Antenatal weight management: diet, physical activity, and gestational weight gain in early pregnancy

Objective to investigate women's physical activity levels, diet and gestational weight gain, and their experiences and motivations of behavior change. Design analysis of cross-sectional data collected during a longitudinal, cohort study examining physiological, psychological, sociodemographic, and self-reported behavioural measures relating to bodyweight. Setting women recruited from routine antenatal clinics at the Nottingham University Hospitals NHS Trust. Participants 193 women ≤27 weeks gestation and aged 18 years or over. Measurements & findings measurements included weight and height, the Dietary Instrument for Nutrition Education (Brief Version), the International Physical Activity Questionnaire (Short Form), and open questions of perceptions of behaviour change. 50.3% (n=97) were overweight/obese, and women gained 0.26 kg/wk (IQR 0.34 kg/wk) since conception. The majority consumed low levels of fat (n=121; 63.4%), high levels of unsaturated fat (n=103; 53.9%), and used a dietary supplement (n=166; 86.5%). However, 41% (n=76) were inactive, 74.8% (n=143) did not consume high levels of fibre, and 90.0% (n=171) consumed less than 5 portions of fruit and vegetables a day. Body mass index category was not associated with diet, physical activity levels, or gestational weight gain. Themes generated from open-questions relating to behaviour change were: (1) Risk management, (2) Coping with symptoms, (3) Self-control, (4) Deviation from norm, (5) Nature knows best. Conclusions early pregnancy is a period of significant and heterogeneous behaviour change, influenced by perceptions of risk and women's lived experience. Behaviour was influenced not only by perceptions of immediate risk to the fetus, but also by the women's lived experience of being pregnant. Implications for practice: There are exciting opportunities to constructively reframe health promotion advice relating to physical activity and diet in light of women's priorities. The need for individualized advice is highlighted, and women across all body mass index categories would benefit from improved diet and physical activity levels

Antenatal weight management: diet, physical activity, and gestational weight gain in early pregnancy

Objective: to investigate women’s physical activity levels, diet and gestational weight gain, and their experiences and motivations of behavior change. Design: analysis of cross-sectional data collected during a longitudinal, cohort study examining physiological, psychological, sociodemographic, and self-reported behavioural measures relating to bodyweight. Setting: women recruited from routine antenatal clinics at the Nottingham University Hospitals NHS Trust. Participants: 193 women ≤27 weeks gestation and aged 18 years or over. Measurements & findings: measurements included weight and height, the Dietary Instrument for Nutrition Education (Brief Version), the International Physical Activity Questionnaire (Short Form), and open questions of perceptions of behaviour change. 50.3% (n=97) were overweight/obese, and women gained 0.26kg/wk (IQR 0.34 kg/wk) since conception. The majority consumed low levels of fat (n=121; 63.4%), high levels of unsaturated fat (n=103; 53.9%), and used a dietary supplement (n=166; 86.5%). However, 41% (n=76) were inactive, 74.8% (n=143) did not consume high levels of fibre, and 90.0% (n=171) consumed less than 5 portions of fruit and vegetables a day. Body mass index category was not associated with diet, physical activity levels, or gestational weight gain. Themes generated from open-questions relating to behaviour change were: (1) Risk management, (2) Coping with symptoms, (3) Self-control, (4) Deviation from norm, (5) Nature knows best. Conclusions: early pregnancy is a period of significant and heterogeneous behaviour change, influenced by perceptions of risk and women’s lived experience. Behaviour was influenced not only by perceptions of immediate risk to the fetus, but also by the women’s lived experience of being pregnant. Implications for practice: There are exciting opportunities to constructively reframe health promotion advice relating to physical activity and diet in light of women’s priorities. The need for individualized advice is highlighted, and women across all body mass index categories would benefit from improved diet and physical activity levels

Recent Advances in Antioxidant Active Food Packaging

Oxidation is one of the most serious problems the food industry faces in protecting shelf-stable packaged foods due to its deteriorating effects on food quality. The major food quality issues influenced by lipid oxidation include decreased nutritional quality, increased toxicity, development of off-odor and altered texture and color. Scientist found that oxidation of lipids from the diet may play a direct role in the development of chronic diseases in the human body. Some strategies that are commonly used to limit the extent of lipid oxidation of packaged foods are direct addition of antioxidants or packaging under modified atmospheres in which oxygen presence is limited. A novel alternative to these methods is antioxidant active packaging, whose main advantage is that it can provide sustained release of antioxidants during storage. Recent advances in antioxidant active food packaging with special emphasis on antioxidant release systems have been developed by various methods. The package design needs special consideration and various methods are employed to date and to evaluate the antioxidant effectiveness of active antioxidant materials are discussed

Mendelian randomization analysis does not support causal associations of birth weight with hypertension risk and blood pressure in adulthood

International audienceEpidemiology studies suggested that low birthweight was associated with a higher risk of hypertension in later life. However, little is known about the causality of such associations. In our study, we evaluated the causal association of low birthweight with adulthood hypertension following a standard analytic protocol using the study-level data of 183,433 participants from 60 studies (CHARGE-BIG consortium), as well as that with blood pressure using publicly available summary-level genome-wide association data from EGG consortium of 153,781 participants, ICBP consortium and UK Biobank cohort together of 757,601 participants. We used seven SNPs as the instrumental variable in the study-level analysis and 47 SNPs in the summary-level analysis. In the study-level analyses, decreased birthweight was associated with a higher risk of hypertension in adults (the odds ratio per 1 standard deviation (SD) lower birthweight, 1.22; 95% CI 1.16 to 1.28), while no association was found between genetically instrumented birthweight and hypertension risk (instrumental odds ratio for causal effect per 1 SD lower birthweight, 0.97; 95% CI 0.68 to 1.41). Such results were consistent with that from the summary-level analyses, where the genetically determined low birthweight was not associated with blood pressure measurements either. One SD lower genetically determined birthweight was not associated with systolic blood pressure (β = − 0.76, 95% CI − 2.45 to 1.08 mmHg), 0.06 mmHg lower diastolic blood pressure (β = − 0.06, 95% CI − 0.93 to 0.87 mmHg), or pulse pressure (β = − 0.65, 95% CI − 1.38 to 0.69 mmHg, all p > 0.05). Our findings suggest that the inverse association of birthweight with hypertension risk from observational studies was not supported by large Mendelian randomization analyses