4-Preconception Nutrition Flashcards

1
Q

At what time do reproductive systems of females and males begin to develop?

A

First months after conception

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2
Q

Menstrual cycle are cause by hormones that are secreted by?

A
  • Hypothalamus
  • Pituitary gland
  • Ovary
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3
Q

Define Follicular phase in Menstrual cycle of female

A
  1. Begining of menstrual flow
  2. Low FSH and LH
  3. Follicle is matured, maturation of 6-20 follicles
  4. Low estrogen and progesterone
  5. Estrogen increase when at the end of the follicular phase
  6. Estrogen stimulate secreting GnRH
  7. GnRH affect the pituitary gland to release FSH and LH
  8. Ovulation occurs
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4
Q

Mechanisms which regulate fertility are disrupted by

A
  • Adverse nutritional exposure
  • Severe stress
  • Infection (pelvic inflammatory disease)
  • Tubal Damage
  • Other structural problems
  • Genetic, such as endometriosis
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5
Q

3 Nutritional Cause of decreasing fertility

A
  • Undernutrition
  • Excessive and Insufficient Body Fat
  • Nutrient status
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6
Q

Food shortages can cause ________

A

Reduces Birth rates

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7
Q

Why excessive body fat could cause infertility in both men and women?

A
Women
- Cause subfertility
- High levels of estrogen, androgen, and leptin
- Irregularity of menstrual cycle, ovulatory failure, and anovulatory cycles, amenorrhea
Men
- Lower testosterone level
- Increased estrogen and leptin
- Reduced sperm production
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8
Q

The effect of inadequate body fat in female adolescents are

A
  • Delay the age of onset of menstruation

- Reduce fertility in later life

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9
Q

Why Inadequate Body fat and Men and Women can cause infertility

A

Women
- Decreases the estrogen, LH, and FSH concentrations
- Amenorrhea, delay time to conception, anovulatory cycles, and short or absent of luteal phases
Men
- Sperm viability and motility decreased (10-15% weight decrease)
- Sperm population ceased ( >25% of normal weight loss)
- Lowered libido and sperm production

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10
Q

Nutrients that associated with fertility

A
  • Antioxidants
  • Zinc
  • Iron
  • Soy isoflavones
  • Caffeine
  • Alcohol
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11
Q

Roles of zinc in fertility

A
  • Reduces oxidative stress
  • Sperm maturation
  • Testosterone synthesis
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12
Q

Poor iron status in women cause ________

A

Lack of Ovulation

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13
Q

3 types of contraceptives are

A
  • Estrogen ( estradiol )
  • Progestin ( natural progesterone)
  • Progestogen ( synthetic progesterone)
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14
Q

Side effects of using Progestin-only contraception

A
  • Weight gain up to 4.5 kg within 5 years
  • increase fat storage
  • decrease bone mineral accretion in adolescent
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15
Q

Side effects of using Testosterone contraception

A
  • Suppressed LH and FSH secretion
  • depriving signals for spermatogenesis
  • Decrease Sperm productions
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16
Q

3 services focus for risk assessment are

A
  • Behaviours
  • Presence of diseases
  • Psychosocial needs
17
Q

4 Services of Preconception health care are

A
  • Education about preconception health and pregnancy
  • Screening for vaccine, weight, and iron and folate status
  • Alcohol assessment
  • Diabetes and celiac disease management
18
Q

Inadequate folate during pregnancy increase the risk of

A
  • Neural tube defects (spina bifida)

- Small for gestational age

19
Q

_____ mcg of folate is recommended to improve folate status

A

400

20
Q

Inadequate iron prior to pregnancy cause

A
  • Increase the risk of iron deficiency anemia during pregnancy
  • Infants will be born with low iron
  • Increased rates of preterm delivery