Nutritional behaviours among pregnant women from rural and urban environments in Poland.
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Institute of Rural Health, Lublin, Poland
National Observatory for Health and Work Safety of Agricultural Workers, Institute of Rural Health, Jaczewskiego 2, 20-090 Lublin, Poland
International Prevention Research Institute, Lyon, France
Oncology Centre – Institute, Warsaw, Poland
Chair of Social Medicine, Poznan University of Medical Sciences, Poznań, Poland
Chief Sanitary Inspectorate, Poland
Iwona Bojar   

National Observatory for Health and Work Safety of Agricultural Workers, Institute of Rural Health, Jaczewskiego 2, 20-090 Lublin, Poland
Ann Agric Environ Med. 2011;18(1):169–174
Based on data obtained from the system MoZMaD - PL (Polish Mother and Child Health Monitoring System); an equivalent of the American system PRAMS (Pregnancy Risk Assessment Monitoring System). The health behaviour of a pregnant woman, including adequate nutritional behaviours and supply of all the necessary nutrients, exert an effect on the health of a woman, development of the foetus, and the occurrence of diseases among the offspring at the age of maturity. The objective of the study was analysis of the nutritional behaviours among Polish pregnant women, with particular consideration of the recognition of dietary changes caused by the fact of becoming pregnant. The studies were based on questionnaire forms within the Polish Mother and Child Heath Monitoring System (MoZMaD - PL) implemented in Poland. The precise day of studies is appointed annually for the whole of Poland by the Chief Sanitary Inspector. The questionnaire forms were correctly completed in 2010 by 2,877 women. The replies to the questions were introduced by surveyors into the MoZMaD - PL system, a central database managed by the Institute of Agricultural Medicine. The results obtained were subjected to statistical analysis. More than a half of Polish women change their diet in pregnancy. According to the pregnant women examined, the changes in their diet consist in a more frequent consumption of white meat, fish, fruits and vegetables, as well as milk and dairy products. Favourable changes in diet were observed primarily among the respondents from the urban environment. Considering an insufficient awareness with respect to nutritional behaviours among females at reproductive age, the education of pregnant women and those who plan a pregnancy concerning an adequate diet should be jointly conducted by medical circles, schools, and the media, and directed primarily to women from the rural environment.
Anderson AS: Pregnancy as a time for dietary change. Proc Nutr Soc 2001, 60, 497–504.
Arija V, Cuco G, Vila J, Iranzo R, Fernandez-Ballart J: Food consumption, dietary habits and nutritional status of the population of Reus: follow-up from preconception throughout pregnancy and after birth. Med Clin (Barc) 2004, 123, 5–11.
Barker DJ, Eriksson JG, Forsen T, Osmond C: Fetal origins of adult disease: strength of effects and biological basis. Int J Epidemiol 2002, 31, 1235–1239.
Barker DJP: Foetal origins of coronary heart disease. BMJ 1995, 311, 171–174.
Barker DPP: Fetal and Infant Origins of Adult Disease. BMJ Publishing Group, London 1993.
Bodnar LM, Siega-Riz AM: A Diet Quality Index for Pregnancy detects variation in diet and differences by sociodemographic factors. Public Health Nutr 2002, 5, 801–809.
Bojar I, Wdowiak L, Humeniuk E, Błaziak P: Change in the quality of diet during pregnancy in comparison with WHO and EU recommendations – environmental and sociodemographic conditions. Ann Agric Environ Med 2006, 13, 281–287.
Cheng Y, Dibley MJ, Zhang X, Zeng L, Yan H: Assessment of dietary intake among pregnant women in a rural area of western China. BMC Public Health 2009, 9, 222.
Crozier SR, Robinson SM, Godfrey KM, Cooper C, Inskip HM: Women’s dietary patterns change little from before to during pregnancy. J Nutr 2009, 139, 1956–1963.
Erkkola M, Karppinen M, Javanainen J, Rasaneu L, Knip M, Virtanen SM: Validity and reproducibility of food frequency questionnaire for pregnant Finnish women. Am J Epidemiol 2001, 154, 466–476.
Fidanza AA, Fidanza R: A nutrition study involving a group of pregnant women in Assisi, Italy. Part 1: Anthropometry, dietary intake and nutrition knowledge, practices and attitudes. Int J Vitam Nutr Res 1986, 56, 373–380.
Fidanza AA, Simonetti MS, Cucchia LM: A nutrition study involving a group of pregnant women in Assisi, Italy. Part 2: Determination of vitamin nutriture. Int J Vitam Nutr Res 1986, 56, 381–386.
Frederick I, Williams M, Dashow E, Kestin M, Zhang C, Leisenring W: Dietary fi ber, potassium, magnesium and calcium in relation to the risk of preeclampsia. J Reprod Med 2005, 50, 332–344.
Godfrey KM: Materna regulation of fetal development and Heath In adult life. Eur J Obstet Gynecol Reprod Biol 1998, 78, 141–150.
Hakes CN, Barker DJ, Clark PM, Cox LJ, Fall C, Osmond C, Winter PD: Foetal and infant growth and impaired glucose tolerance at age 64. BMJ 1991, 303, 1019–1022.
Healthy Food and Nutrition for Women and their Families. Training Course for Health Professionals. WHO. Regional Offi ce for Europe. Regional Offi ce for Unicef. Geneva, Central and Eastern Europe and the Commonwealth of Independent States and the Baltics.
Ladipo OA: Nutrition in pregnancy: mineral and vitamin supplements. Am J Clin Nutr 2000, 72(1 Suppl), 280–290.
Nutrition During Pregnancy: Part I: Weight Gain, Part II: Nutrient Supplements (1990), Committee on Nutritional Status During Pregnancy and Lactation, Institute of Medicine, National Academy of Sciences. Available from:
Olafsdottir A, Skuladottir G, Thorsdottir I, Hauksson A, Thorgeirsdottir H, Steingrimsdottir L: Relationship between high consumption of marine fatty acids in early pregnancy and hypertensive disorders in pregnancy. BJOG 2006, 113, 301–309.
Pinto E, Barros H, Silva I: Dietary intake and nutritional adequacy prior to conception and during pregnancy: a follow-up study in the north of Portugal. Public Health Nutr 2009, 12, 922–931.
Rasmussen KM, Yaktine AL: Weight Gain During Pregnancy: Reexamining the Guidelines, Food and Nutrition Board (FNB), Board on Children, Youth and Families (BOCYF) The National Academies Press, Washington, D.C. 2009. Available from:
Szostak-Węgierek D, Cichocka A: Żywienie Kobiet w Ciąży. PZWL, Warsaw 2005.
Yasmin S, Osrin D, Paul E, Costello A: Neonatal mortality of low birth-weight infants in Bangladesh. Bull World Health.
Yip R: Iron. In: Bowman BA, Russell RM (Eds): Present Knowledge in Nutrition. ILSI Press, Washington, DC 2001.