Nutritionist Dr. Andrea Del Seppia

Clinical and sports nutrition - Cesena, Forlì, Ravenna and Rimini

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You are here: Home / Archives for Nutrition in pregnancy

Nutrition in pregnancy

Nutritional guidelines for the first months of pregnancy

Le linee guida nutrizionali per i primi mesi di gravidanza

What are the precautions to follow and which foods to choose for the health of the child and the mother?

Misura's interview with Dr. Andrea Del Seppia

Let's talk about the topic with our nutritionist, Dr. Andrea Del Seppia.

Dr. Del Seppia, every stage of pregnancy has different nutritional needs and the diet, with the right intake of nutrients and calories, plays a fundamental role in order to pass a pregnancy safely. What are the precautions to use?

During the first months we recommend a varied diet, of five meals a day, which includes the intake of complex carbohydrates, such as whole grains, indigestible vegetable fibers, which promote weight and blood sugar control (especially in cases of gestational diabetes ), fruits and vegetables, foods with high biological value proteins, monounsaturated fatty acids, and low in saturated fatty acids.

These are the starting points for a correct diet during pregnancy that will then have to be adapted to each single mother in the various phases of this life path, without forgetting the supplements of important micronutrients, such as folic acid, iron and calcium. We also remind you to maintain a constant daily intake of at least 1 and a half liters of water which, in addition to hydrating, is important for the formation of amniotic fluid.

Instead, what foods should be avoided?

During this time, it is important to choose low-calorie foods, with few simple sugars, saturated fats and salt. The latter, for example, can be replaced by herbs, spices, lemon juice or even apple and vinegar, thus reducing the risks of high blood pressure and therefore of gestosis.

It is also important to avoid the consumption of alcohol and spirits that have proved to be harmful to the child's mental development and to take nervine drinks such as coffee, tea and chocolate with caution, preferring decaffeinated and detained drinks.

It would also be better to avoid unpasteurized milks, soft cheeses or semi-soft cheeses with crust or mold (such as brie or gorgonzola) and pates. Attention also to smoked fish, to be consumed immediately after opening, and to reduce fish such as a sword, shark and tuna to weekly, in order to avoid the accumulation of possible pollutants (for example, methylmercury).

Le linee guida nutrizionali per i primi mesi di gravidanza

What are the recommendations and tips to follow in the kitchen?

It is advisable to cook the food well, avoiding eating raw or undercooked foods (such as eggs, sushi or carpaccio), always heat the leftovers evenly before taking them, and, when you are away from home, if you are not sure of the hygiene, always order well-cooked dishes. Always eat fresh fruits and vegetables, washing them well before consuming, for example with water and bicarbonate or a solution of sodium hypochlorite, a broad-spectrum anti-microbial agent.

The recommended cooking techniques are boiling, steaming, grilling or grilling and baking. When preparing food it is important to always wash your hands well before and after handling the food (for example the eggshell), being careful to clean all surfaces and tools used and, when possible, avoid using the same tools for preparing different dishes. Respect the expiration dates and the storage instructions on the labels and, if in the meantime, different activities are carried out (for example cleaning the house or gardening), always use gloves.

What would you recommend eating in cases where you suffer from nausea?

To reduce problems such as nausea, vomiting or gastroesophageal reflux it is necessary to eliminate fatty foods that can slow down digestion, make healthy snacks, avoid eating late and / or shortly before going to sleep. In general, it is advisable to reduce the intake of liquids during the meal in the event of episodes of persistent nausea and to opt for a solid or semi-solid diet, made of dry and crunchy foods such as crackers, toasted bread, rusks and cornflakes, which can help reduce the feeling of nausea. Furthermore, ginger has proved to be an excellent ally to counteract this problem that affects more than half of pregnant women, especially during the first three months.

A rule not to be forgotten in order to control weight and blood sugar during this period (also favoring bowel regularity), is to keep in constant movement by constantly practicing a gentle exercise.

