PREVALENCE OF DIETARY SUPPLEMENTS CONSUMPTION AND EXERCISE AMONG PREGNANT WOMEN IN AL MADINAH AND THEIR EFFECT ON MODE OF DELIVERY.

- Medical Intern, Taibah University.
- OB/GYN Consultant in MMCH.
- OB/GYN Resident in MMCH.
- Pharmacist in MMCH.
- Pediatric Resident in MMCH.
- Medical Intern, ISNC.
- Abstract
- References
- Cite This Article as
- Corresponding Author
Objective: To assess prevalence of dietary supplements consumption and exercise among pregnant women in AL Madinah and their effect on mode of delivery. Methods: Retrospective study was conducted in AL Madinah Almonawarah/ KSA. The study sample included 231 participants who were randomly selected and covered different ages, social levels and education levels. the data was collected using electronic questionnaire, the questionnaire consisted of three sections, the first section included questions about socio-demographic characteristics, while the second section included questions to assess some potential risk factors, and third section included questions to assess the interviewee\'s knowledge about exercise and using supplement and herbs during pregnancy. Results: Almost 40% of participants were aged between 19 and 29 years old, 67.3 % of participants had bachelor?s degrees. 59.2 % did not do any exercise during pregnancy. Walking was the most type of exercise a female performed during pregnancy with the percentage of 83.2 %. 84.5 % of the pregnant females were taking nutritional supplements during pregnancy, 91% of them were taking iron supplements, while 93 %were taking folic acid supplements. About 21.3% of participants have been taking herbs during pregnancy, the most common type of herbs was anise by 60.3 %. Conclusion: There was high prevalence of practice exercise among women during pregnancy in KSA, exercise reduces the need for caesarean delivery. Also, there was high prevalence of taking dietary supplement during pregnancy among Saudi women but using of dietary supplements did not affect on the type of delivery. There was low prevalence of taking herbs during pregnancy among Saudi women, and there was no effect of using herbs during pregnancy on type of delivery.
- American College of Obstetricians and Gynecologists. "Exercise during pregnancy and the postpartum period: ACOG technical bulletin number 189?February 1994."International Journal of Gynecology & Obstetrics?1 (1994): 65-70.
- Thompson, W. R., N. F. Gordon, and L. S. Pescatello. "American College of Sport Medicine. ACSM?s Guidelines for exercise testing and prescription. 8. painos." (2009).
- uchholz, Susan Weber, et al. "Physical activity text messaging interventions in adults: a systematic review."Worldviews on Evidence‐Based Nursing?3 (2013): 163-173.
- Magnusson, P., et al. "Physical activity and chronic disease I. Heart disease and hypertension."Ugeskrift for laeger?17 (2004): 1543.
- Magnusson, P., et al. "Physical activity and chronic disease III. Musculoskeletal diseases and lung diseases."Ugeskrift for laeger?17 (2004): 1552.
- Dye, Timothy D., et al. "Physical activity, obesity, and diabetes in pregnancy."American Journal of Epidemiology?11 (1997): 961-965.
- Solomon, Caren G., et al. "A prospective study of pregravid determinants of gestational diabetes mellitus."Jama?13 (1997): 1078-1083.
- Marcoux, Sylvie, Jacques Brisson, and Jacqueline Fabia. "The effect of leisure time physical activity on the risk of pre-eclampsia and gestational hypertension."Journal of Epidemiology and Community Health?2 (1989): 147-152.
- Sorensen, Tanya K., et al. "Recreational physical activity during pregnancy and risk of preeclampsia."Hypertension?6 (2003): 1273-1280.
- Narendran, Shamanthakamani, et al. "Efficacy of yoga on pregnancy outcome."Journal of Alternative & Complementary Medicine?2 (2005): 237-244.
- Committee on Obstetric Practice. "ACOG committee opinion. Exercise during pregnancy and the postpartum period. Number 267, January 2002. American College of Obstetricians and Gynecologists."International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics?1 (2002): 79.
