title: Determinants of diet quality in pregnancy: sociodemographic, pregnancy-specific, and food environment influences.
abstract: OBJECTIVE
  To advance the knowledge of determinants of diet quality in pregnancy by focusing on both personal characteristics and the food environment.
  
  
  METHODS
  Cross-sectional study in which participants from the Prenatal Health Project were linked to a geographic dataset by home address. Access to fast food, convenience stores, and grocery stores was measured using a geographic information system (ArcGIS9.3).
  
  
  METHODS
  Pregnant women (n = 2,282) were recruited between 2002 and 2005 in London, Ontario, Canada.
  
  
  METHODS
  Dietary quality was measured using a validated food frequency questionnaire and the Canadian Diet Quality Index for Pregnancy.
  
  
  METHODS
  Univariate and multivariate linear regressions were calculated with the predictor variables on the Canadian Diet Quality Index for Pregnancy.
  
  
  RESULTS
  Pregnant women who were born in Canada, common-law, nulliparous, less physically active, smokers, more anxious, or lacking family support had lower diet quality on average. Presence of fast-food restaurants, convenience stores, and grocery stores within 500 m of participants' homes was not associated with diet quality after controlling for personal variables.
  
  
  CONCLUSIONS
  The food environment does not seem to have a large influence on diet quality in pregnancy. Further research is needed to determine other potential reasons for low diet quality among pregnant women.
authors.affiliation: Department of Medicine, London Health Sciences Centre, London, Ontario, Canada; Lawson Health Research Institute, London, Ontario, Canada.
authors.forename: Danielle M
authors.initials: DM
authors.lastname: Nash
authors.forename: Jason A
authors.initials: JA
authors.lastname: Gilliland
authors.forename: Susan E
authors.initials: SE
authors.lastname: Evers
authors.forename: Piotr
authors.initials: P
authors.lastname: Wilk
authors.forename: M Karen
authors.initials: MK
authors.lastname: Campbell
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D002170:Canada / Q000453:epidemiology; D003430:Cross-Sectional Studies; D004032:Diet / Q000706:statistics & numerical data*; D015930:Diet Records; D004777:Environment; D005247:Feeding Behavior; D005260:Female; D005523:Food Supply / Q000706:statistics & numerical data*; D040362:Geographic Information Systems; D006801:Humans; D011247:Pregnancy / Q000706:statistics & numerical data*; D015203:Reproducibility of Results; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
keywords: diet; food environment; geographic information systems; nutrition; pregnancy