{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T15:57:40Z","timestamp":1790611060195,"version":"4.1.0"},"reference-count":59,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Form Res"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Multiple studies have highlighted the prevalence of suboptimal dietary patterns during pregnancy and the postpartum period, with some studies indicating factors that influence dietary behaviors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to map the differences in dietary-related experiences, determinants, and information-seeking behaviors, focusing on app use, during the pregnancy and postpartum periods among Dutch women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In total, 1619 women recruited via social media filled in an online questionnaire consisting of 32 multiple-choice, 2 ranking, 11 rating, and 20 open-ended questions covering demographics, dietary-related activities during pregnancy and the postpartum period, determinants of these activities, and information-seeking behaviors focusing on app use. Questions were specific to pregnancy or postpartum, and responses were compared using chi-square tests, ANOVA, or 2-tailed\n                      <jats:italic>t<\/jats:italic>\n                      tests between perinatal phases.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We obtained data from 842 pregnant and 777 postpartum women. Mean age was 32 (SD 4) years, mean self-reported prepregnancy BMI was 25 (SD 5) kg\/m\u00b2, and most participants were highly educated (1214\/1619, 75.0%). Pregnant and postpartum women valued healthy nutrition (mean 8.5, SD 1.2 on a 10-point scale). Pregnant women rated their food enjoyment and diet quality lowest during the first trimester, with scores of 6.3 (SD 2.5) and 6.3 (SD 1.9) out of 10, respectively. Compared with pregnant women, postpartum women had less phase-specific nutritional knowledge (354\/745, 47.5% vs 533\/820, 65.0%), less time for food preparation (365\/726, 50.3% vs 618\/803, 77.0%), and less time for eating (524\/721, 72.7% vs 773\/799, 96.7%), but were more eager to learn about phase-specific healthy food choices (745, 42.0% vs 234\/820, 28.5%) and felt more capable of food preparation (mean 7.3 SD 2.2 vs mean 6.9, SD 2.2). During pregnancy, the main reason for eating was the child\u2019s health, while in postpartum, the main reason was hunger. Key sources of nutrition information were websites (1337\/1565, 85.4%), health care professionals (805\/1565, 51.4%), and apps (665\/1565, 42.5%). Phase-specific app use dropped from 90.8% (713\/785) during pregnancy to 58.9% (418\/710) postpartum, with many women being unaware of the existence of postpartum apps. Important factors to consider for app use included credibility, ease of use, and free access.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our results highlighted significant differences in dietary-related experiences, determinants, and information-seeking behaviors between pregnant and postpartum women, underscoring the need for tailored dietary support tools for each phase. The limited availability of postpartum nutrition resources, such as apps, highlighted the need to develop improved digital nutritional counseling solutions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/73808","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T15:25:26Z","timestamp":1790609126000},"page":"e73808-e73808","source":"Crossref","is-referenced-by-count":0,"title":["Differences in Dietary-Related Experiences, Determinants, and Information-Seeking Behaviors Among Pregnant and Postpartum Women: Cross-Sectional Survey Study"],"prefix":"10.2196","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0685-6462","authenticated-orcid":false,"given":"Janine P M","family":"Faessen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9769-6566","authenticated-orcid":false,"given":"Desiree A","family":"Lucassen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5819-2488","authenticated-orcid":false,"given":"Edith J M","family":"Feskens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6829-5090","authenticated-orcid":false,"given":"Elske M","family":"Brouwer-Brolsma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"issue":"8","key":"R1","doi-asserted-by":"publisher","DOI":"10.1093\/cdn\/nzaa118","article-title":"Tracking of maternal diet from pregnancy to