Computer-based tailored dietary counselling improves the nutrient adequacy of the diet of French pregnant women: a randomised controlled trial.

During pregnancy, mothers-to-be should adapt their diet to meet increases in nutrient requirements. Pregnant women appear to be keener to adopt healthier diets, but are not always successful. The objective of the present study was to determine whether a guided, stepwise and tailored dietary counsell...

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Publicado en:British Journal of Nutrition Vol. 123; no. 2; pp. 220 - 232
Autores principales: Bianchi, Clélia M., Mariotti, François, Lluch, Anne, Journet, Claire, Stehr, Yaëlle, Beaussier, Hélène, Fournier, Julien, Dervaux, Stéphane, Cohen-Tanuggi, Dylan, Reulet, Elodie, Verger, Eric O., Azria, Elie, Huneau, Jean-François
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Cambridge University Press 1/28/2020
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Cambridge University Press
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        10.1017/S0007114519002617
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        atl: Computer-based tailored dietary counselling improves the nutrient adequacy of the diet of French pregnant women: a randomised controlled trial.
      aug:
        au:
          Bianchi, Clélia M.
          Mariotti, François
          Lluch, Anne
          Journet, Claire
          Stehr, Yaëlle
          Beaussier, Hélène
          Fournier, Julien
          Dervaux, Stéphane
          Cohen-Tanuggi, Dylan
          Reulet, Elodie
          Verger, Eric O.
          Azria, Elie
          Huneau, Jean-François
        affil: UMR PNCA, AgroParisTech, INRA, Université Paris-Saclay, 75005 Paris, France
      sug:
        subj:
          Counseling
          Nutrients
          Diet In Pregnancy
          Women's Health
          Therapy, Computer Assisted
          Human
          Randomized Controlled Trials
          Pregnancy
          Female
          France
          Maternal Health Services
          Internet
          Nutritional Requirements
          Pamphlets
          Algorithms
          After Care
          Descriptive Statistics
          Diet Records
          Scales
          Female
      ab: During pregnancy, mothers-to-be should adapt their diet to meet increases in nutrient requirements. Pregnant women appear to be keener to adopt healthier diets, but are not always successful. The objective of the present study was to determine whether a guided, stepwise and tailored dietary counselling programme, designed using an optimisation algorithm, could improve the nutrient adequacy of the diet of pregnant women, beyond generic guidelines. Pregnant women (n 80) who attended Notre-Dame-de-Bon-Secours Maternity Clinic were randomly allocated to the control or intervention arm. Dietary data were obtained twice from an online 3-d dietary record. The nutrient adequacy of the diet was calculated using the PANDiet score, a 100-point diet quality index adapted to the specific nutrient requirements for pregnancy. Women were supplied with generic dietary guidelines in a reference booklet. In the intervention arm, they also received nine sets of tailored dietary advice identified by an optimisation algorithm as best improving their PANDiet score. Pregnant women (n 78) completed the 12-week dietary follow-up. Initial PANDiet scores were similar in the control and intervention arms (60·4 (sd 7·3) v. 60·3 (sd 7·3), P = 0·92). The PANDiet score increased in the intervention arm (+3·6 (sd 9·3), P = 0·02) but not in the control arm (−0·3 (sd 7·3), P = 0·77), and these changes differed between arms (P = 0·04). In the intervention arm, there were improvements in the probabilities of adequacy for α -linolenic acid, thiamin, folate and cholesterol intakes (P < 0·05). Tailored dietary counselling using a computer-based algorithm is more effective than generic dietary counselling alone in improving the nutrient adequacy of the diet of French women in mid-pregnancy.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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