Micronutrients During Pregnancy Flashcards
what kind of adaptations occur to accommodate calcium need?
- increased intestinal absorption
- increased bioactive form of Vit D (role unclear)
when is calcium requirement especially high?
last trimester when bone accretion primarily occurs
calcium requirement (increases/decreases) with pregnancy
neither - there’s no evidence of decreasing bone mass with current Ca intakes
what kind of adaptations occur to accommodate phosphorous need?
increased absorption efficiency
magnesium requirement (increases/decreases) with pregnancy
increases - increased urination
concentration of Mg (increases/decreases) in a pregnant woman’s blood
decreases - bc of hemodilution
what is considered in the Fe requirement of a pregnant woman?
- fetal requirements
- expansion of blood volume
- increased storage iron
when do iron requirements go down?
first trimester - no menstruation means less Fe loss
what kind of adaptation does the body make to accommodate iron need in 2nd and 3rd trimester?
increased bioavailability
consequences of anemia?
- severe = perinatal maternal mortality
- moderate = 2x risk of maternal death
when is iron supplementation appropriate?
when pre-pregnant Fe stores are inadequate
iron requirement (increases/decreases) with pregnancy
increases (from 18 to 27 mg/d)
how was the AI for potassium set for pregnant women?
highest median intake
2.9 g/d
sodium requirement (increases/decreases) with pregnancy
increases, but slightly - to accommodate higher blood volume over 9 months
thiamin requirement (increases/decreases) with pregnancy
increases by 30%
1.4 mg/d