Volume 6, Issue 1 (Feb 2021)                   JNFS 2021, 6(1): 87-97 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Bigdeli J, Jarahi L, Ranjbar G, Khadem Ghaebi N, Safarian M, Soleimani D. Food Insecurity and Preeclampsia: A Case-Control Study. JNFS. 2021; 6 (1) :87-97
URL: http://jnfs.ssu.ac.ir/article-1-319-en.html
Department of Nutrition, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Abstract:   (637 Views)
Background: Household food insecurity is defined as the limited or uncertain access to adequate and safe food or limited ability to obtain food in a socially acceptable manner. Preeclampsia is a severe case of high-risk pregnancy, which endangers the health of women across the world, especially in developing countries. The current study aimed to use the nutritional deficiencies theory in pathogenesis of preeclampsia and determine the correlation between food insecurity and preeclampsia. Methods: This case-control study was conducted on 100 women with preeclampsia and 200 normal pregnant women with the gestational age of 20 weeks. Participants were selected via purposive sampling according to the eligibility criteria. Data were collected using the USDA questionnaire for food insecurity, socioeconomic data, and demographic data through interviews. Results: The findings indicated that the frequency of food insecurity was significantly higher in the preeclampsia women than the healthy women (71% vs. 21%; P < 0.001). Logistic regression indicated that the risk of preeclampsia was six times higher among pregnant women in the unsafe food status group than those in safe food status group [odds = 6.4; 95%CI: 3.3-12.4; P < 0.001]. Among the studied variables, socioeconomic status, history of stillbirth, history of preterm delivery, and ethnicity were significantly associated with preeclampsia during pregnancy (P < 0.05). In addition, women with low socioeconomic status were twice at the higher risk of preeclampsia compared to those with favorable socioeconomic status [odds = 2.7; 95%CI: 1.1-6.2; P = 0.01]. Conclusion: The current study indicated that the prevalence of food insecurity was high in Iranian women with preeclampsia, especially those with a history of preterm labor, history of stillbirth, low socioeconomic status, or non-Persian
Full-Text [PDF 664 kb]   (130 Downloads) |   |   Full-Text (HTML)  (54 Views)  
Type of article: orginal article | Subject: public specific
Received: 2020/05/3 | Accepted: 2020/08/9 | Published: 2021/01/13 | ePublished: 2021/01/13

References
1. Barba C, Cavalli-Sforza T, Cutter J & Darnton-Hill I 2004. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 363 (9403): 157.
2. Bickel G, Nord M, Price C, Hamilton W & Cook J 2000. Guide to measuring household food security, Revised 2002. United States Department of Agriculture.
3. Bodnar LM, et al. 2007. Maternal vitamin D deficiency increases the risk of preeclampsia. Journal of Clinical Endocrinology & Metabolism. 92 (9): 3517-3522.
4. Bodnar LM, Tang G, Ness RB, Harger G & Roberts JM 2006. Periconceptional multivitamin use reduces the risk of preeclampsia. American Journal of Epidemiology. 164 (5): 470-477.
5. Brantsæter AL, et al. 2009. A dietary pattern characterized by high intake of vegetables, fruits, and vegetable oils is associated with reduced risk of preeclampsia in nulliparous pregnant Norwegian women. Journal of Nutrition. 139 (6): 1162-1168.
6. Cerón-Mireles P, Harlow SD, Sanchez-Carrillo C & Nunez RM 2001. Risk factors for pre-eclampsia/eclampsia among working women in Mexico City. Paediatric and Perinatal Epidemiology. 15 (1): 40-46.
7. Chavarro JE, Halldorsson TI, Leth T, Bysted A & Olsen SF 2011. A prospective study of trans fat intake and risk of preeclampsia in Denmark. European Journal of Clinical Nutrition. 65 (8): 944.
8. Cheng M-H & Wang P-H 2009. Placentation abnormalities in the pathophysiology of preeclampsia. Expert Review of Molecular Diagnostics. 9 (1): 37-49.
9. Clausen T, et al. 2001. High intake of energy, sucrose, and polyunsaturated fatty acids is associated with increased risk of preeclampsia. American Journal of Obstetrics and Gynecology. 185 (2): 451-458.
10. Cudihy D & Lee R 2009. The pathophysiology of pre-eclampsia: current clinical concepts. Journal of Obstetrics and Gynaecology. 29 (7): 576-582.
11. Dixon LB, Winkleby MA & Radimer KL 2001. Dietary intakes and serum nutrients differ between adults from food-insufficient and food-sufficient families: Third National Health and Nutrition Examination Survey, 1988–1994. Journal of Nutrition. 131 (4): 1232-1246.
12. Dlamini NJ 1996. Factors associated with pre-eclampsia and quality care of affected teenagers during labour within health region H. in KwaZulu-Natal Province. In Nursing Science Department. University of Zululand.
13. Forouhari S, Zahra Y, Parsanezhad M & Raigan-Shirazi M 2009. The effects of regular exercise on pregnancy outcome. Iranian Red Crescent Medical Journal. 2009 (1): 57-60.
