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001    AH21639581 
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007    cr|||||||||||| 
008    110218s2011    enka   fs     001 0 eng|d 
020    9781444344769 (e-book) 
020    9781444333053 (pbk.)  
020    9781444344769 (PDF ebook)   
020    9781444344790 (HTML ebook)   
020    9781444344776 (ePub ebook)   
020    9781444344783 (eMobi ebook) 
040    StDuBDS|cStDuBDS|dStDuBDSZ|dUkPrAHLS 
050  4 RG559 
082 04 618.242|223 
100 1  Derbyshire, Emma. 
245 10 Nutrition in the childbearing years /|cEmma Derbyshire. 
260    Chichester :|bWiley-Blackwell,|c2011. 
300    xxvi, 322 p. :|bill. 
505 0  Foreword xi Preface xvii Dedication xviii Acknowledgements
       xix Glossary xx 1 Nutrition and Fertility 1 1.1 
       Introduction 1 1.2 Nutrition and female fertility 2 1.3 
       Nutrition and male fertility 12 1.4 Conclusion 20 2 
       Preparing the Body for Pregnancy 25 2.1 Introduction 26 
       2.2 Nutrient stores 26 2.3 Body weight before pregnancy 28
       2.4 The importance of a balanced diet 29 2.5 What are 
       women eating? 29 2.6 A note on dietary recommendations 30 
       2.7 Compliance with current recommendations 31 2.8 A focus
       on alcohol 33 2.9 A focus on caffeine 33 2.10 A focus on 
       calcium 34 2.11 A focus on folate 34 2.12 A focus on iron 
       36 2.13 Emerging interest in choline 38 2.14 Multivitamin 
       and mineral supplements 38 2.15 Application in practice 39
       2.16 Food safety 39 2.17 Vitamin A 41 2.18 Fish 
       consumption 41 2.19 Peanut allergy 42 2.20 Food additives 
       and ingredients 43 2.21 Organic food 43 2.22 Other 
       concerns 43 2.23 Application in practice 44 2.24 
       Conclusion 44 3 Hormonal and Physiological Changes 50 3.1 
       Introduction 50 3.2 Before conception 51 3.3 After 
       conception 52 3.4 Formation of the neural tube 55 3.5 
       Foetal growth 56 3.6 Key hormones 57 3.7 Key physiological
       changes 61 3.8 Conclusion 69 4 Nutrient Metabolism in 
       Pregnancy 74 4.1 Introduction 74 4.2 Energy metabolism 75 
       4.3 Carbohydrate metabolism 78 4.4 Lipid metabolism 80 4.5
       Protein metabolism 83 4.6 Calcium metabolism 84 4.7 
       Vitamin D metabolism 87 4.8 Iron metabolism 89 4.9 Folic 
       acid versus folate 92 4.10 Conclusion 95 5 Macronutrients 
       and Pregnancy 100 5.1 Introduction 100 5.2 Food cravings 
       and aversions 101 5.3 Energy 102 5.4 Carbohydrate 104 5.5 
       Sugar 106 5.6 Protein 107 5.7 Fat 109 5.8 Fibre 111 5.9 
       Water 113 5.10 Dairy products 114 5.11 Salt 116 5.12 
       Application in practice 116 5.13 Food choices 117 5.14 
       Dietary assessment 118 5.15 Diet quality index 119 5.16 
       Biomarkers 119 5.17 Application in practice 120 5.18 
       Conclusion 120 6 Vitamins and Pregnancy 126 6.1 
       Introduction 126 6.2 Vitamin A 127 6.3 Thiamine (vitamin 
       B1) 129 6.4 Riboflavin (vitamin B2) 130 6.5 Niacin 
       (vitamin B3) 130 6.6 Pantothenic acid (B5) 130 6.7 
       Pyridoxine (B6) 130 6.8 Biotin 131 6.9 Cobalamin (B12) 132
       6.10 Folate 133 6.11 Choline 137 6.12 Vitamin C 138 6.13 
       Vitamin D 140 6.14 Vitamin E 141 6.15 Vitamin K 142 6.16 
       Combined vitamin deficiencies 142 6.17 Supplements and 
       pregnancy 143 6.18 Application in practice 143 6.19 
       Conclusion 144 7 Minerals and Pregnancy 149 7.1 
       Introduction 149 7.2 Macrominerals 150 7.3 Microminerals 
       153 7.4 Application in practice 162 7.5 Conclusion 162 8 
       Diet and Pregnancy Outcome 168 8.1 Introduction 168 8.2 
       What is a healthy baby? 169 8.3 A note on Apgar scores 170
       8.4 What is foetal growth restriction? 170 8.5 Poor 
       pregnancy outcomes 170 8.6 Sensitive windows of pregnancy 
