Decreased Nutrient Intake Is Associated With Premature Cervical Remodeling

Mary Dawn Koenig*, Barbara L. McFarlin, Alana D. Steffen, Lisa Tussing-Humphreys, Carmen Giurgescu, Christopher G. Engeland, Michelle A. Kominiarek, Christina Ciezczak-Karpiel, William D. O'Brien, Rosemary White-Traut

*Corresponding author for this work

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective To examine the direct relationship between nutrient intake and cervical remodeling. Design Longitudinal descriptive design. Setting Maternal–fetal medicine clinic in a Midwestern urban city. Participants Forty-seven pregnant African American women. Methods Participants completed the Block brief food frequency questionnaire at 19 to 24 weeks and 27 to 29 weeks gestation and had quantitative ultrasonic attenuation estimates at 19 to 21 weeks, 23 to 25 weeks, 27 to 29 weeks, 31 to 33 weeks, and 35 to 37 weeks gestation. Results Trajectory mixture models identified two subpopulations within our sample: those at risk (n = 36) and at less risk (n = 11) for premature cervical remodeling. More participants in the less-risk group consumed the dietary reference intake for calcium, vitamin A, folate, vitamin E, zinc, and vitamin D than in the at-risk group. The percentage of participants in the less-risk group who consumed the recommended dietary reference intake for vitamin E was twice the percentage of women in the at-risk group (82% and 44%, respectively; p =.004). Mean intake of calcium was almost 1.3 times more (p =.05) and for zinc was 1.5 times more (p =.04) in the less-risk group than in the at-risk group. Conclusion Practitioners can inform women that certain nutrients, particularly zinc, calcium, and vitamin E, could be important to the health of the cervix and inhibit premature cervical remodeling, which in turn may help prevent preterm birth.

Original languageEnglish (US)
Pages (from-to)123-134
Number of pages12
JournalJOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing
Volume46
Issue number1
DOIs
StatePublished - Jan 1 2017

Fingerprint

Food
Zinc
Recommended Dietary Allowances
Calcium
Vitamin E
Pregnancy
Premature Birth
Folic Acid
Ultrasonics
Cervix Uteri
Vitamin D
African Americans
Medicine
Health

Keywords

  • African American
  • cervical remodeling
  • nutrition
  • pregnancy

ASJC Scopus subject areas

  • Pediatrics
  • Critical Care
  • Maternity and Midwifery

Cite this

Koenig, M. D., McFarlin, B. L., Steffen, A. D., Tussing-Humphreys, L., Giurgescu, C., Engeland, C. G., ... White-Traut, R. (2017). Decreased Nutrient Intake Is Associated With Premature Cervical Remodeling. JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, 46(1), 123-134. https://doi.org/10.1016/j.jogn.2016.08.006
Koenig, Mary Dawn ; McFarlin, Barbara L. ; Steffen, Alana D. ; Tussing-Humphreys, Lisa ; Giurgescu, Carmen ; Engeland, Christopher G. ; Kominiarek, Michelle A. ; Ciezczak-Karpiel, Christina ; O'Brien, William D. ; White-Traut, Rosemary. / Decreased Nutrient Intake Is Associated With Premature Cervical Remodeling. In: JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2017 ; Vol. 46, No. 1. pp. 123-134.
@article{d178eadee67e4e4e92ee391962a14c13,
title = "Decreased Nutrient Intake Is Associated With Premature Cervical Remodeling",
abstract = "Objective To examine the direct relationship between nutrient intake and cervical remodeling. Design Longitudinal descriptive design. Setting Maternal–fetal medicine clinic in a Midwestern urban city. Participants Forty-seven pregnant African American women. Methods Participants completed the Block brief food frequency questionnaire at 19 to 24 weeks and 27 to 29 weeks gestation and had quantitative ultrasonic attenuation estimates at 19 to 21 weeks, 23 to 25 weeks, 27 to 29 weeks, 31 to 33 weeks, and 35 to 37 weeks gestation. Results Trajectory mixture models identified two subpopulations within our sample: those at risk (n = 36) and at less risk (n = 11) for premature cervical remodeling. More participants in the less-risk group consumed the dietary reference intake for calcium, vitamin A, folate, vitamin E, zinc, and vitamin D than in the at-risk group. The percentage of participants in the less-risk group who consumed the recommended dietary reference intake for vitamin E was twice the percentage of women in the at-risk group (82{\%} and 44{\%}, respectively; p =.004). Mean intake of calcium was almost 1.3 times more (p =.05) and for zinc was 1.5 times more (p =.04) in the less-risk group than in the at-risk group. Conclusion Practitioners can inform women that certain nutrients, particularly zinc, calcium, and vitamin E, could be important to the health of the cervix and inhibit premature cervical remodeling, which in turn may help prevent preterm birth.",
keywords = "African American, cervical remodeling, nutrition, pregnancy",
author = "Koenig, {Mary Dawn} and McFarlin, {Barbara L.} and Steffen, {Alana D.} and Lisa Tussing-Humphreys and Carmen Giurgescu and Engeland, {Christopher G.} and Kominiarek, {Michelle A.} and Christina Ciezczak-Karpiel and O'Brien, {William D.} and Rosemary White-Traut",
year = "2017",
month = "1",
day = "1",
doi = "10.1016/j.jogn.2016.08.006",
language = "English (US)",
volume = "46",
pages = "123--134",
journal = "JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing",
issn = "0884-2175",
publisher = "Wiley-Blackwell",
number = "1",

