W11: Life cycle nutrition Flashcards
Early life nutrition : Pregnancy and lactation
Before pregnancy, it is important to achieve and maintain a healthy body weight. What are the health complications for underweight [1] and overweight [2] women before pregnancy?
- Underweight: amenorrhea (impaired ovulation)
- Overweight : low fertility, higher risks of complications
Early life nutrition : Pregnancy and lactation
Before pregnancy, under/overweight men also contribute to what problems?
Low testosterone, leading to low fertility
Early life nutrition : Pregnancy and lactation
Other than achieving and maintaing normal body weight, what does the mother need to do to prepare for pregnancy? [5]
- Adequate and balanced diet
- Be physically active
- Manage chronic conditions (long term illness)
- Eat prenatal supplements
- Avoid harmful substances (smoking, alcohol)
Early life nutrition : Pregnancy and lactation
What should be the main goal during pregnancy?
maximse nutrient storage and minimise losses.
Early life nutrition : Pregnancy and lactation
During pregnancy, energy requirements increase by ____ to ____%.
What kinds of foods can mothers eat to meet nutrient requirements?
15-20%, eat ample nutrient dense foods
Early life nutrition : Pregnancy and lactation
What are the main macronutrient needs for mothers during pregnancy, and how much more should be consumed?
- Carbohydrates
- Lipids
- Protein – additional 25g per day
No guidelines for carbs and lipids, ensure sufficient can already
Early life nutrition : Pregnancy and lactation
Why is ample carbohydrates needed by pregnant mothers? [2]
- Glucose is the primary source of energy for placenta an foetus
-
Insulin secretion during pregnancy increases (breakdown glucose for fetus), depleting glycogen stores in mother and posing a risk of hypoglycermia (ow blood glucose)
-which is why preg women crave sweet stuff bc glucose may have fallen to lower than baseline levels
Early life nutrition : Pregnancy and lactation
Mothers utilise fat stores for their own energy in the ____ trimester
third
Early life nutrition : Pregnancy and lactation
What fatty acids are needed for adequate foetal brain development?
Omega 3 and 6
Early life nutrition : Pregnancy and lactation
How much additional protein is needed by pregnant mothers per day, and why is this extra protein needed? [2]
25g, for expansion of blood volume and growth of maternal tissues
Early life nutrition : Pregnancy and lactation
Early life nutrition : Pregnancy and lactation
Why is iron needed during pregnancy? [3]
- To increase blood volume → support foetus → blood and RBC transports O2 and nutrients
- Build up infant’s iron source
- Build up of maternal source of blood for blood loss during childbirth
Early life nutrition : Pregnancy and lactation
what are the 2 main purposes of folate, Vit B12 and zinc during pregnancy?
- Needed for cell growth (support foetal growth and development)
- Synthesis of new DNA
Early life nutrition : Pregnancy and lactation
What is the main purpose of Vit B6 and iodine during pregnancy? What are the functions of Vit B6 and iodine separately?
Overall purpose : Brain development
- Vit B6 : Development of nervous system
- Iodine : proper thyroid hormone function which regulates development of brain and nervous system
Early life nutrition : Pregnancy and lactation
What is the purpose of calcium and vitamin D during pregnancy?
Bone development of foetus
Early life nutrition : Pregnancy and lactation
Calcium intake by pregnant women usually falls below recommendations, so the foetus bone development is affected. True or False?
False, fetus bone development unaffected. If not enough calcium is consumed then calcium is drawn from mother’s body (calcium bank in mother’s bones)
Early life nutrition : Pregnancy and lactation
What are the 2 factors that determine the amount of optimal weight gain by mothers during pregnancy?
- Number of foetuses (e.g. single birth vs twin birth)
- Pre-pregnnancy BMI
Early life nutrition : Pregnancy and lactation
How does pre-pregnancy weight of mother affect the health of mother/fetus/both?
(talk abt outcomes if mother is overweight and underweight)
pre-pregnancy weight affects fetal growth.
- underweight : higher rates of premature birth and infant death
- overweight : medical complications may occur during pregnancy
Early life nutrition : Pregnancy and lactation
How weight of mother during pregnancy affect the health of mother/fetus/both?
Fetal growth
- Weight gain during preg correlates closely with infant weight at birth,and is a predictor of health and development of foetus
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- Gain too much : developing foetus → gain a lot of weight and is big sized, complications during childbirth (need c sect etc)
- Gain too little : baby may not receive enough nutrients, underweight at childbirth (may
Early life nutrition : Pregnancy and lactation
How weight of mother post pregnancy affect the health of mother/fetus/both?
Since mother will gain weight after giving birth and return to pre-pregnancy weight is not typical, there may be an increase in BMI. With increased BMI, increased risk in
- Diabetes and hypertension
- Chronic diseases in later life
Early life nutrition : Pregnancy and lactation
After pregnancy, what are the 2 most importnt micronutrients does the mother need to replenish?
- Iron, as it is lost during pregnancy and during childbirth
- Calcium, baby draws on mother’s calcium bank for bone development since mother may not have been eating recommended levels of calcium ++ prep for lactation (breast milk)
Early life nutrition : Pregnancy and lactation
Recommendations on nutrition after child birth are similar to what kind of diets?
Normal and healthy diet.
Early life nutrition : Pregnancy and lactation
For lactating mothers, the nutrition recommendations are similar to what kinds of diets?
Diet of pregnant moms to support growth of infants, to produce breast milk (nned more calcium, Vitamins etcetc)
Early life nutrition : Pregnancy and lactation
If the mother is malnourished, then the quality of breast milk produced is not as nutritious. True or False?
False. The body will draw from mother’s nutrient stores to maintain nutrients in breast milk so that its quality is not affected
Early life nutrition : Pregnancy and lactation
About ____kcal is passed onto infants in the form of breast milk
500
Early life nutrition : Pregnancy and lactation
During lactation, which 2 hormones promote growth and branching of duct system and milk producing cells? What are their specific functions.
- Prolactin → Induce milk production, where milk is stored in lobules
- Oxytocin (happy hormone) → Cause mammary glands to eject milk for release
Early life nutrition : Pregnancy and lactation
What is the difference between lactation and breast feeding?
- Lactation : A physiological process. An automatic process in which body automatically stores milk in lobules.
- Breast feeding : a learned behaviour. Mothers need to learn on how to eject the milk for baby to drink.
Early life nutrition : Pregnancy and lactation
What 2 main factors affects fertility of mother?
- Maternal weight pre-pregnancy
- Good nutrition
Early life nutrition : Pregnancy and lactation
What 2 main factors impact the growth of foetus, especially in the first trimester?
Hint : both factors related to nutrition
- Maternal nutrient stores
- Daily nutrition
Early life nutrition : Pregnancy and lactation
The daily nutriton of the mother throughout pregnancy only affects the foetus throughout the pregnancy. True or False?
False, nutrtion throughout the whole pregnancy may impact the foetus into his/her adulthood.
Early life nutrition : Children
in comparison to adult diets, what is the composition of breast milk like in terms of macronutrients and why is it like this?
- Protein : way lower than adults, to reduce load on immature kidneys of infant to excrete excess N
- way higher fat content : makes breast milk more energy dense for infant s who require twice the amount of energy as adults
- Carbohydrates : a bit lower
Early life nutrition : Children
Carbohydrates in breast milk is usually in what form?
Lactose