postpregnancy: a systematic review of observational studies","volume":"4","author":"Lee","journal-title":"Curr Dev Nutr"},{"issue":"4","key":"R2","doi-asserted-by":"publisher","first-page":"454","DOI":"10.1017\/S0029665115002396","article-title":"Improving maternal nutrition for better pregnancy outcomes","volume":"74","author":"Nnam","journal-title":"Proc Nutr Soc"},{"issue":"5","key":"R3","doi-asserted-by":"publisher","first-page":"e1294","DOI":"10.1542\/peds.2015-0874","article-title":"Maternal gestational and postdelivery weight gain and child weight","volume":"136","author":"van Rossem","journal-title":"Pediatrics"},{"issue":"8","key":"R4","doi-asserted-by":"publisher","first-page":"966","DOI":"10.1007\/s10995-020-02949-9","article-title":"Maternal postpartum diet and postpartum depression: a systematic review","volume":"24","author":"Opie","journal-title":"Matern Child Health J"},{"issue":"8","key":"R5","doi-asserted-by":"publisher","DOI":"10.1093\/cdn\/nzaa121","article-title":"Diet during pregnancy and gestational weight gain in a Michigan pregnancy cohort","volume":"4","author":"Hirko","journal-title":"Curr Dev Nutr"},{"issue":"9","key":"R6","doi-asserted-by":"publisher","first-page":"663","DOI":"10.1016\/j.annepidem.2007.03.003","article-title":"Diet during pregnancy and risk of preeclampsia or gestational hypertension","volume":"17","author":"Oken","journal-title":"Ann Epidemiol"},{"issue":"6","key":"R7","doi-asserted-by":"publisher","DOI":"10.3390\/nu10060698","article-title":"Associations of diet and physical activity with risk for gestational diabetes mellitus: a systematic review and meta-analysis","volume":"10","author":"Mijatovic-Vukas","journal-title":"Nutrients"},{"key":"R8","unstructured":"Dietary recommendations for pregnant women [Report in Dutch]. Gezondheidsraad; 2021. URL: https:\/\/www.gezondheidsraad.nl\/documenten\/adviezen\/2021\/06\/22\/voedingsaanbevelingen-voor-zwangere-vrouwen [Accessed 16-02-2024]"},{"issue":"2","key":"R9","doi-asserted-by":"publisher","DOI":"10.3390\/nu11020460","article-title":"Changes in micronutrient intake and status, diet quality and glucose tolerance from preconception to the second trimester of pregnancy","volume":"11","author":"Looman","journal-title":"Nutrients"},{"issue":"2","key":"R10","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1111\/nure.12003","article-title":"A systematic review and meta-analysis of micronutrient intakes during pregnancy in developed countries","volume":"71","author":"Blumfield","journal-title":"Nutr Rev"},{"issue":"6","key":"R11","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1111\/j.1753-4887.2012.00481.x","article-title":"Systematic review and meta-analysis of energy and macronutrient intakes during pregnancy in developed countries","volume":"70","author":"Blumfield","journal-title":"Nutr Rev"},{"issue":"3","key":"R12","doi-asserted-by":"publisher","first-page":"e67","DOI":"10.1016\/j.wombi.2015.11.005","article-title":"Beyond the \u201cteachable moment\u201d - a conceptual analysis of women\u2019s perinatal behaviour change","volume":"29","author":"Olander","journal-title":"Women Birth"},{"issue":"1","key":"R13","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-05135-7","article-title":"A qualitative exploration of influences on eating behaviour throughout pregnancy","volume":"22","author":"Rockliffe","journal-title":"BMC Pregnancy Childbirth"},{"issue":"3","key":"R14","doi-asserted-by":"publisher","first-page":"1077","DOI":"10.1111\/bjhp.12590","article-title":"Investigating the utility of the COM-B and TM model to explain changes in eating behaviour during pregnancy: a longitudinal cohort study","volume":"27","author":"Rockliffe","journal-title":"Br J Health Psychol"},{"issue":"6","key":"R15","doi-asserted-by":"publisher","DOI":"10.1016\/j.cdnut.2023.100097","article-title":"Comparative assessment of diet quality and adherence to a structured nutrition and exercise intervention compared with usual care in pregnancy in a randomized trial","volume":"7","author":"Dempsey","journal-title":"Curr Dev Nutr"},{"issue":"3","key":"R16","doi-asserted-by":"publisher","first-page":"602","DOI":"10.1016\/j.jand.2021.11.015","article-title":"Barriers and facilitators to healthy eating and physical activity postpartum: a qualitative systematic review","volume":"122","author":"Ryan","journal-title":"J Acad Nutr