The document summarizes key findings from a technical meeting on the diet and eating practices of adolescent girls and women. It finds that while undernutrition has decreased in most regions, overnutrition is rising, especially in Latin America and the Caribbean where over 50% of women are overweight or obese. Nutritional interventions are still needed during adolescence, pregnancy, and lactation to support optimal growth and development. Both undernutrition and overnutrition must be addressed through interventions across the lifecycle with a focus on developing healthy eating patterns.
29 November Launch of the Global Nutrition Report 2018
The 2018 Global Nutrition Report shares insights into the current state of global nutrition, highlighting the unacceptably high burden of malnutrition in the world. It identifies areas where progress has been made in recent years but argues that it is too slow and too inconsistent. It puts forward five critical steps that are needed to speed up progress to end malnutrition in all its forms and argues that, if we act now, it is not too late to achieve this goal. In fact, we have an unprecedented opportunity to do so.
POSHAN District Nutrition Profile_Unnao_Uttar PradeshPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
POSHAN District Nutrition Profiles_Guide to DNPsPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that this guide uses the example of Bihar. POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
29 November Launch of the Global Nutrition Report 2018
The 2018 Global Nutrition Report shares insights into the current state of global nutrition, highlighting the unacceptably high burden of malnutrition in the world. It identifies areas where progress has been made in recent years but argues that it is too slow and too inconsistent. It puts forward five critical steps that are needed to speed up progress to end malnutrition in all its forms and argues that, if we act now, it is not too late to achieve this goal. In fact, we have an unprecedented opportunity to do so.
POSHAN District Nutrition Profile_Unnao_Uttar PradeshPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
POSHAN District Nutrition Profiles_Guide to DNPsPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that this guide uses the example of Bihar. POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
POSHAN District Nutrition Profile_Lucknow_Uttar PradeshPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
Of primary importance in healthcare innovation, intended to support the maternal healthcare of Indigenous Australian women, is cultural appropriateness; specifically, the cultural notion of ‘women’s business’. In traditional Indigenous Australian culture, it is senior women who teach young women about maternal healthcare and it is considered offensive for anyone other than a senior woman to instruct an Indigenous Australian women on such matters. This discussion will consider the challenges in developing a maternal healthcare app that aims to satisfy both the culturally sensitive requirements in addition to the medical requirements.
Nutritional assessment using anthropometric, biochemical, clinical, and dietary methods with a larger understanding of anthropometric methods used in Ethiopia
PRESENTATION GIVEN BY ME AT Central Food and Technology Research Institute (CFTRI), MYSORE WHICH ALSO FETCHED ME A PRIZE. THIS WAS ONE OF THE BEST AND PROUD MOMENTS IN MY CAREER
National Food & Nutrition Policy: Balancing the Role of Research, Nutrition S...Corn Refiners Association
At Experimental Biology 2015, the Sponsored Satellite Program "National Food & Nutrition Policy: Balancing the Role of Research, Nutrition Science and Public Health" held in conjunction with the American Society for Nutrition's Scientific Session took place on April 1, 2015.
To watch the Dr. Lichtenstein video on slide 68 "Do Scripted Diets Work for Policy? What about Low-fat Diets?", please download the presentation first.
POSHAN District Nutrition Profile_Lucknow_Uttar PradeshPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
Of primary importance in healthcare innovation, intended to support the maternal healthcare of Indigenous Australian women, is cultural appropriateness; specifically, the cultural notion of ‘women’s business’. In traditional Indigenous Australian culture, it is senior women who teach young women about maternal healthcare and it is considered offensive for anyone other than a senior woman to instruct an Indigenous Australian women on such matters. This discussion will consider the challenges in developing a maternal healthcare app that aims to satisfy both the culturally sensitive requirements in addition to the medical requirements.
Nutritional assessment using anthropometric, biochemical, clinical, and dietary methods with a larger understanding of anthropometric methods used in Ethiopia
PRESENTATION GIVEN BY ME AT Central Food and Technology Research Institute (CFTRI), MYSORE WHICH ALSO FETCHED ME A PRIZE. THIS WAS ONE OF THE BEST AND PROUD MOMENTS IN MY CAREER
National Food & Nutrition Policy: Balancing the Role of Research, Nutrition S...Corn Refiners Association
At Experimental Biology 2015, the Sponsored Satellite Program "National Food & Nutrition Policy: Balancing the Role of Research, Nutrition Science and Public Health" held in conjunction with the American Society for Nutrition's Scientific Session took place on April 1, 2015.
