Dietary suplements in pregnancy and lactation
Dijetetski suplementi za trudnice i dojilje
Апстракт
Dietary supplements are foodstuffs the purpose of which is to supplement the normal diet and that are concentrated sources of nutrients or other substances with a nutritional or physiological effect, marketed in dose forms (capsules, tablets, drops of liquid, etc) designed to be taken in measured small unit quantities. This food category is well regulated in USA, while in EU harmonization of legislation on food supplements of member states is not finished yet. In our regulations there is no category of dietary supplements and they are classified according to the quantities of nutrients other as dietetic foods or as drugs. Dietary supplements for pregnant and lactating woman are specially prepared, concerning specific composition of nutrients. The most common supplementation is of folate and iron, but some other micronutrients, ω-3 poli-unsaturated fatty acids and dietary fiber can also be supplemented if their intake from food is not sufficient. High intake of some nutrients can have a...dverse effects. Vitamin A in high doses is known to be teratogenic. As a component of prenatal care, nutrient supplementation might reduce maternal and child morbidity and mortality. Information and education of pregnant and lactating woman about constituents of these products, as well as of importance of supplementation of particular nutrients is very important that they can, alone or with the help of pharmacist, choose most adequate dietary supplements that can fulfill their specific nutritional requirements.
U trudnoći i laktaciji, zbog fizioloških promena, izmenjenog načina života, povećanih nutritivnih potreba ili drugih subjektivnih i objektivnih razloga nije uvek moguće uneti sve hranljive sastojke u optimalnim količinama, pa se često koriste dijetetski suplementi. Dijetetski suplementi su namirnice koje dopunjuju normalnu ishranu i predstavljaju koncentrovane izvore nutrijenata (vitamina, minerala i drugih supstanci sa hranljivim ili fiziološkim efektom), a u prometu su u doziranim farmaceutskim oblicima dizajnirane da se uzimaju u odmerenim pojedinačnim količinama (kapsule, tablete, kapi i si). Ova kategorija namirnica je detaljno regulisana u SAD 1994. godine, a u EU harmonizacija propisa zemalja članica o dijetetskim suplementima još nije završena. U našoj regulativi ne postoji kategorija dijetetskih suplemenata, a u zavisnosti od sadržaja vitamina, minerala ili drugih nutrimenata svrstavaju se u dijetetske namirnice ili terapeutska sredstva. U periodu trudnoće i laktacije najšešće... se suplementiraju folna kiselina i gvožđe kao i drugi vitamini i minerali ukoliko se ne unose hranom u dovoljnim količinama, polinezasićene masne kiseline n-3 serije, dijetama vlakna i dr. Veoma je važno paziti da se ne prekorači preporučeni dnevni unos za neke liposloubilne vitamine, naročito vitamin A, koji u većim dozama može da ima teratogeno dejstvo. Dijetetski suplementi na bazi biljnih preparata čiji sastojci mogu da utiču na plod, koagulaciju, tonus uterusa, hormonski status i dr. (npr. preparati ginka, žen-šena, peršuna, glicirize, fitoestrogeni soje) ili koji nisu dovoljno ispitani, ne preporučuju se u trudnoći. Potrebno je da trudnice i dojilje budu dovoljno edukovane i pravilno informisane o sastojcima preparata i značaju suplementacije pojedinih nutrimenata da bi same, ili uz pomoć farmaceuta u apoteci, mogle da odaberu dijetetske suplemente koji će najadekvatnije da zadovolje njihove specifične potrebe.
