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Low Adherence to Mediterranean Diet in Portugal: Pregnant Women Nutrition in Portugal and its Repercussions
| Summary: | Introduction: Portuguese population is drifting away from the Mediterranean diet-like pattern. In this context, the current nutritional status of women of childbearing age and of pregnant Portuguese women and their growing fetuses is critically reviewed. Material and Methods: A narrative critical review was performed on recent published high quality studies assessing diet and nutritional status of women of childbearing age and pregnant women and its influence on the nutritional status of their offspring. Results: Data from five multinational ecological studies that included Portugal, two national official surveys on food availability, seven national studies on the diet and nutritional status of women of childbearing age and pregnant women, and five national studies on the effect of nutritional maternal factors on their growing fetuses were selected and analyzed. The prevalence of overweight/obesity has dramatically increased in Portuguese women of childbearing age and pregnant women, associated with the described trend of low adherence to Mediterranean diet. Variations in energy and macronutrients intakes during pregnancy seem to have no significantly impact on the nutritional status of growing fetuses. On contrary, pre-pregnancy overweight/obesity has been associated with increased offspring adiposity at birth, and an excessive gestational weight gain may be associated with offspring’s overweight status in childhood. Factors potentially contributing to low adherence to the Mediterranean diet, deserving further investigation, include European Union agriculture policies that have implemented the production of non-Mediterranean food groups at low cost, and insufficient financial capacity to afford foods of quality reported by Portuguese population. Conclusion: Retrieving traditional Mediterranean dietary habits should be incorporated into strategies for prevention and treatment of overweight/obesity in Portugal, especially in women of childbearing age. |
|---|---|
| Authors: | NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) |
| Subject: | Mediterranean Portugal SDG 3 - Good Health and Well-being Diet, Mediterranean; Patient Compliance; Portugal; Pregnancy; Pregnant Women. Pregnant women Diet Medicine(all) Patient compliance Cooperação do Doente; Dieta Mediterrânica; Gestantes; Gravidez; Portugal. Pregnancy |
| Year: | 2017 |
| Country: | Portugal |
| Document type: | journal article |
| Identifiers: | ID: PURE: 2432564 |
| Access type: | Restricted |
| Associated institution: | Repositório Institucional da UNL, RUN, Acta Médica Portuguesa |
| Funded project code: | PURE: 2432564 |
| Language: | Portuguese English |
| Origin: | Repositório Institucional da UNL |
| _version_ | 1850560625989648384 |
|---|---|
| author2 | NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) |
| author_facet | NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) |
| conditionsOfAccess_str | Copyright (c) 2016 Acta Médica Portuguesa |
| contentURL_str_mv | https://run.unl.pt/bitstream/10362/26643/1/7344_22648_1_PB.pdf |
| country_str | PT |
| description | Introduction: Portuguese population is drifting away from the Mediterranean diet-like pattern. In this context, the current nutritional status of women of childbearing age and of pregnant Portuguese women and their growing fetuses is critically reviewed. Material and Methods: A narrative critical review was performed on recent published high quality studies assessing diet and nutritional status of women of childbearing age and pregnant women and its influence on the nutritional status of their offspring. Results: Data from five multinational ecological studies that included Portugal, two national official surveys on food availability, seven national studies on the diet and nutritional status of women of childbearing age and pregnant women, and five national studies on the effect of nutritional maternal factors on their growing fetuses were selected and analyzed. The prevalence of overweight/obesity has dramatically increased in Portuguese women of childbearing age and pregnant women, associated with the described trend of low adherence to Mediterranean diet. Variations in energy and macronutrients intakes during pregnancy seem to have no significantly impact on the nutritional status of growing fetuses. On contrary, pre-pregnancy overweight/obesity has been associated with increased offspring adiposity at birth, and an excessive gestational weight gain may be associated with offspring’s overweight status in childhood. Factors potentially contributing to low adherence to the Mediterranean diet, deserving further investigation, include European Union agriculture policies that have implemented the production of non-Mediterranean food groups at low cost, and insufficient financial capacity to afford foods of quality reported by Portuguese population. Conclusion: Retrieving traditional Mediterranean dietary habits should be incorporated into strategies for prevention and treatment of overweight/obesity in Portugal, especially in women of childbearing age. |
| documentTypeURL_str | http://purl.org/coar/resource_type/c_6501 |
| documentType_str | journal article |
| id | 45e06a07-a677-4062-9a5b-b02d7fc26e26 |
| identifierDoi_str | https://doi.org/10.20344/amp.7344 |
| identifierOther_str | PURE: 2432564 |
| language | por eng |
| publicationDateFull_str | 2017-12-11T23:31:38Z |
| publicationDate_str | 2017-12-11 |
| publishDate | 2017 |
| relatedInstitutions_str_mv | Repositório Institucional da UNL RUN Acta Médica Portuguesa |
| resourceName_str | Repositório Institucional da UNL |
| spellingShingle | Low Adherence to Mediterranean Diet in Portugal: Pregnant Women Nutrition in Portugal and its Repercussions Mediterranean Portugal SDG 3 - Good Health and Well-being Diet, Mediterranean; Patient Compliance; Portugal; Pregnancy; Pregnant Women. Pregnant women Diet Medicine(all) Patient compliance Cooperação do Doente; Dieta Mediterrânica; Gestantes; Gravidez; Portugal. Pregnancy |
| title | Low Adherence to Mediterranean Diet in Portugal: Pregnant Women Nutrition in Portugal and its Repercussions |
| topic | Mediterranean Portugal SDG 3 - Good Health and Well-being Diet, Mediterranean; Patient Compliance; Portugal; Pregnancy; Pregnant Women. Pregnant women Diet Medicine(all) Patient compliance Cooperação do Doente; Dieta Mediterrânica; Gestantes; Gravidez; Portugal. Pregnancy |