Vitamin–mineral supplement use by low-income brazilian pregnant adolescents and non-adolescents and the predictors for non-use

Vitamin–mineral supplement use by low-income brazilian pregnant adolescents and non-adolescents and the predictors for non-use

Play all audios:

Loading...

ABSTRACT OBJECTIVES: To determine (1) the intake of vitamin–mineral supplements by 855 low-income Brazilian pregnant adolescents and non-adolescents in three interviews (gestational ages


⩽16, 20–26 and 30–36 weeks), (2) the relationship between vitamin–mineral supplementation and toxic exposure, and nutritional, psychological, socio-economic, demographic and obstetric


characteristics of the women. DESIGN: Longitudinal cohort study. SETTING: Jundiaí city, São Paulo, Brazil. SUBJECTS: A total of 855 pregnant adolescents and non-adolescents who attended


antenatal care from September 1997 to August 2000. METHODS: A general questionnaire was utilized three times in pregnancy (gestational ages ⩽16, 20–26 and 30–36 weeks) to investigate the


vitamin–mineral supplements ingested by the women, their smoking habit and alcohol intake, anthropometric measurements (pre-pregnancy and actual weight, height, mid-upper arm circumference)


and psychological (anxiety, stress and distress), socio-economic (per capita income), demographic (education, age, marital status) and obstetric (gravidity) characteristics. The associations


between vitamin–mineral supplementation and maternal characteristics were assessed in 12 multiple logistic regression models, stratifying the women by age and per capita income. RESULTS:


Iron and vitamin C were the most ingested supplements by adolescents and non-adolescents, in the three interviews. Logistic regression analysis revealed that the maternal predictors for


non-use of vitamin–mineral supplementation were acute anxiety and alcohol intake for adolescents, and low education, single without partner, distress (anxiety, depression, etc.) and stress


for non-adolescents. CONCLUSIONS: These are important data to identify groups of low-income pregnant women in need of supplementation guidance and nutrition education. Stress/distress was a


predictor for non-use of vitamin–mineral supplements for both adolescents and non-adolescents pregnant women. SPONSORSHIP: Fundação de Amparo à Pesquisa do Estado de São Paulo-FAPESP (grant


no. 1998/00321-0) and Conselho Nacional de Desenvolvimento Científico e Tecnológico-CNPq (grant no. 520/242/97-1), Brazil. Access through your institution Buy or subscribe This is a preview


of subscription content, access via your institution ACCESS OPTIONS Access through your institution Subscribe to this journal Receive 12 print issues and online access $259.00 per year only


$21.58 per issue Learn more Buy this article * Purchase on SpringerLink * Instant access to full article PDF Buy now Prices may be subject to local taxes which are calculated during checkout


ADDITIONAL ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS PREVALENCE AND RISK FACTORS


OF HYPOVITAMINOSIS D IN PREGNANT SPANISH WOMEN Article Open access 25 September 2020 PREDICTORS OF 25-HYDROXYVITAMIN D CONCENTRATIONS DURING PREGNANCY: A LONGITUDINAL ANALYSIS IN THE


BRAZILIAN AMAZON Article 21 February 2022 VITAMIN D STATUS IN NON-PREGNANT WOMEN OF REPRODUCTIVE AGE: A STUDY IN SOUTHERN THAILAND Article Open access 14 September 2023 REFERENCES * Allen LH


(2005). Multiple micronutrients in pregnancy and lactation: an overview. _Am J Clin Nutr_ 81 (Suppl), 1206S–1212S. Article  CAS  Google Scholar  * Bowerman SJA, Harrill I (1983). Nutrient


consumption of individuals taking or not taking nutrient supplements. _J Am Diet Assoc_ 83, 298–305. CAS  PubMed  Google Scholar  * Cameron N (1984). _The Measurement of Human Growth_, 1st


edn. Croom Helm: London. Google Scholar  * Cogswell ME, Kettel-Khan L, Ramakrishnan U (2003). Iron supplements use among women in the United States: science, policy and practice. _J Nutr_


133, 1974S–1977S. Article  Google Scholar  * Cohen S, Kamarck T, Mermelstein R (1983). A global measure of perceived stress. _J Health Soc Behav_ 24, 385–396. Article  CAS  Google Scholar  *


Egen-Lappe V, Hasford J (2004). Drug prescription in pregnancy: analysis of a large statutory sickness fund population. _Eur J Clin Pharmacol_ 60, 659–666. Article  Google Scholar  *


Fujimori E, de Oliveira IM, de Cassana LM, Szarfarc SC (1999). Iron nutritional status in pregnant adolescents, São Paulo, Brazil. _Arch Latinoam Nutr_ 49, 8–12. CAS  PubMed  Google Scholar


  * Goldberg DP (1972). _The Detection of Psychiatric Illness by Questionnaire_. Oxford University Press: London. Google Scholar  * Gomes KRO, Moron AF, Silva RS, Siqueira AAF (1999).


