THE IMPORTANCE OF RATIONAL DIET FOR THE HEALTH OF PREGNANT WOMEN
DOI:
https://doi.org/10.11603/1681-2786.2021.3.12620Keywords:
nutrition of pregnant women, rational diet, nutrient deficiency, prevention of pregnancy complicationsAbstract
Purpose: to analyze the literature on the peculiarities of nutrition of pregnant women and determine its role in preventing the development of complications of pregnancy and the health of the unborn child.
Materials and Methods. An analysis of literature sources on the peculiarities of nutrition of pregnant women. Bibliosemantic and analytical research methods are used.
Results. For the normal development of the fetus requires regular and rational nutrition of the expectant mother with a sufficient amount of macro-and micronutrients. The need for such nutrients as iron, iodine, folic acid, calcium, magnesium, zinc, vitamins D, etc. is especially increasing. Insufficient and poor nutrition can lead not only to congenital malformations of the fetus, but also to other complications of the gestational process, such as preeclampsia, gestational hypertension, fetal growth retardation syndrome, premature birth, and so on. There are still controversies in the scientific literature regarding the average recommended energy intake during pregnancy, the amount of additional intake of vitamins and other macro- and micronutrients. To normalize nutrition, all pregnant women need to organize their diet according to the basic principles of the so-called «Plate of Healthy Eating», which was developed according to the recommendations of the Department of Health and Harvard School of Public Health.
Conclusions. A rational diet, balanced with all foods, with the necessary amount of macro- and micronutrients, is one of the most important factors necessary to maintain the health and resistance of pregnant women to the negative effects of the environment, which reduces the risk of perinatal pathology, infant mortality, reduces the incidence of prematurity and congenital malformations.
References
Boychuk, A.V., & Budnik, T.O. (2016). Defitsyt vitaminu D i vahitnist. [Deficiency of vitamin D and pregnancу] Aktualni pytannia pediatrii, akusherstva ta hinekolohii – Current Issues of Pediatrics, Obstetrics and Gynecology, 2, 36-39. Retrieved from: https://doi.org/10.11603/24116-4944.2016.2.6852 [in Ukrainian].
Budanov, P.V. (2010) Aktulnyie problemyi nevyinashivaniya beremennosti na fone defitsita magniya. [Actual problems of miscarriage in the presence of magnesium deficiency] Ginekologiya – Gynecology., 5(1), 28-32 [in Russian].
Tsypriian, V.I. (1999). Hihiiena kharchuvannia z osnovamy nutrytsiolohii [Food hygiene with the basics of nutrition] : (Ed.) V. I. Tsypriian. K. : Zdorovia [in Ukrainian].
Gromova, O.A. (2004) Perspektivy vitaminnoy i mineralnoy korrektsii u beremennykh. Lektsii dlya praktikuyushchikh vrachey. [Prospects for vitamin and mineral correction in pregnant women. Lectures for medical practitioners] XII Natsionalnyy kongress «Chelovek i lekarstvo» - XII National Congress «Man and Medicine» [ in Russian].
Gromova, O.A., Serov, V.N. & Torshin, I.Yu.( 2010) Potrimestrovyy podkhod k naznacheniyu vitaminno-mineralnykh kompleksov na osnove sistematicheskogo analiza biologicheskoy znachimosti vitaminov i mikroelementov v sisteme mat-platsenta-plod. [A per-trimester approach to the appointment of vitamin-mineral complexes based on a systematic analysis of the biological significance of vitamins and trace elements in the mother-placenta-fetus system] Ginekologiya – Gynecology, 6, 24-33 [ in Russian].
Gromova, O.A. & Torshin, I.Yu. (2018) Magniy i «bolezni tsivilizatsii»[ Magnesium and “diseases of civilization”]. Moscow [in Russian].
Dvoreckij, L.I. (2004) Klinicheskie rekomendacii po lecheniyu bolnykh zhelezodeficitnoj anemiej [Clinical guidelines for the treatment of patients with iron deficiency anemia] Russkij medicinskij zhurnal.- Russian Medical Journal, 14(12), 893-897 [in Russian].
Dobrokhotova, Yu.E., Jobava, E.M., & Stepanyan, A.V. (2011). Ratsionalnaya vitaminoterapiya v gruppakh riska po razvitiyu akusherskikh oslozhneniy [Rational vitamin therapy in risk groups for the development of obstetric complications]. Ginekologiya – Gynecology, 1 (13), 53-55 [in Russian].
