The use of dietary supplements in preconception phase of women in Lublin province in the era before the COVID pandemic
DOI:
https://doi.org/10.12775/JEHS.2022.12.08.069Keywords
pre-contraceptive period, dietary supplements, folic acid, vitamin D, iodineAbstract
Introduction and purpose
Nutrition in the preconception phase as well as during pregnancy represents one of the most important factors that affect the development and well-being of the fetus and newborn. The aim of this study was to evaluate the dietary supplements during preconception among Polish women from the Lublin Province.
Material and methods
The survey was conducted in a population of 260 women, who were randomly included in the study. The women were asked to anonymously complete a questionnaire regarding the possible intake of supplementation. The questions included in the questionnaire concerned the frequency and type of dietary supplements taken.
Results
A slight majority of women (53%) did not take dietary supplements during the contraceptive period. The most commonly used was folic acid (45%), the least frequently - vitamin A (2%). The frequency of using dietary supplements by women in the pre-conception period does not correlate with the level of their place of residence, financial situation or age, however, it is related to the level of education - people with higher education used supplementation more often before pregnancy. Women's awareness of supplementation during pregnancy increases significantly. Women take many more supplements during pregnancy than they took before pregnancy. The average supplementation before pregnancy was 0.48, and during pregnancy it increases significantly and amounts to 0.83.
Conclusions
Women's awareness of supplementation during pregnancy increases significantly. Women take many more supplements during pregnancy than they took before pregnancy.The awareness of women should be increased and supplementation of recommended nutrients should be improved in order to prevent the effects of supplements deficiency.
References
Grzelak T, Suliga K, Sperling M, Pelczyńska M, Czyżewska K. Ocena stosowania suplementów diety wśród kobiet ciężarnych lub planujących ciążę. Forum Zaburzeń Metabolicznych 2016, tom 7, nr 1, 8–1. Polish.
Karowicz-Bilińska A, Nowak-Markwitz E, Opala T, Oszukowski P, Poręba R, Spaczyński M. Rekomendacje Polskiego Towarzystwa Ginekologicznego w zakresie stosowania witamin i mikroelementów u kobiet planujących ciążę, ciężarnych i karmiących. Rekomendacje Polskiego Towarzystwa Ginekologicznego 2011–2015. Ginekol Pol. 5/2014, 85, 395-399. Polish.
McKenna E, Hure A, Perkins A, Gresham E. Dietary Supplement Use during Preconception: The Australian Longitudinal Study on Women’s Health. Nutrients 2017, 9, 1119.
Makowska-Donajska M, Hirnle L. Suplementacja witamin i składników mineralnych podczas ciąży. Ginekologia i Perinatologia Praktyczna 2017 tom 2, nr 4, strony 166–172. Polish.
Suplementy diety — korzyści i zagrożenia. Jarosz M, Stoś K, Respondek W, et al. Stand Med. 2008; 10(35). Polish.
Bean LJ, Allen EG, Tinker SW, Hollis ND, Locke AE, Druschel C, Hobbs CA, O'Leary L, Romitti PA, Royle MH, Torfs CP, Dooley KJ, Freeman SB, Sherman SL. Lack of maternal folic acid supplementation is associated with heart defects in Down syndrome: a report from the National Down Syndrome Project. Birth Defects Res A Clin Mol Teratol. 2011; 91(10): 885–893.
Bomba-Opoń D, Hirnle L, Kalinka J, Seremak-Mrozikiewicz. A Suplementacja folianów w okresie przedkoncepcyjnym, w ciąży i połogu. Rekomendacje Polskiego Towarzystwa Ginekologów i Położników. Ginekologia i Perinatologia Praktyczna 2017 tom 2, nr 5, strony 210–214. Polish.
Seremak-Mrozikiewicz A, Metafolin--alternative for Folate Deficiency Supplementation in Pregnant Women, Ginekol Pol, 84 (7), 641-6 Jul 2013.
Emily Oken, Vincenzo Berghella,, Vanessa A Barss. Fish consumption and marine omega-3 fatty acid supplementation in pregnancy. https://www.uptodate.com/contents/fish-consumption-and-marine-omega-3-fatty-acid-supplementation-in-pregnancy#H3570128464
Rzeźnik M, Suliburska J. Suplementacja witaminowo-mineralna u kobiet w wieku prekoncepcyjnym. Forum Zaburzeń Metabolicznych 2016, tom 7, nr 3, 106–110. Polish.
