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İstanbul'da Yaşayan Bir Grup Gebe Kadının Beslenme Durumunun Değerlendirilmesi

THE EVALUATION OF NUTRITIONAL STATUS OF A GROUP OF PREGNANT WOMEN LIVING IN ISTANBUL

Journal Name:

  • Türkiye Aile Hekimliği Dergisi

Publication Year:

  • 2007

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Objective: To determine the nutritional status of pregnant women living in Istanbul who had joined the "Healthy Beginning Training Program for Pregnant Women" organized by Istanbul Uni¬versity Medical School. Methods: 66 pregnant women filled in a questionnaire and their food consumption was recorded by a form. Daily energy and nut¬rients intakes of women were calculated and evaluated according to Turkey Dietary Guidelines for pregnant women. Results: The average energy intake of pregnant women was be¬low the recommendation and energy provided from macro nutri¬ents was unbalanced. While phosphorus, vitamin A, vitamin C and riboflavin intakes were higher than the recommended dietary allowances (RDAs), intakes of vitamin D, folic acid, iron, zinc, cal¬cium and magnesium were lower than RDAs. Conclusion: The nutrition of pregnant women in the study group was not healthy. Preconceptional folic acid and especially vitamin D, iron and zinc supplementation have to be provided in preg¬nancy. Also health programs where the importance of nutrition is emphasized should be organized.
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Abstract (Original Language): 
Amaç: Amacımız istanbul Tıp Fakültesi Kadın ve Çocuk Sağlığı Eğitim ve Araştırma Merkezi'nin düzenlediği "Sağlıklı Başlangıçlar Gebe Eğitim Programı"na katılan ve istanbul'da yaşayan gebe kadınların beslenme durumunu saptamakdı. Gereç ve Yöntem: 266 kadına bir anket ve "Besin Tüketim Formu" uygulandı, günlük beslenme kapsamında aldıkları enerji ve besin öğelerinin miktarı hesaplanarak, Türkiye'ye Özgü Beslenme Reh-beri'nde gebe kadınlar için önerilen düzeylerle karşılaştırıldı. Bulgular: Gebe kadınların günlük enerji alımları önerilenin altında olup ve makro besin öğelerinin oranları dengesizdi. Kadınların A, C vitaminleri, riboflavin ve fosfor alımları önerilenin üstünde, D vitamini, folik asit, demir, çinko, kalsiyum ve magnezyum alımları ise önerilenin altında idi. Sonuç: Çalışma grubunda yer alan gebe kadınlar yetersiz ve dengesiz beslenmektedir. Ülkemizde kadınlara gebelik öncesi folik asit, gebelikte özellikle D vitamini, demir, çinko desteği sağlanma¬lı ve her sağlık organizasyonunda beslenmenin öneminin vurgu¬landığı programlar düzenlenmelidir.
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  • 1
27-31
  • Turkish

REFERENCES

References: 