       171 8.7 Alcohol 172 8.8 Caffeine 174 8.9 Dietary mutagens 
       178 8.10 Pesticides 182 8.11 Hypospadias 182 8.12 
       Nutrigenomics 183 8.13 Foetal origins of adult disease 185
       8.14 Supplements 187 8.15 Application in practice 190 8.16
       Conclusion 190 9 Weight Gain in Pregnancy 195 9.1 
       Introduction 195 9.2 Body weight before pregnancy 196 9.3 
       Weight gain how much and when? 198 9.4 Components of 
       weight gain 199 9.5 Proportions of pregnancy weight gain 
       199 9.6 Measuring body composition in pregnancy 200 9.7 
       High pregnancy weight gain 203 9.8 Low pregnancy weight 
       gain 207 9.9 Weight gain guidelines 209 9.10 Multiple 
       foetuses 210 9.11 Weight retention 210 9.12 Weight loss 
       interventions 211 9.13 What about physical activity? 211 
       9.14 A note on weight management 212 9.15 Application in 
       practice 212 9.16 Conclusion 213 10 Special Cases 218 10.1
       Introduction 218 10.2 Pregnant adolescents 219 10.3 
       Advanced maternal age 223 10.4 Multifoetal pregnancies 224
       10.5 Maternal obesity 227 10.6 Diabetic mothers 228 10.7 
       Phenylketonuria (PKU) in pregnancy 230 10.8 Vegetarian 
       mothers 231 10.9 Alternative dietary practices 232 10.10 
       Nutrition and culture 234 10.11 Conclusion 235 11 
       Physiological and Hormonal Changes after Birth 241 11.1 
       Introduction 241 11.2 When is 'postpartum'? 242 11.3 
       Changes after birth 242 11.4 Lactogenesis 247 11.5 A note 
       on colostrum 251 11.6 What is transitional milk? 251 11.7 
       Nutritional composition of milk 251 11.8 Milk synthesis 
       use it or lose it 252 11.9 Milk volume 253 11.10 
       Breastfeeding as contraception 254 11.11 Breast cancer 
       risk 254 11.12 Body weight after birth 254 11.13 
       Breastfeeding and body weight 255 11.14 Body composition 
       changes 256 11.15 Exercise and breastfeeding 256 11.16 
       Weight loss interventions 257 11.17 Conclusion 257 12 
       Nutrition after Birth 262 12.1 Introduction 262 12.2 Is 
       breast best? 263 12.3 What s in breast milk? 264 12.4 
       Breastfeeding for how long? 264 12.5 Who is breastfeeding?
       266 12.6 Infant feeding survey 267 12.7 Why do women stop 
       breastfeeding? 267 12.8 Feeding and infant growth 269 12.9
       Dietary requirements after birth 269 12.10 Vegetarian and 
       vegan mothers 276 12.11 Feeding multiples 276 12.12 
       Allergy risk 276 12.13 Postnatal depression 277 12.14 
       Supplement use after birth 279 12.15 Healthy eating from 
       an early age 280 12.16 Application in practice 280 12.17 
       Conclusion 281 APPENDICES. Appendix 1 International 
       definitions of indices used to formdietary recommendations
       289 Appendix 2 Recommended nutrient intakes for women 
       ofchildbearing age (19 50 years) 290 Appendix 3 
       Recommended nutrient intakes for pregnancy 292 Appendix 4 
       Recommended nutrient intakes for breastfeedingmothers 293 
       Appendix 5 Recommended nutrient intakes for pregnant 
       andlactating adolescents (14 18 years) 294 Appendix 6 
       Suggested nutritional recommendations for twinpregnancies 
       295 Appendix 7 Tolerable upper intake levels (ULs) for 
       vitamins andminerals 296 Appendix 8 Institute of Medicine 
       pregnancy weight gainguidelines 297 Appendix 9 Examples of
       common food safety concerns 298 References 301 CASE 
       STUDIES Planning a pregnancy 305 Older mother 307 
       Multifetal pregnancy 308 Teenage mother 310 Vegetarian 
       mother 311 Breastfeeding mother 313 Overweight mother 314 
       Index 315 
506 1  400 annual accesses.|5UkHlHU 
650  0 Pregnancy|xNutritional aspects. 
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