Gebelikte Beslenmenin Kordon Kanı Yağ Asidi Düzeylerine Etkisi

Year 2019, Volume: 24 Issue: 1, 15 - 21, 30.01.2019

Nihal Büyükuslu Zeynep Zehra Bilgi Havvanur Yoldaş İlktaç Muazzez Garipağaoğlu

https://doi.org/10.21673/anadoluklin.422012

Abstract

Amaç: Çalışma
kordon kanı yağ asitleri üzerine gebelikte beslenmenin etkisini değerlendimek
amacıyla planlanmış ve yürütülmüştür.

Gereç ve Yöntemler: 
Son trimesterin başında olan 33 gebeye ilişkin demografik özellikler ile
antropometrik ölçümler önceden hazırlanmış bir anket formu kullanırak alınmış,
24 saatlik besin tüketimleri kaydedilmiştir. Kordon kanlarının yağ asidi
içeriği, gaz kromatografisi yöntemiyle tespit edilmiştir. Günlük beslenme ile
alınan toplam yağ ve yağ asitleri, bilgisayarlı besin
analiz programı ile belirlenmiş, kordon kanı yüzde yağ asit düzeyleri
ile karşılaştırılmıştır.

Bulgular: Gebelerin, günlük enerji alımları
ortalama 1894,37±590,46 kkal, enerjinin
karbonhidrat, protein ve yağ dağılımı sırasıyla; %40,7, %15,5, %43,8’tür.
Günlük beslenmedeki ve kordon kanındaki doymuş, tekli doymamış ve çoklu
doymamış yağ asitlerinin oranları sırasıyla: %39,7-%47,5, %38,6-%20,8,
%21,7-%32 olarak saptanmıştır.

Sonuç: Beslenme ile alınan protein miktarının,
kordon kanı doymuş yağ asitleriyle ilişkili olduğu görülmüştür. Bu çalışmada
doymuş yağ ve protein içeriği yüksek beslenme alışkanlığının, kordon kanı
doymuş yağ asitleri düzeyini artırdığı görülmüştür. Gebe kadınların kendi sağlıklarını
korumak ve fetüsün normal gelişimini sağlamak için yeterli ve dengeli
beslenmeleri gerektiği ve bu konuda ileri çalışmalara ihtiyaç olduğu sonucuna
varılmıştır.

Keywords

Gebelik dönemi, yağ asitleri, beslenme, kordon kanı

Effects of Nutrition during Pregnancy on Levels of Cord Blood Fatty Acids

Abstract

Aim: This study
was planned and conducted   to evaluate
the effect of nutrition in pregnant women on cord blood fatty acid levels.

Materials and Methods: Demographic,
anthropometric and nutritional data of 33 pregnant women were taken at the
beginning of last trimester and 24-hour food consumption was recorded. Fatty
acid content of cord blood was determined by gas chromatography. Nutritional
fatty acids were analyzed by BEBIS program and compared with percentage of
fatty acids in cord blood. Results:
Mean daily energy consumption of pregnant women was 1894,37±590,46 kcal. The
daily intakes were 40,7% carbohydrate, 15,5% protein and 43,8% fat. Ratios  of saturated ,monounsaturated and
polyunsaturated fatty acids in daily nutrition and cord blood were %39,7-%47,5,
%38,6-%20,8, %21,7-%32 respectively. 

Discussion and Conclusion: It was seen
that amount of protein taken with nutrition was related with cord blood fatty
acids. In this study it was seen that nutrition habbits of increased saturated
fatty acids and protein were increasing the cord blood fatty acids levels.
Also, it was concluded that pregnant women should have an adequate and balanced
nutrition to keep their health and maintain normal fetal growth and more
studies are needed in this subject.

