{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T06:28:11Z","timestamp":1783405691812,"version":"3.54.6"},"reference-count":53,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T00:00:00Z","timestamp":1736121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>During lactation, maternal requirements for many nutrients increase due to the physiological demands of breast milk production, reflected in dietary recommendations. BMI is negatively associated with dietary quality postpartum, and 40% of women in Norway have pre\u2010pregnancy overweight and obesity. Currently, there is limited data on dietary intake among lactating women in Norway and whether they meet nutritional requirements. We aimed to evaluate the nutrient intake in a study sample of lactating women with overweight and obesity, compared with the Nordic Nutrition Recommendations (NNR 2023).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In this cross\u2010sectional analysis, we included baseline data from 112 lactating women with a pre\u2010pregnancy BMI of 25\u201335\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , participating in a weight loss and breastfeeding promotion intervention trial in Oslo, Norway. Data were collected at 2 weeks postpartum (subject characteristics, anthropometry and dietary supplement use), at 7 weeks postpartum (dietary assessment) and post\u2010weaning (retrospective dietary supplement use). Dietary data were obtained from a 4\u2010day dietary record before randomisation to dietary treatment for weight loss. Nutrient intake was compared to the dietary reference values for lactating women in NNR 2023. Increased risk of inadequate intake of micronutrients was assessed as the proportion of women with intakes below the average requirement (AR), with and without dietary supplements.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean\u2009\u00b1\u2009SD BMI at 2 weeks postpartum was 30.7\u2009\u00b1\u20092.5\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      . At 7 weeks postpartum the women reported a mean energy intake of 9.2\u2009\u00b1\u20092.0\u2009MJ\/day, with a higher intake of saturated fat and a lower intake of carbohydrate, dietary fibre and docosahexaenoic acid than recommended. The majority had an increased risk of inadequate intake of vitamin A (92%), folate (92%), vitamin D (84%), selenium (87%) and iodine (71%) from the diet alone. When dietary supplements were taken into account, \u2265\u200950% of the women still had an increased risk of inadequate intake of vitamin A, folate and selenium.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The high proportion of lactating women with overweight and obesity failing to meet the newly updated Nordic Nutrition Recommendations highlights the need to raise awareness among new mothers and healthcare professionals about the increased maternal nutritional demands during lactation and hence, the importance of nutrient\u2010dense diets.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70000","type":"journal-article","created":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T02:17:14Z","timestamp":1736216234000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Nutrient Intake Among Lactating Women With Overweight and Obesity in Norway: A Comparison With the Nordic Nutrition Recommendations 2023"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0367-6079","authenticated-orcid":false,"given":"Maria","family":"Fossli","sequence":"first","affiliation":[{"name":"Norwegian Research Centre for Women's Health Oslo University Hospital Oslo Norway"},{"name":"Department of Nutrition, Institute of Basic Medical Sciences University of Oslo Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8403-2979","authenticated-orcid":false,"given":"Elisabeth A.","family":"\u00d8hman","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Institute of Basic Medical Sciences University of Oslo Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malin","family":"Andal","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Institute of Basic Medical Sciences University of Oslo Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beate F.","family":"L\u00f8land","sequence":"additional","affiliation":[{"name":"Cluster for Research and Analysis of the Health Services Norwegian Institute of Public Health Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten B.","family":"Holven","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Institute of Basic Medical Sciences University of Oslo Oslo Norway"},{"name":"Norwegian National Advisory Unit on Familial Hypercholesterolemia, Department of Endocrinology, Morbid Obesity and Preventive Medicine Oslo University Hospital Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9478-9115","authenticated-orcid":false,"given":"Hilde K.","family":"Brekke","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Institute of Basic Medical Sciences University of Oslo Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,6]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Copenhagen: Nordic Council of Ministers","author":"Blomhoff R.","year":"2023"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/advances\/nmy022"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114523002775"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.3945\/an.111.001172"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-0812-4"},{"key":"e_1_2_12_7_1","unstructured":"Helsenorge (National Online Health Services in Norway) \u201cFollow\u2010Up Care During the Post\u2010Natal Period [Internet]\u201d (2024) https:\/\/www.helsenorge.no\/en\/etter-fodsel\/follow-up-care-during-the-post-natal-period\/."