Zhemela, N.І. (2013). Vplyv vitaminiv ta mikroelementiv [Influence of vitamins and microelements]. Zdorove zhenshchyny – Women’s Health, 3(79), 44-51. [in Ukrainian]
Zazerskaya, I.E., Shelepova, E.S., Shirinyan, L.V. & Kuznetsova, L.V. (2016) Vitamin D i gestatsionnye riski [Vitamin D and gestation risks]. Osteoporosis and Osteopathy – Osteoporosis And Bone Diseases, 19(2), 48-48 [in Russian].
(2001). «Informatsiyna mahistral – zdorovyu zhinok». Prohrama okhorony reproduktyvnoho zdorovya, reproduktyvnykh prav zhinok ta poperedzhennya peredrakovykh ta rakovykh zakhvoryuvan zhinochoyi statevoyi systemy [“Information Highway – Women’s Health”. Program of reproductive health, women’s reproductive rights and prevention of precancerous and cancerous diseases of the female reproductive system] Osnovy hihiyeny ta pratsi - Fundamentals of Hygiene and Labor, 3, 34-58. [in Ukrainian].
Kaminsky, V.V., Shvets, O.V. & Gervazyuk, O.I. (2015) Osoblyvosti kharchuvannya vahitnykh (ohlyad literatury) Zbirnyk naukovykh prats Asotsiatsiyi akusheriv-hinekolohiv Ukrayiny / pod. red. Zaporozhan V.M., Kaminskyy V.V., Borys O.M. [Peculiarities of nutrition of pregnant women (literature review). Collection of scientific works of the Association of Obstetricians and Gynecologists of Ukraine / under. ed. Zaporozhyan V.M., Kaminsky V.V., Boris O.M. – K.: Polihrafiya «YUSTON» [in Ukrainian].
Karnaukh, E.V. & Plugatareva, M.V. (2014) Folievaya kislota v zhizni cheloveka [Folic acid in human life] European Student Scientific Journal, 2. Retrieved from: http://sjes.esrae.ru/21-231 [in Russian].
Kodentsova, V.M., Gmoshinskaya, M.V. & Vrzhesinskaya, O.A. (2015). Vitaminno-mineralnyye kompleksy dlya beremennykh i kormyashchikh zhenshchin: obosnovaniye sostava i doz. [Vitamin and mineral complexes for pregnant and lactating women: substantiation of the composition and doses] Reproduktivnoye zdorovye detey i podrostkov. - Reproductive Health of Children and Adolescents, 3 (62), 73-96 [in Russian].
Korzhynskyi, Yu.S. & Lisnyi, A.Ie. (2009). Rol tsynku v normi ta pry patolohii [Role of zinc in normal and in pathology] Zdorovia dytyny – Child Health, 1 (16), 52-57 [in Ukrainian].
Korolyuk, A.A. & Tsisar, Yu.V. (2020). Suchasnyy pohlyad na osoblyvosti kharchuvannya vahitnykh [Modern view on the peculiarities of nutrition of pregnant women]. Medychnyy forum – Medical Forum, 21 (21), 27-31 [in Ukrainian].
Kostyuk, Yu.S. (2017). Osoblyvosti kharchuvannya vahitnykh zhinok i molodykh materiv [Features of nutrition of pregnant women and young mothers] Problemy formuvannya zdorovoho sposobu zhyttya u molodi : zb. materialiv X Vseukr. nauk.-prakt. konf. molodykh uchenykh ta studentiv z mizhnar. Uchastyu - Problems of forming a healthy lifestyle in youth: collection. materials X All-Ukrainian. scientific-practical conf. young scientists and students of international. participation, Odesa, (pp. 158–159) [in Ukrainian].
Kravchenko, V.I. & Medvedyev, B.K. (2018). Biolohichna rol yodu ta yodna nedostatnist yak patohenetychnyy faktor vynyknennya tyreoyidnoyi patolohiyi u vahitnykh ta yiyi profilaktyka.[ Biological role of iodine and iodine deficiency as a pathogenetic factor in the occurrence of thyroid pathology in pregnant women and its prevention]. Mizhnarodnyy endokrynolohichnyy zhurnal – International Journal of Endocrinology, 2(14), 111-118 [in Ukrainian].
