Micronutrients Intake and Status During Pregnancy and Lactation
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Improving Nutrition for Women and Young Children 2
CHAPTER 2 2 Improving Nutrition for Women and Young Children Thomas Cristofoletti for USAID Improving nutrition for women and young children has always been at on breastfeeding, even though global USAID projects4 also mandated the core of USAID’s nutrition and health programs. This chapter presents maternal nutrition.5 Constraints included the emphasis on child survival, the history of cross-cutting approaches USAID has advanced to better a lack of simple technologies to apply, a low prioritization by Ministries of deliver nutrition services and improve dietary practices and nutritional Health, and the view that maternal nutrition was part of a larger problem of status. The chapter begins by describing USAID efforts to address maternal general food insecurity.6 Under a 1992 initiative in Africa,7 USAID assessed nutrition and three components of infant and young child nutrition: the factors affecting maternal nutrition and provided recommendations breastfeeding, complementary feeding and the nutritional care of sick for improvement. Starting in 1996, the Agency’s 10-year global infant and or severely malnourished children. These represent four of the Essential young child feeding and maternal nutrition activity focused on behavior Nutrition Actions mentioned in Chapter One. The chapter then describes change counseling in communities and health facilities; this was supported two hallmarks of USAID’s nutrition activities: a community-based focus that by detailed information for health workers in a maternal nutrition dietary includes growth monitoring and promotion, and USAID’s innovations in guide on appropriate weight gain, supplementation and nutrient intake for social and behavior change. pregnant and lactating women.8 The accurate assessment of maternal nutrition is vital for antenatal Maternal Nutrition care. -
Maternal Diabetes and Autism Spectrum Disorders in the Offspring: a Review of Epidemiological Evidence and Potential Biologic Mechanisms
North American Journal of Medicine and Science Oct 2011 Vol 4 No.4 217 Review Maternal Diabetes and Autism Spectrum Disorders in the Offspring: A Review of Epidemiological Evidence and Potential Biologic Mechanisms Katherine Bowers, PhD;* Cuilin Zhang MD, PhD* Epidemiology Branch, Division of Epidemiology, Statistics and Prevention Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD Gestational diabetes is a common pregnancy complication whose prevalence is increasing among women of reproductive age and results in both short-and long-term adverse outcomes for the offspring. Hyperglycemia or other consequences of adverse maternal metabolic profiles in pregnancy may contribute to autism risk through several potential mediating mechanisms, such as inflammation, oxidative stress, and epigenetics. The present review aims to summarize recent studies exploring the association between maternal pre-gestational diabetes, gestational diabetes, obesity and autism spectrum disorders (ASD) in the offspring. We will also explore potential biologic mechanisms to explain the association between in utero exposure to a hyperglycemic environment and risk for ASD, including inflammation, oxidative stress and epigenetics. Considering the concurrent rise in obesity and diabetes in pregnancy, as well as the modifiable nature of these disorders, their associations with ASD and the underlying molecular mechanisms should be explored further. [N A J Med Sci. 2011;4(4):217-221.] Key Words: gestational diabetes mellitus -
Healthy Pregnancy and Me
Healthy Pregnancy and Me A Guide to Healthy Weight Gain in Pregnancy Pregnancy is a time of great change for women. Pregnancy is a time of great change for women. Changes in lifestyle, body and mind. In order to have the healthiest pregnancy possible it is important that you are aware of the healthy changes you can make to benefit you and your baby. This brochure outlines the importance of maintaining a healthy pregnancy weight through nutrition and physical activity. The information included here is further explored online at www.telethonkids.org.au/healthypregnancyandme This document is an adaption of content developed for the “Blooming Together Model of Maternity Care” by the Telethon Kids Institute, in collaboration with the Women and Newborn Health Service, with funding from the department of Health W.A. References: 1. Institute of Medicine (IOM) and National Research Council (NRC). 2009. Weight Gain during Pregnancy: Re-examining the guidelines. Washington DC: The National Academies Press. 2. Melzer, K., Schutz, Y., Boulvain, M. & Kayser, B. Physical Activity and Pregnancy: Cardiovascular Adaptations, Recommendations and Pregnancy Outcomes. Sports Medicine. 2010; 40(6):493-507. Healthy Pregnancy Healthy Pregnancy Weight The amount of weight that you can gain to optimise the health outcomes for both yourself and your baby. To achieve the best possible pregnancy and birth outcomes it is important to manage your weight gain in pregnancy. Thanks to extensive research, there are recommendations available that help women to know what is healthy for them1. Weight Gain Recommendations : weight Recommended weight ranges developed from good quality scientific studies of thousands of pregnant women of different weights and sizes. -