Prevalência do uso de medicamentos na gravidez e relações com as características maternas. _Rev Saúde Pública_ 33, 246–254. Article  CAS  Google Scholar  * Gray GE, Paganini-Hill A, Ross RK


(1983). Dietary intake and nutrient supplement use in a southern California retirement community. _Am J Clin Nutr_ 38, 122–128. Article  CAS  Google Scholar  * Guerra-Shinohara EM, Paiva AA,


Rondó PH, Yamasaki K, Terzi CA, D'Almeida V (2002). Relationship between total homocysteine and folate levels in pregnant women and their newborn babies according to maternal serum


levels of vitamin B12. _Br J Obstet Gynaecol_ 109, 784–791. Article  CAS  Google Scholar  * Headley J, Northstone K, Simmons H, Golding J, ALSPAC Study Team (2004). Medication use during


pregnancy: data from the Avon Longitudinal Study of Parents and Children 60. _Eur J Clin Pharmacol_ 60, 355–361. Article  CAS  Google Scholar  * Helman AD, Darnton-Hill I (1987). Vitamin and


iron status in new vegetarians. _Am J Clin Nutr_ 45, 785–789. Article  CAS  Google Scholar  * Herrmann W, Schorr H, Purschwitz K, Rassoul F, Richter V (2001). Total homocysteine, vitamin


B12, and total antioxidant status in vegetarians. _Clin Chem_ 47, 1094–1101. CAS  PubMed  Google Scholar  * Institute of Medicine (1990). _Nutrition during Pregnancy_. National Academy


Press: Washington, DC. * Jasti S, Siega-Ritz AM, Cogswell ME, Hartzema AG, Bentley ME (2005). Pill count adherence to prenatal multivitamin/mineral supplement use among low-income women. _J


Nutr_ 135, 1093–1101. Article  CAS  Google Scholar  * Jelliffe DB, Jelliffe EFP (1989). _Community Nutritional Assessment, with Special Reference to Less Technically Developed Countries_,


2nd edn. Oxford University Press: London. Google Scholar  * Koebnick C, Hoffman I, Dagnelie PC, Heins UA, Wickramasinghe SN, Ratnayaka ID _et al_. (2004). Long-term ovo-lacto vegetarian diet


impairs vitamin B-12 status in pregnant women. _J Nutr_ 134, 3319–3326. Article  CAS  Google Scholar  * Kohrle J (1999). The trace element selenium and the thyroid gland. _Biochimie_ 81,


527–533. Article  CAS  Google Scholar  * Koplan JP, Annest JL, Layde PM, Rubin GL (1986). Nutrient intake and supplementation in the United States (NHANES II). _Am J Public Health_ 76,


287–289. Article  CAS  Google Scholar  * Ladipo OA (2000). Nutrition in pregnancy: mineral and vitamin supplements. _Am J Clin Nutr_ 72 (Suppl), 280S–290S. Article  CAS  Google Scholar  *


Madruga de Oliveira A, de Carvalho Rondó PH, Barros SB (2004). Concentrations of ascorbic acid in the plasma of pregnant smokers and nonsmokers and their newborns. _Int J Vitam Nutr Res_ 74,


193–198. Article  CAS  Google Scholar  * Manzoor SS, Deviasumathy M, Newton C (2001). Maternal knowledge, attitude and practice regarding folic acid intake during the periconceptional


period. _Public Health Nutr_ 4, 909–912. PubMed  Google Scholar  * Martins-Costa SH, Ramos JGL, Lisboa PV, Pederiva MA, Toniazzo MR, Vettorazzi J _et al_. (1993). Uso de fármacos na


gestação. _J Bras Ginecol_ 103, 373–378. Google Scholar  * Mengue SS, Schenkel EP, Duncan BB, Schmidt MI (2001). Uso de medicamentos por gestantes em seis cidades brasileiras. _Rev Saúde


Públ_ 35, 415–420. Article  CAS  Google Scholar  * Ministério da Saúde (1982). _Programa de Assistência Integral à Saúde da Mulher_. INAN: Brasília. * National Research Council (1989).


_Recommended Dietary Allowances_, 10th edn. National Academy Press: Washington, DC. * Osório-de-Castro CGS, Pepe VLE, Luiza VL, Cosendey MAE, Freitas AM, Miranda FF _et al_. (2004). Uso


indicado e uso referido de medicamentos durante a gravidez. _Cad Saúde Públ_ 20 (Suppl), S73–S82. Article  Google Scholar  * Powers HJ (1998). Effects of riboflavin deficiency on the


handling of iron. In: _Micronutrient Interactions: Impact of Child Health and Nutrition_. ILSI Press: Washington, DC, pp 36–42. Google Scholar  * Read MH, Graney AS (1982). Food supplement


usage by the elderly. _J Am Diet Assoc_ 80, 250–253. CAS  PubMed  Google Scholar  * Rondó PH, Tomkins AM (1999). Maternal iron status and intrauterine growth retardation. _Trans R Soc Trop


Med Hyg_ 93, 423–426. Article  Google Scholar  * Rondó PH, Tomkins AM (2000). Folate and intrauterine growth retardation. _Ann Trop Paediatr_ 20, 253–258. Article  Google Scholar  * Rondó


PH, Villar BS, Tomkins AM (1999). Vitamin A status of pregnant women assessed by a biochemical indicator and a simplified Food Frequency Questionnaire. _Arch Latinoam Nutr_ 49, 322–325.


