Antenatal dietary concordance among mothers and fathers and gestational weight gain: a longitudinal study

Abstract Background Parent-child dietary concordance is associated with child diet, but the clinical implications of mother-father dietary concordance during pregnancy are unknown. This study evaluates antenatal mother-father dietary concordance and associations with gestational weight gain (GWG). M...

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Main Authors: Roger Figueroa, Jaclyn A. Saltzman, Augustine Kang, Fernanda Neri Mini, Kirsten K. Davison, Elsie M. Taveras
Format: Article
Language:English
Published: BMC 2020-07-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-020-09182-7
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spelling doaj-b7d37876ca844a119fabc0eae2b237612020-11-25T02:37:34ZengBMCBMC Public Health1471-24582020-07-0120111010.1186/s12889-020-09182-7Antenatal dietary concordance among mothers and fathers and gestational weight gain: a longitudinal studyRoger Figueroa0Jaclyn A. Saltzman1Augustine Kang2Fernanda Neri Mini3Kirsten K. Davison4Elsie M. Taveras5Cornell University, College of Human Ecology, Division of Nutritional SciencesThe MITRE CorporationBrown University, School of Public Health, Department of Behavioral and Social SciencesMassachusetts General Hospital, Division of Academic PediatricsBoston College, School of Social WorkMassachusetts General Hospital, Division of Academic PediatricsAbstract Background Parent-child dietary concordance is associated with child diet, but the clinical implications of mother-father dietary concordance during pregnancy are unknown. This study evaluates antenatal mother-father dietary concordance and associations with gestational weight gain (GWG). Methods Mother-father (n = 111) dyads with low income reported their fruit/vegetable (FV), fast food (FF), and sugar-sweetened beverage (SSB) consumption frequency during the first trimester of pregnancy. From electronic health records, we collected height and self-reported pre-pregnancy weight and calculated pre-pregnancy body mass index (BMI). The primary outcome was excessive GWG for pre-pregnancy BMI. Dyads were categorized as healthy or unhealthy concordant (consuming similarly high or low amounts of FV, FF, or SSB), or mother-healthy or father-healthy discordant (consuming different amounts of FV, FF, or SSB). Multivariable and logistic regressions analyzed associations between dietary concordance and GWG. Results Mothers were Hispanic (25%), 43% White, 6% Black, and 23% Asian or Other. Most mothers were employed (62%) making <$50,000/year (64%). Average maternal GWG was 11.6 kg (SD = 6.40), and 36% had excessive GWG. Mothers in the mother-healthy discordant FV group (OR = 4.84; 95% CI = 1.29, 18.22) and the unhealthy concordant FF group (OR = 7.08; 95% CI = 2.08, 24.12) had higher odds for excessive GWG, compared to healthy concordant dyads. SSB concordance was associated with higher GWG in unadjusted, but not adjusted models. Conclusions Mothers had higher risk for excessive GWG when both partners had unhealthy FF consumption frequency, and when fathers had unhealthy FV consumption frequency. These findings imply that fathers should be involved in educational opportunities regarding dietary intake during pregnancy.http://link.springer.com/article/10.1186/s12889-020-09182-7Antenatal dietMother-father dyadsGestational weight gain; longitudinal analysis
collection DOAJ
language English
format Article
sources DOAJ
author Roger Figueroa
Jaclyn A. Saltzman
Augustine Kang
Fernanda Neri Mini
Kirsten K. Davison
Elsie M. Taveras
spellingShingle Roger Figueroa
Jaclyn A. Saltzman
Augustine Kang
Fernanda Neri Mini
Kirsten K. Davison
Elsie M. Taveras
Antenatal dietary concordance among mothers and fathers and gestational weight gain: a longitudinal study
BMC Public Health
Antenatal diet
Mother-father dyads
Gestational weight gain; longitudinal analysis
author_facet Roger Figueroa
Jaclyn A. Saltzman
Augustine Kang
Fernanda Neri Mini
Kirsten K. Davison
Elsie M. Taveras
author_sort Roger Figueroa
title Antenatal dietary concordance among mothers and fathers and gestational weight gain: a longitudinal study
title_short Antenatal dietary concordance among mothers and fathers and gestational weight gain: a longitudinal study
title_full Antenatal dietary concordance among mothers and fathers and gestational weight gain: a longitudinal study
title_fullStr Antenatal dietary concordance among mothers and fathers and gestational weight gain: a longitudinal study
title_full_unstemmed Antenatal dietary concordance among mothers and fathers and gestational weight gain: a longitudinal study
title_sort antenatal dietary concordance among mothers and fathers and gestational weight gain: a longitudinal study
publisher BMC
series BMC Public Health
issn 1471-2458
publishDate 2020-07-01
description Abstract Background Parent-child dietary concordance is associated with child diet, but the clinical implications of mother-father dietary concordance during pregnancy are unknown. This study evaluates antenatal mother-father dietary concordance and associations with gestational weight gain (GWG). Methods Mother-father (n = 111) dyads with low income reported their fruit/vegetable (FV), fast food (FF), and sugar-sweetened beverage (SSB) consumption frequency during the first trimester of pregnancy. From electronic health records, we collected height and self-reported pre-pregnancy weight and calculated pre-pregnancy body mass index (BMI). The primary outcome was excessive GWG for pre-pregnancy BMI. Dyads were categorized as healthy or unhealthy concordant (consuming similarly high or low amounts of FV, FF, or SSB), or mother-healthy or father-healthy discordant (consuming different amounts of FV, FF, or SSB). Multivariable and logistic regressions analyzed associations between dietary concordance and GWG. Results Mothers were Hispanic (25%), 43% White, 6% Black, and 23% Asian or Other. Most mothers were employed (62%) making <$50,000/year (64%). Average maternal GWG was 11.6 kg (SD = 6.40), and 36% had excessive GWG. Mothers in the mother-healthy discordant FV group (OR = 4.84; 95% CI = 1.29, 18.22) and the unhealthy concordant FF group (OR = 7.08; 95% CI = 2.08, 24.12) had higher odds for excessive GWG, compared to healthy concordant dyads. SSB concordance was associated with higher GWG in unadjusted, but not adjusted models. Conclusions Mothers had higher risk for excessive GWG when both partners had unhealthy FF consumption frequency, and when fathers had unhealthy FV consumption frequency. These findings imply that fathers should be involved in educational opportunities regarding dietary intake during pregnancy.
topic Antenatal diet
Mother-father dyads
Gestational weight gain; longitudinal analysis
url http://link.springer.com/article/10.1186/s12889-020-09182-7
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