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A Longitudinal Analysis of the Dietary Patterns in Overweight/Obese Breastfeeding and Formula Feeding Postpartum Women

Provo, Casey

Abstract Details

2014, MS, University of Cincinnati, Allied Health Sciences: Nutrition.
Objective: The objective of this study was to longitudinally assess the dietary patterns of overweight and obese postpartum women who are breastfeeding or formula feeding by comparing energy and food group intake with MyPlate recommendations at six weeks, six months, 12 months, and 18 months postpartum. Methods: Three-day food records were collected at six weeks, six months, 12 months, and 18 months postpartum. Food records were analyzed using the Nutrition Data System for Research. Average energy and food group intake was calculated at each time point. The percentage of subjects who met MyPlate recommendations for energy and food groups was calculated. Student’s T- test and Chi-Square were used to determine if there were baseline differences in subject characteristics between breastfeeding and formula feeding groups. Friedman’s test was conducted to assess if the proportion of subjects meeting the recommendation for energy and food groups changed over time. A post-hoc Wilcoxon signed-rank test was conducted and a Bonferroni adjustment was applied to determine at which time points the differences between each group occurred. </br> Results: Over half of the women in this study met energy recommendations at each time point but many women did not meet MyPlate recommendations for fruits, vegetables, grains, protein foods, dairy, and fats and oils. There was no effect of time on recommendation range category for all food groups (p>0.05) except for grains (p = 0.036). Post hoc test determined that effect of time on grain recommendation range category occurred at six weeks vs. 18 months postpartum (p = 0.005).</br> Conclusion: Of this group of overweight and obese postpartum women, over half consumed the recommended amount of energy but many did not meet MyPlate recommendations for food group consumption at each time point. This population of women is in need of dietary interventions that occur as soon as possible after delivery in order to promote overall maternal health, as well as support lactation status, and reduce the risk of chronic diseases associated with overweight and obesity.
Graciela Falciglia, Ph.D. (Committee Chair)
Emily L. Van Walleghen, Ph.D. R.D. (Committee Member)
Seung-Yeon Lee, Ph.D. (Committee Member)
26 p.

Recommended Citations

Citations

  • Provo, C. (2014). A Longitudinal Analysis of the Dietary Patterns in Overweight/Obese Breastfeeding and Formula Feeding Postpartum Women [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1406818450

    APA Style (7th edition)

  • Provo, Casey. A Longitudinal Analysis of the Dietary Patterns in Overweight/Obese Breastfeeding and Formula Feeding Postpartum Women. 2014. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1406818450.

    MLA Style (8th edition)

  • Provo, Casey. "A Longitudinal Analysis of the Dietary Patterns in Overweight/Obese Breastfeeding and Formula Feeding Postpartum Women." Master's thesis, University of Cincinnati, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1406818450

    Chicago Manual of Style (17th edition)