Diet"},{"issue":"1","key":"R17","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.13741","article-title":"Barriers and facilitators to healthy eating during post-partum among non-Hispanic Black mothers","volume":"21","author":"Kay","journal-title":"Matern Child Nutr"},{"issue":"5","key":"R18","doi-asserted-by":"publisher","first-page":"1159","DOI":"10.1111\/jhn.13342","article-title":"Access to nutrition advice and knowledge, attitudes and practices of pregnant women in Ireland: a cross-sectional study","volume":"37","author":"McCarthy","journal-title":"J Hum Nutr Diet"},{"issue":"11","key":"R19","doi-asserted-by":"publisher","DOI":"10.2196\/37552","article-title":"Assessing the content and quality of digital tools for managing gestational weight gain: systematic search and evaluation","volume":"24","author":"Brammall","journal-title":"J Med Internet Res"},{"issue":"1","key":"R20","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-026-14211-z","article-title":"Health care professionals\u2019 postpartum nutritional counselling to women; a mixed-methods approach","volume":"26","author":"Faessen","journal-title":"BMC Health Serv Res"},{"issue":"13","key":"R21","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18136733","article-title":"Midwives\u2019 experiences with and perspectives on online (nutritional) counselling and mHealth applications for pregnant women; an explorative qualitative study","volume":"18","author":"Wit","journal-title":"Int J Environ Res Public Health"},{"issue":"6","key":"R22","doi-asserted-by":"publisher","DOI":"10.1093\/cdn\/nzac087","article-title":"Eating for 2: a systematic review of Dutch app stores for apps promoting a healthy diet during pregnancy","volume":"6","author":"Faessen","journal-title":"Curr Dev Nutr"},{"issue":"1","key":"R23","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1177\/0890334418768792","article-title":"Exploring healthy eating and exercise behaviors among low-income breastfeeding mothers","volume":"35","author":"MacMillan Uribe","journal-title":"J Hum Lact"},{"issue":"4","key":"R24","doi-asserted-by":"publisher","first-page":"242","DOI":"10.1080\/15323269.2023.2262933","article-title":"Pregnancy-related information-seeking behavior and information literacy profiles of women at reproductive age","volume":"23","author":"Kostagiolas","journal-title":"J Hosp Librariansh"},{"issue":"2","key":"R25","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1016\/j.jnn.2021.08.008","article-title":"Health information seeking in the postpartum period: a cross-sectional survey","volume":"28","author":"Dol","journal-title":"J Neonatal Nurs"},{"key":"R26","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-03065-w","article-title":"A mixed-methods investigation of women\u2019s experiences seeking pregnancy-related online nutrition information","volume":"20","author":"Snyder","journal-title":"BMC Pregnancy Childbirth"},{"key":"R27","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2012.677394","article-title":"Advancing the science of mHealth","volume":"17 Suppl 1","author":"Nilsen","journal-title":"J Health Commun"},{"issue":"4","key":"R28","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.8954","article-title":"Physical activity, sedentary behavior, and diet-related eHealth and mHealth research: bibliometric analysis","volume":"20","author":"M\u00fcller","journal-title":"J Med Internet Res"},{"issue":"1","key":"R29","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1016\/j.wombi.2013.11.001","article-title":"An emerging model of maternity care: smartphone, midwife, doctor?","volume":"27","author":"Tripp","journal-title":"Women Birth"},{"issue":"3","key":"R30","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12768","article-title":"A review of pregnancy iPhone apps assessing their quality, inclusion of behaviour change techniques, and nutrition information","volume":"15","author":"Brown","journal-title":"Matern Child Nutr"},{"issue":"7","key":"R31","doi-asserted-by":"publisher","DOI":"10.2196\/27885","article-title":"Perspectives and preferences of adult smartphone users regarding nutrition and diet apps: web-based survey study","volume":"9","author":"Vasiloglou","journal-title":"JMIR Mhealth Uhealth"},{"key":"R32","unstructured":"Michie S Atkins L West R . The Behaviour Change Wheel: A Guide to Designing Interventions. Silverback; 2014. ISBN: 