Genetic Variants of Gestational Diabetes Mellitus: a Study of 112 Snps Among 8722 Women in Two Independent Populations
Diabetologia https://doi.org/10.1007/s00125-018-4637-8 ARTICLE Genetic variants of gestational diabetes mellitus: a study of 112 SNPs among 8722 women in two independent populations Ming Ding1 & Jorge Chavarro1,2,3 & Sjurdur Olsen4 & Yuan Lin5 & Sylvia H. Ley1,3 & Wei Bao6 & Shristi Rawal7 & Louise G. Grunnet8 & Anne Cathrine B. Thuesen8 & James L. Mills5 & Edwina Yeung5 & Stefanie N. Hinkle5 & Wei Zhang4 & Allan Vaag9 & Aiyi Liu5 & Frank B. Hu1,2,3 & Cuilin Zhang5 Received: 29 January 2018 /Accepted: 26 March 2018 # This is a U.S. government work and its text is not subject to copyright protection in the United States; however, its text may be subject to foreign copyright protection 2018 Abstract Aims/hypothesis Gestational diabetes mellitus (GDM) is a common complication of pregnancy that has substantial short- and long-term adverse health implications for women and their children. However, large-scale studies on genetic risk loci for GDM remain sparse. Methods We conducted a case–control study among 2636 women with GDM and 6086 non-GDM control women from the Nurses’ Health Study II and the Danish National Birth Cohort. A total of 112 susceptibility genetic variants confirmed by genome-wide association studies for type 2 diabetes were selected and measured. A weighted genetic risk score (GRS) was created based on variants that were significantly associated with risk of GDM after correcting for the false discovery rate. Results For the first time, we identified eight variants associated with GDM, namely rs7957197 (HNF1A), rs10814916 (GLIS3), rs3802177 (SLC30A8), rs9379084 (RREB1), rs34872471 (TCF7L2), rs7903146 (TCF7L2), rs11787792 (GPSM1)and rs7041847 (GLIS3). -
PSAD-77-156 Federal Human Nutrition Research Needs A
DOCOURN! RBSOUB 05606 - (B09058471 Federal Suman Nutrition Research Needs a Coordinated approach To advance Nutrition Knowledge (2 Volumes). PSAD-77-156; B-164031(3). iarch 26, 1978. 212 pp. + 9 appendices (43 pp.). Report to the Conqress; by Elmer 8. Staats, Comptroller General. issue Area: Science and Technology: management and Oversight of Programs (2004); Food (1700). Contact: Procurement and Systems Acquisition Div. Budget Function: Health: Health Research and Education (552). Organization Concerned: Office of management and Budget; National Institutes of Health; Department of Agriculture: Agricaltaral Research Center; Office of Sciesce and Technology Policy. Congressional Relevance: House Comaittee on Agriculture; Senate Commaittee on Agriculture and Forestry; Congress. Authority: Food and Agriculture Act of 1977. Each year the Federal Governseatt spends betwven S73 million and S117 million on husaa nutrition research. TJis represents about 3% of the S3 billion it spends annually on all research in agriculture and health. Several Federal departments and agencies support human nutrition research although no department or aceucy has human nutrition as its primary sissioc, Findings/Conclusions: major knowledge gaps and related research needs have been classified into four broad and interrelated areas that are important for sound nutrition planning whether a nutrition programer target is an entire populaticn, a population subgroup, or an individual. The areas include: human nutritional requirements; food composition and nutrient availability; diet, disease causation, and food safety; and food consumption and nutritional status. Research needs for responding to these knowledge gaps include: long-term studies of human subjects across the full range of both health and disease; comparative studies .-.n populations of different geoographic, cultural, and genetic backgrounds; basic investigation of the functions and interactions of dietary compoients; updated and expanded food composition data; and Improved techniques for assessing long-term toxicological risks. -
Cultural Beliefs and Perceptions of Maternal Diet and Weight Gain During Pregnancy and Postpartum Family Planning in Egypt
Cultural Beliefs and Perceptions of Maternal Diet and Weight Gain during Pregnancy and Postpartum Family Planning in Egypt Authors: Justine Kavle, Sohair Mehanna, Ghada Khan, Mohamed Hassan, Gulsen Saleh, and Rae Galloway April 2014 Table of Contents TABLES AND FIGURES ........................................................................................................................... iv ACKNOWLEDGMENTS ............................................................................................................................ v ABBREVIATIONS .................................................................................................................................... vi EXECUTIVE SUMMARY .......................................................................................................................... vii Introduction .................................................................................................................................................... vii Methods.......................................................................................................................................................... vii Key Findings .................................................................................................................................................. viii Discussion and Recommendations ................................................................................................................ x Conclusion ...................................................................................................................................................... -
