Maternal diets and dietary diversity in relation to pregnancy hypertension in sub-Saharan Africa
department or school: Medicine, Faculty of
department or school: Obstetrics and Gynaecology, Department of
data provider: DSpace
degree campus: UBCV
creator: Kinshella, Mai-Lei Margaret
issued: 2024-08-02T22:04:31Z
issued: 2024
related degree: Doctor of Philosophy - PhD
degree grantor: University of British Columbia
description: Pre-eclampsia and other hypertensive disorders of pregnancy are the second leading cause of maternal mortality in sub-Saharan Africa, where they account for 22% of maternal deaths. Nutritious and diverse foods during pregnancy have vital roles to play in maternal and child health. The objectives of the work presented in this Dissertation are to: 1) systematically evaluate the current evidence for the influence of maternal diets on pregnancy hypertension in resource-constrained settings, 2) understand maternal diets and influencing factors from community perspectives in sub-Saharan Africa, and 3) investigate associations between nutritious and diverse maternal diets and pregnancy hypertension among women living in three geographical settings in sub-Saharan Africa. This study used quantitative data from the PRECISE Network, a prospective cohort that enrolled women in Kenya, Mozambique and The Gambia between June 2019 and December 2022. Based on foods consumed in the previous 24-hours, Minimum Dietary Diversity for Women (MDD-W) was assessed among women participating in PRECISE. Quantitative research was accompanied by qualitative community-based research in PRECISE study communities to understand local perspectives. The systematic review was the first to focus on dietary patterns and pregnancy hypertension in low- and middle-income countries and found substantially lower odds of pre-eclampsia associated with fruits or vegetables consumption at least once per week. Through qualitative interviews, community members shared that diverse meals were valued to support pregnancy health, but maternal diets did not substantially differ from typical household meals, especially due to affordability constraints. This was confirmed in the quantitative data that found pregnant women had slightly higher rates of meeting MDD-W, but the MDD-W was only met by less than half the population (48.4% pregnant vs 45.6% non-pregnant women). Among women with lower frequency of unhealthy food gr…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/88866
note: MATERNAL DIETS AND DIETARY DIVERSITY IN RELATION TO PREGNANCY HYPERTENSION IN SUB-SAHARAN AFRICA by Mai-Lei Margaret Kinshella M.A., The University of British Columbia, 2012 A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY in THE FACULTY OF GRADUATE AND POSTDOCTORAL STUDIES (Women+ and Children’s Health Sciences) THE UNIVERSITY OF BRITISH COLUMBIA (Vancouver) July 2024 © Mai-Lei Margaret Kinshella, 2024 ii The following individuals certify that they have read, and recommend to the Faculty of Graduate and Postdoctoral Studies for acceptance, the dissertation entitled: Maternal diets and dietary diversity in relation to pregnancy hypertension in sub-Saharan Africa submitted by Mai-Lei Margaret Kinshella in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Women+ and Children’s Health Sciences Examining Committee: Dr Rajavel Elango, Associate Professor, School of Population and Public Health, Department of Pediatrics, University of British Columbia Co-supervisor Dr Sophie E Moore, Professor of Global Women & Children's Health, Department of Women & Children's Health, King’s College London Co-supervisor Dr Sarka Lisonkova, Associate Professor, Department of Obstetrics and Gynaecology, University of British Columbia Supervisory Committee Member Dr Rachel Murphy, Associate Professor, School of Population and Public Health, University of British Columbia University Examiner Dr Annalijn I. Conklin, Associate Professor, Faculty of Pharmaceutical Sciences, University of British Columbia University Examiner Additional Supervisory Committee Members: Dr Patricia Janssen, Professor, School of Population and Public Health, University of British Columbia Supervisory Committee Member Dr Laura Magee, Professor of Women's Health, Department of Women & Children's Health, King’s College London Supervisory Committee Member iii Abstract Pre-eclampsia and other hypertensive disorders of pregnancy are the sec…
has type: Thesis/Dissertation
date issued: 2024-11
is shown at: 10.14288/1.0444985
language: eng
degree discipline: Women+ and Children’s Health Sciences
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Graduate
contributor: Elango, Rajavel
contributor: Moore, Sophie E.
type: Text
identifier URI: http://hdl.handle.net/2429/88866