Shah PS, Ohlsson A. Effects of prenatal multi micronutrients supplementation on pregnancy outcomes a meta analysis. CMAJ. 2009, 180, 12-20.
Hamułka J, Wawrzyniak A, Pawlowska R. Ocena spożycia witamin i składników mineralnych z suplementami diety przez kobiety w ciąży. Rocz. Państw. Zakł. Hig. 2010; 61: 269−275. Polish.
Scholl TO, Hediger ML, Bendich A, Schall JI, Smith WK, Krueger PM. Use of multivitamin/mineral prenatal supplements: influence on the outcome of pregnancy. Am. J. Epidemiol. 1997 Jul. 15,146, 2, 134–141.
Dudek M, Kocyłowski R, Kokocińska K, Kuźniacka I, Lewicka I, Suliburska J. Ocena podaży żelaza i kwasu foliowego u kobiet w wieku rozrodczym. Forum Zaburzeń Metabolicznych 2017, tom 8, nr 2, 88–95. Polish.
Ehmke vel Emczyńska E, Kunachowicz H. Badanie ankietowe wśród kobiet w wieku rozrodczym dotyczące pierwotnej profilaktyki wad cewy nerwowej. Hygiene Public Health 2011; 46(1): 47-50. Polish.
Bieżanowska-Kopeć R, Leszczyńska T, Pisulewski PM. Oszacowanie zawartości folianów i innych witamin z grupy B w dietach młodych kobiet (20-25 lat) z województwa małopolskiego. Zywn Nauk Technol Ja. 2007; 6(55): 352-358. Polish.
Wyka J, Mikołajczak J. Podaż kwasu foliowego w racjach pokarmowych Wrocławianek w wieku 20-25 lat oraz ocena wiedzy o jego znaczeniu dla zdrowia. ROCZN PZH. 2007; 58: 633-540. Polish.
Kapka-Skrzypczak L, Niedźwiecka J, Skrzypczak M, Wojtyła A. Kwas foliowy – skutki niedoboru i zasadność suplementacji. Medycyna Ogólna i Nauki o Zdrowiu, 2012, Tom 18, Nr 1, 65-69. Polish.
Grundmann M, von Versen-Höynck F. Vitamin D – roles in women’s reproductive health. Reprod Biol Endocrinol. 2011, 9, 146.
Boggess KA, Espinola JA, Moss K et al.: Vitamin D status and periodontal disease among pregnant women. J Periodontol 2010; 82(2): 195-200.
Misiorowska J, Misiorowski W. Rola witaminy D w ciąży. Postępy Nauk Medycznych, t. XXVII, nr 12, 2014. Polish.
Otto-Buczkowska E, Chwalba A. Witamina D w zaburzeniach metabolizmu glukozy. Forum Medycyny Rodzinnej 2017, tom 11, nr 2, 47–53. Polish.
Jarosz M. i wsp. Witaminy. W: Jarosz M. (red.). Normy żywienia dla populacji polskiej — nowelizacja. Instytut Żywności i Żywienia, Warszawa 2012. Polish.
Livock M, Anderson PJ, Lewis S, Bowden S, Muggli E, Halliday J. Maternal micronutrient consumption periconceptionally and during pregnancy: A prospective cohort study. Public Health Nutr. 2017, 20, 294–304.
Chivers BR, Boyle JA, Lang AY, Teede HJ, Moran LJ, Harrison CL. Preconception Health and Lifestyle Behaviours of Women Planning a Pregnancy: A Cross-Sectional Study. J Clin Med. 2020;9(6):1701.
Roppel R, D'Amico F, Cui K, Srinivasan S. Predictors of Insufficient Preconception Multivitamin Use: An IMPLICIT Network Study. PRiMER. 2020;4:9.
Harding KB, Peña-Rosas JP, Webster AC, Yap CM, Payne BA, Ota E, De-Regil LM. Iodine supplementation for women during the preconception, pregnancy and postpartum period. Cochrane Database Syst Rev. 2017;3(3):CD011761.
Bibbins-Domingo K et al. U.S. Preventive Services Task Force. Folic acid for the prevention of neural tube defects: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2009; 150:626.
Goh YI, Bollano E, Einarson TR, Koren G. Prenatal multivitamin supplementation and rates of congenital anomalies: a meta-analysis. J Obstet Gynaecol Can 2006; 28:680.
Nilsen RM, Vollset SE, Rasmussen SA, et al. Folic acid and multivitamin supplement use and risk of placental abruption: a population-based registry study. Am J Epidemiol 2008; 167:867.
