| Total protein intake (% of energy) | Animal protein intake (% of energy) | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Q1 | Q2 | Q3 | Q4 | P1 | Q1 | Q2 | Q3 | Q4 | P1 | |
Number of participants | 1827 | 1828 | 1828 | 1827 | Â | 1827 | 1828 | 1828 | 1827 | Â |
General characteristics | ||||||||||
Geographic area (%) |  |  |  |  |  < 0.001 |  |  |  |  |  < 0.001 |
 Northern Shaanxi | 36.0 | 54.8 | 57.5 | 61.0 |  | 48.6 | 56.9 | 53.8 | 49.9 |  |
 Southern Shaanxi | 43.6 | 25.3 | 22.7 | 24.3 |  | 25.7 | 22.6 | 28.1 | 39.5 |  |
 Central Shaanxi | 20.4 | 19.9 | 19.8 | 14.7 |  | 25.7 | 20.5 | 18.1 | 10.6 |  |
Rural residence (%) | 84.2 | 82.4 | 74.8 | 62.9 |  < 0.001 | 88.0 | 83.7 | 73.6 | 58.8 |  < 0.001 |
Childbearing age (%) |  |  |  |  |  < 0.001 |  |  |  |  | 0.012 |
  < 25 years | 47.9 | 43.0 | 39.0 | 36.1 |  | 43.2 | 43.0 | 41.2 | 38.5 |  |
 25–29 years | 32.7 | 37.1 | 39.1 | 42.2 |  | 35.5 | 35.9 | 38.7 | 41.0 |  |
  ≥ 30 years | 19.5 | 20.0 | 21.9 | 21.7 |  | 21.3 | 21.1 | 20.2 | 20.5 |  |
Maternal education (%) |  |  |  |  |  < 0.001 |  |  |  |  |  < 0.001 |
 Primary school or below | 13.3 | 8.2 | 8.1 | 7.0 |  | 15.6 | 9.0 | 6.2 | 5.8 |  |
 Junior high school | 59.9 | 59.7 | 51.4 | 43.3 |  | 60.7 | 57.9 | 52.9 | 42.6 |  |
 Senior high school or above | 26.9 | 32.2 | 41.5 | 49.8 |  | 23.8 | 33.1 | 40.9 | 51.5 |  |
Farmer (%) | 78.3 | 74.3 | 70.4 | 62.9 |  < 0.001 | 80.9 | 74.4 | 69.6 | 61.0 |  < 0.001 |
Household wealth index (%) |  |  |  |  |  < 0.001 |  |  |  |  |  < 0.001 |
 Poor | 30.4 | 33.8 | 30.7 | 27.1 |  | 32.3 | 34.1 | 31.6 | 24.0 |  |
 Medium | 39.2 | 38.5 | 37.0 | 33.5 |  | 40.4 | 39.0 | 35.7 | 33.2 |  |
 Rich | 30.3 | 27.7 | 32.3 | 39.4 |  | 27.3 | 26.9 | 32.7 | 42.9 |  |
Nulliparity (%) | 58.1 | 58.2 | 58.5 | 64.6 |  < 0.001 | 50.4 | 58.0 | 62.1 | 68.9 |  < 0.001 |
Passive smoking (%) | 23.8 | 23.3 | 19.9 | 17.8 |  < 0.001 | 26.2 | 21.7 | 19.3 | 17.6 |  < 0.001 |
Alcohol drinking (%) | 1.6 | 1.2 | 1.1 | 1.3 | 0.522 | 1.3 | 0.8 | 1.4 | 1.7 | 0.125 |
 > 6 antenatal check visits (%) | 50.4 | 50.1 | 56.1 | 63.5 |  < 0.001 | 43.1 | 49.4 | 58.3 | 69.3 |  < 0.001 |
Folate/iron supplements use (%) | 88.1 | 89.9 | 92.0 | 92.9 |  < 0.001 | 86.4 | 90.3 | 92.5 | 94.6 |  < 0.001 |
Anemia (%) | 19.6 | 18.3 | 18.3 | 17.7 | 0.494 | 18.3 | 20.4 | 17.6 | 17.5 | 0.092 |
Medication use (%) | 19.4 | 19.8 | 18.3 | 18.9 | 0.711 | 29.7 | 19.2 | 19.0 | 18.4 | 0.763 |
Nutrient intakesb | ||||||||||