Nutrition During Pregnancy
NUTRITION AND PREGNANCY Important Foods Calcium: Calcium is so important because it provides you and your baby with strong bones and teeth. Calcium also helps your circulatory, muscular, and nervous systems run normally. When pregnant it is important to consume about 1,200 milligrams of calcium a day, this is equal to about 3-4 servings of calcium a day. Foods containing calcium: Yogurt Milk Cheese Ice Cream Calcium Fortified Juices Salmon Spinach Cereal Fruits and Vegetables: Fruits and vegetables are important during pregnancy because they provide you with important vitamins and minerals needed. Fruits and vegetables provide vitamins A & C, folate, magnesium, and potassium. They also provide fiber, which aids in digestion. The vitamin C found in fruits and vegetables helps you absorb iron and promotes healthy gums for both you and your baby. When pregnant choose five or more servings of fruits and vegetables per day. ½ c. of fruit or veggies or 1 medium sized piece of fruit equals one serving. Apples Bananas Oranges Grapefruit Pineapple Mango Grapes Apricots Peaches Peas Broccoli Green Beans Cabbage Lettuce Carrots Cauliflower Sweet Potatoes Meats/Meat Alternatives: Foods in this group have plenty of protein, as well as B vitamins and iron. Protein is crucial for your baby’s growth, especially during the second and third trimesters. Choose at least two or more servings of protein- rich foods per day. Remember, 2 to 3 ounces of meat, poultry or fish equal one serving. As well as 1 egg, ½ c of beans, 1/3 c of nuts, or 2 tbsp of peanut butter. -
A Systematic Review
United States Department of Agriculture Dietary Patterns before and during Pregnancy and Risk of Hypertensive Disorders of Pregnancy: A Systematic Review The Pregnancy and Birth to 24 Months Project Published date: April 15, 2019 Nutrition Evidence Systematic Review Center for Nutrition Policy and Promotion Food and Nutrition Service U.S. Department of Agriculture 3101 Park Center Drive Alexandria, Virginia P/B24 Evidence Portfolio 02.06.2019 This systematic review was conducted for the Pregnancy and Birth to 24 Months Project (P/B-24 Project) by the Nutrition Evidence Systematic Review (NESR) team at the Center for Nutrition Policy and Promotion, Food and Nutrition Service, USDA. All systematic reviews from the P/B-24 Project are available on the NESR website: https://nesr.usda.gov. Conclusion statements drawn as part of this systematic review describe the state of science related to the specific question examined. Conclusion statements do not draw implications, and should not be interpreted as dietary guidance. The contents of this document may be used and reprinted without permission. Endorsements by NESR, the Center for Nutrition Policy and Promotion, the Food and Nutrition Service, or the U.S. Department of Agriculture (USDA) of derivative products developed from this work may not be stated or implied. In accordance with Federal civil rights law and USDA civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). -
Managing Gestational Diabetes
Managing Gestational Diabetes A PATIENT ’S GUIDE TO A HEALTHY PREGNANCY U.S. Department of Health and Human Services National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health and Human Development Dear Patient, The feelings that surround pregnancy—excitement, anxiety, and hope—often give way to many questions. Will my child’s eyes be blue or brown? When will I have my baby? How big will my baby be? What does the future hold for my family? Finding out that you have a “condition,”even a manageable one,can raise a different set of questions. Will my baby be healthy? Will the condition affect my ability to have other children? What can I do to ensure my own health and the health of my baby? For the last 40 years, the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) has been working to answer these types of questions through research and clinical practice to improve the health of mothers, children, and families. Managing Gestational Diabetes: A Patient’s Guide to a Healthy Pregna ncy provides some general guidelines for keeping yourself healthy and for promoting the best outcomes for your baby if you have gestational diabetes. The booklet describes gestational diabetes, its causes, and its features and includes a general treatment plan to help control the condition. Using this information, you and your family can make informed decisions about your care. You will also be better able to work with your health care provider to develop a treatment plan that addresses your specific needs situation to ensure that you and your baby are healthy. -
