又一個4+2R寶寶🥰
從我開始使用「4+2R代謝飲食法」幫忙調整代謝跟腸道菌相後,已經有很多「三寶」不小心跑出來,或是很多原本被告知困難受孕者,在飲食當中意外懷孕,所以我後來習慣在衛教時多一條警語:
「極易中獎,麻煩無計畫著請認真避孕😆」
昨天本來要安排一位維持期受試者做身體組成檢查,但近日她主訴有噁心不適感,以防萬一去檢查一下,發現已懷孕7週左右。由於這位女性的第一個寶寶是透過體外受精 (in vitro fertilization,IVF)做試管來的, 在孕期還有妊娠糖尿病(GDM)的問題,所以完全沒料到二寶會來的那麼容易😁☺️
這位女性在為期兩個月的R2為主的飲食後,BMI從33.8減少到27.9,體重減少13.6%(共11.8kg,其中9kg純脂肪,內臟脂肪VAT下降5kg),胰島素抗性顯著改善。
英國一項包含 287,213 次懷孕資料的分析,發現與正常體重者相較, #過重與肥胖者有較高的機會罹患各種孕期併發症或不良結果,包括妊娠糖尿病、子癇前症 、緊急剖腹產、產後出血感染、子宮內胎兒死亡等等。
而根據統合分析的研究結果,與 #正常體重者相較,過重、肥胖、重度肥胖者 #罹患孕期糖尿病的風險比分別為 2.14、3.56 及 8.56,至於 #胎兒死產的風險,過重者是體重正常者的 1.47 倍,肥胖者則高達 2.07 倍。 #胎兒出現神經管缺陷的機會,在過重者是 1.22 倍,肥胖者為 1.70 倍,重度肥胖者則為 3.11 倍。
而過重及肥胖女性透過減重,可 #增加自然懷孕率且增加人工生殖 (assisted reproductive technology, ART) 之成功率。一項研究指出,BMI > 25的女性,如果減重超過 10%,後來受孕成功及寶寶順利出生的機率,都比減重小於 10% 的人多了34 %🌸
這位受試者很開心,覺得是加入計畫意外的禮物🎁,接下來轉為孕期體重管理,希望藉由健康飲食介入,讓她的孕產程都能更平安順利🙏
Reference:
1. Kort JD, Winget C, Kim SH, Lathi RB. A retrospective cohort study to evaluate the impact of meaningful weight loss on fertility outcomes in an overweight population with infertility. Fertil Steril. 2014;101(5):1400-1403.
2. Rasmussen SA, Chu SY, Kim SY, Schmid CH, Lau J. Maternal obesity and risk of neural tube defects: a metaanalysis. Am J Obstet Gynecol 2008;198:611-9.
3. Best D, Avenell A, Bhattacharya S. How effective are weight-loss interventions for improving fertility in women and men who are overweight or obese? A systematic review and meta-analysis of the evidence. Hum Reprod Update 2017;23:681-705.
4. Sim K, Partridge S, Sainsbury A. Does weight loss in overweight or obese women improve fertility treatment outcomes? A systematic review. Obes Rev
2014;15:839-50.
#減重10趴也可透過降低胰島素抗性改善多囊性卵巢
#減重10趴484現省30萬🤣🤣🤣
同時也有10000部Youtube影片,追蹤數超過2,910的網紅コバにゃんチャンネル,也在其Youtube影片中提到,...
「neural tube defects」的推薦目錄:
neural tube defects 在 陳鈺萍醫師 Facebook 的最佳貼文
【你的葉酸吃對了嗎?】
The correct form of folate is especially important (as opposed to synthetic "folic acid"), because researchers estimate that up to 60% of people have reduced ability to use folic acid due to their genetics (a gene variant in the MTHFR enzyme) and therefore require the active form, L-methylfolate. Inadequate folate intake, or supplementing with folic acid when you genetically cannot utilize it, increases the risk of neural tube defects. Luckily, food contains bioavailable forms of folate, not synthetic folic acid, so aside from what you get in a high quality prenatal vitamin, you can obtain folate by eating green leafy vegetables, legumes, liver, avocados, eggs, nuts and seeds.
