Critical issues in setting micronutrient recommendations for pregnant women

An insight

Cristiana Berti, T. Decsi, Fiona Dykes, Maria Hermoso, Berthold Koletzko, Maddalena Massari, Luis A. Moreno, Luis Serra-Majem, Irene Cetin

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

The European Micronutrient Recommendations Aligned (EURRECA) Network aims to provide standardized approaches to reveal and beneficially influence variability within the European Union in micronutrient recommendations for vulnerable population groups. Characterization of the 'vulnerability' together with the 'variability' of micronutrient needs represents the first step to creating guidelines for setting micronutrient recommendations within target populations. This paper describes some of the key factors and characteristics relevant to assess micronutrient requirements and formulate recommendations of micronutrients in pregnancy. Nutritional requirements during pregnancy increase to support fetal growth and development as well as maternal metabolism and tissue accretion. Micronutrients are involved in both embryonal and fetal organ development and overall pregnancy outcomes. Several factors may affect directly or indirectly fetal nourishment and the overall pregnancy outcomes, such as the quality of diet including intakes and bioavailability of micronutrients, maternal age, and the overall environment. The bioavailability of micronutrients during pregnancy varies depending on specific metabolic mechanisms because pregnancy is an anabolic and dynamic state orchestrated via hormones acting for both redirection of nutrients to highly specialized maternal tissues and transfer of nutrients to the developing fetus. The timing of prenatal intakes or supplementations of specific micronutrients is also crucial as pregnancy is characterized by different stages that represent a continuum, up to lactation and beyond. Consequently, nutrition during pregnancy might have long-lasting effects on the well-being of the mother and the fetus, and may further influence the health of the baby at a later age.

Original languageEnglish
Pages (from-to)5-22
Number of pages18
JournalMaternal and Child Nutrition
Volume6
Issue numberSUPPL. 2
DOIs
Publication statusPublished - Oct 2010

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Micronutrients
Pregnant Women
Pregnancy
Fetal Development
Mothers
Pregnancy Outcome
Biological Availability
Fetus
Prenatal Nutritional Physiological Phenomena
Food
Nutritional Requirements
Health Services Needs and Demand
Maternal Age
Vulnerable Populations
European Union
Growth and Development
Population Groups
Lactation
Hormones
Guidelines

Keywords

  • Bioavailability
  • Dietary factors
  • EURRECA
  • Micronutrient intakes
  • Pregnancy
  • Recommendation
  • Requirement
  • Vulnerability

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Obstetrics and Gynaecology
  • Pediatrics, Perinatology, and Child Health
  • Nutrition and Dietetics

Cite this

Critical issues in setting micronutrient recommendations for pregnant women : An insight. / Berti, Cristiana; Decsi, T.; Dykes, Fiona; Hermoso, Maria; Koletzko, Berthold; Massari, Maddalena; Moreno, Luis A.; Serra-Majem, Luis; Cetin, Irene.

In: Maternal and Child Nutrition, Vol. 6, No. SUPPL. 2, 10.2010, p. 5-22.

Research output: Contribution to journalArticle

Berti, C, Decsi, T, Dykes, F, Hermoso, M, Koletzko, B, Massari, M, Moreno, LA, Serra-Majem, L & Cetin, I 2010, 'Critical issues in setting micronutrient recommendations for pregnant women: An insight', Maternal and Child Nutrition, vol. 6, no. SUPPL. 2, pp. 5-22. https://doi.org/10.1111/j.1740-8709.2010.00269.x
Berti, Cristiana ; Decsi, T. ; Dykes, Fiona ; Hermoso, Maria ; Koletzko, Berthold ; Massari, Maddalena ; Moreno, Luis A. ; Serra-Majem, Luis ; Cetin, Irene. / Critical issues in setting micronutrient recommendations for pregnant women : An insight. In: Maternal and Child Nutrition. 2010 ; Vol. 6, No. SUPPL. 2. pp. 5-22.
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