Ehem Bundesinstitut For Risikobewertung

fur, Germany

Ehem Bundesinstitut For Risikobewertung

fur, Germany
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Koletzko B.,Deutsche Gesellschaft fur Kinder und Jugendmedizin e. V. DGKJ | Bauer C.-P.,Fachklinik Gaissach | Bung P.,Gynakologische Praxisklinik | Cremer M.,Redakteurin | And 11 more authors.
Aktuelle Ernahrungsmedizin | Year: 2015

Background: Nutrition, physical activity and lifestyle in pregnancy influence maternal and child health. Expecting parents are often confused by conflicting advice around these topics provided by different sources. Therefore, the Healthy Start - Young Family Network, supported by the German Government with the national action plan IN FORM, has developed harmonized practice recommendations as a communication standard for healthcare professionals and a basis for Network activities. Material and Methods: The recommendations were developed based primarily on existing guidelines, meta-analyses and systematic summaries. Results: Energy needs increase by only 10% by the end of pregnancy whereas micronutrient needs increase much more. Dietary recommendations for pregnant women follow those for the general population. In addition, Folic acid supplements (400 μg/day) are recommended for women planning a pregnancy, and supplementation should be continued at least during the first trimester. Iodine rich foods and salt and an iodine supplement (100 - 150 μg/day) are recommended. Vitamin D supplementation is advisable unless there is regular exposure to sunlight.Iron supplements should be used based on medical history and blood testing. Vegetarian diets with dietary supplements can provide adequate nutrition, but counseling is recommended. In contrast, a vegan diet is inadequate and requires additional micronutrient supplementation. Pregnant women should remain physically active and perform sports with moderate intensity.Conclusion: Healthcare professionals should motivate expectant parents on health-promoting choices. These practice recommendations can serve as a communication standard. To increase awareness of the recommendations the Network offers materials for healthcare professionals and young families, and training for professionals. © Georg Thieme Verlag KG Stuttgart New York.


Koletzko B.,Deutsche Gesellschaft fur Kinder und Jugendmedizin | Bauer C.-P.,Fachklinik Gaissach | Bung P.,Gynakologische Praxisklinik | Cremer M.,Redakteurin | And 12 more authors.
Deutsche Medizinische Wochenschrift | Year: 2012

Nutrition, physical activity and lifestyle in pregnancy influence maternal and child health. The "Healthy start - Young Family Networko" supported by the German Government with the national action plan IN FORM developed recommendations on nutrition in pregnancy. Folic acid supplements (400 g/day) should be started before pregnancy and continue for at least the first trimester. Iodine rich foods and salt and an iodine supplement (100-150 g/day) are recommended. Long-chain omega-3 fatty acids should be provided with 1 weekly portion of oily sea fish, or a DHA-supplement if regular fish consumption is avoided. Vitamin D supplementation is advisable unless there is regular exposure to sunlight. Iron supplements should be used based on medical history and blood testing. Vegetarian diets with nutritional supplements can provide adequate nutrition, but counselling is recommended. In contrast, a vegan diet is inadequate and requires additional micronutrient supplementation. For risk reduction of listeriosis and toxoplasmosis, raw animal foods, soft cheeses and packed fresh salads should be avoided; fresh fruit, vegetables and salad should be washed well and consumed promptly. Pregnant women should remain physically active and perform sports with moderate intensity. They should avoid alcohol, active and passive smoking. Up to 3 daily cups of coffee are considered harmless, but energy drinks should be avoided. Childhood allergy is not reduced by avoiding certain foods in pregnancy whereas oily sea fish is recommended. Health care professions should lead parents to health-promoting lifestyles. Subjects of part 1 of the article are practice recommendations on nutrition, on energy needs, micronutrient needs and body weight/weight gain in pregnancy. © Georg Thieme Verlag KG Stuttgart · New York.


Koletzko B.,Deutsche Gesellschaft fur Kinder und Jugendmedizin | Bauer C.-P.,Fachklinik Gaissach | Bung P.,Gynakologische Praxisklinik | Cremer M.,Redakteurin | And 11 more authors.
Deutsche Medizinische Wochenschrift | Year: 2012

Nutrition, physical activity and lifestyle in pregnancy influence maternal and child health. The "Healthy start - Young Family Networko" supported by the German Government with the national action plan IN FORM developed recommendations on nutrition in pregnancy. Energy needs increase by only 10 % by the end of pregnancy whereas micronutrient needs increase much more. Normal weight should preferably be achieved before pregnancy. Dietary recommendations follow those for the general population. Folic acid supplements (400 g/day) should be started before pregnancy and continue for at least the first trimester. Iodine rich foods and salt and an iodine supplement (100-150 g/day) are recommended. Long-chain omega-3 fatty acids should be provided with 1 weekly portion of oily sea fish, or a DHA-supplement if regular fish consumption is avoided. Vitamin D supplementation is advisable unless there is regular exposure to sunlight. Health care professions should lead parents to health-promoting lifestyles. Subjects of part 2 of the article are practice recommendations on nutrition in pregnancy, especially vegetarian diets, recommendations on micronutrient supplementation, risk reduction of listeriosis and toxoplasmosis, alcohol, tobacco, caffeine and physical activity in pregnancy.

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