NUTR 2050 Lecture Notes - Lecture 5: Constipation, Miscarriage, Aspartame

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UNIT 5
Definitions
Gestational age
o Assessed from date of contraception
o Average pregnancy is ~38 weeks
Menstrual age
o Assessed from onset of last menstrual period
o Average pregnancy is ~40 weeks
Maternal Vitamin Metabolism
Pregnancy: a pro-oxidative state
Increase oxidation and free radical formation results from
o Increase energy production in mitochondria
o Insulin resistance during pregnancy
Adequate antioxidant nutrients guard against free radical damage
DRIs by Trimester
Trimester 1
o Increases
Fluids
Carbs and protein
Fibre
Alpha-linolenic acid
Thiamin, Riboflavin, Niacin, B6, Folate, B12
o No increases in
Calorie dietary requirements
Trimester 2
o Increase kcal by 340
Trimester 3
o Increase kcal by 452
Nutrients of Concern
Need for water
o Increased levels of thirst
o ~9 cups fluid/day
o Water, diluted fruit juice, other unsweetened beverages
Folic acid
o Necessary for the synthesis of DNA, organ, and tissue growth
Omega-3 fatty acids
o Keep maternal blood supply viscous
o Decrease inflammation
o Dilute blood vessels
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