- Denmark National Board of Health.?Copenhagen, Denmark:?National Board of Health;?2003.?Physical activity?a handbook on prevention and treatment. (In Danish).
- National Collaborating Centre for Women's and Children's Health.Clinical guideline.?London, United Kingdom:?RCOG Press;?2003.?Antenatal care: routine care for the healthy pregnant woman.?October 2003.
- H?berg, Siri E., et al. "Folic acid supplements in pregnancy and early childhood respiratory health."Archives of disease in childhood?3 (2009): 180-184.
- Damm, Peter, Bettina Breitowicz, and Hanne Hegaard. "Exercise, pregnancy, and insulin sensitivity-what is new?."Applied Physiology, Nutrition, and Metabolism?3 (2007): 537-540.
- United States. Department of Health, and Human Services.Two Thousand Eight Physical Activity Guidelines for Americans: Be Active, Healthy, and Happy. Vol. 36. Government Printing Office, 2008.
- Bonzini, Matteo, David Coggon, and Keith T. Palmer. "Risk of prematurity, low birth weight, and pre-eclampsia in relation to working hours and physical activities: a systematic review."Occupational and Environmental Medicine(2006).
- Madsen, M., et al. "Leisure time physical exercise during pregnancy and the risk of miscarriage: a study within the Danish National Birth Cohort."BJOG: An International Journal of Obstetrics &Gynaecology?11 (2007): 1419-1426.
- Wolfe, Larry A., and Gregory AL Davies. "Canadian guidelines for exercise in pregnancy."Clinical obstetrics and gynecology?2 (2003): 488-495.
- Artal, R., and M. O'toole. "Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period."British journal of sports medicine?1 (2003): 6-12.
- Council, Nath Res. "Recommended dietary allowances."Food and Nutrition Board, Commission on Life Sciences, National Research Council. Washington: National Academic?(1989).
- Millard, Louise AC, et al. "Physical activity during pregnancy and offspring cardiovascular risk factors: findings from a prospective cohort study."BMJ open?9 (2013): e003574.
- Metcoff, Jack, et al. "Maternal nutrition and fetal outcome1?2." (1981).
- Picciano, Mary Frances. "Pregnancy and lactation: physiological adjustments, nutritional requirements and the role of dietary supplements."The Journal of Nutrition?6 (2003): 1997S-2002S.
- Bailey, L. B., et al. "Present knowledge in nutrition."Washington, DC: Internation Life Sciences Institute?(2001).
- Cawley, S., et al. "A review of European guidelines on periconceptional folic acid supplementation."European journal of clinical nutrition?2 (2016): 143-154.
- Hall, Helen G., Debra L. Griffiths, and Lisa G. McKenna. "The use of complementary and alternative medicine by pregnant women: a literature review."Midwifery?6 (2011): 817-824.
- Holst, Lone, et al. "Use of herbal preparations during pregnancy: focus group discussion among expectant mothers attending a hospital antenatal clinic in Norwich, UK."Complementary Therapies in Clinical Practice?4 (2009): 225-229.
- Mills, Edward, et al.Herbal medicines in pregnancy and lactation: an evidence-based approach. CRC Press, 2013.
- Nordeng, Hedvig, and Gro C. Havnen. "Use of herbal drugs in pregnancy: a survey among 400 Norwegian women."Pharmacoepidemiology and drug safety6 (2004): 371-380.
- Wang, Thomas W., and Barbara S. Apgar. "Exercise during pregnancy." American Family Physician 57 (1998): 1846-1859.
- Oteng-Ntim, E., Tezcan, B., Seed, P., Poston, L., & Doyle, P. (2015). Lifestyle interventions for obese and overweight pregnant women to improve pregnancy outcome: A systematic review and meta-analysis. The Lancet,386. Doi:10.1016/s0140-6736(15)00899-5
- Cavalcante, S. R., Cecatti, J. G., Pereira, R. I., Baciuk, E. P., Bernardo, A. L., &Silveira, C. (2009). Water aerobics II: Maternal body composition and perinatal outcomes after a program for low risk pregnant women. Reproductive Health Reprod Health,6(1). doi:10.1186/1742-4755-6-1
- Price, B. B., Amini, S. B., &Kappeler, K. (2012). Exercise in Pregnancy. Medicine & Science in Sports & Exercise,44(12), 2263-2269. doi:10.1249/mss.0b013e318267ad67
- Tobias D, Zhang C, van Dam R, Bowers K, Hu F. Physical Activity Before and During Pregnancy and Risk of Gestational Diabetes Mellitus: A meta-analysis. Diabetes Care. 2010;34(1):223-229. doi:10.2337/dc10-1368.