To watch the Dr. Lichtenstein video on slide 68 "Do Scripted Diets Work for Policy? What about Low-fat Diets?", please download the presentation first.
Review the Effectiveness of Community-based Primary Health Care in Improving ...CORE Group
Review the Effectiveness of Community-based Primary Health Care in Improving Child and Maternal Health: Leveraging Results for Advocacy HENRY PERRY and PAUL FREEMAN
Workshop 3: The Agriculture Nutrition Nexus and the Way Forward at The Caribbean-Pacific Agri-Food Forum 2015 (CPAF2015) taking place 2-6 November in Barbados with support from the Intra-ACP Agricultural Policy programme, organized in partnership with the Barbados Agricultural Society (BAS) and the Inter-American Institute for Cooperation on Agriculture (IICA). http://www.cta.int/en/news/caribbean-pacific-agri-food-forum.html
This presentation gives an outline on:
- identifying what data are needed to characterize the nutrition situation
- tracking progress in policies and programs at global, regional, and country level
- becoming familiar with common data sources for obtaining nutrition indicators
- identifying priority information gaps for nutrition measurement in the West Africa Region
Dr C. Dustin Becker, Leeroy Joshua and Dorothy Tavoa of the School of Natural Resources and Applied Sciences from the Solomon Islands National University undertook a rapid country scan on the agriculture-nutrition nexus in 2015. The scan was commissioned by CTA and provides a snapshot of the policies and programmes in the nation.
Scaling Up Nutrition Action for Africa: Where Are We and What Challenges Need To Be
Addressed To Accelerate Momentum
Lawrence Haddad, Executive Director, Global Alliance for Nutrition (GAIN), United Kingdom
info4africa/MRC KZN Community Forum | 25 March 2014 | The Department of Healt...info4africa
Speaker: Ms Zamazulu Mtshali – Deputy Manager for the Integrated Nutrition Programme (INP), KwaZulu-Natal Department of Health
Ms Mtshali's presentation will highlight studies that show the presence of nutritional transition in KwaZulu-Natal, where both under and over-nutrition are prevalent. Within the context of the HIV and AIDS pandemic and food insecurity, the high prevalence of under-nutrition, micronutrient deficiencies and emergent over-nutrition presents a complex series of challenges.
Over the years, significant gains have been made with regards to scaling up nutrition, with the development of policies and guidelines for the implementation of nutrition strategies. There is now a renewed focus on specific priority groups for nutrition interventions to have a bigger impact.
This presentation aims at explaining all the components of malnutrition. Such as types, causes, criteria of diagnosis, treatment & Government health initiatives to tackle the problem of malnutrition.
What is the point of small housing associations.pptxPaul Smith
Given the small scale of housing associations and their relative high cost per home what is the point of them and how do we justify their continued existance
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
ZGB - The Role of Generative AI in Government transformation.pdfSaeed Al Dhaheri
This keynote was presented during the the 7th edition of the UAE Hackathon 2024. It highlights the role of AI and Generative AI in addressing government transformation to achieve zero government bureaucracy
This session provides a comprehensive overview of the latest updates to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (commonly known as the Uniform Guidance) outlined in the 2 CFR 200.
With a focus on the 2024 revisions issued by the Office of Management and Budget (OMB), participants will gain insight into the key changes affecting federal grant recipients. The session will delve into critical regulatory updates, providing attendees with the knowledge and tools necessary to navigate and comply with the evolving landscape of federal grant management.
Learning Objectives:
- Understand the rationale behind the 2024 updates to the Uniform Guidance outlined in 2 CFR 200, and their implications for federal grant recipients.
- Identify the key changes and revisions introduced by the Office of Management and Budget (OMB) in the 2024 edition of 2 CFR 200.
- Gain proficiency in applying the updated regulations to ensure compliance with federal grant requirements and avoid potential audit findings.
