[Hypertension in pregnancy--dietary aspects].
Dietary recommendations about prophylaxis and treatment of hypertension in pregnancy are manifold and controversial. Only a few studies of evidence are published till now. Recommendations may be derivable from physiology and pathophysiology of hypertension in pregnancy. A normal protein intake of 70-80 g is to be recommendable, neither protein restriction nor increased protein supply. Protein restriction may be sensible only for blocking a progression of a chronic renal insufficiency. The value of caloric restriction is not secured, but an increasing body fat is not recommendable. Neither restriction nor increased supply of sodium can generally be recommended. The same is valit with respect to liquid supply, which is to be restricted in cases with hyponatriemy and hypoosmolality. Substitution of potassium and magnesium is not necessary, of linoleic acid and water-soluble vitamins not sufficiently verified. The efficacy of calcium substitution on hypertension in pregnancy has to evaluated by further studies.
Wandel
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I. Medizinische Klinik und Poliklinik, Johannes-Gutenberg-Universität Mainz.
Köhler
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D005247:Feeding Behavior / Q000502:physiology*; D005260:Female; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D006973:Hypertension / Q000178:diet therapy* / Q000503:physiopathology; D007231:Infant, Newborn; D007677:Kidney Function Tests; D007678:Kidney Glomerulus / Q000503:physiopathology; D007684:Kidney Tubules / Q000503:physiopathology; D009751:Nutritional Requirements; D011225:Pre-Eclampsia / Q000178:diet therapy* / Q000503:physiopathology; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000178:diet therapy* / Q000503:physiopathology
Hypertonie in der Schwangerschaft--Diätetische Aspekte.