No CrossRef data available.
Article contents
What are the changes in mothers’ diets after the birth of a child: results from the NutriNet-Santé cohort
Published online by Cambridge University Press: 18 October 2024
Abstract
Childbirth is a major life-changing event, this period is an opportunity to improve eating habits. The aim of this longitudinal study was to identify and characterise dietary changes in women according to their parity status. Dietary intake data from 4194 women of childbearing age included in the NutriNet-Santé cohort were derived using a FFQ, administered in 2014 and 2018, distinguishing between organic and conventional food consumption. Women were classified into four groups: ‘previous children’, ‘multiparous’, ‘primiparous’ and ‘nulliparous’. Multi-adjusted ANCOVA models were used to estimate the changes according to the parity group. Changes in food consumption towards a more plant-based, healthier and organic diet were observed in all four groups of women, although to various degrees. In multivariable models, ‘Nulliparous’ women showed a greater improvement in terms of ‘sustainable’ food consumption than ‘previous children’ women. ‘Primiparous’ women significantly increased their energy intake (+349 (269–429) kcal/d) and their consumption of dairy products (+30 (3–56) g/d), and they significantly decreased their consumption of alcohol (–23 (–32–15) g/d), coffee and tea (–107 (–155–60) g/d). Regarding organic food, ‘nulliparous’ women increased their consumption more than ‘previous children’ and ‘primiparous’ women were those who were most frequently in the top quintile of organic food increase. Although there were dietary changes in all groups of women according to their parity, childless women have a shift moving towards a more sustainable diet. Women who had a first child reduced their alcohol and caffeine consumption.
- Type
- Research Article
- Information
- Copyright
- © The Author(s), 2024. Published by Cambridge University Press on behalf of The Nutrition Society
References
Moura, AF & Aschemann-Witzel, J (2020) A downturn or a window of opportunity? How Danish and French parents perceive changes in healthy eating in the transition to parenthood. Appetite 150, 104658.CrossRefGoogle ScholarPubMed
Versele, V, Stok, FM, Aerenhouts, D, et al. (2021) Determinants of changes in women’s and men’s eating behavior across the trafnsition to parenthood: a focus group study. Int J Behav Nutr Phys Act 18, 95.CrossRefGoogle ScholarPubMed
Gardner, B, Croker, H, Barr, S, et al. (2012) Psychological predictors of dietary intentions in pregnancy: psychological predictors of dietary intentions in pregnancy. J Hum Nutr Diet 25, 345–353.CrossRefGoogle ScholarPubMed
Forbes, L, Graham, J, Berglund, C, et al. (2018) Dietary change during pregnancy and women’s reasons for change. Nutrients 10, 1032.CrossRefGoogle ScholarPubMed
Copelton, DA (2007) “You are what you eat”: nutritional norms, maternal deviance, and neutralization of women’s prenatal diets. Deviant Behavior 28, 467–494.CrossRefGoogle Scholar
Trude, ACB, Black, MM, Surkan, PJ, et al. (2020) Maternal anxiety and diet quality among mothers and toddlers from low-income households. Matern Child Nutr 16, e12992.CrossRefGoogle ScholarPubMed
Martínez-Galiano, JM, Hernández-Martínez, A, Rodríguez-Almagro, J, et al. (2019) Relationship between parity and the problems that appear in the postpartum period. Sci Rep 9, 11763.CrossRefGoogle ScholarPubMed
HCSP (2017) Statement Related to the Revision of the 2017–2021 French Nutrition and Health Programme’s Dietary Guidelines for Adults. Paris: Haut Conseil de la Santé Publique.Google Scholar