- Develop strategies for effectively implementing the new guidelines within the grant management processes of their respective organizations, fostering efficiency and accountability in federal grant administration.
Russian anarchist and anti-war movement in the third year of full-scale warAntti Rautiainen
Anarchist group ANA Regensburg hosted my online-presentation on 16th of May 2024, in which I discussed tactics of anti-war activism in Russia, and reasons why the anti-war movement has not been able to make an impact to change the course of events yet. Cases of anarchists repressed for anti-war activities are presented, as well as strategies of support for political prisoners, and modest successes in supporting their struggles.
Thumbnail picture is by MediaZona, you may read their report on anti-war arson attacks in Russia here: https://en.zona.media/article/2022/10/13/burn-map
Links:
Autonomous Action
http://Avtonom.org
Anarchist Black Cross Moscow
http://Avtonom.org/abc
Solidarity Zone
https://t.me/solidarity_zone
Memorial
https://memopzk.org/, https://t.me/pzk_memorial
OVD-Info
https://en.ovdinfo.org/antiwar-ovd-info-guide
RosUznik
https://rosuznik.org/
Uznik Online
http://uznikonline.tilda.ws/
Russian Reader
https://therussianreader.com/
ABC Irkutsk
https://abc38.noblogs.org/
Send mail to prisoners from abroad:
http://Prisonmail.online
YouTube: https://youtu.be/c5nSOdU48O8
Spotify: https://podcasters.spotify.com/pod/show/libertarianlifecoach/episodes/Russian-anarchist-and-anti-war-movement-in-the-third-year-of-full-scale-war-e2k8ai4
Understanding the Challenges of Street ChildrenSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
1. This presentation was made possible by the American people through the U.S. Agency for International
Development (USAID) under Cooperative Agreement No. AID-OAA-A-11-00031, the Strengthening
Partnerships, Results, and Innovations in Nutrition Globally (SPRING) project.
Moving the Adolescent
Nutrition Agenda Forward
Peggy Koniz-Booher, Senior Advisor Nutrition SBCC
SPRING Nutrition Project
CORE Group… April 14, 2015
2. Technical Meeting on the Diet and Eating
Practices of Adolescent Girls and Women
March 16 – 17 2015
PAHO/WHO, Washington, DC
3. Some background on rationale
for this technical meeting
• The 2013 Lancet Series on Maternal and Child Nutrition provided
new evidence on the importance of the nutrition of women at the time
of conception and during pregnancy, not only to ensure optimal fetal
growth and development but also for the health of the mother.
• The series also identified adolescent girls as a key priority and
highlighted the importance of a life course approach, placing them
together with women of reproductive age and mothers at the center
of nutrition interventions.
• Despite the recognized importance of adolescent girls’, women’s and
maternal nutrition for their health and that of their children, this group
is virtually neglected in nutrition programming with the exception of
provision of iron and folic acid supplements during pregnancy.
4. Background/rationale (cont.)
• In 2012, there were 1.2 billion adolescents in the world – defined as
young people between the ages of 10 and 19 years.
• The vast majority of adolescents (90%) live in low- or middle-income
countries (LMIC). In some countries, as many as half of all adolescents
are stunted, with impact on physical and cognitive development
• About 16 million girls aged 15 to 19 and some 1 million girls under 15
give birth every year—most in LMIC. Complications during pregnancy
and childbirth are the second cause of death for 15-19 year-old girls
• Alarming shift in BMI globally - growing rates of overweight and obesity in
many LMIC. (Throughout LAC, the prevalences of overweight and
obesity is around 50%. This is also true for Central and Eastern Europe.)
5. Meeting Objectives
1. Review insights and lessons learned
from two discussion papers
commissioned by SPRING
2. Identify characteristics of and issues
related to key diet and eating
practices for strengthening policies
and programs for adolescent girls’
and WRA’s nutrition
3. Propose next steps in development
of a set of key diet and eating
practices
6. Began by reflecting on the Guiding Principles:
Goal: To develop a set of unified, scientifically based guidelines
that could be adapted to local feeding practices and conditions
This earlier review provided the
scientific basis for 9/10 principles
(active feeding not evidence based)
Target audience: Policy makers,
program planners, health care
providers and community leaders
8. Countries have been proliferating Food-
Based Dietary Guidelines for about 20 yrs
FAO recently launched an on-line repository of
~100 country FBDGs and associated resources.
