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Public Health Nutr. 2017 Aug;20(11):1928-1940. doi: 10.1017/S1368980017000672. Epub 2017 Jun 20.

Eating down or simply eating less? The diet and health implications of these practices during pregnancy and postpartum in rural Bangladesh.

Author information

1
1Program in International and Community Nutrition,Department of Nutrition,University of California,Davis,1 Shields Avenue,Davis,CA 95616,USA.
2
3International Center for Diarrhoeal Disease Research,Bangladesh,Dhaka,Bangladesh.

Abstract

OBJECTIVE:

To: (i) determine the prevalence of self-reported eating less and eating down during early and late pregnancy and postpartum, and explore risk factors associated with eating less; (ii) examine the association between eating less and diet quality; and (iii) determine the association between eating less and weight gain during pregnancy.

DESIGN:

Data were collected longitudinally from a cohort of women participating in a community health programme. Diet was assessed at three time points (≤20 weeks' gestation, 36 weeks' gestation, 6 months' postpartum), body weight was measured during study enrolment (≤20 weeks' gestation) and at 36 weeks' gestation, and information about the woman and her household was collected at enrolment.

SETTING:

The Rang-Din Nutrition Study in the Rangpur and Dinajpur districts of Bangladesh.

SUBJECTS:

Women (n 4011).

RESULTS:

The prevalence of self-reported eating less differed by time point (75·9 % in early pregnancy, 38·8 % in late pregnancy, 7·4 % postpartum; P<0·001). The most common reason for eating less across all time periods was food aversion or loss of appetite. Women who reported eating less in late pregnancy had consumed animal-source foods less frequently in the preceding week than women who reported eating more (mean (sd): 11·7 (7·4) v. 14·8 (9·2) times/week; P<0·001) and had lower weekly weight gain than women who reported eating more (mean (se): 0·27 (0·004) v. 0·33 (0·004) kg/week; P<0·001).

CONCLUSIONS:

Eating less has negative implications with respect to diet quality and pregnancy weight gain in this context.

KEYWORDS:

Bangladesh; Diet; Eating down; Postpartum; Pregnancy

PMID:
28629489
DOI:
10.1017/S1368980017000672
[Indexed for MEDLINE]
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