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eSymposia | Optimizing Nutrition for Maternal, Newborn and Child Health


The evaluation and application of a FIGO nutritional screening tool in Chinese pregnant women


Oct 21, 2020 12:00am ‐ Oct 21, 2020 12:00am

Description

The evaluation and application of a FIGO nutritional screening tool in Chinese pregnant women Kit Ying Tsoi1, Ruth S.M. Chan1,2,#, Liz Sin Li2, Fionnuala M. McAuliffe3, Mark A. Hanson4,5, Wing Hung Tam6, Ronald C.W. Ma1,7,8,* 1 Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China 2 Centre for Nutritional Studies, The Chinese University of Hong Kong, Hong Kong SAR, China 3 UCD Perinatal Research Centre, School of Medicine, University College Dublin, National Maternity Hospital, Dublin, Ireland 4 Institute of Developmental Sciences, University Hospital Southampton, Southampton, UK 5 NIHR Southampton Biomedical Research Centre, University of Southampton, Southampton, UK 6 Department of Obstetrics and Gynecology, The Chinese University of Hong Kong, Hong Kong SAR, China 7 Hong Kong Institute of Diabetes and Obesity, The Chinese University of Hong Kong, Hong Kong SAR, China 8 Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong SAR, China Background A healthy balanced diet providing good nutrition for women before and during pregnancy is important, not only for women’s health, but also to support a healthy growth and development of the baby. The current gold standard of evaluating dietary intake and quality such as food diary, 24-hour recall and food frequency question (FFQ) are complex and time consuming; a simple, short and easy to administrate nutrition checklist was developed by The FIGO Adolescent, Preconception, and Maternal Nutrition Working Group, to assess the dietary quality and identify the nutritional risk in early pregnancy. Objective The aim of the study is to evaluate the reliability and utility of the FIGO nutritional checklist, to identify dietary and nutritional inadequacy in early pregnancy by comparing it against nutritional indicators (e.g. nutrient and food intakes) and dietary quality indices (e.g. Dietary Approaches to Stop Hypertension [DASH] score, Mediterranean Diet Score [MDS], and Dietary Quality Index-International [DQI-I]), derived by a locally validated FFQ. Method A prospective cohort study of healthy Chinese singleton pregnant women randomly recruited at their first antenatal appointment. Women completed the FIGO Nutrition Checklist (translated into Chinese) and the FFQ. Spearman correlation was performed to examine association between the Checklist and dietary quality indices or food and nutrient intakes, calculated based on dietary data from the FFQ. Result Of 160 participants, 156 (97.5%) completed both the FIGO Nutrition Checklist and FFQ. There were 148 (95%) women who reported at least one suboptimal dietary behavior using the Checklist. The checklist score was significantly associated with dietary quality indices (DASH ρ=0.344, P

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