In-home Prenatal Nutrition Intervention Increased Dietary Iron Intakes and Reduced Low Birthweight in Low-Income African-American Women
Section snippets
Subjects and Methods
Volunteers were 27 pregnant African-American women residing in a county with representative rates of LBW similar to those of the United States. The women were recruited through the local county health department WIC Program and they were all at 24 weeks gestation or less. They had no pre-existing health conditions and none of them were following prescribed diets. Women were randomly assigned to either an intervention or a control group.
The intervention protocol (Table 1) was adapted from Widga
Results and Discussion
Of the 27 women recruited, 20 completed the study (10 in the intervention group and 10 in the control group). The 7 women who dropped out (5 from the intervention group and 2 from the control group) indicated that time constraints prevented them from scheduling appointments with the nutritionist. Demographic data for those who completed the study indicated that 7 women in each group (70%) were 21 years of age or younger, 8 in the intervention group (80%) and 10 in the control group (100%) were
Applications
Based on the results of this study, we suggest that programs designed to address the needs of African-American women during pregnancy need to promote culturally acceptable foods to increase dietary intakes of iron, folate, and zinc. Due to the high percentage of single mothers and young mothers, a support system including family, friends, and health professionals needs to be incorporated as part of nutrition intervention to facilitate dietary behavior changes and to provide psychosocial
References (23)
- et al.
Psychosocial stressors and low birthweight in an urban population
Am J Prev Med.
(1996) - et al.
Impact of the Higgins intervention program on birth weightA within-mother analysis
J Am Diet Assoc.
(1989) - et al.
Defined, in-home, prenatal nutrition intervention for low-income women
J Am Diet Assoc.
(1999) - et al.
Selected lifestyle practices in urban African-American women-relationships to pregnancy outcome, dietary intakes and anthropometric measurements
J Nutr.
(1994) - et al.
Multiple factors as mediators of the reduced incidence of low birth weight in an urban clinic population
J Nutr.
(1994) - et al.
Public health nutrition practice in the United States
J Am Diet Assoc.
(2001) Institute of Medicine; Committee on Nutritional Status During Pregnancy and Lactation. Nutrition During Pregnancy
(1990)- et al.
The relationship between prenatal health behavior advice and low birth weight
Public Health Rep.
(1997) - Lewit EM, Baker LS, Corman H, Shiono PH. The direct cost of low birth weight. Available at:...
- et al.
Mediators of ethnic-associated differences in infant birth weight
J Urban Health: Bull NY Acad Med.
(1999)