Abstract
This cross-sectional study assessed the influence of duration of residence in the
United States on periconception dietary intake of pregnant Mexican immigrant women,
using baseline data from Healthy Mothers on the Move, a randomized control trial conducted
with 234 women from 2004 to 2006 in Detroit, MI. Average maternal age was 27.3±5.2
years (range=18 to 41 years) with 5.99±4.76 years of US residence (range=0 to 36 years).
Women's usual dietary intake during the past 12 months was recorded on a validated
food frequency questionnaire (17.3 weeks average gestation). Intakes of selected micronutrients,
macronutrients, and food groups were compared by US residence categories (≤5, 6 to
10, or ≥11 years) using analysis of covariance. The percent of women with intakes
below the Estimated Average Requirement and the percent not meeting US dietary guidelines
were calculated. There was no association between dietary intake and duration of US
residence in this population. Percentages of women with dietary intake below the Estimated
Average Requirement were: 12.0% for folate, 7.7% for vitamin C, 23.9% for calcium,
11.2% for protein, and 5.1% for carbohydrates. US dietary guidelines were not met
for fruit by 17.5% and for vegetables by 74.8% of women. Typical diets were high in
saturated fat and cholesterol. Of the 2,195 kcal average daily energy intake, >25%
came from saturated fats, trans fats, and added sugars that may replace nutrients important for healthy fetal growth
and development and women's health. Interventions to improve intake before, during,
and after pregnancy are important in this population, regardless of duration of US
residence.
Keywords
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Biography
E. C. Kieffer is an associate professor, School of Social Work, University of Michigan, Ann Arbor.
Biography
B. R. Sinco is a research associate, School of Social Work, University of Michigan, Ann Arbor.
Biography
K. B. Welch is a statistician specialist, Center for Statistical Consulting and Research, University of Michigan, Ann Arbor.
Biography
D. B. Welmerink was a research associate, School of Social Work, University of Michigan, Ann Arbor.
Biography
C. Y. Schumann was a supervising nutritionist, Community Health and Social Services Center, Inc, Detroit, MI.
Biography
V. Uhley is an assistant professor, William Beaumont School of Medicine, Oakland University, Rochester, MI; at the time of the study, she was a medical education and research lab specialist associate, Department of Internal Medicine, Metabolism, Endocrinology, and Diabetes, University of Michigan, Ann Arbor.
Article info
Publication history
Published online: March 07, 2013
Accepted:
January 2,
2013
Available online 7 March 2013Footnotes
FUNDING/SUPPORT This work was supported by the National Institute of Diabetes and Digestive and Kidney Diseases at the National Institutes of Health (grant no. R18 DK062344); the Biostatistics and Measurement Cores of the Michigan Diabetes Research and Training Center (National Institute of Diabetes and Digestive and Kidney Diseases grant no. P60 DK020572 and the Maternal and Child Health Bureau, Health Resources and Services Administration grant no. R40 MC00115-03).
STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors.
Identification
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© 2013 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.