- Dodd J, Turnbull D, McPhee A et al. Antenatal lifestyle advice for women who are overweight or obese: LIMIT randomised trial. BMJ. 2014;348(feb10 3):g1285-g1285. doi:10.1136/bmj.g1285.
- Smith B, Cheung N, Bauman A, Zehle K, McLean M. Postpartum Physical Activity and Related Psychosocial Factors Among Women With Recent Gestational Diabetes Mellitus. Diabetes Care. 2005;28(11):2650-2654. doi:10.2337/diacare.28.11.2650.
- Dempsey J. Prospective Study of Gestational Diabetes Mellitus Risk in Relation to Maternal Recreational Physical Activity before and during Pregnancy. American Journal of Epidemiology. 2004;159(7):663-670. doi:10.1093/aje/kwh091.
- A Prospective Study of Pregravid Physical Activity and Sedentary Behaviors in Relation to the Risk for Gestational Diabetes Mellitus. Obstetrics & Gynecology. 2006;107(6):1416. doi:10.1097/01.aog.0000209487.83544.29.
- Carlson, Bruce M.Human embryology and developmental biology. Elsevier Health Sciences, 2013.
- Chatterjee, Sharmila, Milton Kotelchuck, and Usha Sambamoorthi. "Prevalence of chronic illness in pregnancy, access to care, and health care costs: Implications for interconception care."Women's Health Issues?6 (2008): S107-S116.
- Awan, Mahe Munir, Muhammad Aftab Akbar, and Misbahul Islam Khan. "A study of anemia in pregnant women of railway colony, Multan."Pak J Med Res1 (2004): 11-4.
- Singh, Swati, et al. "Hypertensive disorders in pregnancy among pregnant women in a Nigerian Teaching Hospital."Nigerian medical journal: journal of the Nigeria Medical Association?5 (2014): 384.
- Hartikainen, Anna-Liisa, Riitta H. Aliharmi, and Paula T. Rantakallio. "A cohort study of epidemiological associations and outcomes of pregnancies with hypertensive disorders."Hypertension in Pregnancy?1 (1998): 31-41.
- Chaaya, M., et al. "Knowledge, attitudes, and practices of argileh (water pipe or hubble-bubble) and cigarette smoking among pregnant women in Lebanon."Addictive behaviors9 (2004): 1821-1831.
- de Oliveria Melo, Adriana S., et al. "Effect of a physical exercise program during pregnancy on uteroplacental and fetal blood flow and fetal growth: a randomized controlled trial."Obstetrics & Gynecology?2, Part 1 (2012): 302-310.
- Cordero Rodriguez, Yaiza, et al. "Exercise in associated with a reduction in gestational diabetes mellitus."Medicine & Science in Sports & Exercise.?7 (2014): 1328-1333.
- Liu, Jihong, et al. "Does physical activity during pregnancy reduce the risk of gestational diabetes among previously inactive women?."Birth?3 (2008): 188-195.
- Barakat, Ruben, et al. "Exercise during pregnancy reduces the rate of cesarean and instrumental deliveries: results of a randomized controlled trial."The Journal of Maternal-Fetal & Neonatal Medicine?11 (2012): 2372-2376.
- Pennick, V. E., and Gavin Young. "Interventions for preventing and treating pelvic and back pain in pregnancy."Cochrane Database Syst Rev?2 (2007).
- Kihlstrand, Mari, et al. "Water-gymnastics reduced the intensity of back/low back pain in pregnant women."Acta Obstetricia et Gynecologica Scandinavica3 (1999): 180-185.