A “descriptive summary” project by Mary Arimond, Jennie Coats and Anna Herforth.
9. Objectives of Background Paper #1:
Nutrition of Adolescent Girls and WRA
• Present the current landscape
of nutritional status of
adolescent girls, women of
reproductive age, women
during pregnancy and during
lactation
• Summarize potential key
nutrition actions and
interventions to improve
nutritional status of these
population groups
10. Objectives of Background Paper #2:
Review of Programmatic Responses
• Conduct a rapid review of the
literature & programmatic
documentation to:
Provide information on global
programmatic experiences to
improve the nutrition of
adolescent girls and WRA
Summarize inputs, outcomes,
and lessons learned from
implementers who have/are
carrying out nutrition programs
12. Distributions of height among women of reproductive
age by UN region (Kozuki et al., submitted)
UN MDG
region
< 145 cm 145 < 150 cm 150 < 155 cm > 155 cm
Oceania 2.3 8.5 16.8 72.4
Eastern Asia 2.0 7.8 22.6 67.7
Western Asia 1.3 7.2 22.3 69.1
SE Asia 8.9 23.6 35.8 31.6
South Asia 10.7 24.6 33.2 31.5
Caucasus &
Central Asia
0.7 3.7 15.3 80.2
Northern Africa 1.5 5.4 17.7 75.5
Sub-Saharan
Africa
2.6 7.0 18.8 71.6
Latin America
& Caribbean
4.8 13.0 24.1 58.1
US (NHANES)
--
Counterfactual
0.6 3.0 9.7 86.7
145 cm is 4’9”; 150 cm is~ 4’11”; 155 cm is 5’1” tall
13. BMI status of women 20+years by region
(Ng et al, 2014; Stevens/WHO [unpublished])
Low prevalences of
underweight except in SSA
(not Southern),Southeast
and South Asia
Only in South Asia are >
20% women underweight
Throughout LAC, the
prevalences of overweight
and obesity surround the
50% mark
This is also true for Central
and Eastern Europe
0 20 40 60 80 100 120
Asia-Central
Asia-East
Asia-South
Asia-Southeast
SSA-Central
SSA-Eastern
SSA-Southern
SSA-Western
LAC-Andean
LAC-Tropical
LAC-Southern
LAC-Central
LAC-Caribbean
N Africa & ME
Oceania
HI-Y: Asia Pacific
HI-Y: N America
Hi-Y: Austral-Asia
Europe-Western
Europe-Eastern
Europe-Central
BMI < 18.5 kg/m2 BMI 18.5-25 kg/m2 BMI 25-30 kg/m2 BMI 30+ kg/m2
14. Changes in prevalence of underweight, overweight
and obese women in LMIC from 1980 to 2008
(Black et al., 2013)
Presented are the prevalences of maternal body mass index (BMI) < 18.5, > 25 and > 30 kg/m2
Under-W Over-W Obese
Africa Americas and the Caribbean
Asia Global
15. BMI status of girls < 20 years and women
20+ year by region (Ng et al, 2014)
0 20 40 60 80 100 120
Asia-Central
Asia-East
Asia-South
Asia-Southeast
SSA-Central
SSA-Eastern
SSA-Southern
SSA-Western
LAC-Andean
LAC-Tropical
LAC-Southern
LAC-Central
LAC-Caribbean
N Africa & ME
Oceania
HI-Y: Asia…
HI-Y: N America
Hi-Y: Austral-…
Europe-Western
Europe-Eastern
Europe-Central
Girls < 20 years
BMI < 25 kg/m2 BMI 25-30 kg/m2 BMI 30+ kg/m2
0 20 40 60 80 100 120
Asia-Central
Asia-East
Asia-South
Asia-Southeast
SSA-Central
SSA-Eastern
SSA-Southern
SSA-Western
LAC-Andean
LAC-Tropical
LAC-Southern
LAC-Central
LAC-Caribbean
N Africa & ME
Oceania
HI-Y: Asia…
HI-Y: N…
Hi-Y: Austral-…
Europe-Western
Europe-Eastern
Europe-Central
Women 20+ years
16. Anemia in women and children and changes from
1995 to 2011 (Stevens et al., 2013)
Prevalence of anemia is declining
in most regions
Children Pregnant
women
Non-pregnant
women
Anemia 47% to
43%
43% to 38% 33% to 29%
Severe
anemia
3.7% to
1.5%
2.0 %to
0.9%
1.8% to 1.1%
(Anemia: < 110 g/L for children and
pregnant women; and 120 g/L for women)
