Weight changes and Energy Requirements Flashcards

1
Q

what are three components of pregnancy that are responsible for the most weight gain

A

fetus
extracellular fluid
maternal fat stores

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2
Q

3 parts to gestational weight gain and %

A

water 62%
fat mass 30%
fat-free mass 8%

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3
Q

what % of total weight gain is from the fetus

A

25%

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4
Q

when does 90% of fetal growth occur

A

second half of pregancy

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5
Q

where does most of the fat stores go during pregnancy?

A

thighs

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6
Q

when is weight gain expected during pregnancy

A

1/3 second trimester
2/3 third trimester

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7
Q

what does weight gain during the 1st and early 2nd trimester reflect

A

deposition and expansion of maternal tissue

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8
Q

what does weight gain in the late 2nd to the end of pregnancy reflect

A

fetal, placental and accumulation of amniotic fluid

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9
Q

how do nutrient needs change during in pregnancy

A

hormonal changes alter nutrient metabolism

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10
Q

what does the change in nutrient metabolism support

A

fetal growth and development
reproductive tissue accretion
maternal homeostasis

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11
Q

how much does TEE increase

A

106-180kcal/d

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12
Q

which component of TEE increases

A

basal energy expenditure

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13
Q

why does BEE increase

A

-uterus and fetal metabolism
-increased load on maternal heart and lungs

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14
Q

How much does energy intake change during the first trimester

A

extra energy is not required

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15
Q

How much does energy intake change during the first trimester

A

energy requirements do not change

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16
Q

How much does energy intake change during the second trimester

A

1400kJ
340kcals

17
Q

How much does energy intake change during the third trimester

A

1900kJ
452kcal

18
Q

how much weight are underweight women recommended to gain during pregnancy

A

12.7-18.2kg

19
Q

how much weight is a normal weight women recommended to gain during pregnancy?

A

11.4-15.9kg

20
Q

how much weight are overweight women recommended to gain during pregnancy

A

6.8-11.4kg

21
Q

how much weight are obese women recommended to gain during pregnancy

A

5-9.1kgs