- Jovanovic-Peterson, Lois, Eric P. Durak, and Charles M. Peterson. "Randomized trial of diet versus diet plus cardiovascular conditioning on glucose levels in gestational diabetes."American journal of obstetrics and gynecology?2 (1989): 415-419.
- Garc?a-Patterson, Apolonia, et al. "Evaluation of light exercise in the treatment of gestational diabetes."Diabetes Care?11 (2001): 2006-2007.
- Meher, Shireen, and Lelia Duley. "Exercise or other physical activity for preventing pre‐eclampsia and its complications."The Cochrane Library?(2006).
- Choi, JiWon, Yoshimi Fukuoka, and Ji Hyeon Lee. "The effects of physical activity and physical activity plus diet interventions on body weight in overweight or obese women who are pregnant or in postpartum: a systematic review and meta-analysis of randomized controlled trials."Preventive medicine6 (2013): 351-364.
- Muktabhant, Benja, et al. "Diet or exercise, or both, for preventing excessive weight gain in pregnancy."The Cochrane Library?(2015).
- Domingues, Marlos Rodrigues, and Alu?sio JD Barros. "Leisure-time physical activity during pregnancy in the 2004 Pelotas Birth Cohort Study."Revista de Sa?de P?blica?2 (2007): 173-180.
- Nascimento, Simony L., Fernanda G. Surita, and Jos? G. Cecatti. "Physical exercise during pregnancy: a systematic review."Current Opinion in Obstetrics and Gynecology?6 (2012): 387-394.
- Zeanah, Marianne, and Sharron P. Schlosser. "Adherence to ACOG guidelines on exercise during pregnancy: effect on pregnancy outcome."Journal of Obstetric, Gynecologic, & Neonatal Nursing?4 (1993): 329-335
- Melzer, Katarina, et al. "Effects of recommended levels of physical activity on pregnancy outcomes."American journal of obstetrics and gynecology?3 (2010): 266-e1.
- Barakat, Ruben, et al. "Type of delivery is not affected by light resistance and toning exercise training during pregnancy: a randomized controlled trial."American journal of obstetrics and gynecology?6 (2009): 590-e1.
- Warburton, Darren ER, Crystal Whitney Nicol, and Shannon SD Bredin. "Health benefits of physical activity: the evidence."Canadian medical association journal?6 (2006): 801-809.
- Schweitzer, Amy. "Dietary supplements during pregnancy."The Journal of perinatal education?4 (2006): 44.
- Branum, Amy M., Regan Bailey, and Barbara J. Singer. "Dietary supplement use and folate status during pregnancy in the United States."The Journal of nutrition?4 (2013): 486-492.
- Aronsson, Carin Andr?n, et al. "Use of dietary supplements in pregnant women in relation to sociodemographic factors?a report from The Environmental Determinants of Diabetes in the Young (TEDDY) study."Public health nutrition08 (2013): 1390-1402.
- Haugen, Margaretha, et al. "Dietary supplements contribute substantially to the total nutrient intake in pregnant Norwegian women."Annals of Nutrition and Metabolism?4 (2008): 272-280.
- Arkkola, Tuula, et al. "Dietary intake and use of dietary supplements in relation to demographic variables among pregnant Finnish women."British Journal of Nutrition?05 (2006): 913-920
- Brekke, Hilde K., and Johnny Ludvigsson. "Vitamin D supplementation and diabetes‐related autoimmunity in the ABIS study."Pediatric diabetes?1 (2007): 11-14.
- Camargo, Carlos A., et al. "Maternal intake of vitamin D during pregnancy and risk of recurrent wheeze in children at 3 y of age."The American journal of clinical nutrition?3 (2007): 788-795.
- Bodnar, Lisa M., and Hyagriv N. Simhan. "Vitamin D may be a link to black-white disparities in adverse birth outcomes."Obstetrical & gynecological survey?4 (2010): 273.
- Del Valle, Heather B., et al., eds.Dietary reference intakes for calcium and vitamin D. National Academies Press, 2011.