Read the article on Misura® website

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Link to Dr. Andrea Del Seppia page on the official Misura® website

Misura® is a registered trademark of Colussi S.p.A. The material reported in this article is the property of Colussi, who authorized its publication.

Filed Under: Nutrition in pregnancy Tagged With: child well-being, food properties, mother, pregnancy

The importance of taking calcium during pregnancy

The importance of taking calcium during pregnancy

Calcium is the most abundant mineral present in our body and plays a key role in bone formation: it is therefore of fundamental importance to maintain an adequate intake during pregnancy when its needs increase.

Misura's interview with Dr. Andrea Del Seppia

Let's talk about the topic with our nutritionist, Dr. Andrea Del Seppia.

Dr. Del Seppia, what are the functions of calcium and what happens during pregnancy?

99% of calcium is found in the skeleton and in the teeth in the form of "calcium hydroxylapatite". The remaining 1% is involved in numerous physiological processes such as muscle contraction, cell division and differentiation, various enzymatic activities, release of neurotransmitters and hormonal adjustments. During pregnancy there is a series of temporary physiological changes, such as an increase in intestinal absorption, urinary excretion and bone turnover, aimed at maintaining a constant maternal calcium balance and, at the same time, providing growth and development of the fetus. The skeleton of a newborn contains approximately 20-30 g of calcium; most skeletal growth occurs from the middle of the gestational period (pregnancy) with a maximum peak during the third trimester.

What are the needs of this mineral in pregnant women?

Normally, the need for calcium in women in adulthood (18 to 59 years) is 1000 mg a day (LARN), but the value can increase up to 1200 mg a day for the pregnant woman, to keep the balance unchanged and thus allow proper bone density in the mother, the development and bone mineralization of the fetus.
According to the World Health Organization (WHO), the intake of 1500-2000 mg per day is recommended in women who experience a low dietary calcium intake of less than 1000 mg per day.

A lack of calcium intake can, in fact, contribute to the onset of some problems during pregnancy both for the mother (from muscle cramps to osteopenias, paresthesia and gestosis) and for the fetus (developmental delay and bone mineralization). During breastfeeding, the recommended intake for the adult woman returns to 1000 mg daily.

What are the preferable food sources of calcium?

Calcium-rich foods are certainly milk and some of its derivatives, such as yogurt and cheese. In particular, aged cheeses can have a quantity of calcium up to 1 / g on 100g. A good rule to increase the intake can be to add to the pasta and substitutes a good spoonful of grated Parmesan, or parmesan flakes with vegetables or the second protein dish.
Yogurt, another precious source of this mineral, especially the Greek one, is an excellent food for snacks or breakfast, and has an acid pH that favors intestinal absorption.

Among the foods of vegetable origin, on the other hand, calcium is present in nuts and seeds, especially in almonds, sesame and chia, which can be added in mixed salads or snacks such as yogurt, fruit salads and centrifuged.

A small whim consisting of a square of milk chocolate to be introduced from time to time can be a good source, to be excluded however in cases of risk of gestational diabetes and difficulty in weight control. Cereals, although not particularly rich, can still constitute a good source because they are introduced in abundant quantities into the daily Mediterranean-style diet.

The importance of taking calcium during pregnancy

This precious mineral is also present in legumes, especially beans, in vegetables, such as spinach, cabbage, broccoli, chard, watercress and in fish such as sardines and anchovies. It is advisable to maintain a high daily fluid intake alternating waters more or less rich in this mineral.

It is important, however, to remember that a good walk and constant exercise are essential for maintaining good bone health, as well as promoting better weight and blood sugar control during pregnancy.

Read the article on Misura® website

Read the article on Misura® Facebook official page

Link to Dr. Andrea Del Seppia page on the official Misura® website

Misura® is a registered trademark of Colussi S.p.A. The material reported in this article is the property of Colussi, who authorized its publication.