Levkina, O.L. (2021). Suchasnyy pohlyad likarya akusher-hinekoloha na osoblyvosti ratsionu vahitnykh [Modern view of obstetrician-gynecologist on the peculiarities of the diet of pregnant women] Visnyk Vinnytskoho natsionalnoho medychnoho universytetu – Bulletin of Vinnytsia National Medical University, 1 (25), 171-174 [in Ukrainian].
Gromova, O.A., Kalachova, A.G., Torshin, I.Yu., Grustlivaya, U.Ye., Prozorova, N.V., Yegorova, Ye.Yu., Grishina, TR. (2014) O diagnostike defitsita magniya. Chast 1 [About the diagnosis of magnesium. Part 1] Arkhiv vnutrenney meditsiny – Archive of Internal Medicine. 2(16), 5-10. Retrieved from: https://doi.org/10.20514/2226-6704-2014-0-2-5-10 [in Russian].
Paenok, O.S., Maslyanko, V.A. & Pankiv, I.V. (2018). Vplyv vitaminu D na perebih vahitnosti, rozvytok ploda ta zdorovʺya ditey u postnatalʹnomu periodi [Influence of vitamin D on pregnancy, fetal development and children’s health in the postnatal period] Mizhnarodnyy endokrynolohichnyy zhurnal – International Journal of Endocrinology, 7(14), 694-704 [in Ukrainian].
(2021). Pidtrymka imunitetu pid chas vahitnosti – spokiy materi ta zdorovya maybutnoyi dytyny [Support of immunity during pregnancy - the peace of the mother and the health of the unborn child] Akusherstvo, Hinekolohiya, Reproduktolohiya – Obstetrics, Gynecology, Reproductology, 1(42), 27. Retrieved from: https://health-ua.com/article/64771-pdtrimka-muntetu-pd-chas-vagtnost-spokj-mater-tazdorovya-majbutno-ditini [in Ukrainian].
Prilepskaya, V.N. & Ledina, A.V. (2010) Polivitaminnyye preparaty i nutriyenty: rol v vospolnenii defitsita foliyevoy kisloty i yoda u beremennykh [Multivitamins and nutrients: the role in replenishing the deficiency of folic acid and iodine in pregnant women] Ginekologiya – Gynecology, 3 (12), 18-19 [in Russian].
Korzun, V.N., Kozyarin, I.P., Parats, A.M., Shkuro, V.V., Bolokhnova, T.V. & Tsybenko, T.O. (2007). Problema mikroelementiv u kharchuvanni naselennya Ukrayiny ta shlyakhy yiyi vyrishennya [The problem of trace elements in the nutrition of the population of Ukraine and ways to solve it]. Problemy kharchuvannya – Problems of nutrition, 1, 5-11 [in Ukrainian].
Savkina, Ye.A. & Sycheva, O.Yu. (2010). Vliyaniye defitsita massy tela na iskhod beremennosti [Influence of body weight deficit on pregnancy outcome] Elektronnyy sbornik nauchnykh trudov «Zdorovye i obrazovaniye v XXI Veke» – Electronic collection of scientific papers “Health and Education in the XXI Century”, 9, 465-466 [in Russian].
Senchuk, A.Ya. (2018). Mahniy. Biolohichna rol i zastosuvannya v akusherstvi ta hinekolohiyi: navch. posib. [Magnesium. Biological role and application in obstetrics and gynecology: textbook] .K.: «Feniks» [in Ukrainian].
Starostyna, E.H. (2001.) Pryntsypy ratsyonalnoho pytaniya v terapyy ozhyrenyya. Chast I. [Principles of nutrition in the treatment of obesity. Part I.] Kardiolohiya. – Cardiology, 5, 94-99 [in Russian].
Tarasenko, K.V., Hromova, A.M, Nesterenko, L.A., & Mamontova, T.V. (2015). Ratsionalne kharchuvannya vahitnykh z nadmirnoyu vahoyu tila yak skladova zdorovoho sposobu zhyttya [Rational nutrition of pregnant women with excess body weight as a component of a healthy lifestyle] Aktualni problemy suchasnoyi medytsyny. - Actual Problems of Modern Medicine, 2(15), 43-46. Retrieved from: http://nbuv.gov.ua/UJRN/apsm_2015_15_2_12 [in Ukrainian].
Alwan, N.A., & Hamamy, H. (2015). Maternal Iron Status in Pregnancy and Long-Term Health Outcomes in the Offspring. Journal of Pediatric Genetics, 4(2), 111-123. Retrieved from: https://doi.org/10.1055/s-0035-1556742.