PubMed  Google Scholar  * Rondó PHC, Ferreira RF, Nogueira F, Ribeiro MCN, Lobert H, Artes R (2003). Maternal psychological stress and distress as predictors of low birth weight, preterm


birth and intrauterine growth retardation. _Eur J Clin Nutr_ 57, 266–272. Article  Google Scholar  * Rondó PHC, Souza MR, Moraes F, Nogueira F (2004). Relationship between nutritional and


psychological status of pregnant adolescents and non-adolescents in Brazil. _J Health Popul Nutr_ 22, 34–45. PubMed  Google Scholar  * Spielberger CD, Gorsuch RL, Lushene RE (1970). _STAI


Manual for the State-Trait Anxiety Inventory_. Consulting Psychologist Press: Palo Alto, CA, USA. Google Scholar  * Stewart ML, McDonald JT, Levy AS, Schucker RE, Henderson DP (1985).


Vitamin/mineral supplement use: a telephone survey of adults in the United States. _J Am Diet Assoc_ 85, 1585–1590. CAS  PubMed  Google Scholar  * Suitor CW, Gardner JD (1990). Supplement


use among a culturally diverse group of low-income pregnant women. _J Am Diet Assoc_ 90, 268–271. CAS  PubMed  Google Scholar  * Szarfarc SC, Souza SB (1997). Prevalence and risk factors in


iron deficiency and anemia. _Arch Latinoam Nutr_ 47, 35–38. CAS  PubMed  Google Scholar  * Timbo B, Altekruse S, Hyman F, Klontz K, Tollefson L (1994). Vitamin and mineral supplementation


during pregnancy. _Mil Med_ 159, 654–658. Article  CAS  Google Scholar  * Treffers PE, Olukoya AA, Ferguson BJ, Liljestrand J (2001). Care for adolescent pregnancy and childbirth (special


communication from the World Health Organization). _Int J Gynecol Obstet_ 75, 111–121. Article  CAS  Google Scholar  * Tumer L, Serdaroglu A, Hasanoglu A, Biberoglu G, Aksoy E (2002). Plasma


homocysteine and lipoprotein (a) levels as risk factors for atherosclerotic vascular disease in epileptic children taking anticonvulsants. _Acta Paediatr_ 91, 923–926. Article  CAS  Google


Scholar  * World Health Organization (1995). _Physical status: the use and interpretation of anthropometry_. Technical Report Series 854. World Health Organization: Geneva. * Yu SM, Keppel


KG, Singh GK, Kessel W (1996). Preconceptional and prenatal multivitamin–mineral supplement use in the 1988 national maternal and infant health survey. _Am J Public Health_ 86, 240–242.


Article  CAS  Google Scholar  * Zimmermann M, Delange F (2004). Iodine supplementation of pregnant women in Europe: A review and recommendations. _Eur J Clin Nutr_ 58, 979–984. Article  CAS


  Google Scholar  Download references ACKNOWLEDGEMENTS We gratefully acknowledge the staff from Hospital Maternidade de Jundiaí, Hospital de Caridade São Vicente de Paulo, Hospital Dr Paulo


Sacramento, Hospital Santa Rita de Cássia, Casa de Saúde Dr Domingos Anastácio and Centro Médico Pitangueiras, for giving us the privilege to carry out our study in these services. We thank


Fundação de Amparo à Pesquisa do Estado de São Paulo-FAPESP (grant no. 1998/00321-0) and Conselho Nacional de Desenvolvimento Científico e Tecnológico-CNPq (grant no. 520/242/97-1) for


supporting this study. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil P H C Rondó, C M Fukushima 


& F Moraes Authors * P H C Rondó View author publications You can also search for this author inPubMed Google Scholar * C M Fukushima View author publications You can also search for


this author inPubMed Google Scholar * F Moraes View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to P H C Rondó.


ADDITIONAL INFORMATION _Guarantor_: PHC Rondó. _Contributors_: PHCR designed the study protocol, secured funding, facilitated data collection, participated in the statistical analysis,


interpreted data and did the main writing of the paper. CMF and FM performed statistical data analysis and participated in the interpretation of the results and writing of the paper. RIGHTS


AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Rondó, P., Fukushima, C. & Moraes, F. Vitamin–mineral supplement use by low-income Brazilian pregnant


adolescents and non-adolescents and the predictors for non-use. _Eur J Clin Nutr_ 60, 1108–1114 (2006). https://doi.org/10.1038/sj.ejcn.1602425 Download citation * Received: 11 July 2005 *


Revised: 21 December 2005 * Accepted: 23 January 2006 * Published: 15 March 2006 * Issue Date: 01 September 2006 * DOI: https://doi.org/10.1038/sj.ejcn.1602425 SHARE THIS ARTICLE Anyone you


share the following link with will be able to read this content: Get shareable link Sorry, a shareable link is not currently available for this article. Copy to clipboard Provided by the


Springer Nature SharedIt content-sharing initiative KEYWORDS * pregnant adolescents * vitamin–mineral supplementation * stress * distress * low-income