Total energy (kcal/day) | 1772.5 | 2169.2 | 2424.4 | 2687.5 |  < 0.001 | 1902.1 | 2217.3 | 2345.1 | 2589.2 |  < 0.001 |
Protein (% of energy) | 8.3 | 10.7 | 12.0 | 14.5 |  < 0.001 | 9.5 | 10.9 | 11.6 | 13.7 |  < 0.001 |
 Animal protein (% of energy) | 1.5 | 2.3 | 3.0 | 5.1 |  < 0.001 | 0.8 | 2.0 | 3.2 | 6.0 |  < 0.001 |
 Plant protein (% of energy) | 6.8 | 8.4 | 9.0 | 9.4 |  < 0.001 | 8.7 | 8.9 | 8.4 | 7.6 |  < 0.001 |
Fat (% of energy) | 40.0 | 32.3 | 32.0 | 33.3 |  < 0.001 | 32.9 | 32.1 | 34.7 | 38.0 |  < 0.001 |
 Saturated fat (% of energy) | 8.2 | 8.3 | 9.1 | 10.3 |  < 0.001 | 6.7 | 8.1 | 9.6 | 11.6 |  < 0.001 |
 Monounsaturated fat (% of energy) | 19.4 | 13.7 | 12.8 | 12.4 |  < 0.001 | 15.5 | 13.7 | 14.3 | 14.9 |  < 0.001 |
 Polyunsaturated fat (% of energy) | 9.2 | 7.4 | 7.1 | 7.1 |  < 0.001 | 8.2 | 7.6 | 7.5 | 7.4 |  < 0.001 |
Carbohydrate (% of energy) | 49.7 | 57.4 | 57.1 | 53.9 |  < 0.001 | 57.2 | 57.7 | 54.3 | 48.9 |  < 0.001 |
Vitamin A (μg retinol equivalent/day) | 362 | 333 | 391 | 723 |  < 0.001 | 349 | 332 | 383 | 745 |  < 0.001 |
Thiamin (mg/day) | 0.6 | 0.7 | 0.7 | 0.8 |  < 0.001 | 0.6 | 0.7 | 0.7 | 0.7 |  < 0.001 |
Riboflavin (mg/day) | 0.6 | 0.6 | 0.7 | 0.9 |  < 0.001 | 0.5 | 0.6 | 0.7 | 0.9 |  < 0.001 |
Folate (μg/day) | 239 | 252 | 291 | 399 |  < 0.001 | 264 | 277 | 295 | 343 |  < 0.001 |
Vitamin C (mg/day) | 53 | 57 | 60 | 72 |  < 0.001 | 57 | 59 | 60 | 62 | 0.017 |
Vitamin E (mg/day) | 46 | 40 | 39 | 39 |  < 0.001 | 42 | 42 | 42 | 41 |  < 0.001 |
Calcium (mg/day) | 483 | 528 | 581 | 676 |  < 0.001 | 472 | 534 | 592 | 669 |  < 0.001 |
Iron (mg/day) | 28 | 29 | 30 | 31 |  < 0.001 | 28 | 29 | 29 | 30 |  < 0.001 |
Zinc (mg/day) | 5.5 | 5.6 | 6.2 | 7.9 |  < 0.001 | 5.4 | 5.7 | 6.3 | 7.7 |  < 0.001 |
Selenium (mg/day) | 26 | 27 | 29 | 42 |  < 0.001 | 25 | 26 | 29 | 44 |  < 0.001 |
Pregnancy outcomes | ||||||||||
Birth weight (g) | 3227.9 | 3252.0 | 3266.6 | 3308.2 |  < 0.001 | 3231.7 | 3262.0 | 3263.2 | 3297.9 |  < 0.001 |
Gestational age (weeks) | 39.6 | 39.5 | 39.6 | 39.6 | 0.626 | 39.6 | 39.6 | 39.5 | 39.6 | 0.361 |
Sex, male (%) | 50.2 | 53.4 | 55.6 | 53.8 | 0.110 | 53.1 | 51.7 | 54.6 | 53.7 | 0.223 |
Low birth weight (%) | 4.3 | 3.8 | 2.9 | 2.2 | 0.002 | 4.8 | 3.0 | 2.9 | 2.6 | 0.001 |
Small for gestational age (%) | 10.9 | 10.7 | 10.7 | 8.4 | 0.040 | 12.8 | 9.9 | 9.3 | 8.2 |  < 0.001 |
Intrauterine growth retardation (%) | 5.1 | 4.5 | 4.2 | 3.0 | 0.012 | 5.6 | 4.3 | 3.7 | 3.3 | 0.004 |