Keywords

Pregnancy, fatty acids, nutrition, cord blood

References

• 1. Morrison JL, Regnault TRH. Nutrition in Pregnancy: Optimising Maternal Diet and Fetal Adaptations to Altered Nutrient Supply. Nutrients. 2016; 8(6): 342. doi:10.3390/nu8060342.
• 2. T.C. Sağlık Bakalığı. 2016. Türkiye beslenme rehberi 2015. Erişim tarihi: 31/01/2018. https://dosyasb.saglik.gov.tr/Eklenti/10915,tuber-turkiye-beslenme-rehberipdf.pdf.
• 3. Garipağaoğlu M, Budak N, Elmacıoğlu F, Bulut A. The Evaluation of Nutrional Status of a Group of Pregnant Women Living in Istanbul. Türk Aile Hek Derg. 2007; 11(3): 27-31.
• 4. Food and agriculture organizatıon of the united nations. 2010. Fats and fatty acids in human nutrition. Erişim tarihi: 31/01/2018. http://www.fao.org/3/a-i1953e.pdf.
• 5. Krauss-Etschmann S, Shadid R, Campoy C, et al. Effects of Fish-Oil and Folate Supplementation of Pregnant Women on Maternal and Fetal Plasma Concentrations of Docosahexaenoicacid and Eicosapentaenoic Acid: A European Randomized Multicenter Trial. Fish Oil and Folate Supplementation of Pregnant Women and Maternal and Fetal DHA And EPA Plasma Levels – A Randomized European Multicenter Trial. Am J Clin Nutr. 2007; 85(5): 1392-400.
• 6. Huffman SL, Harika RK, Eilander A, Osendarp SJ. Essential fats: how do they affect growth and development of infants and young children in developing countries? A literature review. Matern Child Nutr. 2011; 7(3): 44-65.
• 7. Lauritzen L, Brambilla P, Mazzocchi A, et al. DHA effects in brain development and function. Nutrients 2016; 8(1): 1-7. doi:10.3390/nu80100068.
• 8. Franke C, Verwied-Jorky S, Campoy C, et al. Dietary Intake of Natural Sources of Docosahexaenoic Acid and Folate in Pregnant Women of Three European Cohorts. Ann Nutr Metab. 2008; 53(3-4): 167-74.
• 9. Linseisen J, Bergstrom E, Gafa L, et al. Consumption of Added Fats And Oils in the European Prospective Investigation into Cancer and Nutrition (EPIC) centres across 10 Europeancountries as assessed by 24-hour dietary recalls. Public Health Nutr. 2002; 5(6B): 1227-42.
• 10. Duttaroy AK. Transport of fatty acids across the human placenta: A review. P Lip Res. 2009; 48(1): 52-61.
• 11. Leikin-Frenkel AI. Is there A Role for Alpha-Linolenic Acid in the Fetal Programming of Health. J Clin Med. 2016 ; 23: 5(4) pii: E40. doi:10.3390/jcm5040040
• 12. Koletzko B, Lien E, Agostoni C, et al. The Roles of Long-Chain Polyunsaturatedfatty Acids in Pregnancy, Lactation and Infancy: Reviewofcurrent Knowledge and Consensus Recommendations. J Perinat Med. 2008; 36(1): 5-14.
• 13. Bebispro for Windows, Stuttgart, Germany; Turkish Version (Bebis 4), Istanbul, 2004. Program Uses Data From Bundeslebensmittelschlüssel (BLS) 11.3 and USDA 15.
• 14. Institue of Medicine of National Academies. 2005. Dietary referance intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. Erişim tarihi: 29/01/2018. http://www.nal.usda.gov/fnic/DRI/DRI_Energy/energy_full_report.pdf.
• 15. World Health Organisation. 2014. Global status report on noncommunicable diseases. Erişim tarihi: 29/01/2018. http://www.who.int/gho/ncd/risk_factors/bmi_text/en/
• 16. Bligh EG, Dyer WJ. A Rapid Method of Total Lipid Extraction and Purification. Can J Biochem Physiol. 1959; 37(8): 911-7.
• 17. Wennberg AL, Lundqvist A, Hogberg U, et al. Women’s experiences of dietary advice and dietary changes during pregnancy. Midwifery. 2013; 29(9): 1027-34.
• 18. Dubois L, Diasparra M, Bedard B, et al. Adequacy of nutritional intake from food and supplements in a cohort of pregnant women in Québec, Canada: the 3D Cohort Study. Am J Clin Nutr. 2017; 106(2): 541-548.
• 19. Fujita M, Tsubota M, Ishida M. A Qualitative Study of Women’s Perceptions of Provider Advice About Diet and Physical Activity During Pregnancy. Int J Nurs Clin Pract. 2015; 115(2): 1-4.
• 20. Sarıyıldız L, Akdağ T. Some Haematological and Metabolic Changes Observed in Pregnancy. J Clin Anal Med. 2013; 4(3): 245-8.
• 21. McGowan CA, McAuliffe FM. Maternal dietary patterns and associated nutrient intakes during each trimester of pregnancy. Public Health Nutrition. 2012; 16(1): 97–107.
• 22. Blumfield LM, Collins EC. High-protein diets during pregnancy: healthful or harmful for offspring?. Am J Clin Nutr. 2014; 100(4): 993–5.
• 23. Mihan JA, Rodriguez J, Christie C, et al. The Role of Maternal Dietary Proteins in Development of Metabolic Syndrome in Offspring. Nutrients. 2015; 7(11): 9185–9217.
• 24. Huffman SL, Harika RK, Eilander A, Osendarp SJ. Essential fats: how do they affect growth and development of infants and young children in developing countries? A literature review. Matern Child Nutr. 2011; 7(3): 44-65.
• 25. Wennberg AL, Lundqvist A, Hogberg U, et al. Women’s experiences of dietary advice and dietary changes during pregnancy. Midwifery. 2013; 29(9): 1027-34.
• 26. Ferrari RM, Siegariz AM, Evenson KR, et al. A Qualitative Study of Women’s Perceptions of Provider Advice About Diet and Physical Activity During Pregnancy. Patient Education and Counseling. 2013; 91(3): 372-7.
• 27. Bascunan KA, Valenzuela R, Chamorro R, et al. Polyunsaturated Fatty Acid Composition of Maternal Diet and Erythrocyte Phospholipid Status in Chilean pregnant women. Nutrients. 2014; 6(11): 4918-34.
• 28. World Health Organisation. 2012. Sodium intake for adults and children. Erişim tarihi: 31/03/2018. http://www.who.int/nutrition/publications/guidelines/sodium_intake_printversion.pdf