Bouhouch, R.R., Bouhouch, S., Cherkaoui, M., Aboussad, A., Stinca, S., Haldimann, M., Andersson, M., & Zimmermann, M.B. (2014). Direct iodine supplementation of infants versus supplementation of their breastfeeding mothers: a double-blind, randomised, placebo-controlled trial. The Lancet. Diabetes & Endocrinology, 2(3), 197-209. Retrieved from:https://doi.org/10.1016/S2213-8587(13)70155-4.
Danielewicz, H., Myszczyszyn, G., Dębińska, A., Myszkal, A., Boznański, A., & Hirnle, L. (2017). Diet in pregnancy-more than food. European Journal of Pediatrics, 176(12), 1573-1579. Retrieved from:https://doi.org/10.1007/s00431-017-3026-5.
Holmes, V.A., Barnes, M.S., Alexander, H. McFaul, P., & Wallace, J.M. (2009). Vitamin D deficiency and insufficiency in pregnant women: a longitudinal study. The British Journal of Nutrition, 102(6), 876-881. Retrieved from:https://doi.org/10.1017/S0007114509297236.
https://moz.gov.ua/article/health/porivnjajte-svoju-izhu-z-tarilkoju-zdorovogo-harchuvannja
Institute of Medicine of the National Academies. (2015). Dietary Reference Intakes: Macronutrients Nutrient. Washington, D.C.
Harding, K.B., Peña-Rosas, J.P., Webster, A.C., Yap, C.M., Payne, B.A., Ota, E., & De-Regil, L.M. (2017). Iodine supplementation for women during the preconception, pregnancy and postpartum period. The Cochrane Database of Systematic Reviews, 3(3), CD011761. Retrieved from: https://doi.org/10.1002/14651858.CD011761.pub2.
Devakumar, D., Fall, C.H., Sachdev, H.S., Margetts, B M., Osmond, C., Wells, J.C., Costello, A., & Osrin, D. (2016). Maternal antenatal multiple micronutrient supplementation for long-term health benefits in children: a systematic review and meta-analysis. BMC Medicine, 14, 90. Retrieved from: https://doi.org/10.1186/s12916-016-0633-3.
Marangoni, F., Cetin, I., Verduci, E., Canzone, G., Giovannini, M., Scollo, P., Corsello, G., & Poli, A. (2016). Maternal Diet and Nutrient Requirements in Pregnancy and Breastfeeding. An Italian Consensus Document. Nutrients, 8(10), 629. Retrieved from: https://doi.org/10.3390/nu8100629.
Nohr, E.A., Vaeth, M., Bech, B.H., Henriksen, T.B., Cnattingius, S., & Olsen, J. (2007). Maternal obesity and neonatal mortality according to subtypes of preterm birth. Obstetrics and Gynecology, 110(5), 1083-1090. Retrieved from: https://doi.org/10.1097/01.AOG.0000286760.46679.f8.
Gernand, A.D., Schulze, K.J., Stewart, C.P., West, K.P., Jr, & Christian, P. (2016). Micronutrient deficiencies in pregnancy worldwide: health effects and prevention. Nature reviews. Endocrinology, 12(5), 274-289. Retrieved from: https://doi.org/10.1038/nrendo.2016.37.
Koletzko, B., Godfrey, K.M., Poston, L., Szajewska, H., van Goudoever, J.B., de Waard, M., Brands, B., Grivell, R.M., Deussen, A R., Dodd, J.M., Patro-Golab, B., Zalewski, B.M., & Early Nutrition Project Systematic Review Group (2019). Nutrition During Pregnancy, Lactation and Early Childhood and its Implications for Maternal and Long-Term Child Health: The Early Nutrition Project Recommendations. Annals of Nutrition & Metabolism, 74(2), 93-106. Retrieved from: https://doi.org/10.1159/000496471.
WHO (2016) WHO recommendations on antenatal care for a positive pregnancy experience. World Health Organization, Geneva.
Zimmermann, M.B., & Boelaert, K. (2015). Iodine deficiency and thyroid disorders. The Lancet. Diabetes & Endocrinology, 3(4), 286-295. Retrieved from: https://doi.org/10.1016/S2213-8587(14)70225-6.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Bulletin of Social Hygiene and Health Protection Organization of Ukraine
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
