Show I5 The Herald Journal Logan Utah Sunday December 2 Dietary guide offered for pregnant women - slower rate — pound a week By Barbara Deskins a multivitamin-minerPrescribing supplement Howard Service News Scrippa for pregnant women has become common practice among many physicians But is it necessary? Every pregnant woman hopes for a healthy Dr Lindsay Allen professor of nutrition at die baby so it’s not surprising that advice University of Connecticut reported on what die about weight gain and diet takes on increased committee found when reviewed the dietary they importance during the prenatal period intake of pregnant women gathered from mHumI But what advice does die pregnant woman surveys receive? '‘Seven nutrients were consistently 1m than the The last government recommendations were ' Recommended Dietary Allowances — iron calcipublished in 1970 in a book tided “Maternal um zinc magnesium vitamin D folic add and ' Nutrition and die Course of Pregnancy” Since then vitamin B6 But die Recommended Dietary nutrition and obstetrics have changed gready Allowances have a generous safety factor built in To remedy this die Food and Nutrition Board of so all pregnant women do not necessarily need die die National foil amount daily” of nutritionists and health care providers to update The committee said that still remains die ideal information and suggest how new findingstccwdbe way to obtain nutrients and supplements should be used only if food cannot supply enough of die incorporated into prenatal care The committee's report issued by die board’s nutrient to protect die health of fee mother and Institute of Medicine establishes wider ranges and baby Iron is die only known nutrient for which higher upper limits for weight gain in pregnancy It also suggests all pregnant women should take an requirements cannot be met reasonably by diet iron supplement but not necessarily die prenatal akne Therefore die committee recommends a iron daily taken vitamin-minersupplement routinely prescribed by supplement of 30 milligrams of between meals or at bedtime to help die body most physicians absorb it as efficiently as possible If a woman The new recommendations as well as other suffers from iron deficiency anemia a supplement information related to diet and pregnancy were of 60 milligrams of iron is recommended discussed at die recent national meeting of die “In feet” says Allen “probably 10 percent of American Dietetic Association in Denver all pregnant women are anemic and iron Dr Carol Suitor die study director from die Food supplementation definitely does help” and Nutrition Bond stressed die need for sound In addition these women should receive 13 nutritional guidance especially as it relates to infant milligrams of zinc and 2 milligrams of copper daily mortality because the iron may interfere with die way their Hie committee she said was directed to pay bodes use these minerals groups including special attention to high-ris- k Folic acid routindy prescribed by many phyri-women of black Hispanic and Southeast Asian dans during pregnancy is not necessary for most 33 over women and adolescents origin Dr Janet King professor of nutrition at die women according to the committee report HowevUniversity of Paiifrimia Berkeley described die er for women who- consume limited amounts of new recommendations for weight gain which are fruit juices whole- grain or fortified cereals and s green vegetables supplementation of 300 now based on die mother’s weight desirable is daily In die 1970 report all women were advised to gain a total of 20 to 23 pounds The committee recommends supplements of Now for die woman of normal weight a gain other nutrients only under special circumstances between 23 and 33 pounds is recommended A Indudedare: slightly higher target of 28 to 40 pounds is — Vitamin D: 400 IUs for complete vegetarians suggested for women who are underweight (90 tiiose For who desirable or less of weight) percent (those who consume no animal products at all) and are overweight (120 percent or more above others with a low intake of vitamin-- fortified milk desirable weight) die recommended range is lower for those who live in northern latitudes in die winter — 13 tr 23 pounds However even obese women and for others with little exposure to sunlight (133 percent or more above desirable weight) are — Calcium: “Consider a supplement if milk encouraged to gain at least 13 pounds intake is low” says Aden The committee are wider for weight ranges Although given 600 milligrams daily for women under recommends for strive are certain advised to gains groups gains at die upper end of die range — young adolescents 25if they consume less than 600 milligrams daily in and black women — while short women (defined as food To improve absorption and limit problems 62 indies and under) should strive for gain at foe from reactions with iron supplements die calcium should be taken at mealtime For cider women lower end Women carrying twins should gain between 33 there is no evidence that high caldum intakes will and 43 pounds prevent later bone loss caused by osteoporosis The rate of weight gain also is important King stressed Fbr women of normal vegetarians (Vitamin B12 is found only in a one week after the third of foods) weight gain pound per month is suggested UodHWeight women should (Barbara Deskins is a dietitian and assistant attempt a gain of just over a pound a week while women should at a somewhat professor at foe University of Pittsburgh) overweight gain - v- s two-thir- ds 4 al ' !! twi C t vN 11 1090-P- ago - i Air r - WV foil-ter- m V UjmUH ’ v ! 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