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5 - Energetic cost of gestation and lactation in humans

Published online by Cambridge University Press:  16 May 2011

Prakash Shetty
Affiliation:
University of Southampton, UK
C. G. Nicholas Mascie-Taylor
Affiliation:
University of Cambridge
Lyliane Rosetta
Affiliation:
Centre National de la Recherche Scientifique (CNRS), Paris
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Summary

Introduction

The energy needs of humans are currently estimated from measures of energy expenditure of the individual. Until recently however, in the absence of sufficient data on habitual total energy expenditure of free-living humans, other approaches have enabled us to compute the energy requirements. While estimating the energy requirement of diverse demographic groups within the population, additional provision needs to be made for physiological processes characteristic of these groups. These include the additional provision of energy for optimal growth in infants and children and for the additional energy needs of pregnancy and lactation in women of reproductive age.

Energy requirement has been defined as ‘the amount of food energy needed to balance energy expenditure in order to maintain body size, body composition and a level of necessary and desirable physical activity consistent with long-term good health’ (Food and Agriculture Organization/World Health Organization/United Nations University – FAO/WHO/UNU, 2004). Energy balance is achieved when dietary intake is equal to the energy expenditure plus the energy cost of growth in infancy, childhood and pregnancy, or the energy cost to produce adequate milk during lactation. The recommended dietary intake of energy for a population group which should satisfy these requirements for the attainment and maintenance of optimal long-term good health, physiological functions and well-being is the mean energy requirement of the healthy and well-nourished individuals within this population group.

Type
Chapter
Information
Reproduction and Adaptation
Topics in Human Reproductive Ecology
, pp. 98 - 111
Publisher: Cambridge University Press
Print publication year: 2011

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References

Ashworth, A. (1998). Effects of intrauterine growth retardation on mortality and morbidity in infants and young children. European Journal of Clinical Nutrition, 52, S34–42.Google ScholarPubMed
Barker, D.J. (2007). The origins of the developmental origins theory. Journal of Internal Medicine, 261, 412–17.CrossRefGoogle ScholarPubMed
Brown, K., Dewey, K.G. & Allen, L. (1998). Complementary Feeding of Young Children in Developing Countries: A Review of Current Scientific Knowledge. Geneva: World Health Organization.Google Scholar
Butte, N.F. & Hopkinson, J.M. (1998). Body composition changes during lactation are highly variable among women. Journal of Nutrition, 128, S381–5.CrossRefGoogle ScholarPubMed
Butte, N.F. & King, J.C. (2005). Energy requirements during pregnancy and lactation. Public Health Nutrition, 8, 1010–27.CrossRefGoogle ScholarPubMed
,FAO/WHO/UNU (2004). Human energy requirements. Report of Joint FAO/WHO/UNU Expert Consultation, Rome, October 2001. Food and Nutrition Technical Report Series 1. Rome: Food and Agriculture Organization.Google Scholar
,FAO/WHO/UNU (1985). Energy and protein requirements. Report of Joint FAO/WHO/UNU Expert Consultation, 1981. WHO Technical Report series 724. Geneva: World Health Organization.Google Scholar
Hytten, F.E. & Chamberlain, G. (1991). Clinical Physiology in Obstetrics. Oxford: Blackwell Scientific Publications.Google Scholar
,Institute of Medicine and Food and Nutrition Board (1990). Nutrition during Pregnancy. Washington, DC: National Academy Press.Google Scholar
Orr-Ewing, A., Heywood, P. & Coward, W.A. (1986). Longitudinal measurements of breast milk output by a 2H2O tracer technique in rural Papua New Guinean women. Human Nutrition: Clinical Nutrition, 40, 451–67.Google ScholarPubMed
Prentice, A. & Goldberg, G.R. (2000). Energy adaptations in human pregnancy: limits and long-term consequences. American Journal of Clinical Nutrition, 71, 1226S–32.CrossRefGoogle ScholarPubMed
Prentice, A., Paul, A., Black, A., Cole, T. & Whitehead, R. (1986). Cross-cultural differences in lactational performance In: Human Lactation 2: Maternal and Environmental Factors (Editors: Hamosh & Goldman). New York, NY: Plenum Press.Google Scholar
Prentice, A.M., Spaaij, C.J.K., Goldberg, G.R.et al. (1996). Energy requirements of pregnant and lactating women. European Journal of Clinical Nutrition, 50, S82–111.Google ScholarPubMed
Rosetta, L. (1992). Aetiological approach of female reproductive physiology in lactational amenorrhoea. Journal of Biosocial Science, 24, 301–15.CrossRefGoogle ScholarPubMed
Rosetta, L., Kurpad, A., Mascie-Taylor, C.G.N. & Shetty, P.S. (2005). Total energy expenditure (H218O), physical activity level and milk output of lactating rural Bangladeshi tea workers and non-tea workers. European Journal of Clinical Nutrition, 59, 632–8.CrossRefGoogle Scholar
Rosetta, L. & Mascie-Taylor, C.G.N. (2009). Factors in the regulation of fertility in deprived populations. Annals of Human Biology, 36, 642–52.CrossRefGoogle ScholarPubMed
,World Health Organization (1995). Maternal anthropometry and pregnancy outcomes – A WHO Collaborative Study. Bulletin of the World Health Organization, 73, S1–69.Google Scholar
,World Health Organization Task Force on Methods for the Natural Regulation of Fertility (1998). The World Health Organization multinational study of breast-feeding and lactational amenorrhea. II. Factors associated with the length of amenorrhea. Fertility & Sterility, 70, 461–71.CrossRefGoogle Scholar
,World Health Organization (2001). Expert consultation on the optimal duration of exclusive breastfeeding. Conclusions and Recommendations. Geneva: World Health Organization.Google Scholar

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