TY - JOUR
T1 - Compliance with dietary guidelines and relationship to psychosocial factors in low-income women in late postpartum
AU - George, Goldy C.
AU - Milani, Tracey J.
AU - Hanss-Nuss, Henry
AU - Freeland-Graves, Jeanne H.
N1 - Funding Information:
This research was supported by NIH grant RO1 NR04679. There have been no financial arrangements, organizational affiliations, or other relationships that may constitute a conflict of interest regarding the subject matter of the manuscript.
Funding Information:
The authors acknowledge Lorraine Walker, PhD, RN, for her role on the National Institutes of Health (NIH) grant and for reviewing the manuscript, and Thomas Bohman, PhD, for statistical advice.
PY - 2005/6
Y1 - 2005/6
N2 - Objectives: The goals were to evaluate compliance with the Dietary Guidelines among low-income women during late postpartum and to examine the relationship between psychosocial variables and dietary compliance. Subjects/setting: Participants were 146 triethnic, low-income women who were recruited 0 to 1 days after childbirth and who visited a clinic site at 1 year postpartum. Design: At 1 year postpartum, multiple psychosocial characteristics were measured, and food choices and nutrient intakes were assessed via a validated food frequency questionnaire. Dietary guidelines index scores and measures of adherence to dietary recommendations were computed. Statistical analyses performed: Descriptive statistics, analysis of variance with post-hoc Scheffe tests, χ2 with follow-up tests of independent proportions, and Pearson correlation coefficients were utilized. Results: For dietary compliance, 60% had adequate intakes of meat, but less than 30% met recommendations for grains, vegetables, fruits, dairy foods, total fat, and added sugar. Healthful weights (body mass index <25) were observed in 37% of women. Those in the highest tertile of dietary compliance had a more positive body image than those in the lowest tertile, and less neglect of self-care, weight-related distress, stress, depressive symptoms, and perceived barriers to weight loss (P<.05). Dietary compliance and psychosocial scale scores did not vary by ethnicity. Conclusions: Adherence to dietary guidelines was limited in the low-income, postpartum women. Psychosocial variables, such as neglect of self-care, weight-related distress, negative body image, stress, and depressive symptoms were associated with less healthful diets and lifestyle in late postpartum. Programs that target diet-related behavior change in low-income women might be improved by inclusion of psychosocial assessment and counseling components.
AB - Objectives: The goals were to evaluate compliance with the Dietary Guidelines among low-income women during late postpartum and to examine the relationship between psychosocial variables and dietary compliance. Subjects/setting: Participants were 146 triethnic, low-income women who were recruited 0 to 1 days after childbirth and who visited a clinic site at 1 year postpartum. Design: At 1 year postpartum, multiple psychosocial characteristics were measured, and food choices and nutrient intakes were assessed via a validated food frequency questionnaire. Dietary guidelines index scores and measures of adherence to dietary recommendations were computed. Statistical analyses performed: Descriptive statistics, analysis of variance with post-hoc Scheffe tests, χ2 with follow-up tests of independent proportions, and Pearson correlation coefficients were utilized. Results: For dietary compliance, 60% had adequate intakes of meat, but less than 30% met recommendations for grains, vegetables, fruits, dairy foods, total fat, and added sugar. Healthful weights (body mass index <25) were observed in 37% of women. Those in the highest tertile of dietary compliance had a more positive body image than those in the lowest tertile, and less neglect of self-care, weight-related distress, stress, depressive symptoms, and perceived barriers to weight loss (P<.05). Dietary compliance and psychosocial scale scores did not vary by ethnicity. Conclusions: Adherence to dietary guidelines was limited in the low-income, postpartum women. Psychosocial variables, such as neglect of self-care, weight-related distress, negative body image, stress, and depressive symptoms were associated with less healthful diets and lifestyle in late postpartum. Programs that target diet-related behavior change in low-income women might be improved by inclusion of psychosocial assessment and counseling components.
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U2 - 10.1016/j.jada.2005.03.009
DO - 10.1016/j.jada.2005.03.009
M3 - Article
C2 - 15942541
AN - SCOPUS:20444467685
SN - 0002-8223
VL - 105
SP - 916
EP - 926
JO - Journal of the American Dietetic Association
JF - Journal of the American Dietetic Association
IS - 6
ER -