《Real Food for Pregnancy》Lily Nichols
葉酸(folate)的正確型態非常重要(相對於人工合成的葉酸folic acid而言),因為根據統計有將近60%的人因為基因的關係(MTHFR酵素基因的變異),而減低了利用folic acid 的能力。這些人需要攝取活化型態的葉酸 L-methylfolate 。葉酸攝取不足,或是攝取了基因無法利用的人工合成葉酸,都會增加神經管缺陷的風險。還好,食物富含生物利用率高的葉酸 folate,而非人工合成葉酸 folic acid,所以姑且不論你從高品質的孕婦維他命可以獲取到什麼,只要吃以下的食物,你都可以獲取葉酸folte。他們是深色蔬菜、莢豆、肝臟、酪梨、雞蛋、堅果、種子。
更多分享請鎖定 好孕工作室
https://www.facebook.com/1545740095717230/posts/2306159959675236/?d=n
好孕也將提供孕期營養諮詢,敬請期待!
圖片來源 https://www.izabellanatrins.com/getting-your-folate-fix/
neural tube defects 在 陳鈺萍醫師 Facebook 的精選貼文
【你的葉酸吃對了嗎?】
The correct form of folate is especially important (as opposed to synthetic "folic acid"), because researchers estimate that up to 60% of people have reduced ability to use folic acid due to their genetics (a gene variant in the MTHFR enzyme) and therefore require the active form, L-methylfolate. Inadequate folate intake, or supplementing with folic acid when you genetically cannot utilize it, increases the risk of neural tube defects. Luckily, food contains bioavailable forms of folate, not synthetic folic acid, so aside from what you get in a high quality prenatal vitamin, you can obtain folate by eating green leafy vegetables, legumes, liver, avocados, eggs, nuts and seeds.
《Real Food for Pregnancy》Lily Nichols
葉酸(folate)的正確型態非常重要(相對於人工合成的葉酸folic acid而言),因為根據統計有將近60%的人因為基因的關係(MTHFR酵素基因的變異),而減低了利用folic acid 的能力。這些人需要攝取活化型態的葉酸 L-methylfolate 。葉酸攝取不足,或是攝取了基因無法利用的人工合成葉酸,都會增加神經管缺陷的風險。還好,食物富含生物利用率高的葉酸 folate,而非人工合成葉酸 folic acid,所以姑且不論你從高品質的孕婦維他命可以獲取到什麼,只要吃以下的食物,你都可以獲取葉酸folte。他們是深色蔬菜、莢豆、肝臟、酪梨、雞蛋、堅果、種子。
更多分享請鎖定 好孕工作室
https://www.facebook.com/1545740095717230/posts/2306159959675236/?d=n
好孕也將提供孕期營養諮詢,敬請期待!
圖片來源 https://www.izabellanatrins.com/getting-your-folate-fix/
neural tube defects 在 コバにゃんチャンネル Youtube 的最讚貼文
neural tube defects 在 大象中醫 Youtube 的精選貼文
neural tube defects 在 大象中醫 Youtube 的最佳解答
neural tube defects 在 Neural tube defect - Wikipedia 的相關結果
Neural tube defects (NTDs) are a group of birth defects in which an opening in the spine or cranium remains from early in human development. ... <看更多>
neural tube defects 在 Neural Tube Defects (NTD) - Cleveland Clinic 的相關結果
Neural tube defects (NTDs) are birth defects (congenital conditions) of the brain, spine or spinal cord. They happen to developing fetuses ... ... <看更多>
neural tube defects 在 Neural Tube Defects - MedlinePlus 的相關結果
Neural tube defects are birth defects of the brain, spine, or spinal cord. They happen in the first month of pregnancy, often before a woman ... ... <看更多>