The dietary Intake of two Groups of Lactating Women in Shanghai During the Puerperium

Rui Hu, Jun Fei, Yingchen Zhai, Yi Feng, Janet Warren, Yi Jin, Bianca Papi, Bernd Stahl, Zhixu Wang, Jing Li*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background and Objectives: Lactation is a time of increased nutritional requirements for mothers, and inadequate nutrient intake may have a detrimental effect on a woman's nutritional status. To investigate the dietary intake of two groups of women in Shanghai during the traditional confinement period. Methods and Study Design: Two groups of women (1) a community dwelling sample (n=92); (2) residents in a Maternity Care Centre (MCC) (n=30), kept a prospective dietary record which was complemented by photographing. This data collection was done on a single day on three occasions in the community group, and for three days on five occasions in the MCC one. The mean nutrient intakes of the two groups were compared at common time points to dietary reference intakes, and the food intake was compared to dietary guidelines. Results: Over half of this population had high body mass indices (BMIs) which reported that an excessive proportion of calories had come from fat intake. The mean intakes of sodium were higher than the recommended. Fruit, vegetable, bean, tuber, and milk intakes were lower than the recommendations. Over 70% of the women failed to meet the Estimated Average Requirement (EAR) for calcium. A notable proportion of all women failed to meet the EAR for vitamin C, thiamin, and riboflavin. Dietary fiber intakes were low, with a group mean intake value less than half the Adequate Intake (AI). Conclusions: This study on dietary intakes indicates nutritional intake issues may exist among lactating women in Shanghai, particularly in community-dwelling women.

Original languageEnglish
Pages (from-to)106-115
Number of pages10
JournalAsia Pacific Journal of Clinical Nutrition
Volume28
Issue number1
DOIs
Publication statusPublished - Mar 2019

Bibliographical note

Funding Information:
The research has received scientific contribution from Nutricia Research, the Netherlands and Singapore. The dietary photos and records were analyzed by nutritionists from the Department of Clinical Nutrition of SCMC and a professional maternal nutrition team of Nanjing Medical University School of Public Health. We extend our sincere gratitude to Berend-Jan Velhuis of Danone Nutricia Research, the Netherlands, for his devoted contribution to the statistical analysis and precious suggestions during the preparation of this paper.

Funding Information:
The research has received financial support and scientific contribution from Danone Nutricia Early Life Nutrition, China. This work was also supported by the Maternal Care Center, Renji Hospital, and Shanghai First Maternity and Infant Health Hospital.

Funding Information:
This dietary intake study was a part of the MURU study, an observational investigation undertaken by the Shanghai Children’s Medical Center (SCMC) and funded by Nutricia Early Life Nutrition (ELN). The MURU study aimed to determine the human milk composition and the dietary intake of a cohort of lactating women living in Shanghai. The study obtained ethical approval from the Institutional Review Board of the SCMC (SCMCIRB-K2013026).

Publisher Copyright:
© 2020. All Rights Reserved.

Funding

The research has received scientific contribution from Nutricia Research, the Netherlands and Singapore. The dietary photos and records were analyzed by nutritionists from the Department of Clinical Nutrition of SCMC and a professional maternal nutrition team of Nanjing Medical University School of Public Health. We extend our sincere gratitude to Berend-Jan Velhuis of Danone Nutricia Research, the Netherlands, for his devoted contribution to the statistical analysis and precious suggestions during the preparation of this paper. The research has received financial support and scientific contribution from Danone Nutricia Early Life Nutrition, China. This work was also supported by the Maternal Care Center, Renji Hospital, and Shanghai First Maternity and Infant Health Hospital. This dietary intake study was a part of the MURU study, an observational investigation undertaken by the Shanghai Children’s Medical Center (SCMC) and funded by Nutricia Early Life Nutrition (ELN). The MURU study aimed to determine the human milk composition and the dietary intake of a cohort of lactating women living in Shanghai. The study obtained ethical approval from the Institutional Review Board of the SCMC (SCMCIRB-K2013026).

Keywords

  • community
  • dietary intake
  • lactation
  • maternity care center
  • Shanghai
  • women

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