essays due at 8:40 am in class on 19 november 2014 –nothing clinical and nothing relating to...
TRANSCRIPT
ESSAYS DUE AT 8:40 AM IN CLASS ON
19 NOVEMBER 2014 –NOTHING CLINICAL
AND NOTHING RELATING TO PATHOLOGY
NO DEFICIENCIES OR TOXICITIES
Final exam-120 multiple choice-120 marksfrom vitamins to end of course
-4 short answer questions-15 points each for a total of 60 points
covers whole course
-3 hours- 180 marks
•PLEASE SEE EXAM REGULATIONS
ON: faculty.cbu.ca/ebarre
Beta carotene-fat soluble
Lecture 10a- 10 November 2014
This lecture is based largely on Chapter 7, 12, 14, 15,16 in Understanding Normal and Clinical Nutrition by Rolfes et al.
Outline of lecture 10
Nutrition metabolism throughout the life cycle
Pregnancy and Lactation Infancy Early Childhood Adolescence Adulthood
More Detailed Comments
Water -role in metabolism
-carries nutrients and waste products throughout the body
-maintains structure of large molecules like proteins and glycogen
Water -role in metabolism
-participates in metabolic reactions- eg hydrolysis (eg protein catabolism), or product of metabolism (metabolic
sink)(eg when hydrogen joins with oxygen as part of electron transport chain processes)
-solvent (provides medium for reactions)
-regulation of body temperature -maintains blood volume
Nutrition metabolism throughout the life cycle Pregnancy and Lactation
Pregnancy
foetal growth and development -folate supplementation -prevent neural tube defects -one month before conception- why?
Nutrition metabolism throughout the life cycle Pregnancy and Lactation Pregnancy foetal growth and development
folate supplementation -0.8 to 4 mg supplements -if have had previous neural
tube baby then 4 mg supplements may be recommended - require a prescription as high folate intake may mask pernicious anemia of a vitamin B12 deficiency
Nutrition metabolism throughout the life cycle Pregnancy and Lactation Pregnancy critical periods
-maternal anemia during critical growth period of placental growth alters pattern of blood vessel growth which may affect cardiovascular health of infant
Nutrition metabolism throughout the life cycle Pregnancy and Lactation Pregnancy
critical periods -infant beta cell development-poor
maternal nutrition during critical period of beta cell development (12 weeks gestation to 5 months post delivery) may cause diabetes particularly if person eats in overabundance in later life
Nutrition metabolism throughout the life cycle Pregnancy and Lactation Pregnancy
weight prior to conception-underweight mother
-underweight mother leads to greater chance of a low birthweight infant especially if mother is unable to gain sufficient weight during the pregnancy
Nutrition metabolism throughout the life cycle Pregnancy and Lactation Pregnancy
weight prior to conception-underweight mother
-as well rates of preterm births and infant deaths are higher for underweight women
Nutrition metabolism throughout the life cycle Pregnancy and Lactation Pregnancy
weight prior to conception-overweight mother
overweight mother leads to greater chance of her experiencing gestational diabetes, hypertension and post-partum infections and of having a stillborn and/or other labour and delivery complications
Nutrition metabolism throughout the life cycle Pregnancy and Lactation Pregnancy
weight prior to conception-overweight mother
-as well infants tend to be larger and have greater risk of poor health(including neural tube defects) and death than do normal weight infants
-never try to lose weight during pregnancy- lose appropriately pre-conception or post-delivery
Nutrition metabolism throughout the life cycle Pregnancy and Lactation Pregnancy
weight gain during pregnancy
underweight 28-40 lbs correct weight 25-35 lbs overweight 15-25 lbs obese 15 lbs minimum
Nutrition metabolism throughout the life cycle Pregnancy and Lactation Pregnancy
energy and nutrient needs during pregnancy energy add 100 kcal per day trimester 1
add 300 kcal per trimesters 2 and 3
pregnant teenagers, underweight and physically active women may require more
Nutrition metabolism throughout the life cycle Pregnancy and Lactation Pregnancy
energy and nutrient needs during pregnancy
nutrient needs
fig 14-10
Nutrition metabolism throughout the life cycle Pregnancy and Lactation Pregnancy
energy and nutrient needs during pregnancy
nutrient needs
carbohydate- ideally 250 or more grams per day and no less than 100 grams per day
Nutrition metabolism throughout the life cycle Pregnancy and Lactation Pregnancy
energy and nutrient needs during pregnancy
nutrient needs
protein add 5 grams per day trimester 1 add 20 grams per day trimester 2 add 25 grams per day trimester 3
Nutrition metabolism throughout the life cycle Pregnancy and Lactation Pregnancy
energy and nutrient needs during pregnancy
nutrient needs protein most people have enough protein
to begin with in their diet to meet these protein requirements
Nutrition metabolism throughout the life cycle Pregnancy and Lactation Pregnancy
energy and nutrient needs during pregnancy
nutrient needs protein do NOT use high protein
supplements during pregnancy-chance of low birthweights, pre-term births and still borns
Nutrition metabolism throughout the life cycle Pregnancy and Lactation Pregnancy
energy and nutrient needs during pregnancy
nutrient needs essential fatty acids linoleic and alpha-linolenic- brain
growth and development, visual acuity
fish oil supplements are not recommended -possibility of toxins and effect on pregnancy is not known
Nutrition metabolism throughout the life cycle Pregnancy and Lactation Pregnancy
energy and nutrient needs during pregnancy
nutrient needs
-folate, B12, iron and zinc as well as
vitamin D and calcium require particular attention
Nutrition metabolism throughout the life cycle Pregnancy and Lactation Pregnancy
common nutrition related concerns of
pregnancy
-nausea, constipation, haemorrhoids, heartburn, food cravings and aversions, non food-cravings (pica)
Nutrition metabolism throughout the life cycle Pregnancy and Lactation Pregnancy
malnutrition and pregnancy -malnutrition can lead to reduced
fertility for males and females -malnutrition prior to pregnancy-
prevent placenta from developing properly with subsequent potential for physical and cognitive abnormalities on the part of the infant
Nutrition metabolism throughout the life cycle Pregnancy and Lactation Pregnancy
infants birthweight -low- premature-can catch up -have
easier time catching up in growth development if their post-delivery nutrition is good
-less than gestational age- have tougher time catching up in growth development even if their post-delivery nutrition is good
Nutrition metabolism throughout the life cycle Pregnancy and Lactation Pregnancy
mothers age -adolescence- immaturity may lead
to poor food choices with subsequent foetal risk
-weight gain of 35
lbs for normal weight female
Nutrition metabolism throughout the life cycle Pregnancy and Lactation Pregnancy
practices incompatible with pregnancy
alcohol and herbal supplements and nutraceuticals