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Conclusion: Usual dietary intakes were found to be relatively adequate in terms of their energy and protein contents.

However, high prevalences of inadequate intakes were estimated, particularly for iron, zinc and calcium. European Journal of Clinical Nutrition 57, — Micronu- vulnerable to the effects of these deficiencies Institute of trient deficiencies are likely to occur in combination with Medicine, E-mail: lcaulfie jhsph.

Ms Retamozo is the Peruvian nutritionist Medicine, During pregnancy, supplements are recom- responsible for conducting the h recalls.

All authors dietary diversification can be the key to long-term preventive contributed to its content. To formulate recommendations for improving dietary of Agriculture Nutrient Database for Standard Reference intakes during pregnancy, information is first needed on Department of Agriculture, Agricultural Research Service, nutrient intakes, food sources and dietary patterns.

We found excellent agreement among From to , we conducted a zinc supplementation the three databases on the nutrient content of shared food trial among nearly pregnant women living in an items. A Peruvian cookbook was also consulted Nicolini, impoverished shantytown in Lima, Peru Caulfield et al, , and for some foods, data were imputed based on the a.

As part of this trial, we collected dietary information nutrient composition of similar food items. In this paper, we describe the usual used to perform the statistical analyses.

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Owing to the nutrient intakes, food sources and dietary patterns of these skewness of the intake distributions, the intakes were women, and discuss the implications of these findings for described by the medians, 5th and 95th percentiles of the public health interventions to reduce micronutrient malnu- distributions.

For statistical analyses, the distributions were trition in this population. To compare intakes between time points, a t-test was used. The adequacy of nutrient intakes was evaluated by quantifying the prevalence of inadequate nutrient intakes Methods using the probability approach NRC, To pregnancies was collected at delivery.


The study protocol compute the prevalence of inadequate intakes, the place- was explained fully to women and signed consent was ment of each intake value on the requirement distribution obtained. By summing the individual probabilities and dividing To describe the usual dietary intakes of women in the trial, by the number of individuals surveyed, the prevalence of we selected a subsample of women for interview using the inadequate intake is estimated; the variance is calculated h recall method.

Women were chosen from each of the following standard formulas for the variance of a proportion. Our intention was to conduct three conducted two specific analyses.

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First, we examined the dietary interviews on a subsample of women; however, meal and snack patterns of these women and the contribu- limitations in funding forced us to reduce this component of tion of these patterns to total nutrient intake. Second, we the study and in all we were able to interview women at classified the individual food items consumed by women 10—24 weeks gestation, and of these women at 28—30 into one of 20 different food groups to examine the weeks gestation.

A trained Peruvian nutritionist conducted the interviews, The food groups were: meat and poultry; fish and seafood; which included weekends and weekdays, using culturally eggs; milk and dairy; fruits; vegetables eg, tomatoes, lettuce, appropriate visual aids such as photographs and food models spinach and pumpkin ; starchy vegetables eg, potatoes, to facilitate the recall process.

The IIN food composition database contained sauces; assorted mixed dishes commercially prepared , information for most nutrients of interest here, with the miscellaneous. We considered wheat products separately exception of zinc and phytate. Among the women contributing two dietary recalls, the median increase in intake was kJ kcal Results for energy Po0. Despite these changes, the percentage of energy were The average birth weight of babies born to these women was g.

The women in the substudy were similar to Estimated prevalence of inadequate nutrient intakes those in the larger study cohort Caulfield et al, a. The estimated prevalences of inadequate nutrient intakes are There were also no striking differences between the women also presented in Table 1. There were no differences in body Dietary patterns and food sources size or pregnancy outcome.

Wheat products were Table 2. Other contributors to folate intakes were fruit and breakfast and dinner each contributing about kJ peas and beans, which were reported consumed by 86 and kcal. This meal was also the main source of Milk also contributed to vitamin A intakes, but the major phytate — mg.These women all had low-risk singleton pregnancies and were receiving prenatal care at the study hospital. The adequacy of nutrient intakes was evaluated by quantifying the prevalence of inadequate nutrient intakes Methods using the probability approach NRC, Getting a massage, taking a bath, or just taking some much-needed rest time can help soothe your contractions.

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Further, they motivate the need mineral intakes are likely underestimated because they are for studies to determine the appropriate content and style of European Journal of Clinical Nutrition Dietary pattern and usual nutrient intakes of Peruvian women during pregnancy LM Sacco et al messages for dietary guidance to improve micronutrient available zinc, frequent reproductive cycling and malaria.

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