Nutrition Recommendations in Pregnancy and Lactation

Kominiarek, Michelle A.; Rajan, Priya

doi:10.1016/j.mcna.2016.06.004

Cited by 261 publications

(283 citation statements)

References 78 publications

Supporting

Mentioning

233

Contrasting

Unclassified

Order By: Relevance

“…The National Food Consumption Survey, Lao PDR (2016), found that many people had significantly lower energy intakes than recommended [18]. This included lower dietary intakes among pregnant and lactating women, while they have certain dietary requirements that are significantly higher compared to men and nonpregnant/non-lactating women [19]. Additionally, in Lao PDR, differences in decision-making authority related to gender within families can increase vulnerability to FNI among Lao women, since men are usually allowed to make the final decision and, in some ethnic groups, men and boys are allowed to eat before women and girls [20].…”

Section: Introductionmentioning

confidence: 99%

Are dietary intake and nutritional status influenced by gender? The pattern of dietary intake in Lao PDR: a developing country

Ratsavong¹,

Elsacker

Doungvichit

et al. 2020

Nutr J

View full text Add to dashboard Cite

Background: Recognition of discrepancies between men and women in nutritional intake is important to tackle food and nutrition insecurity and the often-double burden of malnutrition. The purpose of this study was to assess nutritional status and dietary intake of the Lao population, with a focus on possible influences of gender.Methods: Dietary intake was assessed in a national cross-sectional study of 1771 randomized participants aged from 1.01 to 89 years, using 24-h dietary recall. Dietary reference intakes were used to assess nutrient insufficiency. Chi-square test was used to evaluate gender differences and multiple univariate logistic regression to examine associations between gender, nutritional status, demographics and nutrient insufficiency. Results: Nutrient insufficiencies were higher among pregnant and lactating women than other adult men and women, especially for protein and micronutrients such as vitamin B3, B1, C and other vitamins. Dietary intake and BMI were similar between men and women; all had insufficient intake of all types of nutrients, except sodium. However, women had lower intake than men for almost all nutrients and age groups. The prevalence of overnutrition was higher among those aged 18 years and over for both sexes. Among adult women (15-49.9 years old) and older adult women (50 years old or above), the proportions were: underweight 8.6% (both groups), overweight 18.4 and 20.5%, and obese 34.2 and 39.1%, respectively. Among pregnant and lactating women, the rates of underweight were 7.5 and 1.4%, of overweight were 17.8 and 27.1%, and obese, 21.9 and 40.0%. Among adult and older men, 3.2 and 8.3% were underweight; 21.0 and 18.6% were overweight and 28.2 and 27.6% were obese. Multiple univariate logistic regressions revealed that the factors rural area, dry season and Northern-Lowland region were associated with inadequate micronutrient intake among children, adolescents and adults of both genders. Conclusions: Dietary intakes were alarmingly micronutrient-insufficient. Macronutrient imbalance and double burden of malnutrition were confirmed in both sexes. Gender differences were limited; men and women had similarly insufficient intakes, but pregnant and lactating women were disproportionately affected. Nutritional interventions should also take men and older people into account to solve nutrition problems.

show abstract

Section: Introductionmentioning

confidence: 99%

Are dietary intake and nutritional status influenced by gender? The pattern of dietary intake in Lao PDR: a developing country

Ratsavong¹,

Elsacker

Doungvichit

et al. 2020

Nutr J

View full text Add to dashboard Cite

show abstract

“…Vitamin B12 is one nutrient with a higher recommended daily allowance (2.6 mcg compared with 2.4 mcg) for pregnant compared with nonpregnant women (Kominaiarek & Rajan, 2016). In addition, supplemental Vitamin B12 during pregnancy is recommended by the American Dietetic Association for vegans and lacto-ovo vegetarians to guarantee that sufficient Vitamin B12 is transported to the fetus (Kaiser & Allen, 2008).…”

