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Impact of Maternal Iron Status on Neonatal Iron Endowment and Functional Outcomes at Birth

Impact of Maternal Iron Status on Neonatal Iron Endowment and Functional Outcomes at Birth PDF Author: Sunmin Lee
Publisher:
ISBN:
Category :
Languages : en
Pages : 208

Book Description
Pregnant adolescents are at risk of anemia and iron deficiency (ID). Iron stores may be compromised in newborns born to women with ID, which is of concern given the importance of neonatal iron acquisition for neurodevelopment. This study was undertaken in 255 pregnant adolescents ([LESS-THAN OR EQUAL TO] 18 y) receiving prenatal care at the Rochester Adolescent Maternity Program (2006 - 2012). We characterized maternal dietary intake, prenatal supplement use; assessed maternal and neonatal iron status; and examined the impact of neonatal iron endowment on neurophysiological function at birth. Dietary intakes of iron, magnesium, calcium, vitamins D and E did not meet the EAR in more than 70% of teens surveyed, with calcium and magnesium being the nutrients with the greatest dietary deficits. Approximately half of the adolescents selfreported daily use of prenatal supplements, however the additional supplement contribution was insufficient to bridge the dietary deficit for the EAR for magnesium and calcium. From ~26 weeks gestation to delivery, the prevalence of maternal anemia (8.6% to 19%) and ID (sTfR> 8.5 mg/L; 7% to 14%) increased significantly. Elevated concentrations of ferritin and hepcidin were observed at delivery compared to mid-gestation, due to inflammation. Maternal EPO concentrations were significantly associated with indicators of maternal iron insufficiency and with low maternal hemoglobin concentration across pregnancy, and one benefit to this indicator was that EPO was not significantly associated with inflammation across gestation. Of concern, fully 1/4 of the newborns (n=193) were anemic or had low iron stores, respectively at birth. Of interest, cord ferritin did not significantly increase with gestational age across the final 6 weeks of pregnancy (37 - 42 weeks of gestation). Maternal iron stores impacted neonatal iron stores as neonates born to mothers with ferritin

Impact of Maternal Iron Status on Neonatal Iron Endowment and Functional Outcomes at Birth

Impact of Maternal Iron Status on Neonatal Iron Endowment and Functional Outcomes at Birth PDF Author: Sunmin Lee
Publisher:
ISBN:
Category :
Languages : en
Pages : 208

Book Description
Pregnant adolescents are at risk of anemia and iron deficiency (ID). Iron stores may be compromised in newborns born to women with ID, which is of concern given the importance of neonatal iron acquisition for neurodevelopment. This study was undertaken in 255 pregnant adolescents ([LESS-THAN OR EQUAL TO] 18 y) receiving prenatal care at the Rochester Adolescent Maternity Program (2006 - 2012). We characterized maternal dietary intake, prenatal supplement use; assessed maternal and neonatal iron status; and examined the impact of neonatal iron endowment on neurophysiological function at birth. Dietary intakes of iron, magnesium, calcium, vitamins D and E did not meet the EAR in more than 70% of teens surveyed, with calcium and magnesium being the nutrients with the greatest dietary deficits. Approximately half of the adolescents selfreported daily use of prenatal supplements, however the additional supplement contribution was insufficient to bridge the dietary deficit for the EAR for magnesium and calcium. From ~26 weeks gestation to delivery, the prevalence of maternal anemia (8.6% to 19%) and ID (sTfR> 8.5 mg/L; 7% to 14%) increased significantly. Elevated concentrations of ferritin and hepcidin were observed at delivery compared to mid-gestation, due to inflammation. Maternal EPO concentrations were significantly associated with indicators of maternal iron insufficiency and with low maternal hemoglobin concentration across pregnancy, and one benefit to this indicator was that EPO was not significantly associated with inflammation across gestation. Of concern, fully 1/4 of the newborns (n=193) were anemic or had low iron stores, respectively at birth. Of interest, cord ferritin did not significantly increase with gestational age across the final 6 weeks of pregnancy (37 - 42 weeks of gestation). Maternal iron stores impacted neonatal iron stores as neonates born to mothers with ferritin

Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc

Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309072905
Category : Medical
Languages : en
Pages : 798

