摘要：The aim of the study was to determine the relationship between smoking and food
ingestion in a pregnant women group. The literature in the field has shown that
smoking during pregnancy is harmful, affecting pregnancy evolution, delivery and
newborn health. Also, smoking can indirectly influence fetus evolution affecting
the alimentary mother behavior. Material
and methods . The cohort study implied a group of 263 pregnant women, 18-39
years old, from Iaşi city. They were investigated early in pregnancy, late in
pregnancy and about 2 months postpartum. They were asked about the frequencies
of food consumption and 24 h recall of food intake and smoking data. Total
energy intake and the main nutrients intake were estimated. Urinary cotinine,
thiocyanates and creatinine were determined. Relationship smoking-nutrition was
investigated using ”chi squared” and Anova tests. Results . Before pregnancy 43.4% of
women smoked; during pregnancy and postpartum about 10% of women smoked. Smoking
associated with defavourized socio-economical status (low education, singles,
unemployed). The number of smoked cigarettes very well correlated with the
urinary level of cotinine and thiocyanates reported by creatinine. Smoking women
had a higher ingested energy and consumed more lipids than nonsmoking women. In
early pregnancy, smoking women consumed fewer dairy products and in late
pregnancy they consumed less fish then the other ones. After delivery, the
smoking women consumed less eggs and fish. During the whole study period, they
consumed more coffee comparing the nonsmoking women. Conclusions . About a quarter of smoking
women continued to smoke during pregnancy and after delivery; they had a less
healthy nutrition comparing the nonsmoking women. So, smoking pregnant women is
a group of particular importance in terms of public health interventions on
nutrition.
