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Nutritional status of methadone‐treated pregnant women
Author(s) -
Tomedi Laura Elizabeth,
Bodnar Lisa M.,
Bogen Debra,
Hanusa Barbara,
Wisner Katherine L.
Publication year - 2009
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.23.1_supplement.736.19
Subject(s) - medicine , underweight , methadone , pregnancy , overweight , cohort , nutrient , cohort study , obesity , environmental health , obstetrics , biology , psychiatry , ecology , genetics
Maternal nutrition has profound effects on a child's long‐term health. There are no known studies of the nutritional status of mothers on methadone, a treatment for opiate addiction. Pilot study objective: evaluate dietary intake in a cohort of 26 methadone‐treated (MT) pregnant women compared to a cohort of 198 pregnant women not treated with methadone (non‐MT). Usual dietary intake in the 2nd trimester of pregnancy was assessed using a self‐administered modified Block98 food frequency questionnaire. Nutrient intakes were adjusted for energy using the nutrient‐density approach, and categorized into tertiles. MT women were significantly leaner than non‐MT women (underweight, 11.5% vs. 3.0; normal 53.8% vs. 52.5%; overweight 11.5% vs. 19.2%; and obese 7.7% vs. 25.3%; (p<0.05)). MANOVA analysis showed that MT women were more likely than non‐MT women to be in the lowest tertile of nutrient density for dietary folate equivalents, vitamins C, E and A, calcium, iron and fiber. MT women were also more likely to be in the lowest tertile for percent of energy from protein and fat. However, MT women were less likely than non‐MT women to be in the lowest tertile for carbohydrates. These pilot data suggest that MT mothers may consume a low nutrient‐dense diet that is high in refined carbohydrates. Project supported by The Gerber Foundation, Children's Hospital of Pittsburgh RAC, NIH grants K01 MH074092, R01 MH060335 & K12 HD043441.