mentioning

confidence: 99%

Risk of depression in pregnant women with low‐normal serum Vitamin B12

Peppard

Gallo

et al. 2019

Research in Nursing & Health

View full text Add to dashboard Cite

High prevalence rates of both Vitamin B12 insufficiency and depressive symptoms exist in pregnant women. Although the association between depressive symptoms and certain nutrient deficiencies like iron, folate, or Vitamin B12 has been established, the specific relationship between low‐normal serum Vitamin B12 levels and depressive symptoms in pregnant women in the United States has not been studied closely. Using 2005–2006 National Health and Nutrition Examination Survey data, a secondary analysis was conducted to examine the association between low‐normal serum Vitamin B12 level and depression, as measured by a score of 10 or higher on the Patient Health Questionnaire‐9, in pregnant women (N = 174). In bivariate regression models, Vitamin B12 level, experiencing poverty, and pre‐pregnancy body mass index (BMI) were significant predictors of depression. In multivariate logistic regression models, pregnant women with low‐normal serum Vitamin B12 levels (OR = 3.82, 95% CI [1.10–13.31], p < 0.04) were 3.82 times more likely to experience depression, controlling for sociodemographic characteristics, pre‐pregnancy BMI, and the biomarkers hemoglobin and folate. Identifying and treating pregnant women with low‐normal Vitamin B12 levels may enhance prenatal depression management.

show abstract

“…These results suggest that modulating the maternal diet might have therapeutic potential for breast milk to offer secondary prevention towards allergic disorders during childhood (Daniel Munblit et al., ). Current guidelines orient practitioners and pregnant women to maintain a healthy intake of micro‐ and macronutrients in order to protect mother and developing fetus (Kominiarek & Rajan, ). However, in the practice no medical guidelines recommend women to avoid or include specific types of food during pregnancy and lactation in order to improve their milk composition or prevent allergies in their offspring (Best, Gold, Kennedy, Martin, & Makrides, ).…”

Section: Pre‐ and Postnatal Events Involved In Intestinal Barrier Matmentioning

confidence: 99%

Relationship Between Oligosaccharides and Glycoconjugates Content in Human Milk and the Development of the Gut Barrier

Figueroa-Lozano

Vos

2018

Comp Rev Food Sci Food Safe

View full text Add to dashboard Cite

The intestinal immune barrier is considered to be the gatekeeper of the human body and rapidly develops directly after birth. Many pre‐ and postnatal factors influence the development of the gut‐barrier, which is composed of the microbiota, the mucus, the epithelial layer and the mucosal immune system. Even minor disturbances during barrier development can have consequences for health far into adulthood. Here we critically discuss the current knowledge on which pre‐ and postnatal factors influence development, maturation, and maintenance of the gut immune barrier. Human milk has a unique composition and is the gold standard for adequate development of the intestinal immune barrier. Not only the influence of human milk oligosaccharides (HMOs) but also that of glycoproteins (HMGPs) is reviewed. We discuss the influence of maternal genetic factors, such as the secretor and Lewis phenotypes on breast milk fucosylation and sialylation of HMOs and HMGPs. This diversity in HMOs and HMPGs influences microbiota composition and also the development of the immune barrier. Cow milk‐derived infant formula is often being used as an alternative for human breast milk. The consequences of this for proper development of the intestinal immune barrier and, in particular, the differences in the type of oligosaccharides and glycosylation patterns (sialic and fucose composition) between cow and human milk are critically discussed. Current and prospective strategies to promote proper gut‐immune maturation are proposed. These might include more personalized infant formulas when breast milk is not an option.

show abstract

Nutrition Recommendations in Pregnancy and Lactation

Cited by 261 publications

References 78 publications

Are dietary intake and nutritional status influenced by gender? The pattern of dietary intake in Lao PDR: a developing country

Are dietary intake and nutritional status influenced by gender? The pattern of dietary intake in Lao PDR: a developing country

Risk of depression in pregnant women with low‐normal serum Vitamin B12

Relationship Between Oligosaccharides and Glycoconjugates Content in Human Milk and the Development of the Gut Barrier

Contact Info

Product

Resources

About