1. Mora JO, Netsel PS. Improving prenatal nutrition in developing countries: strategies, prospects, and challenges. Am J Clin Nutr 2000; 71: 1353-63.
2. Keen CL, Clegg MS, Hanna LA ve ark. The pausibility of micronutrient deficiencies being a significant contributing factor to the occurrence of pregnancy complications. J Nutr 2003; 133: 1597-605.
3. Priyali P, Umesh K. Role of trace elements zinc, copper and magnesium during pregnancy and its outcome. Ind J Ped 2004; 71: 1003-5.
4. Godfrey KM, Barker DJ. Fetal nutrition and adult disease. Am J Clin Nutr
2000;71: 1344-52.
5. Godfrey KM, Barker DJ. Fetal programming and adult health. Pub Health Nutr 2001; 4(2B): 611-24.
6. Barker DJ. In utero programming of cardiovascular disease. Theriogenology
2000; 15: 555-74.
7. Barker DJ, Gluckman PD, Godfrey KM ve ark. Fetal nutrition and cardiovascular disease in adult life. Lancet 1993; 10: 938-41.
8. Scholl TO, Hediger ML. Anemia and iron-deficiency anemia: compilation of data on pregnancy outcome. Am J Clin Nutr 1994; 59: 492-500.
9. Yip R. Significance of an abnormally low or high hemoglobin concentration during pregnancy: special consideration of iron nutrition. Am J Clin Nutr
2000; 72: 272-9.
10. O'Brien KO, Zavaleta N, Abrams SA ve ark. Maternal iron status influences
iron transfer to the fetus during the third trimester of pregnancy. Am J Clin
Nutr 2003; 77: 924-30.
11. Executive summary of the clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. Am J Clin Nutr
1998;98:1178.
12. Pekcan G.
Toplu
m Beslenmesi. Diyet El Kitabı'nda.3.baskı. Ankara, Hatipoğlu Basım ve Yayım San. Tic. Ltd. Şti, 2004; 63-5.
13. Ebispro für Windows, Stuttgart, Germany; Turkish version (BeBis4), Istanbul, 2004. Program uses data from Bundeslebenmittelschlüssel (BLS) 11.3 and usda 15.
14.
Sağlı
k Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü, H.Ü. Beslenme ve Diyetetik Bölümü. Türkiye'ye Özgü Beslenme Rehberi. Ankara, Sağlık
Bakanlığı Yay. 2004; 58-60.
15. Neufeld LM, Haas JD, Grajeda R ve ark. Changes in maternal weight from the first to second trimester of pregnancy are associated with fetal growth and infant lenght at birth. Am J Clin Nutr 2004; 79: 646-52.
16. ADA Reports. Position of the American Dietetic Association: Nutrition and lifestyle for a healthy pregnancy outcome. J Am Die Assoc 2002; 102: 1479¬90.
17. Hunt I.F, Murphy NJ, Martner-Hewes PM. Zinc, vitamin B-6, and other nutrients in pregnant women attending prenatal clinics in Mexico. Am J Clin
Nutr 1987; 46: 563-9.
18. Rush D. Maternal Nutrition and Perinatal Survival. Nutr Rev 2001; 59: 315¬26.
19. Kramer MS, Kakuma R. Energy and protein intake in pregnancy. Cochrane Database Syst Rev 2003; 4: CD000032.
20. Kesa H. The nutritional status of pregnant women in the Vaal Triangle,
Gauteng, South Africa. Asia Pac J Clin Nutr 2004; 13 (Suppl): 114.
21. Johnson AA, Knight EM, Edwards CH ve ark. Dietary intakes, anthropometric measurements and pregnancy outcomes. J ke in pregnancy. A com¬parison between 49 Cambridgeshire women and current recommended Nutr
1994; 124: 936-42
22. Anderson AS, Lean ME. Dietary inta intake. Hum Nutr Aplly Nutr 1986; 40:
40-8.
23. Landman JP, Hall JS. Dietary patterns and nutrition in pregnancy in
Jamaica. J Trop Pediatr 1989; 35: 185-90.
24. Benny PS, Benny SC, Sin IL. Nutrition in pregnancy in the Wellington region. N Z Med J 1991; 104: 29-32.
25. Panvar B, Punia D. Nutrient intake of rural pregnant women of Haryana state, northern India: relationship between income and education. Int J Food
Sci Nutr 1998; 49: 391-5.
