2.92 CME

Nutrisi Dini dan Dampaknya terhadap Pertumbuhan, Komposisi Tubuh, dan Obesitas di Kemudian Hari

Pembicara: Dr. Ganesh Kulkarini

Director & Chief Consultant, Sanjeevani Children’s Hospital, Mumbai

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Keterangan

Factors affecting early life metabolic programming(Prenatal and postnatal nutrition, Early childhood nutrition, Epigenetics).Impact of early metabolic programming in long term health and disease.Link Between Early Nutrition and Later Obesity.Influence of early feeding practices on appetite regulation and energy balance. Evidence-based recommendations for promoting healthy eating habits from infancy. Role of healthcare professionals in supporting optimal nutrition during early life. Real-life examples illustrating the impact of early nutrition on growth and obesity risk.Practical strategies for healthcare providers to assess and address early nutrition concerns in clinical practice.

Ringkasan

  • Nutrition is a science that interprets the interaction between essential nutrients in food and their usability for life, encompassing growth, development, survival, and reproduction. Historical records show dietary messages existed as early as 2,500 BC, with advancements through the centuries, including Hippocrates' emphasis on food as medicine.
  • The primary goal of nutrition is to facilitate optimal health, growth, development, survival, and reproduction in humans. Early life nutrition, particularly in the first 10,000 days, is critical due to its influence on brain development, somatic growth, and metabolic programming. This period serves as a window of opportunity for interventions to prevent long-term health issues.
  • Short-term consequences of poor nutrition include obesity, marasmus, and hidden hunger, while long-term consequences involve non-communicable diseases like hypertension, type 2 diabetes, and obesity. Overweight and obesity prevalence is increasing, often stemming from infant feeding practices.
  • Prenatal feeding practices, breastfeeding versus formula feeding, and the introduction of complementary foods are key aspects determining infant feeding practices. Breastfeeding is associated with slower growth curves due to its optimal protein content, protecting against adult weight gain.
  • Cornerstones of lifelong health linked to early nutrition include long-term metabolic health with appropriate BMI, immune system function, brain development, and digestion and gut health. Breast milk contains DHA and ARA crucial for cognitive and vision development.
  • Breast milk provides optimal protein quality with lower quantity compared to formula, aiding in metabolic programming. It contains whey proteins for easier digestion and lactobacilli for GI protection. Formula feeds, conversely, contain higher protein levels, potentially leading to rapid and excessive adipogenesis.
  • Lower protein content in breast milk reduces the risk of overweight and obesity, with longer breastfeeding durations enhancing this effect. Supplementation with essential micronutrients supports normal immune system function.
  • During formula feeding when breast milk is unavailable, formulas with lower protein content are a better choice. Brain growth and development are rapid in early infancy, demanding essential neurutrients. Supplementing babies with micronutrients like vitamins A, C, E, and D support normal immune system functioning.

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