De-Regil LM, Fernández-Gaxiola AC, Dowswell T, Peña-Rosas JP. Effects and safety of periconceptional folate supplementation for preventing birth defects. Cochrane Database Syst. Rev. 2010;10 doi: 10.1002/14651858.CD007950.pub2
De Walle HE, de Jong-van den Berg LT. Ten years after the dutch public health campaign on folic acid: The continuing challenge. Eur. J. Clin. Pharmacol. 2008;64:539–543. doi: 10.1007/s00228-007-0446-6.
Livock M, Anderson PJ, Lewis S, Bowden S, Muggli E, Halliday J. Maternal micronutrient consumption periconceptionally and during pregnancy: A prospective cohort study. Public Health Nutr. 2017;20:294–304. doi: 10.1017/S1368980016002019.
McKenna E, Hure A, Perkins A, Gresham E. Dietary supplement use during preconception: The Australian longitudinal study on women’s health. Nutrients. 2017;9:1119. doi: 10.3390/nu9101119.
Dubois L, Diasparra M, Bedard B, Colapinto CK, Fontaine-Bisson B, Morisset AS, Tremblay RE, Fraser WD. Adequacy of nutritional intake from food and supplements in a cohort of pregnant women in Quebec, Canada: The 3D cohort study (Design, Develop, Discover) Am. J. Clin. Nutr. 2017;106:541–548. doi: 10.3945/ajcn.117.155499.
Arkkola T, Uusitalo U, Pietikainen M, Metsala J, Kronberg-Kippila C, Erkkola M, Veijola R, Knip M, Virtanen SM, Ovaskainen ML. Dietary intake and use of dietary supplements in relation to demographic variables among pregnant Finnish women. Br. J. Nutr. 2006;96:913–920. doi: 10.1017/BJN20061929.
Gomez MF, Field CJ, Olstad DL, Loehr S, Ramage S, McCargar LJ, Team A.P.S. Use of micronutrient supplements among pregnant women in Alberta: Results from the Alberta Pregnancy Outcomes and nutrition (APrON) cohort. Matern. Child Nutr. 2015;11:497–510. doi: 10.1111/mcn.12038.
Berti C, Fekete K, Dullemeijer C, Trovato M, Souverein OW, Cavelaars A, Dhonukshe-Rutten R, Massari M, Decsi T, Van’T Veer P. Folate intake and markers of folate status in women of reproductive age, pregnant and lactating women: A meta-analysis. J. Nutr. Metab. 2012;2012:1–13. doi: 10.1155/2012/470656.
Livock, M.; Anderson, P.J.; Lewis, S.; Bowden, S.; Muggli, E.; Halliday, J. Maternal micronutrient consumption periconceptionally and during pregnancy: A prospective cohort study. Public Health Nutr. 2017, 20, 294–304.
McKenna E, Hure A, Perkins A, Gresham E. Dietary Supplement Use during Preconception: The Australian Longitudinal Study on Women's Health. Nutrients. 2017;9(10):1119.
Cochrane KM, Mayer C, Devlin AM, Elango R, Hutcheon JA, Karakochuk CD. Is natural (6S)-5-methyltetrahydrofolic acid as effective as synthetic folic acid in increasing serum and red blood cell folate concentrations during pregnancy? A proof-of-concept pilot study. Trials. 2020;21(1):380.
Gil A, Gil F. Fish, a Mediterranean source of n-3 PUFA: benefits do not justify limiting consumption. Br J Nutr. 2015;113 Suppl 2:S58-67.
Pérez-López FR, Pilz S, Chedraui P. Vitamin D supplementation during pregnancy: an overview. Curr Opin Obstet Gynecol. 2020;32(5):316-321.
Looman M, van den Berg C, Geelen A, Samlal RAK, Heijligenberg R, Klein Gunnewiek JMT, Balvers MGJ, Leendertz-Eggen CL, Wijnberger LDE, Feskens EJM, Brouwer-Brolsma EM. Supplement Use and Dietary Sources of Folate, Vitamin D, and n-3 Fatty Acids during Preconception: The GLIMP2 Study. Nutrients. 2018;10(8):962.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Monika Szwed, Klara Iwaniszyn-Zapołoch, Żaneta Kimber-Trojnar, Magdalena Wierzchowska-Opoka, Bożena Leszczyńska-Gorzelak
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 434
Number of citations: 0