Nutrient intakes and nutritional biomarkers in pregnant adolescents: a systematic review of studies in developed countries

Article English OPEN
Marvin-Dowle, Katie ; Burley, Victoria Jane ; Soltani, Hora (2016)
  • Publisher: BioMed Central
  • Journal: BMC Pregnancy and Childbirth, volume 16 (eissn: 1471-2393)
  • Related identifiers: pmc: PMC5024513, doi: 10.1186/s12884-016-1059-9
  • Subject: Nutrition | Research Article | Pregnancy | Obstetrics and Gynaecology | Adolescent | Systematic review

Background Babies born to adolescent mothers have been shown to have poorer outcomes compared to those born to adults. Nutritional status may have an important role to play in improving the health of pregnant adolescents; however there is a lack of evidence regarding the adequacy of adolescent diets during pregnancy. This systematic review aims to examine what is known about the nutritional status of adolescent pregnant women. Methods A systematic search of the literature identified 21 studies which met the inclusion criteria for the review. Primary research papers using any methods were included where they were published in English between January 1995 and May 2015 and included measurements of nutrient intakes or biological markers of nutritional status in pregnant women aged 11–19 years. Individual study data was first summarised narratively before study means were pooled to give an estimate of nutritional status in the population. Results The results show that individual studies reported intakes of energy, fibre and a number of key micronutrients which were below recommended levels. Biological markers of iron and selenium status also showed cause for concern. Pooled analysis of individual means as a percentage of UK Dietary Reference Intakes showed intakes of vitamin D (34.8 % CI 0–83.1) to be significantly below recommendations (p = 0.05). Serum selenium levels were also found to be low (61.8 μg/L, CI 39–84). Conclusions This review has identified a number of areas where the nutritional status of pregnant adolescents is sub-optimal, which may have implications for the health of adolescent mothers and their babies. It was not however possible to examine the impact of supplement use or socio-demographic characteristics which limits the interpretation these results. Further work is needed to establish the characteristics of those most at risk within this population, how this differs from adult pregnant women and the role of supplementation in achieving adequate nutrition. Electronic supplementary material The online version of this article (doi:10.1186/s12884-016-1059-9) contains supplementary material, which is available to authorized users.
  • References (64)
    64 references, page 1 of 7

    1. Cook SM, Cameron ST. Social issues of teenage pregnancy. Obstetrics Gynaecol Rep Med. 2015;25(9):243-8.

    2. Office for National Statistics. Census data. http://www.ons.gov.uk/ons/guidemethod/census/2011/census-data/index.html. Updated 2014. Accessed 1 Mar 2016.

    3. Gibbs CM, Wendt A, Peters S, et al. The impact of early age at first childbirth on maternal and infant health. Paediatr Perinat Epidemiol. 2012;26(s1):259-84.

    4. Burke BS, Harding VV, Stuart HC. Nutrition studies during pregnancy: IV. Relation of protein content of mother's diet during pregnancy to birth length, birth weight, and condition of infant at birth. J Pediatr. 1943;23(5):506-15.

    5. Oliver MH, Jaquiery AL, Bloomfield FH, et al. The effects of maternal nutrition around the time of conception on the health of the offspring. Soc Rep Fertil suppl. 2007;64:397.

    6. Murphy SP, Guenther PM, Kretsch MJ. Using the dietary reference intakes to assess intakes of groups: pitfalls to avoid. J Am Diet Assoc. 2006;106(10):1550-3.

    7. Picciano MF. Pregnancy and lactation: physiological adjustments, nutritional requirements and the role of dietary supplements. J Nutr. 2003;133(6):1997S-2002S.

    8. Bates, B., Lennox, A., Prentice, A., et.al (Eds.). National Diet and Nutrition Survey Results from Years 1, 2, 3 and 4 (combined) of the Rolling Programme (2008/2009-2011/2012): A Survey Carried Out on Behalf of Public Health England and the Food Standards Agency. 2014

    9. Kearney J. Food consumption trends and drivers. Philo Trans Royal Soc London B. 2010;365(1554):2793-807.

    10. Moran VH. A systematic review of dietary assessments of pregnant adolescents in industrialised countries. Br J Nutr. 2007;97(03):411-25.

  • Related Research Results (2)
  • Similar Research Results (1)
  • Metrics
    No metrics available
Share - Bookmark