},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/cdn\/nzaa118"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu16020301"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2012.08.012"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu10070885"},{"key":"e_1_2_12_12_1","volume-title":"Advice for Women Who Are Breastfeeding [Internet]","author":"The Norwegian Directorate of Health","year":"2019"},{"key":"e_1_2_12_13_1","unstructured":"Norwegian Institute of Public Health \u201cNational Dietary Surveys [Internet]\u201d (2024) https:\/\/www.fhi.no\/le\/studier\/nasjonale-kostholdsundersokelser\/om-de-nasjonale-kostholdsundersokelsene\/."},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1159\/000146274"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu9070643"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu12030630"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjnut.2024.06.006"},{"key":"e_1_2_12_18_1","unstructured":"The Norwegian Directorate of Health Spedbarnsern\u00e6ring. Nasjonal faglig retningslinje(National Guidelines for Infant Nutrition) [Internet] (Oslo: Helsedirektoratet 2016) https:\/\/www.helsedirektoratet.no\/retningslinjer\/spedbarnsernaering."},{"key":"e_1_2_12_19_1","unstructured":"WHO Indicators for Assessing Infant and Young Child Feeding Practices: Conclusions of a Consensus Meeting Held 6\u20138 November 2007 in Washington DC (Geneva:WHO 2008) https:\/\/www.who.int\/publications\/i\/item\/9789241596664."},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114509990602"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/jns.2020.16"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1079\/PHN2005793"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.29219\/fnr.v67.10233"},{"key":"e_1_2_12_24_1","volume-title":"Norkost 3: en landsomfattende kostholdsunders\u00f8kelse blant menn og kvinner i Norge i alderen 18\u201070 \u00e5r, 2010\u201011","author":"Totland T. H.","year":"2012"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12350"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2014.05.017"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.20895"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2005.03.009"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.29219\/fnr.v67.9979"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)31809-9"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/nxab258"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114512001493"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu12082333"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1159\/000091685"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.atherosclerosis.2023.117433"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8223(98)00070-4"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu12051325"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2010.10.001"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1017\/jns.2021.7"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.29219\/fnr.v67.10229"},{"key":"e_1_2_12_41_1","unstructured":"Helsenorge (National Online Health Services in Norway) \u201cKosthold alkohol tobakk og legemidler [Internet]\u201d (2024) https:\/\/www.helsenorge.no\/spedbarn\/spedbarnsmat-og-amming\/amming-og-morsmelk\/#kosthold-alkohol-tobakk-og-legemidler."},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.29219\/fnr.v67.10258"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8223(01)00062-1"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.29219\/fnr.v67.10320"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu9050486"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114521000015"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.29219\/fnr.v67.10369"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2013.05.022"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114515002706"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/133.3.895S"},{"key":"e_1_2_12_51_1","doi-asserted-by":"crossref","unstructured":"F.Bertz \u201cDiet and\/or Exercise Treatment for Weight Loss in Overweight and Obese Women After Childbirth\u201d (doctoral thesis University of Gothenburg 2012).","DOI":"10.3945\/ajcn.112.040196"},{"key":"e_1_2_12_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8223(03)01074-5"},{"key":"e_1_2_12_53_1","unstructured":"Norwegian Institute of Public Health \u201cMedical Birth Registry of Norway 2023 \u201d assessed May 20 2024 https:\/\/statistikkbank.fhi.no\/mfr\/."},{"key":"e_1_2_12_54_1","unstructured":"Statistics Norway \u201cPeople in Oslo Are Healthiest in Norway [Internet]\u201d (2016) https:\/\/www.ssb.no\/en\/helse\/artikler-og-publikasjoner\/people-in-oslo-are-healthiest-in-norway."}],"container-title":["Journal of Human Nutrition and Dietetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.70000","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T13:29:28Z","timestamp":1743773368000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jhn.70000"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,6]]},"references-count":53,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1111\/jhn.70000"],"URL":"https:\/\/doi.org\/10.1111\/jhn.70000","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/JHN.70000\/v2\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.70000\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.70000\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.70000\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.70000\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.70000\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.70000\/v1\/decision1","asserted-by":"object"}]},"ISSN":["0952-3871","1365-277X"],"issn-type":[{"value":"0952-3871","type":"print"},{"value":"1365-277X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,6]]},"assertion":[{"value":"2024-09-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70000"}}