Main Article Content
Abstract
Dietary behaviours are key modifiable factors that can significantly affect pregnancy outcome. An understanding of these behaviours, including their variability according to socio-economic status and cultural diversities, could guide the development of effective nutritional policies and programmes for pregnant women in Ghana amidst the growing burden of non-communicable disease (NCDs). This hospital-based study assessed pregnant women’s fat and fiber consumption and factors affecting this behaviour. The study employed a descriptive cross-sectional design and quantitative approach. Two hundred (200) pregnant women were recruited from the antenatal care (ANC) unit of the Presbyterian Hospital in Dormaa Ahenkro, Ghana, using convenience sampling technique. The Fat and Fibre Behaviour Questionnaire (FFBQ) was used to collect data for the study. The instrument was interviewer-administered. Statistical Package for Social Sciences (SPSS) version 25 was used to analyze the data. Overall, fat, fibre, and total index were 2.65 (± 0.49), 2.82 (± 0.78), and 2.71 (± 0.38), respectively. Factors significantly affecting fibre index were age (H(4) = 28.21, p < .001), educational status (H(4) = 28.30, p = .001), marital status (H(2) = 13.49, p = .001), ethnicity (H(3) = 23.92, p < .01), and community of residence (U(Nurban = 61, Nrural = 139) = 5097.00, p = .022). Only educational status (H(4) = 10.17, p = .038) and ethnicity (H(3) = 24.77, p = .001) significantly affected fat index. The findings highlight the need to scale-up public health programmes and research in Dormaa Central Municipality, particularly on maternal nutrition and related issues.
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References
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References
Agyei, E. A., Afrifa, S. K., Munkaila, A., Gaa, P. K., Kuugbee, E. D., & Mogre, V. (2021). Income Level but Not Nutrition Knowledge Is Associated with Dietary Diversity of Rural Pregnant Women from Northern Ghana. Journal of Nutrition and Metabolism, 4(3), 1–7. https://doi.org/10.1155/2021/5581445
Appiah, P. K., Korklu, A. R. N., Bonchel, D. A., Fenu, G. A., & Yankey, F. W.-M. (2021). Nutritional Knowledge and Dietary Intake Habits among Pregnant Adolescents Attending Antenatal Care Clinics in Urban Community in Ghana Prince. Journal of Nutrition and Metabolism, 4(3), 1–9. https://doi.org/https://doi.org/10.1155/2021/8835704
Barker, D. J., & Thornburg, K. L. (2013). The obstetric origins of health for a lifetime. Clin Obstet Gynecol, 56, 511‑519.
Beresford, A. A., Kristal, R., & Curry, J. (1997). Application the of a behavioral approach fat- and fiber-related diet to measuring dietary behavior questionnaire change. Cancer Epidemiology, Biomarkers & Prevention, 6, 355–361.
Coletta, J. M., Bell, S. J., & Roman, A. S. (2010). Omega-3 fatty acids and pregnancy. Reviews in Obstetrics & Gynecology, 3(4), 163–171. https://doi.org/10.3909/riog0137
Dereń, K., Gaweł, M., Łuszczki, E., Jarmakiewicz, S., Sokal, A., Polak, E., & Wyszyńska, J. (2017). Nutritional behavior of pregnant women from the Podkarpacie province. European Journal of Clinical and Experimental Medicine, 15(4), 322–329. https://doi.org/10.15584/ejcem.2017.4.4
Forbes, L. E., Graham, J. E., Berglund, C., & Bel, R. C. (2018). Dietary change during pregnancy and women’s reasons for change. Nutrients, 10, 1–10. https://doi.org/10.3390/nu10081032
Frederick, I. O., Williams, M. A., Dashow, E., Kestin, M., Zhang, C., & Leisenring, W. M. (2005). Dietary fiber, potassium, magnesium and calcium in relation to the risk of preeclampsia. J Reprod Med, 50, 332–344.
Freisling, H., Elmadfa, I., & Gall, I. (2017). The effect of socioeconomic status on dietary intake, physical activity and Body Mass Index in Austrian pregnant women Article. J Hum Nutr Diet, 19(4), 437–445. https://doi.org/10.1111/j.1365-277X.2006.00723.x
Gadegbeku, C., Wayo, R., Badu, G. A., Nukpe, E., & Okai, A. (2019). Food taboos among residents at Ashongman - Accra, Ghana. Food Science and Quality Management, 15, 21–29.
Grenier, L. N., Atkinson, S. A., Mottola, M. F., Wahoush, O., Thabane, L., Vickers-manzin, F. X. J., Moore, C., Hutton, E. K., & Murray-davis, B. (2021). Be Healthy in Pregnancy: Exploring factors that impact pregnant women’s nutrition and exercise behaviours. Maternal & Child Nutrition, 17, 1–9. https://doi.org/10.1111/mcn.13068
Handiso, Y. H. (2015). Prevalence of food aversions, cravings and pica during pregnancy and their association with nutritional status of pregnant women in Dale Woreda, Sidama zone, SNNPRS, Ethiopia. International Journal of Nutrition and Metabolism, 7(3), 1–14. https://doi.org/10.5897/IJNAM2014.0162
IBM Corp. (2017). IMB SPSS Statistic. Armonk, New York, United States.
