Welcome to NS325: Nutrition Across the Human Lifecycle

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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: : JCayemberg@kaplan.edu– 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