Torjusen, H, Lieblein, G, Næs, T, et al. (2012) Food patterns and dietary quality associated with organic food consumption during pregnancy; data from a large cohort of pregnant women in Norway. BMC Public Health 12, 612.CrossRefGoogle ScholarPubMed
Kummeling, I, Thijs, C, Huber, M, et al. (2008) Consumption of organic foods and risk of atopic disease during the first 2 years of life in the Netherlands. Br J Nutr 99, 598–605.CrossRefGoogle ScholarPubMed
Brantsæter, AL, Torjusen, H, Meltzer, HM, et al. (2016) Organic food consumption during pregnancy and hypospadias and cryptorchidism at birth: the Norwegian mother and child cohort study (MoBa). Environ Health Perspect 124, 357–364.CrossRefGoogle ScholarPubMed
Aleksandrowicz, L, Green, R, Joy, EJM, et al. (2016) The impacts of dietary change on greenhouse gas emissions, land use, water use, and health: a systematic review. PLoS ONE 11, e0165797.CrossRefGoogle ScholarPubMed
Frehner, A, De Boer, IJM, Muller, A, et al. (2022) Consumer strategies towards a more sustainable food system: insights from Switzerland. Am J Clin Nutr 115, 1039–1047.CrossRefGoogle ScholarPubMed
Garnett, T (2011) Where are the best opportunities for reducing greenhouse gas emissions in the food system (including the food chain)?. Food Policy 36, S23–32.CrossRefGoogle Scholar
Gomiero, T (2018) Food quality assessment in organic vs. conventional agricultural produce: findings and issues. Appl Soil Ecol 123, 714–728.CrossRefGoogle Scholar
Fernández-Gómez, E, Luque-Vara, T, Moya-Fernández, PJ, et al. (2020) Factors influencing dietary patterns during pregnancy in a culturally diverse society. Nutrients 12, 3242.CrossRefGoogle Scholar
Kadawathagedara, M, Ahluwalia, N, Dufourg, M, et al. (2021) Diet during pregnancy: influence of social characteristics and migration in the ELFE cohort. Matern Child Nutr 17, e13140.CrossRefGoogle ScholarPubMed
Hercberg, S, Castetbon, K, Czernichow, S, et al. (2010) The Nutrinet-Santé Study: a web-based prospective study on the relationship between nutrition and health and determinants of dietary patterns and nutritional status. BMC Public Health 10, 242.CrossRefGoogle ScholarPubMed
Hallal, PC & Victora, CG (2004) Reliability and validity of the international physical activity questionnaire (IPAQ). Med Sci Sports Exercise 36, 556.CrossRefGoogle ScholarPubMed
Baudry, J, Méjean, C, Allès, B, et al. (2015) Contribution of organic food to the diet in a large sample of French adults (the NutriNet-Santé cohort study). Nutrients 7, 8615–8632.CrossRefGoogle Scholar
Kesse-Guyot, E, Castetbon, K, Touvier, M, et al. (2010) Relative validity and reproducibility of a food frequency questionnaire designed for French adults. Ann Nutr Metab 57, 153–162.CrossRefGoogle ScholarPubMed
INSERM - Institut National de la Santé et de la Recherche Médicale (2013) Publication de la Table de Composition Nutritionnelle des Aliments. Paris: Salle de presse.Google Scholar
Cerri, J, Thøgersen, J & Testa, F (2019) Social desirability and sustainable food research: a systematic literature review. Food Qual Preference 71, 136–140.CrossRefGoogle Scholar
Jocelyne, T, Franck, M & Kop, JL (2000) Autoduperie et hétéroduperie: un instrument de mesure de la désirabilité sociale. Eur Rev Appl Sociology 50, 219–233.Google Scholar
Chaltiel, D, Adjibade, M, Deschamps, V, et al. (2019) Programme national nutrition Santé – guidelines score 2 (PNNS-GS2): development and validation of a diet quality score reflecting the 2017 French dietary guidelines. Br J Nutr 122, 331–342.CrossRefGoogle ScholarPubMed
