Nutritional supplement for pregnant and lactating women
Nutritional supplement for pregnant and lactating women
Nutrition supplement The nutrition provides nutrient for: - the mother’s body - the 35.000 k...
Nutritional supplement for pregnant and lactating women
Nutrition supplement The nutrition provides nutrient for: - the mother’s body - the 35.000 kcalfuture baby
A good well-balanced diet is very important
Some nutrients needs increase during pregnancy and lactation Often the usual diet does not cover those needs
A nutritional supplement to cover extra nutritional needs of pregnant and lactating mothers In complement to her usual diet for the improvement of their nutritional status
Energetic cost of pregnancy Energy is essential for the maintenance of the basal metabolic processes and for physical activity IN PRACTICE (DRI)
Increase of mother’s 35.000 kcal basal metabolism
Constitution of 35.000 kcal mother’s fat stocks 10.000 kcal Fetoplacental unit
STD in Iran: 380-420 kcal/100g => 365 – 403 kcal/d
Proteins needs
PREGNANCY • • • • •
Fetus growth Placental growth Increase of maternal blood mass Synthesis of amniotic fluid Building-up of stocks to be used during delivery & lactation
LACTATION • Milk production • Maternal homeostasis
Proteins intake It is involved in tissue growth and repair PREGNANCY DRI
Adulte
Pregnant
Supplement
0.8-0.95 g/kg/d
1.1 g/kg/d
0.15 – 0.3 g/kg/d
A pregnant woman of 68 kg should receive additional protein supplement from 10.2 to 20.4 g per day. LACTATION DRI
Adulte
Lactating
Supplement
0.8-0.95 g/kg/d
1.3 g/kg/d
0.35 – 0.5 g/kg/d
A lactating woman of 60 kg should receive additional protein supplement from 22.4 to 32 g per day. Two glasses of LADYMIL® bring 21 g of proteins covering the additional needs of pregnant and lactating woman STD Iran: 20-25 g/100g
LADYMIL: 23g/100g
Essential & semi-essential amino acids needs 6000
DRIgrossesse pregnancy DRI
DRILactation lactation DRI
glassdeofLADYMIL® LADYMIL® 11verre
mg per day
5000 4000 3000 2000 1000 0
LADYMIL® brings high biological value proteins covering the needs of pregnant and lactating woman in essential amino acids
Lipids needs Lipids provide
Energy & Essential fatty acid Linoleic acid (ω6) •Membranes flexibility •Precursor of AA => allergic reactions mediation •Some ω6 can be found in usual food but sometimes not in sufficient quantity for the mother
Indispensible to the fetus and the mother But cannot be synthetized by the human body. It has to be brought by the diet.
α-linolenic acid (ω3) •Beneficial for the vision •Precursor of DHA •Precursor of EPA •Some ω3 can be found in usual food but sometimes not in sufficient quantity for the mother
Those essential fatty acids need to be supplemented to the usual diet in order to achieve an ideal status of the baby and mother
Lipids and essential fatty acids intake 35%
Lipids in LADYMIL® contribute to 25% of total energy intake as recommended by the DRI.
25% 20%
STD Iran: 25 – 30% TE Min DRI
LADYMIL®
Max DRI
DRI (g/d)
Adult
Pregnant
Lactating
Linoleic acid (ω6)
10-12
+ 1-3
+1-3
2 glasses of LADYMIL + 1.6 g
α-linolenic acid (ω3)
1 – 1.1
+ 0.3 - 0.4
+0.2 – 0.3
+0.2 g
Carbohydrates
LACTOSE
• •
Excellent source of energy Promotes absorption of Calcium
MALTODEXTRIN
• •
Easily digested Quick source of energy
INULINE SUCROSE
• •
Dietary fiber promoting intestinal transit Promotes the growth of healthy intestinal bacteria => promotes absorption of the Ca
•
Formula is more palatable (pregnant women can have their taste modified during pregnancy)
Calcium needs Fetus accumulates around 200 mg Ca per day during the 3rd quarter of pregnancy
200-300 mg Ca per day are secreted in breast milk during lactation
The total DRI of calcium during pregnancy and lactation are not higher than those of a non pregnant or non lactating woman : 800 to 1300 mg/day BUT… Many women do not usually consume this daily recommended amount of Calcium. => Dietary supplementation during pregnancy and lactation is useful.
2 glasses of LADYMIL® bring 1080 mg of Calcium STD Iran for Ca: 1100 – 1300 mg/100g
/
LADYMIL: 1200 mg/100g
Iron needs Pregnant women are notably sensible to iron deficiency because the expansion of: -maternal red cell mass -maternal blood loss -fetoplacental unit
Estimation of iron losses during pregnancy (Hecberg et. al., 2000) Loss of 1015 mg Iron
Iron needs Iron dietary supplementation is particularly important for: •Pregnant teenagers •Women with multiple pregnancies •Women with abundant menorrhagia •Women living in precarity Iron deficiency can have serious consequences for the mother and the baby
Recommendations
Adult woman
Pregnant woman
DRI – USA
18 mg Iron / day
27 mg Iron / day
ANC - France
16 mg Iron / day
25 – 35 mg Iron / day
2 glasses of LADYMIL® bring 23 mg of iron covering mostly the nutritional needs of pregnant women. STD Iran for Iron: 25 -30 mg/100g
/
LADYMIL: 26 mg/100g
Iodine needs
During intra-uterin and neonatal period, the brain is exposed to iodine deficiency. WHY? The brain is developing quickly and needs thyroid hormones IODINE DAILY REQUIREMENTS
220 mcg /d
290 mcg /d STD Iran: 200-250 µg/100g
IODINE CONTENT IN SOMME FOODS
Sea fish
40 mcg/100g
Cow’s milk
15 mcg/100g
Cereals
5 mcg/100g
2 glasses of LADYMIL® bring 198 mcg of iodine, covering mostly the needs of pregnant and lactating women in complement to the regular diet /
LADYMIL: 220 µg/100g
Zinc needs Zinc is involved in more than 70 enzymatic reactions. There is no growth or cellular development without a proper zinc intake Zinc DRI recommendations Diet rich in animal products
Diet poor in animal products
11 mg/d
16 mg/d
15 mg/d
23 mg/d
ZINC CONTENT IN USUAL FOODS MEAT
FISH
2-5 mg/100g
1-2 mg/100g
Zinc needs
LADYMIL contains 12 mg Zn/100g. Two glasses/day bring the ideal dietary zinc complement. Zinc ANC recommendations Diet rich in animal products
Diet poor in animal products
11 mg/d
16 mg/d
2 glasses of LADYMIL®
11 mg/d 15 mg/d
23 mg/d
STD Iran: 10-15 mg/100g
/
LADYMIL: 12 mg/100g
Vitamins needs
• Vitamins needs are all increased during pregnancy. • Additional needs in certain vitamins, such as vitamin A, C and B group, can be covered by a diversified diet. • Contrariwise, needs in folic acid (B9) can be a problem as many women are deficient since the very beginning of the pregnancy.
Folic acid needs Folic acid is synthesized by plants, no endogenous synthesis => must be brought by the diet Adult 300-400 mcg Recommended intake folate/day woman Additional needs to satisfy: • Maternal tissue expansion 1 glass of (blood, uterus, …) LADYMIL brings Pregnant • Fetus growth and + 100 – 300 mcg 248 mcg of constitution of stocks folate folate/day woman • Increase of folate metabolism linked to metabolic modifications during pregnancy STD Iran: 500-600 µg/100g
/
LADYMIL: 550µg/100g
Vitamin D needs Main roles of vitamin D •Stimulates (re)absorption of Ca and P in the intestin and kidney •Contribute to the homeostasis maintenance and proper bone mineralization •Impact on metabolism and activity of immune system cells • Low sun exposure • Pregnancy during winter or beginning of spring • Deficiency in endogenous vitamin D synthesis
Adult woman
200 IU/day
Pregnant woman
400 IU/day
Lactating woman
400 IU/day
2 glasses LADYMIL
Vitamin D deficiency at the end of pregnancy STD Iran: 320-400 IU/100g
French ANC recommendations
/
324 IU = 81% of ANC
LADYMIL: 360 IU/100g
How to prepare LADYMIL®
Easy to prepare • Pour 10 level scoopfuls into 200 ml of cold or warm water to prepare one glass of approximately 240 ml of LADYMIL
Recommended intake • Pregnancy : 1-2 glasses per day since the first quarter • Lactation: 1-2 glasses per day
Summary Specific energetic content covering the additional needs of pregnant and lactating women High biological value proteins covering the needs of pregnant and lactating women in essential and semi-essential amino acids Source of the essential fatty acid ω6 & ω3 for an optimal fetus development Enriched with dietary natural fiber to promote healthy gut microflora, improve transit time and limit constipation problems Brings 12 minerals & 13 vitamins covering the additional needs of pregnant
and lactating women and avoiding deficiencies High quality formulation made with fresh ingredients and easy to reconstitute Different flavors: vanilla, chocolate and strawberry
