy BMI lower than 25 kg/m². This study emphasizes the importance of providing nutritional services early in pregnancy to reduce the risk of GDM and anemia. It also stresses the importance of using appropriate nutritional guidelines to avoid increasing the risk of excessive GWG.

【 授权许可】

Unknown