Book Description
This volume is the newest release in the authoritative series issued by the National Academy of Sciences on dietary reference intakes (DRIs). This series provides recommended intakes, such as Recommended Dietary Allowances (RDAs), for use in planning nutritionally adequate diets for individuals based on age and gender. In addition, a new reference intake, the Tolerable Upper Intake Level (UL), has also been established to assist an individual in knowing how much is "too much" of a nutrient. Based on the Institute of Medicine's review of the scientific literature regarding dietary micronutrients, recommendations have been formulated regarding vitamins A and K, iron, iodine, chromium, copper, manganese, molybdenum, zinc, and other potentially beneficial trace elements such as boron to determine the roles, if any, they play in health. The book also: Reviews selected components of food that may influence the bioavailability of these compounds. Develops estimates of dietary intake of these compounds that are compatible with good nutrition throughout the life span and that may decrease risk of chronic disease where data indicate they play a role. Determines Tolerable Upper Intake levels for each nutrient reviewed where adequate scientific data are available in specific population subgroups. Identifies research needed to improve knowledge of the role of these micronutrients in human health. This book will be important to professionals in nutrition research and education.

Questions from NeoReviews

Questions from NeoReviews PDF Author: Henry C. Lee
Publisher:
ISBN: 9781610023986
Category : Medical
Languages : en
Pages : 0

Book Description
Enhance your knowledge of neonatal-perinatal medicine and/or study for Neonatal-Perinatal Medicine board certification or recertification with this new study guide from the editors of NeoReviews. This new guide includes more than 1,200 questions previously published in NeoReviews from January 2007 to December 2017. Each question is followed by a short explanation of the correct answer with references, including the original article. Chapters include Cardiology Dermatology Endocrinology ENT and Ophthalmology Fluids, Electrolytes, Nutrition Gastrointestinal Genetics and Inborn Errors of Metabolism Hematology/Oncology Immunology Infectious Diseases Maternal-Fetal Medicine Neonatal Resuscitation Neurology Renal Respiratory Statistics, Research, Health Services, and Ethics

Current Topics in Anemia

Current Topics in Anemia PDF Author: Jesmine Khan
Publisher: BoD – Books on Demand
ISBN: 9535137743
Category : Medical
Languages : en
Pages : 284

Book Description
This book deals with a very common condition, anemia, which might interest not only the physicians but also other healthcare professionals and researchers dealing with anemic patients. The objective of this book was to collect and compile up-to-date information from reputable researchers of different countries of the world to disseminate the latest information about the common types of anemia in some specific physiological and pathological conditions including pathophysiology and the use of algorithms as a tool to minimize the laboratory tests and accurate diagnosis of the underlying cause. In total, there are 13 chapters in this book where the authors shared their research findings and real-life experiences in managing their patients with anemia.

Neurological Outcomes in Preterm Infants – Current Controversies and Therapies for Brain Injury

Neurological Outcomes in Preterm Infants – Current Controversies and Therapies for Brain Injury PDF Author: Carina Mallard
Publisher: Frontiers Media SA
ISBN: 2889634949
Category :
Languages : en
Pages : 445

Book Description
Preterm birth affects over 15 million newborns worldwide each year and is the main contributor of neonatal mortality and morbidity. While neonatal survival following preterm birth continues to improve, this has not been matched by a decline in neurological outcome. There is still a high prevalence of motor problems, executive dysfunction, and cognitive impairment in infants born preterm. Improved neuroimaging has helped to describe different types of neonatal brain injuries in this population and has given a better understanding of underlying pathogenesis. However, therapies are still lacking and there is a great need to find novel strategies to improve injury and functional outcome.

Transforming the Workforce for Children Birth Through Age 8

Transforming the Workforce for Children Birth Through Age 8 PDF Author: National Research Council
Publisher: National Academies Press
ISBN: 0309324882
Category : Social Science
Languages : en
Pages : 587

Book Description
Children are already learning at birth, and they develop and learn at a rapid pace in their early years. This provides a critical foundation for lifelong progress, and the adults who provide for the care and the education of young children bear a great responsibility for their health, development, and learning. Despite the fact that they share the same objective - to nurture young children and secure their future success - the various practitioners who contribute to the care and the education of children from birth through age 8 are not acknowledged as a workforce unified by the common knowledge and competencies needed to do their jobs well. Transforming the Workforce for Children Birth Through Age 8 explores the science of child development, particularly looking at implications for the professionals who work with children. This report examines the current capacities and practices of the workforce, the settings in which they work, the policies and infrastructure that set qualifications and provide professional learning, and the government agencies and other funders who support and oversee these systems. This book then makes recommendations to improve the quality of professional practice and the practice environment for care and education professionals. These detailed recommendations create a blueprint for action that builds on a unifying foundation of child development and early learning, shared knowledge and competencies for care and education professionals, and principles for effective professional learning. Young children thrive and learn best when they have secure, positive relationships with adults who are knowledgeable about how to support their development and learning and are responsive to their individual progress. Transforming the Workforce for Children Birth Through Age 8 offers guidance on system changes to improve the quality of professional practice, specific actions to improve professional learning systems and workforce development, and research to continue to build the knowledge base in ways that will directly advance and inform future actions. The recommendations of this book provide an opportunity to improve the quality of the care and the education that children receive, and ultimately improve outcomes for children.