Good Nutrition for Pregnancy
GOOD NUTRITION FOR PREGNANCY What you eat during pregnancy affects your developing baby, your own health and wellbeing and can affect your baby’s health later in life. The aims of healthy eating during pregnancy are to: Iodine »» meet your increased nutrient needs Iodine is needed for normal brain development in the baby. »» promote the health of yourself and your baby The need for iodine increases during pregnancy, but it can be difficult to get enough as most foods in Australia » » achieve a healthy weight gain. are fairly low in this mineral. Seafood, dairy foods, iodized Although pregnancy increases the need for many nutrients, salt and iodine added to bread flour help meet the needs this doesn’t mean that you have to ‘eat for two’. It is the of most of the population but this may still not be enough quality of what you eat that is important, not the quantity. for pregnant women. A daily supplement which contains It’s not difficult to meet you and your baby’s nutritional 150mcg of iodine is recommended. Most pregnancy needs if you eat regular meals containing a variety of foods multivitamins contain this dose. Supplements are also from the five food groups. You may need more kilojoules available that contain both iodine and folic acid. Kelp (calories) during pregnancy to meet the added needs of tablets are not recommended as they may contain too your growing baby. This varies depending on your weight much iodine which can be harmful. and activity level but on average is equivalent to an extra snack each day. -
Improving Nutrition and Reproductive Health: the Importance of Micronutrient Nutrition
Improving Nutrition and Reproductive Health: The Importance of Micronutrient Nutrition Working Paper Series No. 5 January 2000 Improving Nutrition and Reproductive Health: The Importance of Micronutrient Nutrition by Mary Alton Mackey Editorial Coordination by France Bégin Working Paper Series No. 5 January 2000 This document was written with the financial assistance of the Micronutrient Initiative/International Development Research Center. POLICY’s Working Paper Series is designed to make results of technical analyses, research studies, and literature reviews quickly available to interested parties. Papers in the series have not necessarily been widely reviewed, and in some cases, are reports of work in progress. As such, comments and suggestions are welcome. The views expressed in the papers comprising this series do not necessarily reflect those of USAID. ii Contents ACKNOWLEDGMENTS..................................................................................................................................iv EXECUTIVE SUMMARY .................................................................................................................................v BACKGROUND..................................................................................................................................................1 THE EVIDENCE: INTAKES AND PREVALENCE.......................................................................................1 THE CONSEQUENCES: SAFE MOTHERHOOD .........................................................................................3 -
Multiple Micronutrients and Docosahexaenoic Acid Supplementation During Pregnancy: a Randomized Controlled Study
nutrients Article Multiple Micronutrients and Docosahexaenoic Acid Supplementation during Pregnancy: A Randomized Controlled Study Maddalena Massari 1,2,3, Chiara Novielli 3 , Chiara Mandò 3 , Stefania Di Francesco 1, Matteo Della Porta 3 , Roberta Cazzola 3 , Mauro Panteghini 3, Valeria Savasi 2,3, Silvia Maggini 4, Ella Schaefer 4,* and Irene Cetin 1,2,3 1 Department of Woman, Mother and Neonate, Buzzi Children Hospital, ASST Fatebenefratelli Sacco, 20154 Milan, Italy; [email protected] (M.M.); stefi[email protected] (S.D.F.); [email protected] (I.C.) 2 Department of Woman, Mother and Neonate, Luigi Sacco Hospital, ASST Fatebenefratelli Sacco, 20157 Milan, Italy; [email protected] 3 “Luigi Sacco” Department of Biomedical and Clinical Sciences, Università Degli Studi di Milano, 20157 Milan, Italy; [email protected] (C.N.); [email protected] (C.M.); [email protected] (M.D.P.); [email protected] (R.C.); [email protected] (M.P.) 4 Bayer Consumer Care AG, 4002 Basel, Switzerland; [email protected] * Correspondence: [email protected] Received: 20 July 2020; Accepted: 11 August 2020; Published: 13 August 2020 Abstract: Maternal dietary intake during pregnancy needs to meet increased nutritional demands to maintain metabolism and to support fetal development. Docosahexaenoic acid (DHA) is essential for fetal neuro-/visual development and in immunomodulation, accumulating rapidly within the developing brain and central nervous system. Levels available to the fetus are governed by the maternal diet. In this multicenter, parallel, randomized controlled trial, we evaluated once-daily supplementation with multiple micronutrients and DHA (i.e., multiple micronutrient supplementation, MMS) on maternal biomarkers and infant anthropometric parameters during the second and third trimesters of pregnancy compared with no supplementation.