}

Koenig, MD, McFarlin, BL, Steffen, AD, Tussing-Humphreys, L, Giurgescu, C, Engeland, CG, Kominiarek, MA, Ciezczak-Karpiel, C, O'Brien, WD & White-Traut, R 2017, 'Decreased Nutrient Intake Is Associated With Premature Cervical Remodeling', JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, vol. 46, no. 1, pp. 123-134. https://doi.org/10.1016/j.jogn.2016.08.006

Decreased Nutrient Intake Is Associated With Premature Cervical Remodeling. / Koenig, Mary Dawn; McFarlin, Barbara L.; Steffen, Alana D.; Tussing-Humphreys, Lisa; Giurgescu, Carmen; Engeland, Christopher G.; Kominiarek, Michelle A.; Ciezczak-Karpiel, Christina; O'Brien, William D.; White-Traut, Rosemary.

In: JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, Vol. 46, No. 1, 01.01.2017, p. 123-134.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Decreased Nutrient Intake Is Associated With Premature Cervical Remodeling

AU - Koenig, Mary Dawn

AU - McFarlin, Barbara L.

AU - Steffen, Alana D.

AU - Tussing-Humphreys, Lisa

AU - Giurgescu, Carmen

AU - Engeland, Christopher G.

AU - Kominiarek, Michelle A.

AU - Ciezczak-Karpiel, Christina

AU - O'Brien, William D.

AU - White-Traut, Rosemary

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Objective To examine the direct relationship between nutrient intake and cervical remodeling. Design Longitudinal descriptive design. Setting Maternal–fetal medicine clinic in a Midwestern urban city. Participants Forty-seven pregnant African American women. Methods Participants completed the Block brief food frequency questionnaire at 19 to 24 weeks and 27 to 29 weeks gestation and had quantitative ultrasonic attenuation estimates at 19 to 21 weeks, 23 to 25 weeks, 27 to 29 weeks, 31 to 33 weeks, and 35 to 37 weeks gestation. Results Trajectory mixture models identified two subpopulations within our sample: those at risk (n = 36) and at less risk (n = 11) for premature cervical remodeling. More participants in the less-risk group consumed the dietary reference intake for calcium, vitamin A, folate, vitamin E, zinc, and vitamin D than in the at-risk group. The percentage of participants in the less-risk group who consumed the recommended dietary reference intake for vitamin E was twice the percentage of women in the at-risk group (82% and 44%, respectively; p =.004). Mean intake of calcium was almost 1.3 times more (p =.05) and for zinc was 1.5 times more (p =.04) in the less-risk group than in the at-risk group. Conclusion Practitioners can inform women that certain nutrients, particularly zinc, calcium, and vitamin E, could be important to the health of the cervix and inhibit premature cervical remodeling, which in turn may help prevent preterm birth.

AB - Objective To examine the direct relationship between nutrient intake and cervical remodeling. Design Longitudinal descriptive design. Setting Maternal–fetal medicine clinic in a Midwestern urban city. Participants Forty-seven pregnant African American women. Methods Participants completed the Block brief food frequency questionnaire at 19 to 24 weeks and 27 to 29 weeks gestation and had quantitative ultrasonic attenuation estimates at 19 to 21 weeks, 23 to 25 weeks, 27 to 29 weeks, 31 to 33 weeks, and 35 to 37 weeks gestation. Results Trajectory mixture models identified two subpopulations within our sample: those at risk (n = 36) and at less risk (n = 11) for premature cervical remodeling. More participants in the less-risk group consumed the dietary reference intake for calcium, vitamin A, folate, vitamin E, zinc, and vitamin D than in the at-risk group. The percentage of participants in the less-risk group who consumed the recommended dietary reference intake for vitamin E was twice the percentage of women in the at-risk group (82% and 44%, respectively; p =.004). Mean intake of calcium was almost 1.3 times more (p =.05) and for zinc was 1.5 times more (p =.04) in the less-risk group than in the at-risk group. Conclusion Practitioners can inform women that certain nutrients, particularly zinc, calcium, and vitamin E, could be important to the health of the cervix and inhibit premature cervical remodeling, which in turn may help prevent preterm birth.

KW - African American

KW - cervical remodeling

KW - nutrition

KW - pregnancy

UR - http://www.scopus.com/inward/record.url?scp=85007440109&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85007440109&partnerID=8YFLogxK

U2 - 10.1016/j.jogn.2016.08.006

DO - 10.1016/j.jogn.2016.08.006

M3 - Article

C2 - 27836660

AN - SCOPUS:85007440109

VL - 46

SP - 123

EP - 134

JO - JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing

JF - JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing

SN - 0884-2175

IS - 1

ER -