9781291846058"},{"issue":"4","key":"R33","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1080\/17437199.2021.1938632","article-title":"Factors influencing health behaviour change during pregnancy: a systematic review and meta-synthesis","volume":"15","author":"Rockliffe","journal-title":"Health Psychol Rev"},{"issue":"4","key":"R34","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13167","article-title":"Barriers and facilitators to a healthy lifestyle in postpartum women: a systematic review of qualitative and quantitative studies in postpartum women and healthcare providers","volume":"22","author":"Makama","journal-title":"Obes Rev"},{"issue":"1","key":"R35","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1007\/s10995-005-0025-3","article-title":"Weight, diet, and physical activity-related beliefs and practices among pregnant and postpartum Latino women: the role of social support","volume":"10","author":"Thornton","journal-title":"Matern Child Health J"},{"issue":"1","key":"R36","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1111\/j.2047-6310.2012.00104.x","article-title":"Frequency of family meals and childhood overweight: a systematic review","volume":"8","author":"Vald\u00e9s","journal-title":"Pediatr Obes"},{"issue":"11","key":"R37","doi-asserted-by":"publisher","first-page":"2528","DOI":"10.1017\/S1368980013002954","article-title":"Does eating family meals and having the television on during dinner correlate with overweight? A sub-study of the PRO GREENS project, looking at children from nine European countries","volume":"17","author":"Roos","journal-title":"Public Health Nutr"},{"issue":"6","key":"R38","doi-asserted-by":"publisher","first-page":"431","DOI":"10.1080\/03670244.2010.524103","article-title":"Using social marketing to understand the family dinner with working mothers","volume":"49","author":"Martinasek","journal-title":"Ecol Food Nutr"},{"issue":"1","key":"R39","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-019-2508-z","article-title":"Experiences regarding nutrition and exercise among women during early postpartum: a qualitative grounded theory study","volume":"19","author":"Murray-Davis","journal-title":"BMC Pregnancy Childbirth"},{"issue":"2","key":"R40","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1111\/j.1542-2011.2012.00203.x","article-title":"Low-income, pregnant, African American women\u2019s views on physical activity and diet","volume":"58","author":"Groth","journal-title":"J Midwifery Womens Health"},{"issue":"1","key":"R41","doi-asserted-by":"publisher","first-page":"e35","DOI":"10.1097\/AOG.0000000000002683","article-title":"ACOG committee opinion no. 742: postpartum pain management","volume":"132","journal-title":"Obstet Gynecol"},{"issue":"9","key":"R42","doi-asserted-by":"publisher","first-page":"1027","DOI":"10.1016\/j.midw.2012.09.005","article-title":"Women\u2019s experiences of dietary advice and dietary changes during pregnancy","volume":"29","author":"Wennberg","journal-title":"Midwifery"},{"key":"R43","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/573928","article-title":"Reaching perinatal women online: the Healthy You, Healthy Baby website and app","volume":"2014","author":"Hearn","journal-title":"J Obes"},{"issue":"1","key":"R44","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-7691-3","article-title":"Smart Phone APP to Restore Optimal Weight (SPAROW): protocol for a randomised controlled trial for women with recent gestational diabetes","volume":"19","author":"Lim","journal-title":"BMC Public Health"},{"issue":"6","key":"R45","doi-asserted-by":"publisher","DOI":"10.2196\/12631","article-title":"Understanding the use of smartphone apps for health information among pregnant Chinese women: mixed methods study","volume":"7","author":"Wang","journal-title":"JMIR Mhealth Uhealth"},{"issue":"2","key":"R46","doi-asserted-by":"publisher","first-page":"73","DOI":"10.4258\/hir.2016.22.2.73","article-title":"Utilization and content evaluation of mobile applications for pregnancy, birth, and child care","volume":"22","author":"Lee","journal-title":"Healthc Inform Res"},{"issue":"1","key":"R47","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-023-05813-0","article-title":"Postpartum care needs assessment: women\u2019s understanding of postpartum care, practices, barriers, and educational needs","volume":"23","author":"Adams","journal-title":"BMC Pregnancy