Filed Under: Nutrition in pregnancy Tagged With: child's well-being, mother, pregnancy

Pregnancy, between mind and body

Pregnancy wholefood well being

A healthy lifestyle and a right psychological approach are of fundamental importance to better manage a moment of strong emotions and great changes like that of pregnancy.

Misura's interview with Dr. Andrea Del Seppia

Let's talk about the topic with our nutritionist, Dr. Andrea Del Seppia.

There are now numerous evidences that environmental, genetic and behavioral factors can contribute to a better preparation of women for pregnancy and better management of the months that will follow. For example, it is very important to avoid a sedentary lifestyle and a nutritionally unbalanced diet: both these attitudes can in fact lead to an uncontrolled increase in weight which in turn can have harmful effects on the unborn child and on the mother herself, both from a physical and psychological point of view.

Speaking of nutrition, the contribution of fruit, vegetables, legumes and whole grains is fundamental, which thanks to the fiber they contain promote intestinal well-being and allow greater glycemic control. The fiber, in fact, helps to improve the constipation phenomenon that often occurs during pregnancy, promotes the sense of satiety, with a consequent better weight control, and reduces the absorption of ingested sugars, limiting glycemic peaks and consequently the possibility of developing gestational diabetes. For the welfare of the fetus it is important to limit fats, fried foods and carbonated or sugary drinks, maintaining a high water supply to favor the formation of amniotic fluid.

Also according to the Ministry of Health, the woman who follows a varied diet, maintaining an optimal intake of foods such as fruit, vegetables and legumes, covers all the needs of vitamins without resorting to particular supplements, except for folic acid. The same can also be said for minerals, paying particular attention to the needs in calcium, iron and iodine. It is necessary to keep in mind that the energy, macro and micronutrient needs, and consequently the appetite, undergo a physiological increase throughout the course of pregnancy to allow the correct development of the fetus and maternal tissues. This translates into a variable weight increase depending on the quarter considered: according to the Ministry of Health, in the months following the first quarter, where weight gain is not significant (about 1 kg), it can reach up to 1/2 Kg per week.

The increased requirements can be covered in a balanced way by maintaining a correct balance between carbohydrates, fats and proteins in the quantities recommended by the nutritional guidelines. However, each diet should be adapted to each individual mother, taking into account the nutritional needs on a case by case basis. Remember the importance of being always followed by a specialist in the field who can adapt all the nutrients to the diet of the single mother, thus avoiding any deficiencies.

In order not to lose sight of oneself and one's own well-being, my advice to future mothers is to accompany the balanced diet to constant exercise by practicing light and relaxing activities, for example in water, or even pilates, yoga and walking exercises outside. It is now recognized, in fact, that movement plays an important role in maintaining good physical and mental health, in fact, in addition to releasing endorphins, known as "happiness hormones", exercise also helps the woman to regain the right weight after pregnancy. However, relaxing activities such as reading, resting and listening to good music that stimulates the happiness of the mother and consequently also that of the fetus should not be forgotten.

Read the article on Misura® website

Read the article on Misura® Facebook official page

Link to Dr. Andrea Del Seppia page on the official Misura® website

Misura® is a registered trademark of Colussi S.p.A. The material reported in this article is the property of Colussi, who authorized its publication.

Filed Under: Nutrition in pregnancy Tagged With: child well-being, mother, pregnancy

The importance of consuming fibers during pregnancy

Fibers in pregnancy

Taking a varied and balanced diet, from the pre-conceptional period, is an essential condition for guaranteeing the well-being of women and the favorable evolution of pregnancy. In this context, it is necessary to underline the importance of an adequate fiber intake, whose daily contribution recommended by the LARN is at least 25g / day.

Misura's interview with Dr. Andrea Del Seppia

Let's talk about the topic with our nutritionist, Dr. Andrea Del Seppia.

Dr. Del Seppia, what is meant by fiber?

