[Nutrition in pregnancy - Practice recommendations of the Network  "Healthy Start - Young Family Network"].
Nutrition, physical activity and lifestyle in pregnancy influence maternal and                     child health. The "Healthy start - Young Family Network" supported by the German                     Government with the national action plan IN FORM developed recommendations on                     nutrition in pregnancy. Folic acid supplements (400 µg/day) should be started                     before pregnancy and continue for at least the first trimester. Iodine rich                     foods and salt and an iodine supplement (100-150 µg/day) are recommended.                     Long-chain omega-3 fatty acids should be provided with ≥ 1 weekly portion of                     oily sea fish, or a DHA-supplement if regular fish consumption is avoided.                     Vitamin D supplementation is advisable unless there is regular exposure to                     sunlight. Iron supplements should be used based on medical history and blood                     testing. Vegetarian diets with nutritional supplements can provide adequate                     nutrition, but counselling is recommended. In contrast, a vegan diet is                     inadequate and requires additional micronutrient supplementation. For risk                     reduction of listeriosis and toxoplasmosis, raw animal foods, soft cheeses and                     packed fresh salads should be avoided; fresh fruit, vegetables and salad should                     be washed well and consumed promptly. Pregnant women should remain physically                     active and perform sports with moderate intensity. They should avoid alcohol,                     active and passive smoking. Up to 3 daily cups of coffee are considered                     harmless, but energy drinks should be avoided. Childhood allergy is not reduced                     by avoiding certain foods in pregnancy whereas oily sea fish is recommended.                     Health care professions should lead parents to health-promoting lifestyles.                     Subjects of part 1 of the article are practice recommendations on nutrition, on                     energy needs, micronutrient needs and body weight/weight gain in pregnancy.
Deutsche Gesellschaft für Kinder- und Jugendmedizin, Sprecher des Expertenbeirats. post@gesund-insleben.de
B
B
Koletzko
C-P
CP
Bauer
P
P
Bung
M
M
Cremer
M
M
Flothkötter
C
C
Hellmers
M
M
Kersting
M
M
Krawinkel
H
H
Przyrembel
R
R
Rasenack
T
T
Schäfer
K
K
Vetter
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U
Wahn
A
A
Weißenborn
A
A
Wöckel
D004032:Diet / Q000592:standards*; D019587:Dietary Supplements; D005260:Female; D005858:Germany; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000517:prevention & control*; D017410:Practice Guidelines as Topic; D016742:Preconception Care / Q000592:standards*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control*; D039401:Prenatal Nutritional Physiological Phenomena; D040242:Risk Reduction Behavior