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TL;DR
This mixed-methods study evaluated the FIGO Nutrition Checklist in 387 pregnant and nonpregnant women with overweight or obesity in Soweto, South Africa.
International Journal of Gynaecology and Obstetrics · 10 authors, 5 centres
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This mixed-methods study evaluated the FIGO Nutrition Checklist in 387 pregnant and nonpregnant women with overweight or obesity in Soweto, South Africa.
Quantitative responses were analyzed using logistic regression, and qualitative data from in-depth interviews with the dietitian and 15 participants were analyzed using reflexive thematic analysis. Among 387 participants, 97.4% had at least one at-risk dietary practice, with a median of 3 at-risk practices (IQR 2–4). Logistic regression showed food insecurity was positively associated with a high-risk diet (OR 1.87; 95% CI, 1.10–3.18; P = 0.021), while graduating high school (OR 0.60; 95% CI, 0.37–0.95; P = 0.028) and longer time in the trial (OR 0.96; 95% CI, 0.92–0.99; P = 0.017) were inversely associated. Qualitative findings indicated the checklist was acceptable and easy to use but required adaptations including explanation and translation. A limitation is that participants were predominantly women with overweight or obesity, limiting generalizability to all women of reproductive age.