{"id":5903,"date":"2012-10-17T11:26:14","date_gmt":"2012-10-17T10:26:14","guid":{"rendered":"http:\/\/narodnilijek.com\/web\/?p=5903"},"modified":"2023-12-02T15:01:11","modified_gmt":"2023-12-02T14:01:11","slug":"dodaci-prehrani-prije-trudnoce-i-tjelesna-masa-trudnice","status":"publish","type":"post","link":"https:\/\/www.narodnilijek.com\/web\/dodaci-prehrani-prije-trudnoce-i-tjelesna-masa-trudnice\/","title":{"rendered":"Koja je idealna tjelesna masa tokom trudno\u0107e"},"content":{"rendered":"\n

Folna kiselina<\/strong> veoma je va\u017ena u procesu dijeljenja stanica i formaciji odre\u0111enih struktura fetusa, pa zbog toga moramo paziti na njezin adekvatan unos u organizam.<\/p>\n\n\n\n

Istra\u017eivanja su pokazala da unos folne kiseline prije i u ranoj fazi trudno\u0107e mo\u017ee smanjiti rizik od spina bifidae i drugih defekata neuralne cijevi u novoro\u0111en\u010dadi.<\/p>\n\n\n\n

Ve\u0107ina \u017eena ne unosi dovoljne koli\u010dine folata putem hrane u onom klju\u010dnom vremenu prije nego \u0161to shvate da su trudne. A to je vrijeme kada je adekvatni unos folata od najve\u0107e va\u017enosti. Zbog toga se savjetuje da \u017eene reproduktivne dobi<\/strong> kao dodatak hrani bogatoj folatima, koriste dodatke prehrani koji sadr\u017ee 400 mikrograma folne kiseline svaki dan.<\/p>\n\n\n\n

Tjelesna masa tokom trudno\u0107e<\/h2>\n\n\n\n

\u017dene koje prije trudno\u0107e<\/strong> ne konzumiraju nikakvu hranu \u017eivotinjskog porijekla trebaju osigurati dodatni unos vitamina B12 putem oboga\u0107ene hrane ili dodataka prehrani. Ako majka ima nedostatak vitamina B 12, i plod je izlo\u017een posebnom riziku od nedostatnih rezervi tog vitamina, \u0161to mo\u017ee uzrokovati anemiju i neurolo\u0161ke abnormalnosti.<\/p>\n\n\n\n

Prehrana \u017eena prije trudno\u0107e te trudnica i dojilja<\/strong> koje ne konzumiraju proizvode \u017eivotinjskog porijekla stoga treba biti oboga\u0107ena vitaminom B12 i ako je izlo\u017eenost suncu slaba, vitaminom D.<\/p>\n\n\n\n

Prirast na tjelesnoj masi<\/h3>\n\n\n\n

Tjelesna masa \u017eene prije za\u010de\u0107a i porast tjelesne mase tijekom trudno\u0107e direktno uti\u010de na sam rast fetusa. Pothranjene \u017eene<\/strong> imaju ve\u0107e izglede da \u0107e roditi novoro\u0111en\u010de niske poro\u0111ajne mase, posebice ako ne uspijevaju dobiti potrebne kilograme tijekom trudno\u0107e.<\/p>\n\n\n\n

Isto vrijedi \u010dak i kada je dobitak na tjelesnoj masi jednak kao i u adekvatno uhranjenih \u017eena. Tako\u0111er, u\u010destalost prijevremenih poroda i smrti novoro\u0111en\u010dadi ve\u0107a je u skupini pothranjenih \u017eena.<\/p>\n\n\n\n

S druge strane, \u017eene s prekomjernom tjelesnom masom<\/strong> i pretile \u017eene imaju posebno pove\u0107an rizik od razvoja komplikacija u trudno\u0107i poput visokog krvnog tlaka, gestacijskog dijabetesa te postpartalnih infekcija. Novoro\u0111en\u010dad pretilih trudnica \u010de\u0161\u0107e se ra\u0111a nakon o\u010dekivanog termina poroda i \u010de\u0161\u0107e te\u017ei vi\u0161e od 4 kg.<\/p>\n\n\n\n

Indeks tjelesne mase i unos kalorija<\/h3>\n\n\n\n

(BMI, body mass index) odra\u017eava stepen uhranjenosti. BMI se izra\u010dunava tako da podijelimo svoju tjelesnu masu (TM) u kilogramima s kvadratom visine u metrima (TV). BMI= TM\/(TV)2.<\/p>\n\n\n\n

Ovisno o indeksu tjelesne mase<\/strong> prije trudno\u0107e, razli\u010dite su preporuke za prirast tjelesne mase tijekom trudno\u0107e. U tablici su prikazane preporu\u010dene vrijednosti prirasta tjelesne mase u ovisnosti o pred-trudni\u010dkom BMI. Bez obzira na tjelesnu masu prije trudno\u0107e<\/strong>, \u017eene koje nose blizance bi trebale ostvariti prirast izme\u0111u 16 i 20 kg, dok bi trudnice koje nose trojke trebale dobiti oko 23 kg.<\/p>\n\n\n\n

Preporu\u010deni dnevni energetski unos<\/h3>\n\n\n\n

Energetske potrebe tijekom trudno\u0107e rastu jer je uz uobi\u010dajene potrebe organizma potrebno zadovoljiti potrebe za rast i razvoj fetusa, ali i stvoriti zalihe koje \u0107e se iskoristiti za vrijeme dojenja. No, to nikako ne zna\u010di da je potrebno “jesti za dvoje<\/a><\/strong>” ve\u0107 da je potrebno jesti pametno, raznoliko i uravnote\u017eeno.<\/p>\n\n\n\n

Tokom prvog tromjesje\u010dja nema potrebe za dodatnom energijom, osim u trudnica koje su u\u0161le u trudno\u0107u sa osiroma\u0161enim energetskim rezervama. Njima se preporu\u010duje unos dodatnih 300 kcal svaki dan tijekom cijele trudno\u0107e.<\/p>\n\n\n\n

Drugo i tre\u0107e tromjesje\u010dje<\/strong> je vrijeme kada je potrebno svakodnevno osigurati 300 kalorija vi\u0161e nego prije za\u010de\u0107a. To pove\u0107anje dnevne energetske potrebe nije veliko, ali ga svakako treba pametno iskoristiti, jer ako je unos hrane u ovom razdoblju premalen i pritom jo\u0161 siroma\u0161an va\u017enim nutrijentima dijete raste sporije te postoji opasnost da se rodi s malom poro\u0111ajnom te\u017einom.<\/p>\n","protected":false},"excerpt":{"rendered":"

Folna kiselina veoma je va\u017ena u procesu dijeljenja stanica i formaciji odre\u0111enih struktura fetusa, pa zbog toga moramo paziti na njezin adekvatan unos u organizam. Istra\u017eivanja su pokazala da unos folne kiseline prije i u ranoj fazi trudno\u0107e mo\u017ee smanjiti rizik od spina bifidae i drugih defekata neuralne cijevi u novoro\u0111en\u010dadi. Ve\u0107ina \u017eena ne unosi […]<\/p>\n","protected":false},"author":1,"featured_media":23233,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"enabled":false},"version":2}},"categories":[9],"tags":[1907,1909,1908,253,19],"class_list":{"0":"post-5903","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-trudnice-i-bebe","8":"tag-fetus","9":"tag-razvoj","10":"tag-tjelesna","11":"tag-trudnice-2","12":"tag-zdravlje-2"},"yoast_head":"\nKoja 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