Nutrition During Pregnancy and Lactation Exploring New Evidence: Proceedings of a Workshop (2020) / Chapter Skim
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10 Reflections on the Workshop
10 Reflections on the Workshop
Pages 135-142
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From page 135... ...
The workshop ended with Anna Maria Siega-Riz of the University of assachusetts M Amherst providing brief closing remarks. INVITED REFLECTIONS ON THE WORKSHOP Characterizing the workshop as "broad, deep, nuanced, and highly informative," Patsy Brannon, visiting professor (and until her retirement in 2018, professor)
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From page 136... ...
"It is no wonder that we sometimes get negative results, because we averaged those with low status, those with adequate status, and those with high status," remarked Brannon. DOHaD was also discussed throughout the workshop, particularly related to human milk oligosaccharides and the placenta.
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From page 137... ...
Brannon suggested that the research community should be aware that there needs to be at least moderate strength of evidence for both a causal and a dose– response relationship for a chronic disease outcome in order for a CDRR to be established. For several nutrients, including vitamin D, antioxidants, and omega-3 fatty acids, there are inconsistent findings or discordant results between observational studies and randomized controlled trials, leading to "challenges in synthesizing the evidence and inconsistency of results that arise from variability in study design, in dosage, in timing, in baseline status considerations, and in biomarkers," noted Brannon.
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From page 138... ...
Brannon questioned whether women receive mixed messages, given that sodium reduction is generally recommended for the population, and she wondered if there were other fortification vehicles to deliver iodine. The presentations highlighted that dietary supplements can help pregnant and lactating women meet needs for certain nutrients.
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From page 139... ...
She appreciated the presentations that discussed stress, as emotional and mental health are intertwined with nutrition and overall well-being, and she thought environmental pollution should also be considered. Mavridara summarized her reflection by saying that a holistic approach is needed: "We have to think more at that level of change and improvement for the health of babies and then for the health of the community." Related to the concept of care throughout the reproductive cycle, Ann Yaktine of the National Academies of Sciences, Engineering, and Medicine suggested that WIC serves as one model that breaks the siloes of clinical care by providing supplemental food packages, nutrition education, nutritional assessment, and referrals to other health services.
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From page 140... ...
Another model Laraia suggested was Food is Medicine, a program where health care providers provide vouchers for food to their patients. • Pregnancy-centered models -- Siega-Riz mentioned that there has been some work on pregnancy-centered care and qualified health centers, but noted that pregnancy-centered models have not been brought to scale.
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From page 141... ...
Plaskett also described the Elizabeth House, a rapid housing program in Washington, DC, for teen mothers facing housing and food insecurity. The Elizabeth House, which provides continuing education, allows teens to stay from pregnancy until their children are school aged.
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From page 142... ...
Siega-Riz hoped the workshop would generate interest from a variety of stakeholders to consider how to move forward capturing the current state of the science on nutrition during these important life stages.
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