Journal article
Disparities in Risks of Inadequate and Excessive Intake of Micronutrients during Pregnancy
The Journal of nutrition, v 151(11), pp 3555-3569
02 Nov 2021
PMID: 34494118
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Inadequate or excessive intake of micronutrients in pregnancy has potential to negatively impact maternal/offspring health outcomes.
The aim was to compare risks of inadequate or excessive micronutrient intake in diverse females with singleton pregnancies by strata of maternal age, race/ethnicity, education, and prepregnancy BMI.
Fifteen observational cohorts in the US Environmental influences on Child Health Outcomes (ECHO) Consortium assessed participant dietary intake with 24-h dietary recalls (n = 1910) or food-frequency questionnaires (n = 7891) from 1999-2019. We compared the distributions of usual intake of 19 micronutrients from food alone (15 cohorts; n = 9801) and food plus dietary supplements (10 cohorts with supplement data; n = 7082) to estimate the proportion with usual daily intakes below their age-specific daily Estimated Average Requirement (EAR), above their Adequate Intake (AI), and above their Tolerable Upper Intake Level (UL), overall and within sociodemographic and anthropometric subgroups.
Risk of inadequate intake from food alone ranged from 0% to 87%, depending on the micronutrient and assessment methodology. When dietary supplements were included, some women were below the EAR for vitamin D (20-38%), vitamin E (17-22%), and magnesium (39-41%); some women were above the AI for vitamin K (63-75%), choline (7%), and potassium (37-53%); and some were above the UL for folic acid (32-51%), iron (39-40%), and zinc (19-20%). Highest risks for inadequate intakes were observed among participants with age 14-18 y (6 nutrients), non-White race or Hispanic ethnicity (10 nutrients), less than a high school education (9 nutrients), or obesity (9 nutrients).
Improved diet quality is needed for most pregnant females. Even with dietary supplement use, >20% of participants were at risk of inadequate intake of ≥1 micronutrients, especially in some population subgroups. Pregnancy may be a window of opportunity to address disparities in micronutrient intake that could contribute to intergenerational health inequalities.
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Details
- Title
- Disparities in Risks of Inadequate and Excessive Intake of Micronutrients during Pregnancy
- Creators
- Katherine A Sauder - University of Colorado Anschutz Medical CampusRobyn N Harte - University of Colorado Anschutz Medical CampusBrandy M Ringham - University of Colorado Anschutz Medical CampusPatricia M Guenther - University of UtahRegan L Bailey - Purdue University West LafayetteAkram Alshawabkeh - Northeastern UniversityJosé F Cordero - University of GeorgiaAnne L Dunlop - Emory UniversityErin P Ferranti - Emory UniversityAmy J Elliott - Avera HealthDiane C Mitchell - Pennsylvania State UniversityMonique M Hedderson - Kaiser PermanenteLyndsay A Avalos - Kaiser PermanenteYeyi Zhu - Kaiser PermanenteCarrie V Breton - University of Colorado Anschutz Medical CampusLeda Chatzi - University of Southern CaliforniaJin Ran - University of Southern CaliforniaIrva Hertz-Picciotto - University of California, DavisMargaret R Karagas - Dartmouth CollegeVicki Sayarath - Dartmouth CollegeJoseph Hoover - University of New MexicoDebra MacKenzie - University of New MexicoKristen Lyall - Drexel UniversityRebecca J Schmidt - University of California, DavisThomas G O'Connor - University of Rochester Medical CenterEmily S Barrett - Rutgers, The State University of New JerseyKaren M Switkowski - Harvard Pilgrim Health CareSarah S Comstock - Michigan State UniversityJean M Kerver - Michigan State UniversityLeonardo Trasande - New York UniversityFrances A Tylavsky - University of Tennessee Health Science CenterRosalind J Wright - Icahn School of Medicine at Mount SinaiSrimathi Kannan - University of MichiganNoel T Mueller - Bloomberg (United States)Diane J Catellier - RTI InternationalDeborah H Glueck - University of Colorado Anschutz Medical CampusDana Dabelea - University of Colorado Anschutz Medical CampusProgram Collaborators for Environmental influences on Child Health Outcomes (ECHO)
- Publication Details
- The Journal of nutrition, v 151(11), pp 3555-3569
- Publisher
- Oxford University Press
- Grant note
- R21 ES021318 / NIEHS NIH HHS P30 DK048520 / NIDDK NIH HHS P30 ES023513 / NIEHS NIH HHS UH3 OD023337 / NIH HHS U01 CA215834 / NCI NIH HHS R24 ES028533 / NIEHS NIH HHS R01 GM121081 / NIGMS NIH HHS UH3 OD023365 / NIH HHS UH3 OD023271 / NIH HHS UH3 OD023287 / NIH HHS UH3 OD023279 / NIH HHS UH3 OD023275 / NIH HHS UH3 OD023318 / NIH HHS K01 HL141589 / NHLBI NIH HHS U01 TS000135 / ATSDR CDC HHS AS5938 / Autism Speaks U24 OD023319 / NIH HHS U2C OD023375 / NIH HHS R01 ES031701 / NIEHS NIH HHS P42 ES007373 / NIEHS NIH HHS UH3 OD023305 / NIH HHS UH3 OD023251 / NIH HHS UG3 OD023271 / NIH HHS R01 HD034568 / NICHD NIH HHS R01 NR014800 / NINR NIH HHS UH3 OD023344 / NIH HHS K01 DK120807 / NIDDK NIH HHS U24 OD023382 / NIH HHS R24 ES029490 / NIEHS NIH HHS P01 ES022832 / NIEHS NIH HHS R01 ES016443 / NIEHS NIH HHS UH3 OD023285 / NIH HHS UH3 OD023349 / NIH HHS UL1 TR001082 / NCATS NIH HHS K01 NR017664 / NINR NIH HHS U01 HD045935 / NICHD NIH HHS P42 ES017198 / NIEHS NIH HHS R01 ES025574 / NIEHS NIH HHS P50 ES026086 / NIEHS NIH HHS R01 DK076648 / NIDDK NIH HHS UH3 OD023286 / NIH HHS UH3 OD023248 / NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute
- Web of Science ID
- WOS:000731863600030
- Scopus ID
- 2-s2.0-85119584586
- Other Identifier
- 991020100058604721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Nutrition & Dietetics