Kesse-Guyot, E, Chaltiel, D, Fezeu, LK, et al. (2021) Association between adherence to the French dietary guidelines and the risk of type 2 diabetes. Nutr 84, 111107.CrossRefGoogle Scholar
de Gavelle, E, Huneau, JF & Mariotti, F (2018) Patterns of protein food intake are associated with nutrient adequacy in the general french adult population. Nutrients 10, 226.CrossRefGoogle Scholar
Verger, EO, Mariotti, F, Holmes, BA, et al. (2012) Evaluation of a diet quality index based on the probability of adequate nutrient intake (PANDiet) using national French and US dietary surveys. PLoS ONE 7, e42155.CrossRefGoogle ScholarPubMed
Satija, A, Bhupathiraju, SN, Rimm, EB, et al. (2016) Plant-based dietary patterns and incidence of type 2 diabetes in US men and women: results from three prospective cohort studies. PLoS Med 13, e1002039.CrossRefGoogle ScholarPubMed
Keaver, L, Ruan, M, Chen, F, et al. (2021) Plant- and animal-based diet quality and mortality among US adults: a cohort study. Br J Nutr 125, 1405–1415.CrossRefGoogle ScholarPubMed
Willett, W & Stampfer, MJ (1986) Total energy intake: implications for epidemiologic analyses. Am J Epidemiol 124, 17–27.CrossRefGoogle ScholarPubMed
Sotres-Alvarez, D, Herring, AH & Siega-Riz, AM (2013) Latent transition models to study women’s changing of dietary patterns from pregnancy to 1 year postpartum. Am J Epidemiol 177, 852–861.CrossRefGoogle ScholarPubMed
Lund, T & Jensen, K (2008) Consumption of Organic Foods from a Life History Perspective: An Explorative Study Among Danish Consumers. Copenhagen: Department of Human Nutrition, University of Copenhagen.Google Scholar
Moore, VM & Davies, MJ (2005) Diet during pregnancy, neonatal outcomes and later health. Reprod Fertil Dev 17, 341.CrossRefGoogle ScholarPubMed
Kind, KL, Moore, VM & Davies, MJ (2006) Diet around conception and during pregnancy – effects on fetal and neonatal outcomes. Reprod Biomed Online 12, 532–541.CrossRefGoogle ScholarPubMed
Skreden, M, Bere, E, Sagedal, LR, et al. (2015) Changes in beverage consumption from pre-pregnancy to early pregnancy in the Norwegian fit for delivery study. Public Health Nutr 18, 1187–1196.CrossRefGoogle ScholarPubMed
Chen, L, Bell, EM, Browne, ML, et al. (2014) Exploring maternal patterns of dietary caffeine consumption before conception and during pregnancy. Matern Child Health J 18, 2446–2455.CrossRefGoogle ScholarPubMed
Hillier, SE & Olander, EK (2017) Women’s dietary changes before and during pregnancy: a systematic review. Midwifery 49, 19–31.CrossRefGoogle ScholarPubMed
Crozier, SR, Robinson, SM, Godfrey, KM, et al. (2009) Women’s dietary patterns change little from before to during pregnancy. J Nutr 139, 1956–1963.CrossRefGoogle ScholarPubMed
Pinto, E, Barros, H & dos Santos Silva, I (2009) dietary intake and nutritional adequacy prior to conception and during pregnancy: a follow-up study in the north of Portugal. Public Health Nutr 12, 922–931.CrossRefGoogle ScholarPubMed
Wennberg, AL, Isaksson, U, Sandström, H, et al. (2016) Swedish women’s food habits during pregnancy up to six months post-partum: a longitudinal study. Sexual Reprod Healthcare 8, 31–36.CrossRefGoogle ScholarPubMed
Nasuti, G, Blanchard, C, Naylor, PJ, et al. (2014) Comparison of the dietary intakes of new parents, second-time parents, and nonparents: a longitudinal cohort study. J Academy Nutr Diet 114, 450–456.CrossRefGoogle ScholarPubMed
Stevens, R, Kelaiditi, E & Myrissa, K (2021) Exploration of the dietary habits, lifestyle patterns and barriers to healthy eating in UK post-partum women. Nutr Bull 46, 26–39.CrossRefGoogle Scholar