By the term fiber we mean a series of compounds from the plant world (cereals, legumes, fruit and vegetables) and which are not digested by our enzymatic systems. The fiber can be distinguished as soluble and insoluble in water. Generally, soluble fiber, such as pectins, β-glucans and inulin, is a fiber that forms a viscous gel in contact with water and is highly fermentable by our intestinal bacterial flora. Insoluble fiber, on the other hand, is a less viscous and less fermentable fiber and is mainly represented by cellulose, hemicellulose and lignin. From these characteristics many valuable properties derive for our intestinal well-being, even during pregnancy, although they do not have a significant caloric intake.

What are the properties of the fiber?

Forming a gel in contact with water, the soluble fiber increases the mass and the viscosity of the gastric contents. This activity results in a greater sense of satiety between meals, better appetite control and, consequently, greater control over weight gain during pregnancy. The viscous mass, formed by fiber and water, reduces the speed of absorption of sugars in the blood and therefore an excessive increase in post-prandial glycaemia, thus representing an effective dietary intervention to prevent the onset of gestational diabetes mellitus, a type of diabetes which can occur during pregnancy.

There is also a beneficial effect on the cardiovascular system, as the fiber has the ability to trap cholesterol-rich bile acids that are secreted during the digestive process.

The same mechanism is also observed for triglycerides, preventing their normal absorption by our body. The fiber is fermented by our intestinal bacterial flora creating more voluminous and soft stools and thus facilitating the evacuation. The fermentation of the fiber produces short chain fatty acids, which have a nourishing effect on the intestinal mucosa. Hence the prebiotic effect of the fibers. Prebiotics are defined as those non-digestible substances that stimulate the growth and activity of our bacterial microflora. It has been shown that the fiber is able to stimulate the growth of bifidobacteria and lactobacilli, considered to be good bacteria.

Insoluble fiber leads to an increase in the volume of intestinal contents due to its ability to attract water (whose contribution must always be constant and abundant) and this results in a stimulation of intestinal peristalsis (contractions that favor intestinal transit), inducing the evacuation and reducing the time spent in the digestive tract. The effectiveness of the fibers on intestinal regularity and the beneficial effect it can have on constipation (a problem that is frequently found in pregnant women) is therefore clear.

Fibers in pregnancy

What foods do you recommend eating to increase your fiber intake?

The amount of fiber present in plant foods is very variable. Generally, whole grains and derivatives such as wheat flour and wheat bran are very rich in insoluble fibers that we can find in good quantities even in dried fruit and vegetables (artichokes, chicory, beets, cauliflower, aubergines, turnips, radishes, etc.). The soluble fiber, on the other hand, is found mainly in legumes (especially in lentils, beans and chickpeas) and in all fruit in general.
All future mothers are reminded that for the safety of the unborn child it is always good to consume fruit and vegetables after having washed them thoroughly.

Read the full article on Misura® website

Read the article on Misura® official page

Link to Dr. Andrea Del Seppia page on the official Misura® website

Misura® is a registered trademark of Colussi S.p.A. The material reported in this article is the property of Colussi, who authorized its publication.

Filed Under: Nutrition in pregnancy Tagged With: child's well-being, food properties, fruit, pregnancy

Breastfeeding: breast milk and its benefits

Breastfeeding: breast milk and its benefits

Now universally recognized by all scientific communities as the only food able to fully satisfy the needs of the infant, mother's milk is fundamental for the supply of nutrients and functional factors such as antibodies and hormones: we explore the topic with our nutritionist, Dr. Andrea Del Seppia.

The composition of breast milk is excellent for providing the baby with the right nutrients in quantity and proportions. Thanks to immunoglobulins, lactoferrin, lysozyme and cells of the immune system (macrophages, lymphocytes and neutrophils), it has an "immune" function towards numerous pathogens (viruses and bacteria) and reduces the incidence of food allergies in adulthood. It is a food that is always available, fresh, at the right temperature (body), also valuable for the effectiveness it has on the mother-child bond and on the psychological well-being that arises in both from the practice of breastfeeding. Various scientific studies show that, in addition to the child's good health and proper development, breastfeeding reduces the risk of breast cancer, ovarian cancer, the risk of type 2 diabetes and postpartum depression for the woman.

