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This research was funded by crowd funding project PRECIPITA (https://www.precipita.es/proyectos/Composicion-de-la-leche-materna-prematuridad-y-parametros-maternos, 13 September 2020).

Analysis of institutional authors

Arribas, SmAuthorRamiro-Cortijo, DCorresponding Author
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Article

Assessment of Adherence to the Healthy Food Pyramid in Pregnant and Lactating Women

Publicated to:Nutrients. 13 (7): 2372- - 2021-07-01 13(7), DOI: 10.3390/nu13072372

Authors: Gila-Diaz, Andrea; Witte Castro, Ariadna; Herranz Carrillo, Gloria; Singh, Pratibha; Yakah, William; Arribas, Silvia M.; Ramiro-Cortijo, David;

Affiliations

Harvard Med Sch, Beth Israel Deaconess Med Ctr, Dept Neonatol, 330 Brookline Ave, Boston, MA 02215 USA - Author
Harvard Med Sch, Beth Israel Deaconess Med Ctr, Div Gastroenterol, 330 Brookline Ave, Boston, MA 02215 USA - Author
Hosp Clin San Carlos, Hosp Clin San Carlos IdISSC, Inst Invest Sanitaria, Div Neonatol, C Prof Martin Lagos S-N, Madrid 28040, Spain - Author
Univ Autonoma Madrid, Fac Med, Dept Physiol, C Arzobispo Morcillo 2, Madrid 28029, Spain - Author

Abstract

There are numerous dietary recommendations during pregnancy. However, there are limited recommendations during the lactation period, a nutritionally vulnerable period for women. The Mediterranean Diet and adherence to the Healthy Food Pyramid (HFP) is considered as the standard for healthy eating. In this study, we investigated the differences in adherence to the HFP in pregnant, lactating, and non-pregnant/non-lactating (NPNL) women concerning sociodemographic factors. A sociodemographic and nutritional and lifestyle questionnaire (AP-Q) were used to assess adherence to the HFP, including lifestyle. The AP-Q score ranges from 0 to 10 meaning the higher the score, the greater the adherence to the HFP. Lactating women had the lowest AP-Q score (6.13 [5.31; 6.82]) compared to the pregnant (6.39 [5.56; 7.05]) and NPNL women (6.27 [5.43; 6.88]), while pregnant women had the highest scores. Maternal age was positively correlated with AP-Q score in pregnant (rho = 0.22; p-Value < 0.001) and lactating women (rho = 0.18; p-Value < 0.001), but not in NPNL women. Educational level and monthly income had a positive influence on the degree of adherence to the HFP. In conclusion, breastfeeding mothers of young age and low socioeconomic and educational level would be the target population to carry out nutritional interventions that improve their adherence to the HFP. The knowledge gained from this study can help to design recommendation guidelines and nutritional educational interventions for a given population.

Keywords
breastfeedingdiethealthy food pyramidnutritionAdolescentsBreastfeedingChildrenDietHealthy food pyramidImpactLifeMaternal nutritionMediterranean dietNutritionPopulationPregnancyQualitySpainVitamin-d

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Nutrients due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2021, it was in position 15/90, thus managing to position itself as a Q1 (Primer Cuartil), in the category Nutrition & Dietetics.

From a relative perspective, and based on the normalized impact indicator calculated from World Citations from Scopus Elsevier, it yields a value for the Field-Weighted Citation Impact from the Scopus agency: 1.19, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 14, 2024)

This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:

  • Field Citation Ratio (FCR) from Dimensions: 3.61 (source consulted: Dimensions May 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-05-10, the following number of citations:

  • WoS: 5
  • Scopus: 13
  • Europe PMC: 7
  • OpenCitations: 10
Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-05-10:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 89.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 88 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 3.35.
  • The number of mentions on the social network X (formerly Twitter): 5 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Israel; United States of America.

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Gila-Diaz, A) and Last Author (RAMIRO CORTIJO, DAVID).

the author responsible for correspondence tasks has been RAMIRO CORTIJO, DAVID.