Кључне речи:
pregnancy / lactation / dietary supplements / vitamins and minerals / trudnoća / dojenje / dijetetski suplementi / vitamini i mineralne materijeИзвор:
Arhiv za farmaciju, 2006, 56, 3, 261-270Издавач:
- Savez farmaceutskih udruženja Srbije, Beograd
Институција/група
PharmacyTY - JOUR AU - Stanković, Ivan PY - 2006 UR - https://farfar.pharmacy.bg.ac.rs/handle/123456789/736 AB - Dietary supplements are foodstuffs the purpose of which is to supplement the normal diet and that are concentrated sources of nutrients or other substances with a nutritional or physiological effect, marketed in dose forms (capsules, tablets, drops of liquid, etc) designed to be taken in measured small unit quantities. This food category is well regulated in USA, while in EU harmonization of legislation on food supplements of member states is not finished yet. In our regulations there is no category of dietary supplements and they are classified according to the quantities of nutrients other as dietetic foods or as drugs. Dietary supplements for pregnant and lactating woman are specially prepared, concerning specific composition of nutrients. The most common supplementation is of folate and iron, but some other micronutrients, ω-3 poli-unsaturated fatty acids and dietary fiber can also be supplemented if their intake from food is not sufficient. High intake of some nutrients can have adverse effects. Vitamin A in high doses is known to be teratogenic. As a component of prenatal care, nutrient supplementation might reduce maternal and child morbidity and mortality. Information and education of pregnant and lactating woman about constituents of these products, as well as of importance of supplementation of particular nutrients is very important that they can, alone or with the help of pharmacist, choose most adequate dietary supplements that can fulfill their specific nutritional requirements. AB - U trudnoći i laktaciji, zbog fizioloških promena, izmenjenog načina života, povećanih nutritivnih potreba ili drugih subjektivnih i objektivnih razloga nije uvek moguće uneti sve hranljive sastojke u optimalnim količinama, pa se često koriste dijetetski suplementi. Dijetetski suplementi su namirnice koje dopunjuju normalnu ishranu i predstavljaju koncentrovane izvore nutrijenata (vitamina, minerala i drugih supstanci sa hranljivim ili fiziološkim efektom), a u prometu su u doziranim farmaceutskim oblicima dizajnirane da se uzimaju u odmerenim pojedinačnim količinama (kapsule, tablete, kapi i si). Ova kategorija namirnica je detaljno regulisana u SAD 1994. godine, a u EU harmonizacija propisa zemalja članica o dijetetskim suplementima još nije završena. U našoj regulativi ne postoji kategorija dijetetskih suplemenata, a u zavisnosti od sadržaja vitamina, minerala ili drugih nutrimenata svrstavaju se u dijetetske namirnice ili terapeutska sredstva. U periodu trudnoće i laktacije najšešće se suplementiraju folna kiselina i gvožđe kao i drugi vitamini i minerali ukoliko se ne unose hranom u dovoljnim količinama, polinezasićene masne kiseline n-3 serije, dijetama vlakna i dr. Veoma je važno paziti da se ne prekorači preporučeni dnevni unos za neke liposloubilne vitamine, naročito vitamin A, koji u većim dozama može da ima teratogeno dejstvo. Dijetetski suplementi na bazi biljnih preparata čiji sastojci mogu da utiču na plod, koagulaciju, tonus uterusa, hormonski status i dr. (npr. preparati ginka, žen-šena, peršuna, glicirize, fitoestrogeni soje) ili koji nisu dovoljno ispitani, ne preporučuju se u trudnoći. Potrebno je da trudnice i dojilje budu dovoljno edukovane i pravilno informisane o sastojcima preparata i značaju suplementacije pojedinih nutrimenata da bi same, ili uz pomoć farmaceuta u apoteci, mogle da odaberu dijetetske suplemente koji će najadekvatnije da zadovolje njihove specifične potrebe. PB - Savez farmaceutskih udruženja Srbije, Beograd T2 - Arhiv za farmaciju T1 - Dietary suplements in pregnancy and lactation T1 - Dijetetski suplementi za trudnice i dojilje VL - 56 IS - 3 SP - 261 EP - 270 UR - https://hdl.handle.net/21.15107/rcub_farfar_736 ER -