- Desposito, F., et al. "Folic acid for the prevention of neural tube defects."Pediatrics?2 I (1999): 325-327.
- National Healthy MothersHealthy Babies Coalition. Folic acid position statement. Available from:?http://www.hmhb.org/ps_folicacid.html?(cited 23 April 2008)
- Nguyen, Patricia, et al. "Effect of iron content on the tolerability of prenatal multivitamins in pregnancy."BMC pregnancy and childbirth?1 (2008): 17.
- Nguyen, Patricia, Martin Thomas, and Gideon Koren. "Predictors of prenatal multivitamin adherence in pregnant women."The Journal of Clinical Pharmacology?6 (2009): 735-742
- Musaiger, Abdulrahman O. "The state of food and nutrition in the Arabian Gulf countries."Nutrition in the Gulf Countries. Malnutrition and Minerals. Karger Publishers, 1987. 105-173.
- World Health OrganizationIron and folate supplementation. Available from:?http://www.who.int/making_pregnancy_safer/publications/standards1.8N.pdf?(cited 23 April 2008)
- Stoltzfus, Rebecca J., and Michele L. Dreyfuss.Guidelines for the use of iron supplements to prevent and treat iron deficiency anemia. Vol. 2. Washington^ eDC DC: Ilsi Press, 1998.
- John, Lisha J., and Nisha Shantakumari. "Herbal medicines use during pregnancy: a review from the Middle East."Oman medical journal?4 (2015): 229.
- Maats, F. H., and C. A. Crowther. "Patterns of vitamin, mineral and herbal supplement use prior to and during pregnancy."Australian and New Zealand Journal of Obstetrics and Gynaecology?5 (2002): 494-496.
- Gibson, Paul S., Raymond Powrie, and Jami Star. "Herbal and alternative medicine use during pregnancy: a cross-sectional survey."Obstetrics & Gynecology?4 (2001): S44-S45.
- Nordeng, Hedvig, and Gro C. Havnen. "Use of herbal drugs in pregnancy: a survey among 400 Norwegian women."Pharmacoepidemiology and drug safety6 (2004): 371-380.
- Cuzzolin, Laura, et al. "Use of herbal products among 392 Italian pregnant women: focus on pregnancy outcome."Pharmacoepidemiology and drug safety11 (2010): 1151-1158.
- Broussard, Cheryl S., et al. "Herbal use before and during pregnancy."American journal of obstetrics and gynecology?5 (2010): 443-e1.
- , Della A., et al. "Herbal medicine use during pregnancy in a group of Australian women."BMC pregnancy and childbirth?1 (2006): 21.
- Gharoro, E. P., and A. A. Igbafe. "Pattern of drug use amongst antenatal patients in Benin City, Nigeria."Medical Science Monitor?1 (2000): 84-87
- Orief, Yasser Ibrahim, Nadia Fouad Farghaly, and Mohamed Ibrahim Abdelaziz Ibrahim. "Use of herbal medicines among pregnant women attending family health centers in Alexandria."Middle East Fertility Society Journal?1 (2014): 42-50
- Mabina, M. H., S. B. Pitsoe, and J. Moodley. "The effect of traditional herbal medicines on pregnancy outcome. The King Edward VIII Hospital experience."South African medical journal= Suid-Afrikaanse tydskrif vir geneeskunde?8 (1997): 1008-1010.
[Ghufran Abdulhakim Aljahmi, Jehan M. Alhazmi, Hatem M. Habib, Maha Sulaiman Al-Alawi, Shahad Abdulelah Abu-Alnasr, Raghad A. Alhazmi and Bachair A. Ben Yaya (2018); PREVALENCE OF DIETARY SUPPLEMENTS CONSUMPTION AND EXERCISE AMONG PREGNANT WOMEN IN AL MADINAH AND THEIR EFFECT ON MODE OF DELIVERY. Int. J. of Adv. Res. 6 (Jan). 1180-1189] (ISSN 2320-5407). www.journalijar.com
Medical Intern, Taibah University