J Korean Med Assoc.  2011 Aug;54(8):818-824. 10.5124/jkma.2011.54.8.818.

Maternal and paternal nutrition before conception

Affiliations
  • 1Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea. jsparkmd@snu.ac.kr

Abstract

Optimizing the health of the mother and father before conception is important for pregnancy outcomes. Maternal and paternal nutritional status before conception has been known to affect the outcomes of spontaneous pregnancy and intrauterine fetal growth and development. Moreover, the fetal environment appears to affect the subsequent infant and childhood development, and it seems to have permanent impact on adult health as well. The ideal dietary advice before and during pregnancy would be to encourage the parents-to-be to have a healthy, balanced diet composed of iron- and folate-rich foods. All women who are planning a pregnancy or capable of becoming pregnant should be counseled to take daily folic acid (0.4 mg) to reduce the risk of neural tube defects. Also, in addition to taking folic acid, all pregnant women as well as women planning pregnancy should be screened for anemia and those with iron deficiency anemia should be treated with supplemental iron even before conception and throughout the whole pregnancy. Semen quality is an example of a paternal factor affected by nutritional status. Efforts to achieve good maternal and paternal nutritional status during preconception as well as throughout gestation best assure a good milieu for fetal growth and development. Therefore, the provision of preconception nutritional counseling is essential for the improvement of pregnancy outcomes.

Keyword

Preconception counseling; Nutrition; Pregnancy; Fetal development

MeSH Terms

Adult
Anemia
Anemia, Iron-Deficiency
Counseling
Diet
Fathers
Female
Fertilization
Fetal Development
Folic Acid
Humans
Infant
Iron
Mothers
Neural Tube Defects
Nutritional Status
Pregnancy
Pregnancy Outcome
Pregnant Women
Semen Analysis
Folic Acid
Iron

Cited by  1 articles

Importance of preconception care in low-fertility society of Korea
Moon-Il Park
J Korean Med Assoc. 2011;54(8):796-798.    doi: 10.5124/jkma.2011.54.8.796.