@article{ author = "Stanković, Ivan", year = "2006", abstract = "Dietary supplements are foodstuffs the purpose of which is to supplement the normal diet and that are concentrated sources of nutrients or other substances with a nutritional or physiological effect, marketed in dose forms (capsules, tablets, drops of liquid, etc) designed to be taken in measured small unit quantities. This food category is well regulated in USA, while in EU harmonization of legislation on food supplements of member states is not finished yet. In our regulations there is no category of dietary supplements and they are classified according to the quantities of nutrients other as dietetic foods or as drugs. Dietary supplements for pregnant and lactating woman are specially prepared, concerning specific composition of nutrients. The most common supplementation is of folate and iron, but some other micronutrients, ω-3 poli-unsaturated fatty acids and dietary fiber can also be supplemented if their intake from food is not sufficient. High intake of some nutrients can have adverse effects. Vitamin A in high doses is known to be teratogenic. As a component of prenatal care, nutrient supplementation might reduce maternal and child morbidity and mortality. Information and education of pregnant and lactating woman about constituents of these products, as well as of importance of supplementation of particular nutrients is very important that they can, alone or with the help of pharmacist, choose most adequate dietary supplements that can fulfill their specific nutritional requirements., U trudnoći i laktaciji, zbog fizioloških promena, izmenjenog načina života, povećanih nutritivnih potreba ili drugih subjektivnih i objektivnih razloga nije uvek moguće uneti sve hranljive sastojke u optimalnim količinama, pa se često koriste dijetetski suplementi. Dijetetski suplementi su namirnice koje dopunjuju normalnu ishranu i predstavljaju koncentrovane izvore nutrijenata (vitamina, minerala i drugih supstanci sa hranljivim ili fiziološkim efektom), a u prometu su u doziranim farmaceutskim oblicima dizajnirane da se uzimaju u odmerenim pojedinačnim količinama (kapsule, tablete, kapi i si). Ova kategorija namirnica je detaljno regulisana u SAD 1994. godine, a u EU harmonizacija propisa zemalja članica o dijetetskim suplementima još nije završena. U našoj regulativi ne postoji kategorija dijetetskih suplemenata, a u zavisnosti od sadržaja vitamina, minerala ili drugih nutrimenata svrstavaju se u dijetetske namirnice ili terapeutska sredstva. U periodu trudnoće i laktacije najšešće se suplementiraju folna kiselina i gvožđe kao i drugi vitamini i minerali ukoliko se ne unose hranom u dovoljnim količinama, polinezasićene masne kiseline n-3 serije, dijetama vlakna i dr. Veoma je važno paziti da se ne prekorači preporučeni dnevni unos za neke liposloubilne vitamine, naročito vitamin A, koji u većim dozama može da ima teratogeno dejstvo. Dijetetski suplementi na bazi biljnih preparata čiji sastojci mogu da utiču na plod, koagulaciju, tonus uterusa, hormonski status i dr. (npr. preparati ginka, žen-šena, peršuna, glicirize, fitoestrogeni soje) ili koji nisu dovoljno ispitani, ne preporučuju se u trudnoći. Potrebno je da trudnice i dojilje budu dovoljno edukovane i pravilno informisane o sastojcima preparata i značaju suplementacije pojedinih nutrimenata da bi same, ili uz pomoć farmaceuta u apoteci, mogle da odaberu dijetetske suplemente koji će najadekvatnije da zadovolje njihove specifične potrebe.", publisher = "Savez farmaceutskih udruženja Srbije, Beograd", journal = "Arhiv za farmaciju", title = "Dietary suplements in pregnancy and lactation, Dijetetski suplementi za trudnice i dojilje", volume = "56", number = "3", pages = "261-270", url = "https://hdl.handle.net/21.15107/rcub_farfar_736" }
Stanković, I.. (2006). Dietary suplements in pregnancy and lactation. in Arhiv za farmaciju Savez farmaceutskih udruženja Srbije, Beograd., 56(3), 261-270. https://hdl.handle.net/21.15107/rcub_farfar_736
Stanković I. Dietary suplements in pregnancy and lactation. in Arhiv za farmaciju. 2006;56(3):261-270. https://hdl.handle.net/21.15107/rcub_farfar_736 .
Stanković, Ivan, "Dietary suplements in pregnancy and lactation" in Arhiv za farmaciju, 56, no. 3 (2006):261-270, https://hdl.handle.net/21.15107/rcub_farfar_736 .