(Severe anemia < 70 g/L for children
and pregnant women; < 80 g/L for women)
17. Prevalence of micronutrient deficiencies among
adult women and during pregnancy
Region
Vitamin A deficiency among
pregnant women1
Insufficient
iodine intake
in general
population2
Inadequate
zinc intake in
general
population3
Night
blindness
(%)
Serum retinol
< 0.70 umol/L
(%)
Urinary
iodine
concentratio
n < 100 ug/L
(%)
Zinc
available <
EAR (%)
Globe 7.8 15.3 28.5 17.3
Africa 9.4 14.3 40.0 17.1-25.6
Americas
&
Caribbean
4.4 2.0 13.7 6.4-17.0
Asia 7.8 18.4 31.6 7.8-29.6
Europe 2.9 2.2 44.2 9.6
1reported in WHO (2009) and in Black et al (2013)
2reported in Andersson et al (2012) and in Black et al (2013)
3reported in Wessells and Brown, 2012; see also Wessells et al., 2012
18. Status of global prevention of folic-acid
preventable birth defects, 2012
(Source: Youngblood et al. 2013)
19. Estimated intakes of selected “healthy” and
“unhealthy” foods by region among women 20-29 y
(Imamura et al., 2015)
What are
recommended
intakes to ensure
nutrient needs are
met for WRA?
How do we
combine goals for
maternal nutrition
and chronic
disease
prevention?
Horizontal lines represent the mean of the theoretical minimal risk exposure distribution
20. Energy intakes of adolescent girls and women of
reproductive age (WRA) by region
Adolescent girls WRA
21. Protein intakes (% energy) of adolescent girls and
women of reproductive age (WRA) by region
Adolescent girls WRA
22. Fat intakes (% energy) of adolescent girls and women
of reproductive age (WRA) by region
23. Calcium intakes of adolescent girls and women
of reproductive age (WRA) by region
24. Iron intakes of adolescent girls and women
of reproductive age (WRA) by region
25. Some Key Findings
• Reducing short maternal stature requires continued
improvements in nutrition lifecycle of girls.
• Key nutrition interventions include support for
maternal nutrition during pregnancy and lactation,
IYCF and development of healthy eating patterns.
• Nutritional interventions during later childhood
and/or adolescence need study (efficacious?).
• Family planning to delay age at first pregnancy
likely contributes to improving maternal stature.
26. Key Findings (cont.)
• The nutritional status of
WRA has shifted over time,
with some reductions in the
prevalence of underweight,
and shifts from normal
weight to overweight/obesity.
• The problem of underweight
at the national level is less
10% in all areas except for
some parts of Sub-Saharan
Africa, and South Asia.
27. Key Findings (cont.)
• The problem of under-weight
among adolescent girls,
particularly those 15-19 is less
well characterized, but appears to
be consistent with those of women
20+, except in South Asia where it
may be as high as 40%.
• In South Asia, there is urgent
need to address the problem of
underweight among girls and
women.
28. Key Findings (cont.)
• When examined by age,
overweight and obesity increased
among women 20-30, suggesting
postpartum weight retention as an
explanatory factor
• There is a need to characterize
BMI status for local programming;
in most areas the goal of having
normal BMI means weight loss
rather than weight gain.
29. Key Findings (cont.)
• Postpartum weight
management is needed.
• Progress has been achieved
in reducing maternal
deficiencies of vitamin A and
iodine, as well as anemia,
but the problems remain.
• Inadequate zinc intake in
LMIC appears significant.