Jersey, S. J. de, Nicholson, J. M., Callaway, L. K., & Daniels, L. A. (2013). An observational study of nutrition and physical activity behaviours, knowledge, and advice in pregnancy. BMC Pregnancy and Childbirth, 13(2), 1–8. https://doi.org/10.1186/1471-2393-13-115
Kemunto, M. L. (2013). Dietary diversity and nutritional status of pregnant women aged 15-49 years attending Kapenguria District Hospital West Pokot County, Kenya (Master’s thesis). Kenyatta University, Nairobi.
Kibr, G. (2021). A narrative review of nutritional malpractices, motivational drivers, and consequences in pregnant women: evidence from recent literature and program implications in Ethiopia. The Scientific World Journal, 5(2), 1–11. https://doi.org/https://doi.org/10.1155/2021/5580039
Masoumi, S. Z., Parsa, P., Kazemi, F., Soltanian, A. R., Dadvand, G., & Habib, S. (2016). Investigation of Nutritional Behaviors in the First and Second Trimesters in Pregnant Women Referring to Clinics in Hamadan, Iran, in 2013. Global Journal of Health Science, 8(9), 261–270. https://doi.org/10.5539/gjhs.v8n9p261
Mcdougall, B., Kavanagh, K., Stephenson, J., Poston, L., Flynn, A. C., & White, S. L. (2021). Health behaviours in 131,182 UK women planning pregnancy. BMC Pregnancy and Childbirth, 21(6), 1–11. https://doi.org/10.1186/s12884-021-04007-w
Mirsanjari, M., Muda, W. A. M. W., Ahmad, A., Othman, M. S., & Mosavat, M. (2012). Does Nutritional Knowledge Have Relationship With Healthy Dietary Attitude and Practices during Pregnancy? International Conference on Nutrition and Food Sciences, 39(2012), 159–163.
Moges, M., Worku, A., & Loha, E. (2015). Nutritional status and associated factors among pregnant women in Boricha Woreda, Sidama zone, southern Ethiopia. European Journal of Nutrition and Food Safety, 5, 2347–5641.
Nash, D. M., Gilliland, J. A., Evers, S. E., Wilk, P., & Campbell, M. K. (2013). Determinants of diet quality in pregnancy: sociodemographic, pregnancy-specific, and food environment influences. J Nutr Educ Behav, 45(6), 627-634. http://dx.doi.org/10.1016/j.jneb.2013.04.268
Pretorius, R. A., & Palmer, D. J. (2021). High-fiber diet during pregnancy characterized by more fruit and vegetable consumption. Nutrients, 13, 1–11. https://doi.org/10.3390/nu13010035
Qiu, C., Coughlin, K. B., Frederick, I. O., Sorensen, T. K., & Williams, M. A. (2008). Dietary fiber intake in early pregnancy and risk of subsequent preeclampsia. American Journal of Hypertension, 21(8), 903–909. https://doi.org/10.1038/ajh.2008.209
Reeves, M. M., Winkler, E. A. H., & Eakin, E. G. (2015). Fat and fibre behaviour questionnaire: Reliability, relative validity and responsiveness to change in Australian adults with type 2 diabetes and/or hypertension. Nutrition & Dietetics, 71(6), 368–376. https://doi.org/10.1111/1747-0080.12160
Rockliffe, L., Peters, S., Heazell, A. E. P., Smith, D. M., Rockliffe, L., Peters, S., Heazell, A. E. P., Smith, D. M., Peters, S., & Smith, D. M. (2021). Factors influencing health behaviour change during pregnancy: a systematic review and meta-synthesis. Health Psychology Review, 15(4), 613–632. https://doi.org/10.1080/17437199.2021.1938632
Sharifirad, G. R., Tol, A., Mohebi, S., Matlabi, M., Shahnazi, H., & Shahsiah, M. (2013). The effectiveness of nutrition education program based on health belief model compared with traditional training. Journal of Education and Health Promotion, 2(1), 1–5. https://doi.org/10.4103/2277-9531.112684
Suliga, E. (2017). Nutritional behaviours of pregnant women in rural and urban environments. Annals of Agricultural and Environmental Medicine, 22(3), 513–517. https://doi.org/10.5604/12321966.1167725
Willett, W. (1998). Nutritional epidemiology (2nd Ed.). Oxford University Press: New York.
World Health Organization. (2020). Healthy diet. Accessed on June 18, 2022. Available at https://www.who.int/news-room/fact-sheets/detail/healthy-diet
Yalew, A., Silasie, W. T., Anato, A., & Fikrie, A. (2019). Food Aversion During Pregnancy and Its Association With Nutritional Status of Pregnant Women in Boricha Woreda, Sidama Zone, Southern Ethiopia, 2019. A Community Based Mixed Cross-sectional Study Design. Journal of Community Medicine and Primary Health Care, 4(2), 1–21. https://doi.org/https://doi.org/10.21203/rs.3.rs-124356/v1
Yamane, T. (1967). Statistics; an introductory analysis (2nd ed.). New York: Harper & Row.