14. Garmaroudi GR & Moradi A 2010. Socio-economic status in Iran: a study of measurement index. Payesh (Health Monitor) 9(2): 137-144.
15. Gudmundsson S, Björgvinsdóttir L, Molin J, Gunnarsson G & Marsal K 1997. Socioeconomic status and perinatal outcome according to residence area in the city of Malmö. Acta Obstetricia et Gynecologica Scandinavica. 76 (4): 318-323.
16. Haelterman E, Qvist R, Barlow P & Alexander S 2003. Social deprivation and poor access to care as risk factors for severe pre-eclampsia. European Journal of Obstetrics & Gynecology and Reproductive Biology. 111 (1): 25-32.
18. Haugen M, et al. 2009. Vitamin D supplementation and reduced risk of preeclampsia in nulliparous women. Epidemiology. 720-726.
19. Hofmeyr GJ, Lawrie TA, Atallah ÁN, Duley L & Torloni MR 2014. Calcium supplementation during pregnancy for preventing hypertensive disorders and related problems. The Cochrane Library.
20. Hojaji E, Zavoshy R, Noroozi M & Jahanihashemi H 2015. Assessment of household food security and its relationship with some pregnancy complications. Journal of Mazandaran University of Medical Sciences. 25 (123): 87-98 [in Persian].
21. Ilekis JV, Reddy UM & Roberts JM 2007. Preeclampsia—a pressing problem: an executive summary of a National Institute of Child Health and Human Development workshop. Reproductive Sciences. 14 (6): 508-523.
22. Jain S, Sharma P, Kulshreshtha S, Mohan G & Singh S 2010. The role of calcium, magnesium, and zinc in pre-eclampsia. Biological Trace Element Research. 133 (2): 162-170.
23. Kendall A, Olson CM & Frongillo EA 1996. Relationship of hunger and food insecurity to food availability and consumption. Journal of the American Dietetic Association. 96 (10): 1019-1024.
24. Klesges LM, et al. 2001. Financial difficulty in acquiring food among elderly disabled women: results from the Women's Health and Aging Study. American Journal of Public Health. 91 (1): 68.
25. Lain KY & Roberts JM 2002. Contemporary concepts of the pathogenesis and management of preeclampsia. Journal of the American Medical Association. 287 (24): 3183-3186.
26. Langenberg C, Hardy R, Kuh D, Brunner E & Wadsworth M 2003. Central and total obesity in middle aged men and women in relation to lifetime socioeconomic status: evidence from a national birth cohort. Journal of Epidemiology & Community Health. 57 (10): 816-822.
27. Laraia BA, Siega-Riz AM & Gundersen C 2010. Household food insecurity is associated with self-reported pregravid weight status, gestational weight gain, and pregnancy complications. Journal of the American Dietetic Association. 110 (5): 692-701.
28. Laraia BA, Siega-Riz AM, Gundersen C & Dole N 2006. Psychosocial factors and socioeconomic indicators are associated with household food insecurity among pregnant women. Journal of Nutrition. 136 (1): 177-182.
29. Lee JS & Frongillo EA 2001. Nutritional and health consequences are associated with food insecurity among US elderly persons. Journal of Nutrition. 131 (5): 1503-1509.
30. Lichtenstein AH & Russell RM 2005. Essential Nutrients: Food or Supplements?: Where Should the Emphasis Be? Journal of the American Medical Association. 294 (3): 351-358.
31. Longo-Mbenza B, Tshimanga BK, Buassa-bu-Tsumbu B & Kabangu J 2008. Diets rich in vegetables and physical activity are associated with a decreased risk of pregnancy induced hypertension among rural women from Kimpese, DR Congo. Nigerian Journal of Medicine. 17 (3): 265-269.
32. Loucks EB, Rehkopf DH, Thurston RC & Kawachi I 2007. Socioeconomic disparities in metabolic syndrome differ by gender: evidence from NHANES III. Annals of Epidemiology. 17 (1): 19-26.
33. Lyall F & Belfort M 2007. Pre-eclampsia: etiology and clinical practice. Cambridge University Press.
34. Mackenbach JP, Cavelaars A, Kunst AE & Groenhof F 2000. Socioeconomic inequalities in cardiovascular disease mortality. An international study. European Heart Journal. 21 (14): 1141-1151.
36. Mozayeni M, Dorosty-Motlagh A, Eshraghian M & Davaei M 2014. Relationship between food sequrity and stress in pregnant mothers and low birth weight infant in child birth conducted in 2020 in tehran akbar abadi hospital. International Journal of current life science. 4: 2915-2921.
37. North C, Venter C & Jerling J 2009. The effects of dietary fibre on C-reactive protein, an inflammation marker predicting cardiovascular disease. European Journal of Clinical Nutrition. 63 (8): 921.
38. Ødegård RA, Vatten LJ, Nilsen ST, Salvesen KÅ & Austgulen R 2000. Risk factors and clinical manifestations of pre‐eclampsia. BJOG: An International Journal of Obstetrics & Gynaecology. 107 (11): 1410-1416.