Reference

1. Korenbrot CC, Steinberg A, Bender C, Newberry S. Preconception care: a systematic review. Matern Child Health J. 2002. 6:75–88.
2. Kunz LH, King JC. Impact of maternal nutrition and metabolism on health of the offspring. Semin Fetal Neonatal Med. 2007. 12:71–77.
Article
3. Godfrey KM, Barker DJ. Fetal nutrition and adult disease. Am J Clin Nutr. 2000. 71:5 Suppl. 1344S–1352S.
Article
4. Kim WY, Cho MS, Lee HS. Development and validation of Mini Dietary Assessment Index for Koreans. Korean J Nutr. 2003. 36:83–92.
5. Rothman KJ, Moore LL, Singer MR, Nguyen US, Mannino S, Milunsky A. Teratogenicity of high vitamin A intake. N Engl J Med. 1995. 333:1369–1373.
Article
6. Sanchez A, Reeser JL, Lau HS, Yahiku PY, Willard RE, McMillan PJ, Cho SY, Magie AR, Register UD. Role of sugars in human neutrophilic phagocytosis. Am J Clin Nutr. 1973. 26:1180–1184.
Article
7. Ringsdorf WM Jr, Cheraskin E, Ramsay RR Jr. Sucrose, neutrophilic phagocytosis and resistance to disease. Dent Surv. 1976. 52:46–48.
8. Chavarro JE, Rich-Edwards JW, Rosner BA, Willett WC. Protein intake and ovulatory infertility. Am J Obstet Gynecol. 2008. 198:210.e1–210.e7.
Article
9. Fernandez M, Giraldez FJ, Frutos P, Lavin P, Mantecon AR. Effect of undegradable protein supply on testicular size, spermiogram parameters and sexual behavior of mature Assaf rams. Theriogenology. 2004. 62:299–310.
Article
10. Gardiner PM, Nelson L, Shellhaas CS, Dunlop AL, Long R, Andrist S, Jack BW. The clinical content of preconception care: nutrition and dietary supplements. Am J Obstet Gynecol. 2008. 199:6 Suppl 2. S345–S356.
Article
11. Mendiola J, Torres-Cantero AM, Moreno-Grau JM, Ten J, Roca M, Moreno-Grau S, Bernabeu R. Food intake and its relationship with semen quality: a case-control study. Fertil Steril. 2009. 91:812–818.
Article
12. Conquer JA, Martin JB, Tummon I, Watson L, Tekpetey F. Effect of DHA supplementation on DHA status and sperm motility in asthenozoospermic males. Lipids. 2000. 35:149–154.
Article
13. Makrides M, Smithers LG, Gibson RA. Role of long-chain polyunsaturated fatty acids in neurodevelopment and growth. Nestle Nutr Workshop Ser Pediatr Program. 2010. 65:123–133.
Article
14. Olsen SF, Secher NJ. Low consumption of seafood in early pregnancy as a risk factor for preterm delivery: prospective cohort study. BMJ. 2002. 324:447.
Article
15. Smuts CM, Huang M, Mundy D, Plasse T, Major S, Carlson SE. A randomized trial of docosahexaenoic acid supplementation during the third trimester of pregnancy. Obstet Gynecol. 2003. 101:469–479.
Article
16. Olsen SF, Secher NJ, Tabor A, Weber T, Walker JJ, Gluud C. Fish Oil Trials In Pregnancy (FOTIP) Team. Randomised clinical trials of fish oil supplementation in high risk pregnancies. BJOG. 2000. 107:382–395.
Article
17. Olsen SF, Sorensen JD, Secher NJ, Hedegaard M, Henriksen TB, Hansen HS, Grant A. Randomised controlled trial of effect of fish-oil supplementation on pregnancy duration. Lancet. 1992. 339:1003–1007.
Article
18. Dietary supplement fact sheet: vitamin A and carotenoids [Internet]. cited 2011 Jun 1. Bethesda (MD): National Institue of Health;Available from: http://ods.od.nih.gov/factsheets/vitamina/.
19. Baylin A, Villamor E, Rifai N, Msamanga G, Fawzi WW. Effect of vitamin supplementation to HIV-infected pregnant women on the micronutrient status of their infants. Eur J Clin Nutr. 2005. 59:960–968.
Article
20. Fawzi WW, Msamanga GI, Spiegelman D, Wei R, Kapiga S, Villamor E, Mwakagile D, Mugusi F, Hertzmark E, Essex M, Hunter DJ. A randomized trial of multivitamin supplements and HIV disease progression and mortality. N Engl J Med. 2004. 351:23–32.
Article
21. Villamor E, Msamanga G, Spiegelman D, Antelman G, Peterson KE, Hunter DJ, Fawzi WW. Effect of multivitamin and vitamin A supplements on weight gain during pregnancy among HIV-1-infected women. Am J Clin Nutr. 2002. 76:1082–1090.
Article
22. Nelson M. Vitamin A, liver consumption, and risk of birth defects. BMJ. 1990. 301:1176.
Article
23. Kolb E. The problem of a high content of vitamin A in the liver of calves, cattle, sheep and swine for the consumer. Amount of accumulation and mechanism of teratogenic effect (review article). Berl Munch Tierarztl Wochenschr. 1994. 107:342–347.
24. Pitkin RM. Folate and neural tube defects. Am J Clin Nutr. 2007. 85:285S–288S.
Article
25. U.S. Preventive Services Task Force. Folic acid for the prevention of neural tube defects: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2009. 150:626–631.
26. Czeizel AE. Nutritional supplementation and prevention of congenital abnormalities. Curr Opin Obstet Gynecol. 1995. 7:88–94.
Article
27. Werler MM, Louik C, Shapiro S, Mitchell AA. Prepregnant weight in relation to risk of neural tube defects. JAMA. 1996. 275:1089–1092.
Article
28. Pawley N, Bishop NJ. Prenatal and infant predictors of bone health: the influence of vitamin D. Am J Clin Nutr. 2004. 80:6 Suppl. 1748S–1751S.
Article
29. Gale CR, Robinson SM, Harvey NC, Javaid MK, Jiang B, Martyn CN, Godfrey KM, Cooper C. Princess Anne Hospital Study Group. Maternal vitamin D status during pregnancy and child outcomes. Eur J Clin Nutr. 2008. 62:68–77.
Article
30. Marin-Guzman J, Mahan DC, Whitmoyer R. Effect of dietary selenium and vitamin E on the ultrastructure and ATP concentration of boar spermatozoa, and the efficacy of added sodium selenite in extended semen on sperm motility. J Anim Sci. 2000. 78:1544–1550.
Article
31. Park MI. Baby plan. 2010. Seoul: The Dong-A Ilbo.
32. Goh YI, Bollano E, Einarson TR, Koren G. Prenatal multivitamin supplementation and rates of congenital anomalies: a meta-analysis. J Obstet Gynaecol Can. 2006. 28:680–689.
Article
33. Thomas M, Weisman SM. Calcium supplementation during pregnancy and lactation: effects on the mother and the fetus. Am J Obstet Gynecol. 2006. 194:937–945.
Article
34. Bergel E, Barros AJ. Effect of maternal calcium intake during pregnancy on children's blood pressure: a systematic review of the literature. BMC Pediatr. 2007. 7:15.
Article
35. American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No. 95: anemia in pregnancy. Obstet Gynecol. 2008. 112:201–207.
36. Ronnenberg AG, Wood RJ, Wang X, Xing H, Chen C, Chen D, Guang W, Huang A, Wang L, Xu X. Preconception hemoglobin and ferritin concentrations are associated with pregnancy outcome in a prospective cohort of Chinese women. J Nutr. 2004. 134:2586–2591.
Article
37. Centers for Disease Control and Prevention. Recommendations to prevent and control iron deficiency in the United States. MMWR Recomm Rep. 1998. 47(RR-3):1–29.
38. Bedwal RS, Bahuguna A. Zinc, copper and selenium in reproduction. Experientia. 1994. 50:626–640.
Article
39. Quaranta S, Buscaglia MA, Meroni MG, Colombo E, Cella S. Pilot study of the efficacy and safety of a modified-release magnesium 250 mg tablet (Sincromag) for the treatment of premenstrual syndrome. Clin Drug Investig. 2007. 27:51–58.
Article
40. Dietary reference intakes for Koreans [Internet]. The Korean Nutrition Society. cited 2011 May 15. Seoul: The Korean Nutrition Society;Available from: http://kns.or.kr.
Full Text Links
  • JKMA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr