How To set your Daily diet plan ICMR guideline - Shixak Power

How To set your Daily diet plan ICMR guideline

Women who breastfeed require approximately 500 additional kcal/day beyond what is recommended for non-pregnant women.68 The estimate is derived from the mean volume of breast milk produced per day (mean 780 mL, range 450-1200 mL) and the energy content of milk (67 kcal/100 mL).69 During pregnancy, most women store an extra 2 to 5 kg (19,000 to 48,000 kcal) in tissue, mainly as fat, in physiologic preparation for lactation. If women do not consume the extra calories, then body stores are used to maintain lactation. It is not unusual for lactating women to lose 0.5-1.0 kg/month after the first postpartum month.70

With respect to health behavior interventions, randomized and non-randomized studies of interventions to promote optimal gestational weight gain have emphasized combinations of dietary counseling, weight monitoring, and exercise programs. Although a few studies have shown a reduction in

gestational weight gain for women with obesity after exposure to a health behavior intervention, the majority have found no benefit. For example, in one study in which women were randomized to a low glycemic index diet, the majority of women with obesity exceeded the gestational weight gain goals regardless of the study arm (57% control vs. 60% intervention, p=0.8).39 When the results of multiple studies have been examined cumulatively in meta-analyses, the interventions for women who are overweight or obese have been shown to have moderate or no influence at all on gestational weight gain or other perinatal outcomes.40-44 Further research is indicated to determine how to promote adherence to gestational weight gain guidelines with health behavior interventions. Another concern is the influence maternal obesity has on childhood weight, resulting in a propagation of the cycle of obesity. It is likely that environmental and epigenetic influences and not just genetic mechanisms play a role in the obesity epidemic. Several theories suggest that in utero nutrition may impact chronic diseases such as diabetes, hypertension, and other metabolic diseases later in life in the offspring.45,46 As this research continues to evolve, clinicians should consider that maternal nutrition during pregnancy may have life-long consequences for the offspring.

Pregnancy after bariatric surgery is not uncommon as fertility often improves after a bariatric surgery procedure.47-49 Given that bariatric procedures can create deficiencies of micro- and macronutrients, a pregnancy occurring after a bariatric surgery procedure requires particular attention to nutritional status. As stated previously, requirements for calories, vitamins, and minerals increase during pregnancy, so nutritional deficiencies in the bariatric surgery patient can be exacerbated during pregnancy. The most common deficiencies that occur after bariatric surgery are vitamin B12, folate, and iron.50 Because malabsorptive procedures (e.g., Roux-en-y gastric bypass , biliopancreatic diversion) have a higher risk for nutritional deficiencies, closer surveillance in pregnancies that occur after these types of surgeries is appropriate.51 However, derangements in nutrients can also occur after restrictive-type procedures (e.g., laparoscopic adjustable gastric banding), so it may be reasonable to screen all women who are pregnant post-bariatric surgery for nutritional deficiencies.52 Guidelines for screening and management of nutritional deficiencies during pregnancy are adapted from those designed for non-pregnant states and include laboratory testing once a trimester or every 3 months if the levels are normal (Table 8).53,54 Iron deficiency anemia is frequently a long-term complication of bariatric surgery, occurring in 6% to 50% of patients after RYGB.55-58 In pregnancies after bariatric surgery, iron deficiency anemia can be diagnosed in the usual manner with a low mean corpuscular volume, and abnormal iron studies (e.g., low serum iron, high total iron-binding capacity, and a low serum ferritin) keeping in mind the physiologic anemia that occurs during pregnancy (Table 1). Treatment of vitamin and mineral deficiencies during pregnancy, in terms of dose and duration, is similar to that of non-pregnant states.

18% in cities, when it needs to be increased.

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Eating a large amount of snacks means that you are avoiding good food

According to dietician Dr Nidhi Pandey in Raipur, people in cities are eating more snacks, which is not good for health. Excessive scans mean you are avoiding eating well. It also does not provide the body with the energy it needs.

According to Doctor Nidhi about ICMR's diet chart, we can also get some of the required energy from sunlight, yogurt, jaggery and chickpeas. We have the option of everything, but our focus should be on eating fresh and protein rich.