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.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of the Academy of Nutrition and DieteticsAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Prevalence and trends in obesity among US adults, 1999-2000.JAMA. 2002; 288: 1723-1727
- 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
- 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
- Parity-associated weight gain and its modification by sociodemographic and behavioral factors.Int J Obes. 1997; 21: 802-810
- Body composition changes during lactation are highly variable among women.J Nutr. 1998; 128: S381-S385
- Pregnancy as a risk factor for obesity.Obes Res. 1995; 3: S267-S275
- Excess pregnancy weight gain and long-term obesity.Obstet Gynecol. 2002; 100: 245-252
- Breastfeeding and the use of human milk.Pediatrics. 1997; 100: 1035-1039
- Position of the American Dietetic Association.J Am Diet Assoc. 2001; 101: 1213-1220
- The effect of weight loss in overweight, lactating women on the growth of their infants.N Engl J Med. 2000; 342: 449-453
- Is milk production impaired by dieting during lactation?.Am J Clin Nutr. 1994; 59: 833-840
- Food and nutrient intakes of pregnant and lactating women in the United States.J Nutr Educ. 1993; 25: 176-185
- Self-selected diets of lactating women often fail to meet dietary recommendations.J Am Diet Assoc. 1998; 98: 297-302
- Nutrition During Lactation. National Academy Press, Washington, DC1991
- A biometric study of basal metabolism (Publication no. 279). Carnegie Institution of Washington, Washington, DC1919
- Recommended Dietary Allowances. 10th ed. National Academy Press, Washington, DC1989
- Food Guide Pyramid. US Department of Agriculture, Human Nutrition Information Service, Washington, DC1992 (Home and Garden Bulletin No. 252.)
- Exchange Lists for Weight Management. American Diabetes Association and Chicago, IL: American Dietetic Association, Alexandria, VA1995
- A simplified method for determination of residual volume.J Appl Physiol. 1969; 27: 96-100
- Densitometric analysis of body composition.Ann N Y Acad Sci. 1963; 110: 113-140
- 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.
Article info
Footnotes
This study was supported by grants from the National Institutes of Health (R15HD34222) and the North Carolina Agricultural Research Service.
Identification
Copyright
© 2006 American Dietetic Association. Published by Elsevier Inc. All rights reserved.