40. Oken E, et al. 2007. Diet during pregnancy and risk of preeclampsia or gestational hypertension. Annals of Epidemiology. 17 (9): 663-668.
41. Olafsdottir AS, et al. 2006. Relationship between high consumption of marine fatty acids in early pregnancy and hypertensive disorders in pregnancy. International Journal of Obstetrics & Gynaecology. 113 (3): 301-309.
42. Osungbade KO & Ige OK 2011. Public health perspectives of preeclampsia in developing countries: implication for health system strengthening. Journal of Pregnancy. 2011.
43. Pathak P, et al. 2004. Prevalence of multiple micronutrient deficiencies amongst pregnant women in a rural area of Haryana. Indian Journal of Pediatrics. 71 (11): 1007-1014.
44. Qiu C, Coughlin KB, Frederick IO, Sorensen TK & Williams MA 2008. Dietary fiber intake in early pregnancy and risk of subsequent preeclampsia. American Journal of Hypertension. 21 (8): 903-909.
45. Rajizadeh A, et al. 2019. Food Security Status of Pregnant Women in Yazd, Iran, 2014-2015. Journal of Nutrition and Food Security. 4 (3): 152-160.
46. Ramakrishnan U 2004. Nutrition and low birth weight: from research to practice. American Jjournal of Clinical Nutrition. 79 (1): 17-21.
47. Ramesh K, Gandhi S & Rao V 2014. Socio-demographic and other risk factors of pre eclampsia at a tertiary care hospital, karnataka: case control study. Journal of Clinical and Diagnostic Rresearch. 8 (9): JC01.
48. Ramesh T, Dorosty Motlagh A & Abdollahi M 2010. Prevalence of household food insecurity in the City of Shiraz and its association with socio-economic and demographic factors, 2008. Iranian Journal of Nutrition Sciences & Food Technology. 4 (4): 53-64.
49. Ronsmans C, Graham WJ & group LMSSs 2006. Maternal mortality: who, when, where, and why. Lancet. 368 (9542): 1189-1200.
50. Rose D & Oliveira V 1997. Nutrient intakes of individuals from food-insufficient households in the United States. American Journal of Public Health. 87 (12): 1956-1961.
51. Seligman HK, Laraia BA & Kushel MB 2010. Food insecurity is associated with chronic disease among low-income NHANES participants. Journal of Nutrition. 140 (2): 304-310.
52. Sibai BM, et al. 2008. Serum inhibin A and angiogenic factor levels in pregnancies with previous preeclampsia and/or chronic hypertension: are they useful markers for prediction of subsequent preeclampsia? American Journal of Obstetrics and Gynecology. 199 (3): 268. e261-268. e269.
53. Tarasuk VS & Beaton GH 1999. Women’s dietary intakes in the context of household food insecurity. Journal of Nutrition. 129 (3): 672-679.
54. Torjusen H, et al. 2014. Reduced risk of pre-eclampsia with organic vegetable consumption: results from the prospective Norwegian Mother and Child Cohort Study. BMJ open. 4 (9): e006143.
55. Trogstad L, Magnus P, Skjærven R & Stoltenberg C 2008. Previous abortions and risk of pre-eclampsia. International Journal of Epidemiology. 37 (6): 1333-1340.
56. Vargas CM, Ingram DD & Gillum RF 2000. Incidence of Hypertension and Educational Attainment The NHANES I Epidemiologic Followup Study. American Journal of Epidemiology. 152 (3): 272-278.
57. Villar K, et al. 2003. Eclampsia and pre-eclampsia: a health problem for 2000 years. Preeclampsia. 189: 207.
58. von Dadelszen P & Magee L 2008. What matters in preeclampsia are the associated adverse outcomes: the view from Canada. Current Opinion in Obstetrics and Gynecology. 20 (2): 110-115.
59. Vozoris NT & Tarasuk VS 2003. Household food insufficiency is associated with poorer health. Journal of Nutrition. 133 (1): 120-126.
60. Weigel MM, Armijos RX, Hall YP, Ramirez Y & Orozco R 2007. The household food insecurity and health outcomes of US–Mexico border migrant and seasonal farmworkers. Journal of Immigrant and Minority Health. 9 (3): 157-169.
61. Wen SW, et al. 2008. Folic acid supplementation in early second trimester and the risk of preeclampsia. American Journal of Obstetrics and Gynecology. 198 (1): 45. e41-45. e47.
62. Xu H, Shatenstein B, Luo Z-C, Wei S & Fraser W 2009. Role of nutrition in the risk of preeclampsia. Nutrition Reviews. 67 (11): 639-657.
63. Yazdanpanahi Z, Forouhari S & Parsanezhad M 2008. Prepregnancy body mass index and gestational weight gain and their association with some pregnancy outcomes. Iranian Red Crescent Medical Journal. 2008 (4): 326-331.

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


© 2015 All Rights Reserved | Journal of Nutrition and Food Security

Designed & Developed by : Yektaweb