But what are the characteristics of breast milk? Let's see them together ...

First of all, the composition varies from person to person and from the beginning to the end of the breastfeeding period, adapting to the growth needs of the newborn. For example, the colostrum produced from the first to the fifth day of lactation is richer in proteins and immunoglobulins than transitional milk, secreted from the fifth day of lactation and from mature milk, due to the baby's need to develop tissues and immunity. However, the average composition varies from 0.6 to 1.4% of proteins, from 3 to 8% of fats, from 6.5 to 8% of carbohydrates and contains about 0.2% of salts; the rest is water. On the other hand, artificial breastfeeding can lead to a higher incidence of childhood obesity (type I and II diabetes), less resistance to pathologies and less development. In mothers, non-breastfeeding is associated with an increased incidence of premenopausal breast cancer, ovarian cancer, gestational weight gain, type II diabetes, myocardial infarction and metabolic syndrome.

Let's now pass to the nutritional requirements: according to the LARN (Nutrient and Energy Reference Intake Levels) the energy requirement of the nursing nurse increases with the production of milk ranging from 750 ml / dia to 810 ml / dia, for which will require an increase in caloric intake from 450 to 550 kcal / dia. However, the quantity can vary from woman to woman based on numerous factors such as, for example, age and weight reached at the end of pregnancy by the mother and size of the child.

Speaking of the mother's feeding time during breastfeeding, it is essential to keep in mind that the quality of the food introduced is reflected in the quality of the milk that will be taken by the infant. Therefore, the same recommendations for pregnancy apply. In general, it is recommended to follow a varied and balanced diet consisting of fruit, vegetables and cereals, preferably whole wheat, important sources of dietary fiber. Compared to pregnancy, the caloric intake must be increased: we therefore recommend 4-5 weekly portions of legumes, sources of vegetable protein and dietary fiber, to be alternated with meat, fish, eggs and cheese.

Fish is important for a correct intake of DHA, which is important for the development of brain and retinal structures.

At least 2 portions of fish are recommended, up to 3-4 servings per week, better if small sized blue fish (sardines, anchovies, mackerel) rather than large fish such as tuna and swordfish, accumulators of contaminants (EFSA 2015) . With regard to fats it is preferable to use extra virgin olive oil and essential fatty acids which are mainly found in oil seeds (for example flax, walnut, almond and soy) and blue fish.

Among the micronutrients, particular attention must be paid to calcium, present above all in milk and derivatives; to the iron we find, for example, in legumes; to vitamin B12 that we can find in eggs and fish such as salmon and sardines; folic acid, of which broad-leaf vegetables and vitamin D are rich.

All dried fruit, rich in mono and polyunsaturated fatty acids, could be an excellent snack at least once a day.

It is also important to maintain a high water intake of which an increase of about 700 ml per day is recommended, compared to what is recommended for women who do not breastfeed (2000 ml).

At this point we just have to list the foods to avoid: such as those that can make a bad taste of milk, making it unpleasant to the baby or cause food poisoning. In the first case, onion, parsley, artichokes, broccoli, cabbage and asparagus are contraindicated. In the second case, we advise against the consumption of crustaceans, molluscs, game and raw eggs. Also, if the infant is suffering from gaseous colic, avoid all dairy products, legumes with peel and dried fruit. Always remember that being followed by a specialist in nutrition is the best solution to ensure the right amount of nutrients and in the right amounts for each single mother.

Read the full article on Misura® website

Read the article on Misura® official page

Link to Dr. Andrea Del Seppia page on the official Misura® website

Misura® is a registered trademark of Colussi S.p.A. The material reported in this article is the property of Colussi, who authorized its publication.

Filed Under: Nutrition in pregnancy Tagged With: child well-being, mother, nursing

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Province of Forlì - Cesena
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