Care and Nutrition

Care and Nutrition PDF Author: Patrice L. Engle
Publisher: Intl Food Policy Res Inst
ISBN: 9780896293342
Category : Social Science
Languages : en
Pages : 60

Book Description
List of tables; Education of caregiver; Knowledge, attitudes, and beliefs of caregiver; Physical health and nutritional status of caregiver; Mental health, self-confidence, and lack of stress of caregiver; Autonomy and control of resources in the household by caregiver; Workload and time availability of caregiver; Social support for caregiver; Estimates of time spent on child care from observation and recall; Feeding practices: caregiver-child interactions; Feeding practices: child variables; Psychosocial care: child and caregiver interactions; Psychosocial care: child variables; Illustrations; The unicef conceptual model; The extended model of care; The transactional model of care; Pathways of interaction of education with caregiving; Possible pathways of interaction of maternal health and caregiving; Summary; Introduction; Developments in conceptualizing care; Resources for care; Care practices.

Scaling Up Nutrition in the Arab Republic of Egypt

Scaling Up Nutrition in the Arab Republic of Egypt PDF Author: Christopher H. Herbst
Publisher: World Bank Publications
ISBN: 1464814678
Category : Medical
Languages : en
Pages : 189

Book Description
Malnutrition is a huge burden on the Arab Republic of Egypt’s economy. Undernutrition—manifested by poor linear growth (stunting), wasting, and micronutrient deficiencies in children and by anemia among women of reproductive age—collectively saps an estimated two percent of Egypt’s annual gross domestic product through forgone productivity and health care costs, representing an economic hemorrhaging of billions of U.S. dollars per year. Adding to this challenge is the co-occurrence of overweight and obesity among children, leading to a malnutrition double burden. Scaling Up Nutrition in the Arab Republic of Egypt aims to inform the development of nutrition policy and guide nutrition investments over the coming years. It reviews Egypt’s nutrition situation, the interventions currently in place, and the opportunities, costs, benefits, and fiscal space implications of scaling up a set of high-impact interventions to address undernutrition. The book, a collaborative effort between the World Bank and UNICEF, is targeted at all those involved in developing and implementing nutrition interventions in Egypt and beyond.

Review of WIC Food Packages

Review of WIC Food Packages PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309380006
Category : Medical
Languages : en
Pages : 587

Book Description
The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) began 40 years ago as a pilot program and has since grown to serve over 8 million pregnant women, and mothers of and their infants and young children. Today the program serves more than a quarter of the pregnant women and half of the infants in the United States, at an annual cost of about $6.2 billion. Through its contribution to the nutritional needs of pregnant, breastfeeding, and post-partum women; infants; and children under 5 years of age; this federally supported nutrition assistance program is integral to meeting national nutrition policy goals for a significant portion of the U.S. population. To assure the continued success of the WIC, Congress mandated that the Food and Nutrition Service of the U.S. Department of Agriculture (USDA) reevaluate the program's food packages every 10 years. In 2014, the USDA asked the Institute of Medicine to undertake this reevaluation to ensure continued alignment with the goals of the Dietary Guidelines for Americans. This, the second report of this series, provides a summary of the work of phase I of the study, and serves as the analytical underpinning for phase II in which the committee will report its final conclusions and recommendations.

Guideline Daily Iron Supplementation in Infants and Children

Guideline Daily Iron Supplementation in Infants and Children PDF Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241549521
Category : Medical
Languages : en
Pages : 54

Book Description
This guideline aims to help Member States and their partners in their efforts to make informed decisions on the appropriate nutrition actions to achieve the Sustainable Development Goals (SDGs) the global targets set in the Comprehensive implementation plan on maternal infant and young child nutrition and the Global Strategy for Women?s Children?s and Adolescents? Health 2016-2030. The recommendations in this guideline are intended for a wide audience including policy-makers their expert advisers and technical and programme staff at organizations involved in the design implementation and scaling-up of anaemia prevention programmes and in nutrition actions for public health.