Prevalence and risk factors for micronutrient deficiencies during pregnancy in Cayenne, French Guiana

  • Amandine Duclau
  • Fanny Abad
  • Antoine Adenis
  • Nadia Sabbah
  • Malika Leneuve
  • Mathieu Nacher
Keywords: micronutrients, deficiencies, pregnancy, risks factors, social inequalities in health, French Guiana

Abstract

Background: Involved in physical and brain development, immunity and metabolism, micronutrients have profound health effects. The nutritional status of pregnant women is a major determinant of foetal health. French Guiana has a rapid population growth. Social inequalities, cultural practices and gastrointestinal nematode infections in French Guiana could affect the prevalence of these deficiencies. The main objective of the present study was to estimate the prevalence of micronutrient deficiency among pregnant women in French Guiana. The secondary objective was to identify socio-demographic, dietary, obstetrical and neonatal risk factors associated with deficiencies.

Methods: Pregnant women over 22 weeks of pregnancy hospitalized for delivery at the Obstetrical Emergency Department of the Hospital Center in Cayenne from May 2018 to March 2019 were included. A socio-demographic and food questionnaire was administered. Medical data were collected from the medical records. Blood and urine samples were taken. The descriptive analysis used Student and chi-squared tests.

Results: A total of 341 women were included. The majority were born in Haiti (39%) and French Guiana (34%). At least one micronutrient deficiency was observed in 81% of women. Precarious women had a significantly greater risk of micronutrient deficiency during pregnancy compared to those with both normal and complementary health insurance.

Conclusions: Micronutrient deficiencies in pregnant women in French Guiana are a public health problem, a fact that was previously overlooked in the context of rising obesity. With over half the women overweight or obese, and 81% with at least 1 micronutrient deficiency, balanced nutrition should be a major focus.

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References


  1. Lewicka I, Kocyłowski R, Grzesiak M, Gaj Z, Oszukowski P, Suliburska J. Selected trace elements concentrations in pregnancy and their possible role – literature review. Ginekologia Polska 2017; 88: 509–14. doi: 10.5603/GP.a2017.0093

  2. Black MM. Micronutrient deficiencies and cognitive functioning. J Nutr 2003; 133: 3927S–3931S. doi: 10.1093/jn/133.11.3927S

  3. FAO. La situation mondiale de l’alimentation et de l’agriculture 2018. Migrations, agriculture et développement rural. Rome; 2018. Available from: http://www.fao.org/3/I9549FR/i9549fr.pdf

  4. OMS | Directives sur l’enrichissement des aliments en micronutriments. Available from: https://www.who.int/nutrition/publications/micronutrients/9241594012/fr/ [cited 24 Jan 2020].

  5. Micronutrient deficiencies in pregnancy worldwide: health effects and prevention | Nature Reviews Endocrinology. Available from: https://www.nature.com/articles/nrendo.2016.37 [cited 24 Jan 2020].

  6. Muthayya S, Rah JH, Sugimoto JD, Roos FF, Kraemer K, Black RE. The global hidden hunger indices and maps: an advocacy tool for action. PLoS One 2013; 8: e67860. doi: 10.1371/journal.pone.0067860

  7. Wessells KR, Ouédraogo CT, Young RR, Faye MT, Brito A, Hess SY. Micronutrient status among pregnant women in Zinder, Niger and risk factors associated with deficiency. Nutrients 2017; 9: 430. doi: 10.3390/nu9050430

  8. Dossier complet − Département de la Guyane (973) | Insee. Available from: https://www.insee.fr/fr/statistiques/2011101?geo=DEP-973 [cited 24 Jan 2020].

  9. Article – Bulletin épidémiologique hebdomadaire. Available from: http://beh.santepubliquefrance.fr/beh/2014/34-35/2014_34-35_2.html [cited 24 Jan 2020].

  10. Risk factors for premature birth in French Guiana: the importance of reducing health inequalities. J Mater Fetal Neonatal Med 32(8). Available from: https://www.tandfonline.com/doi/abs/10.1080/14767058.2017.1403578 [cited 24 Jan 2020].

  11. Grant M-A, Euzet G, Stephenson A. Etude de Suivi et d’Evaluation d’un Programme d’Education.4 [cited 15 Feb 2021].

  12. FAO-guidelines-dietary-diversity2011.pdf. Available from: http://www.fao.org/fileadmin/user_upload/wa_workshop/docs/FAO-guidelines-dietary-diversity2011.pdf [cited 15 Feb 2021].

  13. PNNS_UK_INDD_V2.pdf. Available from: https://solidarites-sante.gouv.fr/IMG/pdf/PNNS_UK_INDD_V2.pdf

  14. Périnat R. Rapport sur l’enquête Pemba 2012 dans l’Ouest Guyanais (Rapport du RPG, 2013). Available from: http://www.mdr-973.fr/reseau-perinat/espace-professionnels/theses-articles-et-documents/rapports-du-reseau-perinat-guyane/item/551-rapport-sur-l-enquete-pemba-2012-dans-l-ouest-guyanais [cited 24 Jan 2020].

  15. Ritchie H, Roser M. Micronutrient deficiency. Our World in Data 2017. Available from: https://ourworldindata.org/micronutrient-deficiency [cited 11 Jan 2021].

  16. a-y2809e.pdf. Available from: http://www.fao.org/3/a-y2809e.pdf [cited 15 Feb 2021].

  17. Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe? | BMC Pregnancy and Childbirth | Full Text. Available from: https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-018-1885-z [cited 24 Jan 2020].

  18. ENP2016_rapport_complet.pdf. Available from: http://www.xn--epop-inserm-ebb.fr/wp-content/uploads/2017/10/ENP2016_rapport_complet.pdf [cited 15 Feb 2021].

  19. Savy M. Indices de diversité alimentaire : mesure et utilisation chez des femmes en âge de procréer au Burkina Faso. Université de Paris 6; 2006. Available from: http://www.documentation.ird.fr/hor/fdi:010039372

  20. Ortiz-Andrellucchi A, Doreste-Alonso J, Henríquez-Sánchez P, Cetin I, Serra-Majem L. Dietary assessment methods for micronutrient intake in pregnant women: a systematic review. Br J Nutr 2009; 102: S64–86. doi: 10.1017/S0007114509993151

  21. Galicia L, Grajeda R, de Romaña DL. Nutrition situation in Latin America and the Caribbean: current scenario, past trends, and data gaps. Rev Panam Salud Publica 2016; 40: 104–13. [cited 15 Feb 2021].

  22. Lee SE, Talegawkar SA, Merialdi M, Caulfield LE. Dietary intakes of women during pregnancy in low- and middle-income countries. Public Health Nutr 2013; 16: 1340–53. doi: 10.1017/S1368980012004417

  23. Stuetz W, Carrara VI, Mc Gready R, Lee SJ, Sriprawat K, Po B, et al. Impact of food rations and supplements on micronutrient status by trimester of pregnancy: cross-sectional studies in the Maela Refugee Camp in Thailand. Nutrients 2016; 8: 66. doi: 10.3390/nu8020066

Published
2021-02-22
How to Cite
Duclau, A., Abad, F., Adenis, A., Sabbah, N., Leneuve, M., & Nacher, M. (2021). Prevalence and risk factors for micronutrient deficiencies during pregnancy in Cayenne, French Guiana. Food & Nutrition Research, 65. https://doi.org/10.29219/fnr.v65.5268
Section
Original Articles