Childbirth"},{"issue":"5","key":"R48","doi-asserted-by":"publisher","DOI":"10.2196\/17189","article-title":"Acceptability of the pregnancy, exercise, and nutrition research study with smartphone app support (PEARS) and the use of mobile health in a mixed lifestyle intervention by pregnant obese and overweight women: secondary analysis of a randomized controlled trial","volume":"9","author":"Greene","journal-title":"JMIR Mhealth Uhealth"},{"issue":"1","key":"R49","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-021-03684-x","article-title":"Explaining the impact of mHealth on maternal and child health care in low- and middle-income countries: a realist synthesis","volume":"21","author":"Kabongo","journal-title":"BMC Pregnancy Childbirth"},{"issue":"15","key":"R50","doi-asserted-by":"publisher","DOI":"10.3390\/nu15153304","article-title":"Use and preferences of health apps among women and healthcare professionals regarding GDM postpartum care related to diet, physical activity, and weight management: a cross-sectional survey","volume":"15","author":"Roesler","journal-title":"Nutrients"},{"issue":"1","key":"R51","doi-asserted-by":"publisher","DOI":"10.1186\/s13006-023-00543-7","article-title":"Designing and developing a mobile app (BeBo) in a randomized controlled trial study to promote breastfeeding among Vietnamese mothers","volume":"18","author":"Doan","journal-title":"Int Breastfeed J"},{"key":"R52","doi-asserted-by":"publisher","DOI":"10.1177\/2050312120934842","article-title":"\u201cFood is something everyone should participate in\u201d: a positive deviance approach to understanding the use of a food and nutrition app in low-income, Latino homes","volume":"8","author":"Neffa-Creech","journal-title":"SAGE Open Med"},{"issue":"4","key":"R53","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1093\/aje\/154.4.373","article-title":"Socioeconomic, demographic, occupational, and health factors associated with participation in a long-term epidemiologic survey: a prospective study of the French GAZEL cohort and its target population","volume":"154","author":"Goldberg","journal-title":"Am J Epidemiol"},{"issue":"1","key":"R54","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1186\/1475-9276-3-3","article-title":"The Oslo Health Study: the impact of self-selection in a large, population-based survey","volume":"3","author":"S\u00f8gaard","journal-title":"Int J Equity Health"},{"key":"R55","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-1036","article-title":"Perceptions on healthy eating, physical activity and lifestyle advice: opportunities for adapting lifestyle interventions to individuals with low socioeconomic status","volume":"14","author":"Bukman","journal-title":"BMC Public Health"},{"issue":"1","key":"R56","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-018-5877-8","article-title":"Tailoring lifestyle interventions to low socio-economic populations: a qualitative study","volume":"18","author":"Coupe","journal-title":"BMC Public Health"},{"key":"R57","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2021.105135","article-title":"Healthy eating beliefs and the meaning of food in populations with a low socioeconomic position: a scoping review","volume":"161","author":"van der Heijden","journal-title":"Appetite"},{"issue":"8","key":"R58","doi-asserted-by":"publisher","DOI":"10.2196\/34229","article-title":"The barriers and facilitators of eHealth-based lifestyle intervention programs for people with a low socioeconomic status: scoping review","volume":"24","author":"Al-Dhahir","journal-title":"J Med Internet Res"},{"key":"R59","unstructured":"(On)gezonde leefstijl 2022: opvattingen, motieven en gedragingen [Report in Dutch]. Centraal Bureau voor de Statistiek; 2023. URL: https:\/\/www.cbs.nl\/nl-nl\/longread\/rapportages\/2023\/on--gezonde-leefstijl-2022-opvattingen-motieven-en-gedragingen?onepage=true [Accessed 17-09-2026]"}],"container-title":["JMIR Formative Research"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T15:25:28Z","timestamp":1790609128000},"score":1,"resource":{"primary":{"URL":"https:\/\/formative.jmir.org\/2026\/1\/e73808"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,28]]},"references-count":59,"URL":"https:\/\/doi.org\/10.2196\/73808","relation":{},"ISSN":["2561-326X"],"issn-type":[{"value":"2561-326X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,28]]},"article-number":"v10i8e73808"}}