Free Prenatal Nutrition Basics Class 8/25

I'll be teaching a free prenatal nutrition class at Natural Resources in SF on Saturday August 25 from 2:30-3:30p. Details below and on my Classes page. Please stop by and tell your friends!

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AUGUST 25, 2012
2:30-3:30
Prenatal Basics
In this class, you will learn how your diet impacts your baby's lifelong health. We'll discuss choices you can make to prevent disease, minimize complications and enhance your baby's well-being. You'll also learn what you can eat to help prevent some common prenatal ailments & concerns. This introductory class is fun, educational and interactive - attendee participation is welcomed!
1367 Valencia St. (at 25th St.)
San Francisco, CA 94110
Cost: Free

Eat Omega-3s to Support Your Baby's Brain

You've probably heard of omega-3 fatty acids and know that they're good for you. These polyunsaturated fats, found in foods such as fish, flax, chia, and walnuts, are also called "essential" fatty acids (EFAs) because our body cannot synthesize them itself - we can only get them through our food. Omega-3s have powerful properties: they are cardioprotective, anti-inflammatory, support strong bones, prevent depression and lower menstrual pain. 

Omega-3s are also crucial to fetal development. They're so crucial, in fact, that it is common for fetuses to pull them from the mother's body and leave the mother deficient (welcome to motherhood!). Omega-3 metabolites play a role in the development of the baby's:
  • central nervous system
  • brain
  • eyes
  • immunity
Maternal omega-3 deficiencies can result in a baby with a low birth weight, shorter attention span, lower IQ, allergies, autoimmune diseases like eczema, and a poorly developed central nervous system. Proper maternal intake can reduce the incidence of premature delivery and preeclampsia, as well as support good moods and improve cognitive capacity in mothers.

New research suggests that adequate salmon consumption during pregnancy also increases the omega-3 concentration of breast milk, thereby increasing delivery to the newborn. Non-water matter in human breast milk is approximately 54% fat; omega-3s are an important part of that percentage.

If you're going to get your omega-3s from fish, it's imperative to select low-mercury choices. Mercury has severe effects on fetuses and small children, ranging from developmental delays to autism, cerebral palsy or mental retardation. Some excellent resources for selecting low-mercury fish:
Additional sources:
  1. Hudson, T. (2008). Women's Encyclopedia of Natural Medicine. New York: McGraw Hill.
  2. Jacobson, H. (2004). Mother Food: Food and herbs that promote milk production and a mother's health. Rosalind Press.


Preventing Gestational Diabetes

Gestational diabetes mellitus (GDM) occurs in 2-10% of pregnant women. However, in many cases it is preventable. A new study confirms that adherence to a healthy diet is crucial in order to avoid GDM. While prevention of GDM can be helpful in the short term, it is especially important because women with GDM have a high chance (35-60%) of developing diabetes in the future. In addition, their babies are more likely to be obese or develop type 2 diabetes later in life. Untreated GDM can even lead to fetal mortality.

What is a healthy diet? This study observed the alternate Mediterranean (aMED), Dietary Approaches to Stop Hypertension (DASH), and alternate Healthy Eating Index (aHEI) dietary patterns and found significant benefits to all three. These diets all support the need for complex carbohydrates and healthy proteins and fats.

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Sources:
http://diabetes.niddk.nih.gov/dm/pubs/statistics/#Gestational
http://www.nichd.nih.gov/health/topics/gestational_diabetes.cfm
http://www.mayoclinic.com/health/gestational-diabetes/ds00316/dsection=complications

Get Your Rays: Maternal Vitamin D Status Linked to Overweight Children

I'm always fascinated by how a mother's choices influence her baby's health. A recent study found that low maternal Vitamin D status may be linked to adiposity (aka fatness) in children. In other words, if you sit out in the sun for a few minutes a day without sunscreen on, you might help your baby stay lean throughout his life! Wow!

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Can Greens & Beans Prevent Autism?

We all know how important folate is for pregnancy - the RDA for folate nearly doubles for pregnant women. But a new study suggests that getting enough folate BEFORE conception (as well as after) might decrease the risk that your baby will develop autism. The importance of perinatal nutrition doesn't begin at conception!

As I've noted before, synthetic folic acid can be dangerous, so if you're choosing the supplement route, make sure you're getting true folate. Of course, if you want to increase your folate intake naturally, you can always just eat more greens and beans - two of the foods that are richest in this helpful vitamin.

Do You Really Need A Prenatal Vitamin?

Leafing through my May Glamour magazine, I came upon an article debating the need for vitamins. Three experts weighed in on different sides of the issue, but two of the three basically said "no."

Of course, during pregnancy, nutrient requirements for many vitamins & minerals increase - especially for folate - and we want to make sure our babies get what they need for proper development. So, do you really need a prenatal vitamin?

Theoretically, we should be able to get all our nutrition from our food. That is how our ancestors survived & thrived. In today's world, however, industrial farming practices strip the soil of its vital nutrients, leaving us with food that is less nutritious than the food our ancestors used to eat.

One option is to eat organic produce to ensure you're getting those nutrients. According to the Organic Consumers Association, organic farming practices result in food that is 25% more nutritious in terms of vitamin and mineral content. The Rodale Institute's 30-year Farming Systems Trial concurs that healthy soil (measured by carbon content) is better equipped to "hold onto" vital nutrients for the plants. Folate food sources include leafy greens (think: foliage), beans & lentils, and liver(1).

Attempting to get vitamins through your diet is a tricky proposition. You must be willing to commit to a varied diet that is heavy on the veggies. You can't "forget" to eat or skip lunch to work on that proposal. And organic food ain't cheap (though, if money is a concern, I highly recommend CSA boxes, which bring local organic produce to your door at less-than-retail prices. Find a CSA near you here). Stress or illness can also deplete nutrients, so in these situations, you'll need to eat more to replenish your stores.

In the US, popping pills to solve our problems is practically a national pastime, so many people may opt for the ease of a multivitamin. This, too, poses a challenge - which multivitamin should you select? Many drugstore brands use synthetic forms which aren't as absorbable as the nutrients found in food. In addition, some vitamins denature over time with exposure to air, light or heat, so the dosage listed on the bottle may not end up being what you receive. The safest bet is to use a whole foods multivitamin, but I haven't found one yet that provides adequate amounts of the necessary vitamins in absorbable forms. One that comes close is Designs For Health's Prenatal Pro capsules. Designs for Health is one of the only companies using folate instead of folic acid. Many health professionals consider these interchangeable, but there is an important distinction. Folate occurs naturally in food, while folic acid is synthetic and may increase your odds of developing cancer(2). This product is only available through licensed providers, so visit my store to purchase it.

Bottom line: If you're really, really good, you may be able to fulfill your nutritional needs through organic food without a multivitamin. For most of us, however, a combination of a healthy diet and an effective, absorbable, whole-food-based prenatal vitamin is probably a smart idea.

Hungry for more? 
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Additional References:
1. http://whfoods.org/genpage.php?tname=nutrient&dbid=63
2. http://www.prevention.com/food/healthy-eating-tips/your-breakfast-giving-you-cancer