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Transcript of Welcome to NS325: Nutrition Across the Human Lifecycle What state do you live in? What is your...
Welcome to NS325: Nutrition Across the Human Lifecycle
What state do you live in?
What is your favorite food?
Unit 1: Course Overview&
Pre-Pregnancy Nutrition
Jennifer Wagner Cayemberg
MS, RD, LDN
NS325
Syllabus
Instructor Name and Credentials:
Jennifer Wagner Cayemberg, MS, RD, LDN
Instructor Contact Information – Kaplan Email Address: : [email protected]– AIM Instant Messenger Name: JBWNutrition
Supplemental Seminar: Sunday 8:00-9:00 PM ET
Syllabus
E-text: Edelstein, Sari and Sharlin, Judith Life Cycle Nutrition: An Evidence Based Approach. ISBN: 0-7637-3810-7Available in Doc Sharing in PDF
Articles: Available in Doc Sharing
Syllabus: Course Outcomes
NS325-1: Discuss how nutrient needs change throughout the life cycle. NS325-2: Describe nutritional needs of mothers during pregnancy, childbirth and lactation.
NS325-3: Explain the progressive growth, developmental changes and nutritional requirements during first year of life.
NS325-4: Design intervention strategies for overweight children, adolescent athletes, and those with eating disorders.
NS325-5: Explain how changing body composition, metabolism, and socioeconomic factors affect geriatric population.
NS325-6: List nutrition education and food assistance programs available to pregnant women, infants, children and the elderly.
Syllabus: Units
Unit 1: Introduction to nutrition and the lifecycle, fertility and conception
Unit 2: Pregnancy, High-Risk Pregnancy & Lactation Unit 3: Nutrition during Infancy, the high-risk infant Unit 4: Nutrition in Childhood Unit 5: Nutrition during Adolescence Unit 6: Special Concerns across the Lifespan Unit 7: Nutrition in the Adult Years Unit 8: Nutrition in Aging Unit 9: Food Assistance Programs Unit 10: Course Wrap-Up
Grading
Supplemental Seminar: not graded Discussion Board: 50 points each
– Do not post early on DB unless extenuating circumstances; do not cut and paste from websites; use references
Projects & Case Studies: written assignments= 7 total at 50 points each
Final Project: Unit 9; 200 points- start early!
Final Project
Due at the end of Unit 9 3 Day Food Diary: www.fitday.com Analysis of your current diet and comparing it
against your nutritional needs, as a pregnant woman, a lactating woman and a 70+ elderly man.
Review Final Project under Unit 9.
Grading Rubrics
Case Studies/Projects: complete in Word Doc & submit to dropbox by Tues end of unit.
Seminar: optional; encourage to attend; recorded
Discussion Board: post initial response by Sat with minimum of 100 words; total of 3 posts by end of unit; uses references; advance discussion; review grading rubrics
Referencing in the Discussions
When you are posting to the discussion boards, please remember to reference your material!
If it is not a thought that comes straight from your head, you must reference the source of your material
Points will be deducted if material is not referenced
We must give credit where credit is due
Syllabus: Grading criteria
Instructor’s Grading Criteria/Timetable:
All course projects submitted on time will be graded within five days of their due date (the Sunday of the following unit).
Late work (extenuating circumstances) will be graded within five days of the submission date.
Syllabus: Late policy
Extenuating Circumstances: If you have extenuating circumstances that prevent you from completing projects or participating in the class, please contact me ASAP to make alternative arrangements. The possibility of alternative arrangements is at the discretion of the instructor.
Questions?
Prior to Pregnancy
Achieve and maintain a healthy body weight Choose an adequate & balanced diet Be physically active Receive regular medical care Manage chronic conditions Avoid harmful substances
– Smoking, alcohol, drugs– 50% of all pregnancies are unplanned
Nutrition Pre-Pregnancy
Eat iron-rich or iron-fortified foods:– Meat or meat alternatives, breads, and cereals.– Include vitamin C-rich foods (OJ, broccoli, strawberries)
to enhance iron absorption.
Take folic acid (400 micrograms) daily.
Eat a well-balanced diet:– 3 to 3.5 cups of fruits & vegetables per day
Other Pre-Pregnancy Healthy Steps
Do not consume alcohol. If you have a medical condition, be sure it is
under control. – asthma, diabetes, blood pressure, obesity– Be sure that your vaccinations are up to date.
Talk to a health care professional about any over-the-counter and prescription medicines you are taking. – These include dietary or herbal supplements.
Importance of Folic Acid
Folate Functions:– Produce and maintain new cells; important during
periods of rapid cell division growth such as infancy and pregnancy;
– Needed to make DNA and RNA, the building blocks of cells
– Need folate to make normal red blood cells and prevent anemia.
Neural Tube Defects (NTD) Prevention
NTD can result from dietary deficiency of folate during beginning of pregnancy and/or genetic defect affecting folate metabolism.
Neural tube forms from the 18th-24th day of gestation. May not know pregnant, so folate supplements prior to
conception are critical to prevent NTD. Folate: from foods Folic Acid: synthetic form Amount recommended: 400 micrograms pre-pregnancy,
600 micrograms when pregnant
Foods with Folate
Enriched cereals, pastas, breads, other grains
Lentils Asparagus Spinach
Black beans Peanuts Orange juice Romaine lettuce Broccoli
Cereals= 100% Folic Acid/Serving
Multi-Bran Chex®Wheat Chex®Multi-Grain Cheerios®
General Mills Total®
Raisin BranWhole GrainCranberry CrunchHoney ClustersCinnamon Crunch
Kashi® Heart to Heart
All-Bran® Bran Buds®All-Bran® Complete® Wheat FlakesAll-Bran® OriginalAll-Bran® Strawberry MedleyLow-Fat Granola without RaisinsProduct 19®Mueslix Smart Start® Strong Heart AntioxidantsSpecial K®
Malt-O-Meal® Crispy RiceMalt-O-Meal® Mini Spooners Quaker® Oats
Cap'n Crunch Original ®Cap'n Crunch’s Christmas Crunch®Cap'n Crunch’s Crunch Berries®Cap'n Crunch's Peanut Butter Crunch®Honey Graham OH!s®King Vitamin®Cinnamon Life®Maple & Brown Sugar Life®Oatmeal Squares Brown SugarOatmeal Squares CinnamonOatmeal Squares Golden MapleQuisp®
Weight and Pregnancy Outcome
Maintain an ideal weight Strong correlation between
mother’s pre-pregnancy weight and infant’s birthweight.
Need to assess:– Pre-pregnancy weight & BMI– Current weight & BMI
Underweight Concerns
Woman who are underweight before pregnancy have higher risk of:– Low-birth weight
infant– Intrauterine growth
retardation– Preterm delivery
Overweight/Obese Concerns
Being overweight prior to pregnancy is risk factor for postpartum weight retention of pregnancy weight gain.
Woman who are obese before conception may: Experience complications during pregnancy & birth Have babies with birth defects Have bigger babies Develop gestational diabetes
Reminders…
Unit 1 DB through Tuesday at midnight
Unit 2 starts Wednesday
Try to post your initial response on DB by Saturday + 2 other responses