Myrissa, K, Stevens, R & Kelaiditi, E (2020) Dietary and lifestyle patterns in UK postpartum women. Proc Nutr Soc 79, E442.CrossRefGoogle Scholar
Bijlholt, M, Van Uytsel, H, Ameye, L, et al. (2020) Eating behaviors in relation to gestational weight gain and postpartum weight retention: a systematic review. Obes Rev 21, e13047.CrossRefGoogle ScholarPubMed
Martin, JC, Joham, AE, Mishra, GD, et al. (2020) Postpartum diet quality: a cross-sectional analysis from the Australian longitudinal study on women’s health. J Clin Med 9, E446.CrossRefGoogle ScholarPubMed
Suárez-Martínez, C, Yagüe-Guirao, G, Santaella-Pascual, M, et al. (2021) Adherence to the mediterranean diet and determinants among pregnant women: the NELA cohort. Nutrients 13, 1248.CrossRefGoogle Scholar
Gila-Díaz, A, Witte Castro, A, Herranz Carrillo, G, et al. (2021) Assessment of adherence to the healthy food pyramid in pregnant and lactating women. Nutrients 13, 2372.CrossRefGoogle Scholar
Havaš Auguštin, D, Šarac, J, Lovrić, M, et al. (2020) Adherence to mediterranean diet and maternal lifestyle during pregnancy: island–mainland differentiation in the CRIBS birth cohort. Nutrients 12, 2179.CrossRefGoogle ScholarPubMed
Baudry, J, Pointereau, P, Seconda, L, et al. (2019) Improvement of diet sustainability with increased level of organic food in the diet: findings from the BioNutriNet cohort. Am J Clin Nutr 109, 1173–1188.CrossRefGoogle ScholarPubMed
Simões-Wüst, AP, Moltó-Puigmartí, C, van Dongen, MC, et al. (2017) Organic food consumption during pregnancy is associated with different consumer profiles, food patterns and intake: the KOALA birth cohort study. Public Health Nutr 20, 2134–2144.CrossRefGoogle ScholarPubMed
Torjusen, H, Brantsaeter, AL, Haugen, M, et al. (2014) Reduced risk of pre-eclampsia with organic vegetable consumption: results from the prospective Norwegian mother and child cohort study. BMJ Open 4, e006143–e006143.CrossRefGoogle ScholarPubMed
Curl, CL, Porter, J, Penwell, I, et al. (2019) Effect of a 24-week randomized trial of an organic produce intervention on pyrethroid and organophosphate pesticide exposure among pregnant women. Environ Int 132, 104957.CrossRefGoogle ScholarPubMed
Eskenazi, B, Kogut, K, Huen, K, et al. (2014) Organophosphate pesticide exposure, PON1, and neurodevelopment in school-age children from the CHAMACOS study. Environ Res 134, 149–157.CrossRefGoogle ScholarPubMed
Andreeva, VA, Salanave, B, Castetbon, K, et al. (2015) Comparison of the sociodemographic characteristics of the large NutriNet-Santé e-cohort with French census data: the issue of volunteer bias revisited. J Epidemiol Community Health 69, 893–898.CrossRefGoogle ScholarPubMed
Cade, J, Thompson, R, Burley, V, et al. (2002) Development, validation and utilisation of food-frequency questionnaires – a review. Public Health Nutr 5, 567–587.CrossRefGoogle ScholarPubMed
Wesołowska, E, Jankowska, A, Trafalska, E, et al. (2019) Sociodemographic, lifestyle, environmental and pregnancy-related determinants of dietary patterns during pregnancy. Int J Environ Res Public Health 16, 754.CrossRefGoogle ScholarPubMed
Darmon, N & Drewnowski, A (2008) Does social class predict diet quality?. Am J Clin Nutr 87, 1107–1117.CrossRefGoogle ScholarPubMed
Brunin, J, Pointereau, P, Allès, B, et al. (2022) Are recent dietary changes observed in the NutriNet-Santé participants healthier and more sustainable?. Eur J Nutr 61, 141–155.CrossRefGoogle ScholarPubMed
Brunin et al. supplementary material
Brunin et al. supplementary material
File
506.6 KB