• Folic acid fortification
coverage is not optimal
30. Key Findings (cont.)
• Average nutrient intakes are inadequate in LMIC
across regions and target groups. Importantly,
adolescent girls, WRA and pregnant and lactating
women do not face dietary concerns distinct from
one another in terms of imbalanced macronutrient
intakes, and inadequate micronutrient intakes
• More studies are needed and a comprehensive
strategy for nutrition during lactation is needed
• Improvements in nutrient intake need to be placed
within the context of overall weight management.
31. Key Findings (cont.)
• Promotion of nutrient dense foods or foods
providing key nutrients within the context of weight
maintenance or loss (shift in consumption) is
different from promotion of greater food intake (of
the same or greater nutrient density) within the
context of increasing BMI to normal.
• The relative effectiveness of interventions to reduce
“unhealthy foods” (e.g., sugar-sweetened beverage)
consumption and/or increase consumption of
“healthy foods” requires research in LMIC.
32. Goals for Diet and
Eating Practices
Achieve normal weight
• Low maternal BMI is a widely accepted risk factor for poor
pregnancy outcomes
• For underweight women, it sets up a recommendation for
higher gestational weight gains that may not be achievable
• Entering pregnancy overweight/obese increases the
likelihood of complications, including fetal demise
• For overweight women, gestational gain and postpartum
weight retention contribute to obesity
Maintain or improve diet quality as a lifestyle goal
• Adequate intakes of calcium, iron, vitamin C, vitamin A, folic
acid, whole grains, vegetables and fruits, reduce alcohol
intake
33. Goals for Diet and
Eating Practices (cont.)
Maintain or improve physical activity level/active
lifestyle
• Important since physical activity tends to decline during
pregnancy, and starting new physical activity is not
recommended)
Other
• Prevent/treat anemia and achieve adequate iron stores
• Maintain sufficient iodine intake to avoid thyroid disorders
• Maintain sufficient vitamin A intake to maintain retinol
concentrations;
• Ensure folic acid intake of 400 ug/d
34. Some Gaps in Evidence
• In places where you have women of low BMI (South Asia,
West/Central/East Africa), what is the evidence around the
efficacy of interventions to increase BMI on women entering
pregnancy with low BMI?
• “Eating down” during pregnancy to avoid a large baby –
is the practice less common than the concept?
• Catch-up growth in adolescence – what is the contribution of
animal source foods?
• What is the efficacy of dietary guidelines - do they actually
change behaviors?
• Can the balance within meals and the timing of meals avoid
spikes in blood sugar levels, macronutrient and caloric intake
• What are the determinants of dietary behavior?
• What is the impact of marketing of products to adolescents?
35. Outcome: Draft set of food based-practices or
principles for an optimal diet - adolescents
Whole grains cereals and legumes (over highly refined grains*)
Eat appropriate portion sizes (population & BMI specific /balance
energy intakes with energy needs, balance types of foods)
Limit sugar & sweetened beverages
Limit salts, salty condiments, salty snacks (iodized if salt is added)
Limit highly refined and ultra processed foods
Drink potable water
Safe storage, preparation, and handwashing
Moderate consumption of animal flesh and animal source foods*
(iron, zinc, b12, calcium, vitamin D, etc.)
Separate recommendation for adolescent girls and perhaps WRA
Fruits/vegetables (include dark green leafy & yellow/orange flesh)
Distinguish legumes vs dark green/vegetables
Eat a variety of foods
Oil (placeholder – needs further development)
Avoid skipping meals, eat breakfast
Overarching Dietary Principles – Food Safety,
Adequacy, Moderation, Balance, Variety (define all)
Problem
Anchors
Mortality
NCDs
High blood
pressure
Cardiovascular
Diabetes
Cancer
Cognitive devel
& productivity
Pregnancy
outcomes
Infections
Linear growth
and BMI
Depression
36. Next steps
• Finalize meeting report, with proposed way forward
(next steps) in establishing food based-
principles/practices for an optimal diet. Circulate.
• Finalize 2 background papers (copyright issues and
incorporate feedback). Circulate. Publish /present.
• Finalize the set(s) of draft principles/practices for an
optimal diet for adolescent girls and WRA.
• Circulate food-based principles/practices for review
by participants and other stakeholders.
• Conduct additional systematic reviews (if/as
needed).
• Move through agreed upon mechanism……