1. Determinants of Diet Quality in Pregnancy: Sociodemographic, Pregnancy-specific, and Food Environment Influences.
- Author
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Nash, Danielle M., Gilliland, Jason A., Evers, Susan E., Wilk, Piotr, and Campbell, M. Karen
- Subjects
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SHOPPING , *ANXIETY , *DIET , *ECOLOGY , *FOOD supply , *HEALTH behavior , *MULTIVARIATE analysis , *NUTRITIONAL assessment , *PERSONALITY , *PSYCHOLOGICAL tests , *QUESTIONNAIRES , *REGRESSION analysis , *RESEARCH funding , *SMOKING , *STATISTICS , *WOMEN'S health , *SOCIAL support , *SOCIOECONOMIC factors , *CROSS-sectional method , *PHYSICAL activity , *DATA analysis software , *DESCRIPTIVE statistics , *NUTRITIONAL status , *PREGNANCY ,RESEARCH evaluation - Abstract
Objective: To advance the knowledge of determinants of diet quality in pregnancy by focusing on both personal characteristics and the food environment. Design: 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). Setting: Pregnant women (n = 2,282) were recruited between 2002 and 2005 in London, Ontario, Canada. Main Outcome Measure: Dietary quality was measured using a validated food frequency questionnaire and the Canadian Diet Quality Index for Pregnancy. Analysis: 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 and Implications: 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. [ABSTRACT FROM AUTHOR]
- Published
- 2013
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