26. Rogers I, Emmett P. Diet during pregnancy in a population of pregnant women in South West England. ALSPAC Study Team. Avon longitudinal study of pregnancy and childhood. Eur J Clin Nutr 1998; 52: 246-50.
27. Swensen AR, Harnack LJ, Ross JA. Nutritional assessment of pregnant women enrolled in the Special Supplemental Program for women, infants, and children (WIC). J Am Diet Assoc 2001; 101: 903-8.
28. Bellati U, Pompa O, Liberati M. Analytic evaluation of a "Mediterranean" diet in pregnancy. Minerva Ginecol 1994; 46: 183-7.
29. McKenzie-Parnell JM, Wilson PD ve ark. Nutrient intake of Dunedin women during pregnancy. N Z Med J 1993; 106: 273-6.
30. Erkkola M, Karppinen M, Jarvinen A ve ark. Folic acid, vitamin D, and iron intakes are low among pregnant Finnish women. Eur J Clin Nutr 1998;
52: 742-8.
31. Ostachowska-Gasior , A, Janik A. Dietary assessment of pregnant women with different anthropometric measures. Przegl Lek 2003; 60: 4-7.
32. Jameson J. Zinc status in pregnancy: the effect of zinc therapy on perinatal mortality, prematurity, and placental ablation. Ann N Y Acad Sci 1993; 15:
178-92.
33. Ladipo OA. Nutrition in pregnancy: mineral and vitamin supplements. Am J Clin Nutr 2000; 72: 280-90.
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Garipağaoğlu M ve ark. | istanbul'da Yaşayan Bir Grup Gebe Kadının Beslenme Durumunun Değerlendirilmesi
34. Scholl TO, Johnson WG. Folic acid: influence on the outcome of pregnan¬cy. Am J Clin Nutr 2000; 71: 1295-303.
35. Miller AL, Kelly GS. Methionine and homocysteine metabolism and the nutritional prevention of certain birth defects and complications of pregnan¬cy. Alt Med Rev 1996; 1: 220-35.
36. Gorbit C, Bergei CS, Sivertsen M ve ark. Diet and lipid status in pregnant women. Tidsskr. Nor Laegeforen 1995; 115: 1358-60.
37. Eaton PM, Wharton PA, Wharton BA. Nutrient intake of pregnant Asian women at Sorrento Maternity Hospital, Birmingham. Br J Nutr 1984; 52:
457-68.
38. Sacco LM, Caulfield LE, Zavaleta N ve ark. Dietary pattern and usual nutrient intakes of Peruvian women during pregnancy. Eur J Clin Nutr 2003;
57: 1492-7.
39. Piammongkol S, Marks GC, Williams G ve ark. Food and nutrient con¬sumption patterns in third trimester Thai-Muslim pregnant women in rural southern Thailand. Asia Pac J Clin Nutr 2004; 13: 236-41.
40. Pick ME, Edwards M, Moreau D ve ark. Assessment of diet quality in pregnant women using the Healthy Eating Index. J Am Diet Assoc 2005; 105:
240-6.
41. Ramos Hernandez RI, Romero Quechol G, Reyes Morales H ve ark.
Dietary intake and nutritional status of pregnant women enrolled in the Mexican Institute of Social Security, living in a peri-urban area of Mexico City. Ginecol Obstet Mex 2005; 73: 3-10.
42. Hambidge KM, Krebs NF, Jacobs MA ve ark. Zinc nutritional status dur¬ing pregnancy: a longitudinal study. Am J Clin Nutr 1983; 37: 429-42.
43. Schofield C, Stewart J, Wheeler E. The diets of pregnant and post-pregnant women in different social groups in London and Edinburgh: calcium, iron, retinol, ascorbic acid and folic acid. Br J Nutr 1989; 62: 363-7.
44. Antal M, Regoly-Merei A, Varsanyi H ve ark. Nutritional survey of pregnant women in Hungary. Int J Vitam Nutr Res 1997; 67: 115-22.
45. An H, Yin S, Xu Q. Effects of supplementing of calcium, iron and zinc on women's health during pregnancy. Zhonghua Yu Fang Yi Xue Za Zhi 2001;
35: 365-9.
46. Kızıltan G, Karabudak E, Tuncay G ve ark. Dietary intake and nutritional
status of Turkish pregnant women during Ramadan. Saudi Med J 2005; 26:
1782-87.
47. Bothweel TH. Iron requirements in pregnancy and strategies to meet them.
Am J Clin Nutr 2000; 72: 257-64.

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