Are you pregnant or hoping to get pregnant soon?  Then you’ll definitely want to take a look at our pregnancy nutrition recommendations today.  Eating right and maintaining an active lifestyle are important for proper fetal development as well as keeping your own body healthy.
What’s the recommended amount of weight to gain?
It’s important to eat right to support proper growth and development of your baby.  But eating for two doesn’t mean eating twice as much!  In fact, pregnant women only need about 300 extra calories a day.  This is the amount in a small bowl of cereal with skim milk and some sliced banana.

Most of the weight you gain should occur in the last few months of your pregnancy, with only 1 to 4 pounds of weight gain during the first trimester.  The total recommended amount of weight gain for pregnant women varies based on their pre-pregnancy weight as follows:

Underweight – BMI of less than 18.5:  28-40 pounds
Normal weight – BMI of 18.5 to 24.9:  25-35 pounds
Overweight – BMI of 25 – 29.9:  15-25 pounds
Obese – BMI greater than 30:  11-20 pounds

Gaining too much weight can increase the risk of problems like gestational diabetes, backaches, leg cramps, and high blood pressure.

What’s a healthy diet for pregnancy?
Now that you know how much more to eat, keep in mind that you shouldn’t increase calories through unhealthy food choices.  While it’s certainly fine to indulge in a craving here or there, the majority of your food choices should be nutrient rich items that support proper growth and development.  Try to eat a variety of nutritious foods each day.  By eating lean protein sources, whole grains, dairy, and lots of different color fruits and vegetables, you provide your body and your developing baby with essential nutrients.  Also, it’s important to remember the things you should avoid – like excessive caffeine (stick to less than 200 mg per day) and alcohol.
What about fish?
Seafood is important for pregnant women, because it contains omega-3 fatty acids that contribute to cognitive development.  In fact, many studies have shown that low-mercury seafood consumption during pregnancy has been associated with children who, several years later, had better visual recognition, verbal intelligence, and other aspects of cognitive function.  The FDA and EPA say pregnant women can safely eat up to 12 ounces of seafood a week, and the Dietary Guidelines recommend pregnant women consume 8-12 ounces of seafood each week, although other researchers argue that this amount should be higher.  At a minimum, try to include at least 8 ounces of seafood that's low in mercury each week.  Good low-mercury choices include:  shrimp, crab, salmon, pollock, catfish, cod, and tilapia.  Even canned light tuna can be included in this list (although canned white tuna and tuna steaks should be limited to 6 ounces per week).  Avoid high mercury choices which include swordfish, shark, king mackerel, and tilefish.  

What’s the deal with folate?
Folate or folic acid, both forms of a B vitamin, are essential for pregnant women.  Studies have shown that this helps to prevent neural tube defects in developing fetuses.  Most doctors recommend a prenatal multivitamin that contains folic acid to ensure you are meeting your needs.  If you decide not to take a prenatal multivitamin, be sure you eat lots of folate-rich food sources like leafy green vegetables, beans, black eyed peas, asparagus, or oranges.

Are there any food safety recommendations?
Food poisoning can be more dangerous in pregnant women and their fetuses.  Because of this, keep in mind these food safety tips:
  • Cook all meat thoroughly.  Because color is not always the best indicator, you may want to use a meat thermometer.
  • Avoid raw fish and shellfish (like that in sushi) due to the risk of food poisoning.  Seafood should be cooked to a temperature of 145F (when it’s flaky and white/opaque).
  • Cook hot dogs and lunch meats until steaming hot.  These can be a source of listeria, a bacteria that can cause food poisoning.
  • Stay away from raw milks and cheeses – always select pasteurized dairy products.  Despite arguments from raw milk enthusiasts, raw milk does not differ significantly in terms of nutrition from pasteurized milk, and has been responsible for many cases of food poisoning.  In fact, the rates of foodbourne illness caused by raw milk are about 150 times greater compared to pasteurized product.
  • Avoid soft cheeses unless they clearly state they are pasteurized.  These include brie, feta, certain Mexican style cheeses (queso blanco and queso fresco), camembert, and blue cheese.
  • Wash fruits and veggies before use.

 
 
Today is December 1st - the day that we celebrate World AIDS day around the globe.  33.3 million people internationally are living with HIV/AIDS.  Improving nutrition for those with HIV/AIDS is of personal interest to me – my aunt died of AIDS when I was a kid, so it’s something that is close to my heart.  Since then, I’ve had experience working with this population as well as doing research on HIV/AIDS nutrition topics.

Poor nutritional status can lower immune function, which means people with HIV/AIDS can develop opportunistic infections more easily.  These can then lead to problems eating and meeting nutritional requirements, thus creating a cyclical decline in health.  Drug treatment, known as HAART (highly active antiretroviral therapy), can also make it difficult to meet nutritional needs.

If you have HIV/AIDS, consider these nutrition tips:
  • Eat a variety of colorful fruits and vegetables to ensure adequate vitamin/mineral intake.  Fruits and vegetables also provide fiber.
  • Depending on your diet, you may need a multivitamin.
  • As long as your doctor says it’s safe, exercise can be beneficial for people with HIV/AIDS.  It may lead to improvements in strength, endurance, cardiopulmonary fitness and reductions in depression.
  • Eat a diet that is balanced in carbohydrate, protein, and healthy fats.  
  • Be especially careful with food safety, as you do not want to introduce harmful bacteria to your body.  Do not keep foods out at room temperature for more than 2 hours. 
  • Wash hands before eating.
  • Avoid cross contamination – do not use the same knives/cutting boards for raw meat and vegetables.
  • Wash fruits and vegetables before eating them.