title: Dietary intake and food habits of pregnant women residing in urban and rural areas of Deyang City, Sichuan Province, China.
abstract: Micronutrient deficiencies and imbalanced dietary intake tend to occur during the reproductive period among women in China. In accordance with traditional Chinese culture, pregnant women are commonly advised to follow a specific set of dietary precautions. The purpose of this study was to assess dietary intake data and identify risk factors for nutritional inadequacy in pregnant women from urban and rural areas of Deyang region, Sichuan province of China. Cross-sectional sampling was applied in two urban hospitals and five rural clinics (randomly selected) in Deyang region. Between July and October 2010, a total of 203 pregnant women in the third trimester, aged 19-42 years, were recruited on the basis of informed consent during antenatal clinic sessions. Semi-structured interviews on background information and 24-h dietary recalls were conducted. On the basis of self-reported height and pre-pregnancy weight, 68.7% of the women had a pre-pregnancy body mass index (BMI) within the normal range (18.5 ≤ BMI < 25), 26.3% were found to be underweight with a BMI <18.5 (20.8% in urban vs. 35.6% in rural areas), while only 5.1% were overweight with a BMI ≥30. In view of acceptable macronutrient distribution ranges (AMDRs) the women's overall dietary energy originated excessively from fat (39%), was low in carbohydrates (49.6%), and reached the lower limits for protein (12.1%). Compared to rural areas, women living in urban areas had significantly higher reference nutrient intake (RNI) fulfillment levels for energy (106.1% vs. 93.4%), fat (146.6% vs. 119.7%), protein (86.9% vs. 71.6%), vitamin A (94.3% vs. 65.2%), Zn (70.9% vs. 61.8%), Fe (56.3% vs. 48%), Ca (55.1% vs. 41%) and riboflavin (74.7% vs. 60%). The likelihood of pregnant women following traditional food recommendations, such as avoiding rabbit meat, beef and lamb, was higher in rural (80%) than in urban (65.1%) areas. In conclusion, culturally sensitive nutrition education sessions are necessary for both urban and rural women. The prevalence of underweight before conception and an insufficient supply of important micronutrients were more pronounced in rural areas. Therefore, attention must be given to the nutritional status, especially of rural women before, or at the latest, during pregnancy.
authors.affiliation: Institute of Social Sciences in Agriculture, Gender and Nutrition-430b, University of Hohenheim, Garbenstraße 30, Stuttgart 70599, Germany.
authors.forename: Haoyue
authors.initials: H
authors.lastname: Gao
authors.forename: Caroline K
authors.initials: CK
authors.lastname: Stiller
authors.forename: Veronika
authors.initials: V
authors.lastname: Scherbaum
authors.forename: Hans Konrad
authors.initials: HK
authors.lastname: Biesalski
authors.forename: Qi
authors.initials: Q
authors.lastname: Wang
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Hormann
authors.forename: Anne C
authors.initials: AC
authors.lastname: Bellows
mesh_terms: D000328:Adult; D015992:Body Mass Index; D001835:Body Weight; D002681:China; D003430:Cross-Sectional Studies; D002149:Energy Intake; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D011939:Mental Recall; D018977:Micronutrients / Q000008:administration & dosage; D009749:Nutrition Surveys; D009752:Nutritional Status; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D037841:Pregnant People; D064167:Recommended Dietary Allowances; D012424:Rural Population; D057566:Self Report; D014505:Urban Population; D055815:Young Adult
chemical_list: D018977:Micronutrients
references.citation: Bull World Health Organ. 1995;73 Suppl:91-5
references.pmid: 20604500
references.citation: Midwifery. 2009 Apr;25(2):104-13
references.pmid: 17408821
references.citation: Asia Pac J Clin Nutr. 1996 Dec;5(4):229-32
references.pmid: 24394615
references.citation: BMC Pregnancy Childbirth. 2007 Jun 21;7:8
references.pmid: 17584930
references.citation: Biomed Environ Sci. 2001 Dec;14(4):318-24
references.pmid: 11862612
references.citation: Eur J Clin Nutr. 2011 Jan;65(1):10-9
references.pmid: 20948557
references.citation: Gynecol Obstet Invest. 1991;32(2):81-3
references.pmid: 1748327
references.citation: FAO Food Nutr Pap. 2006;84:1-334
references.pmid: 19172986
references.citation: Public Health Nutr. 2008 Jun;11(6):632-8
references.pmid: 17894916
references.citation: Asia Pac J Clin Nutr. 2004;13(2):147-55
references.pmid: 15228981
references.citation: Soc Sci Med. 2004 Oct;59(7):1505-15
references.pmid: 15246178
references.citation: Int J Behav Nutr Phys Act. 2012 Feb 09;9:12
references.pmid: 22321640
references.citation: Bull World Health Organ. 1995;73 Suppl:1-98
references.pmid: 8529277
references.citation: Public Health Nutr. 2002 Dec;5(6A):947-53
references.pmid: 12633520
references.citation: J Nutr. 1994 Nov;124(11 Suppl):2245S-2317S
references.pmid: 7965210
references.citation: Curationis. 2005 Nov;28(4):40-9
references.pmid: 16450558
references.citation: Prev Med. 1989 Sep;18(5):653-60
references.pmid: 2616545
references.citation: Bull World Health Organ. 1995;73 Suppl:77-9
references.pmid: 20604495
references.citation: Ann Hum Biol. 1997 Sep-Oct;24(5):387-401
references.pmid: 9300116
references.citation: Eur J Clin Nutr. 1994 Dec;48(12):883-94
references.pmid: 7889897
references.citation: J Adv Nurs. 2001 Oct;36(2):270-3
references.pmid: 11580802
references.citation: BMC Public Health. 2009 Jul 09;9:222
references.pmid: 19589154
references.citation: Arch Gynecol Obstet. 2012 Oct;286(4):905-11
references.pmid: 22695822
references.citation: Eur J Obstet Gynecol Reprod Biol. 2005 Oct 1;122(2):182-6
references.pmid: 16219519
references.citation: Int J Vitam Nutr Res. 2006 Jul;76(4):247-52
references.pmid: 17243089
references.citation: Eur J Clin Nutr. 2000 Oct;54(10):741-8
references.pmid: 11083481
references.citation: Int J Gynaecol Obstet. 1990 Mar;31(3):231-5
references.pmid: 1969363
references.citation: J Nutr. 2010 Mar;140(3):437-45
references.pmid: 20071652
references.citation: J Nutr. 1997 Jun;127(6):1106-12
references.pmid: 9187624
references.citation: BMC Public Health. 2010 Dec 31;10:801
references.pmid: 21194479
references.citation: Am J Clin Nutr. 2005 Oct;82(4):721-32
references.pmid: 16210699
references.citation: J Am Diet Assoc. 1998 Oct;98(10):1136-40
references.pmid: 9787719