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Research Research and Professional Brief| Volume 106, ISSUE 6, P908-912, June 2006

The Effects of Dieting on Food and Nutrient Intake of Lactating Women

  • Cheryl A. Lovelady
    Correspondence
    Address correspondence to: Cheryl A. Lovelady, PhD, RD, Professor, Department of Nutrition, PO Box 26170, University of North Carolina at Greensboro, Greensboro, NC 27402-6170.
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  • Author Footnotes
    1 At the time of the study, K. G. Stephenson, K. M. Kuppler, and J. P. Williams were graduate research assistants with the Department of Nutrition, University of North Carolina at Greensboro.
    Kimberly G. Stephenson
    Footnotes
    1 At the time of the study, K. G. Stephenson, K. M. Kuppler, and J. P. Williams were graduate research assistants with the Department of Nutrition, University of North Carolina at Greensboro.
    Search for articles by this author
  • Author Footnotes
    1 At the time of the study, K. G. Stephenson, K. M. Kuppler, and J. P. Williams were graduate research assistants with the Department of Nutrition, University of North Carolina at Greensboro.
    Kerri M. Kuppler
    Footnotes
    1 At the time of the study, K. G. Stephenson, K. M. Kuppler, and J. P. Williams were graduate research assistants with the Department of Nutrition, University of North Carolina at Greensboro.
    Search for articles by this author
  • Author Footnotes
    1 At the time of the study, K. G. Stephenson, K. M. Kuppler, and J. P. Williams were graduate research assistants with the Department of Nutrition, University of North Carolina at Greensboro.
    John P. Williams
    Footnotes
    1 At the time of the study, K. G. Stephenson, K. M. Kuppler, and J. P. Williams were graduate research assistants with the Department of Nutrition, University of North Carolina at Greensboro.
    Search for articles by this author
  • Author Footnotes
    1 At the time of the study, K. G. Stephenson, K. M. Kuppler, and J. P. Williams were graduate research assistants with the Department of Nutrition, University of North Carolina at Greensboro.

      Abstract

      The purpose of this report was to identify and evaluate dietary changes in women who were participating in a study on the effects of weight loss in overweight lactating women on the growth of their infants. Women were randomly assigned at 4 weeks postpartum to either restrict energy intake by 500 kcal/day (diet and exercise group) or to maintain usual dietary intake (control group) for 10 weeks. The diet and exercise group significantly decreased fats, sweetened drinks, sweets and desserts, snack foods, and energy intake. Micronutrient intake decreased in the diet and exercise group; however, mean intakes were not significantly different from those of the control group except for calcium and vitamin D. Both groups consumed less than 76% of the Recommended Dietary Allowance for vitamins E and C at the end of the study. Mean intake of all other nutrients was adequate in both groups. These results suggest that overweight lactating women can restrict their energy intake by 500 kcal per day by decreasing consumption of foods high in fat and simple sugars. However, they must be advised to increase their intakes of foods high in calcium and vitamin D. Increased intake of fruits and vegetables should also be recommended to all lactating women, as well as multivitamin and calcium supplements to those who do not consume adequate amounts of these foods.
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      References

        • Flegal K.M.
        • Carroll M.D.
        • Ogden C.L.
        • Johnson C.L.
        Prevalence and trends in obesity among US adults, 1999-2000.
        JAMA. 2002; 288: 1723-1727
        • Gunderson E.P.
        • Abrams B.
        • Selvin S.
        The relative importance of gestational gain and maternal characteristics associated with the risk of becoming overweight after pregnancy.
        Int J Obes. 2000; 24: 1660-1668
        • Williamson D.F.
        • Madans J.
        • Pamuk E.
        • Flegal K.M.
        • Kendrick J.S.
        • Serdula M.K.
        A prospective study of childbearing and 10-year weight gain in US white women 25 to 45 years of age.
        Int J Obes Relat Metab Disord. 1994; 18: 561-569
        • Wolfe W.S.
        • Sobal J.
        • Olson C.M.
        • Frongillo E.A.
        • Williamson D.F.
        Parity-associated weight gain and its modification by sociodemographic and behavioral factors.
        Int J Obes. 1997; 21: 802-810
        • Butte N.F.
        • Hopkinson J.M.
        Body composition changes during lactation are highly variable among women.
        J Nutr. 1998; 128: S381-S385
        • Rossner S.
        • Ohlin A.
        Pregnancy as a risk factor for obesity.
        Obes Res. 1995; 3: S267-S275
        • Rooney B.L.
        • Schauberger C.W.
        Excess pregnancy weight gain and long-term obesity.
        Obstet Gynecol. 2002; 100: 245-252
        • American Academy of Pediatrics
        Breastfeeding and the use of human milk.
        Pediatrics. 1997; 100: 1035-1039
        • American Dietetic Association
        Position of the American Dietetic Association.
        J Am Diet Assoc. 2001; 101: 1213-1220
        • Lovelady C.A.
        • Garner K.E.
        • Moreno K.L.
        • Williams J.P.
        The effect of weight loss in overweight, lactating women on the growth of their infants.
        N Engl J Med. 2000; 342: 449-453
        • Dusdieker L.B.
        • Hemingway D.L.
        • Stumbo P.J.
        Is milk production impaired by dieting during lactation?.
        Am J Clin Nutr. 1994; 59: 833-840
        • Borrud L.G.
        • Krebs-Smith S.M.
        • Friedman L.
        • Guenther P.M.
        Food and nutrient intakes of pregnant and lactating women in the United States.
        J Nutr Educ. 1993; 25: 176-185
        • Mackey A.D.
        • Picciano M.F.
        • Mitchell D.C.
        • Smicklas-Wright H.
        Self-selected diets of lactating women often fail to meet dietary recommendations.
        J Am Diet Assoc. 1998; 98: 297-302
        • Institute of Medicine
        Nutrition During Lactation. National Academy Press, Washington, DC1991
        • Harris J.A.
        • Benedict F.G.
        A biometric study of basal metabolism (Publication no. 279). Carnegie Institution of Washington, Washington, DC1919
        • National Research Council
        Recommended Dietary Allowances. 10th ed. National Academy Press, Washington, DC1989
      1. Food Guide Pyramid. US Department of Agriculture, Human Nutrition Information Service, Washington, DC1992 (Home and Garden Bulletin No. 252.)
        • American Diabetes Association and American Dietetic Association
        Exchange Lists for Weight Management. American Diabetes Association and Chicago, IL: American Dietetic Association, Alexandria, VA1995
        • Wilmore J.
        A simplified method for determination of residual volume.
        J Appl Physiol. 1969; 27: 96-100
        • Brozek J.
        • Grande F.
        • Anderson J.T.
        • Keys A.
        Densitometric analysis of body composition.
        Ann N Y Acad Sci. 1963; 110: 113-140
        • Lewis C.J.
        • Crane N.T.
        • Wilson D.B.
        • Yetley E.A.
        Estimated folate intakes.
        Am J Clin Nutr. 1999; 70: 198-207

      Biography

      C. A. Lovelady is an assistant professor, Department of Nutrition, University of North Carolina at Greensboro.

      Biography

      K. G. Stephenson is a clinical nutritionist, University of North Carolina Hospitals, Nutrition and Food Services, Chapel Hill.

      Biography

      K. M. Kuppler is a clinical research associate II, PharmaNet, Inc, Princeton, NJ.

      Biography

      J. P. Williams is a clinical support specialist, Genzyme Corporation, Cambridge, MA.