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Why it's important that Japanese women do not gain enough weight during pregnancy



Regardless of the fact that she was of normal weight, a physician and teacher at the University of Osaka received counseling at a hospital where she received medical care to receive only 10 kilograms of childbirth, a little less than the official government of 7 to 12 kilograms (15 to 26 pounds), she said.

Weighting was stressful for this working mother, who could not attend full-time classes in pregnancy, and they were advised to "take twice a nutritional counseling when my weight increased compared to the recommended weight gain per week."

For sessions, she created a record of her diet, and it was studied by nurses "to find the behavior of food that can be associated with weight gain," she said. It did not provide specific recommendations because its diet and behavior were healthy. Other pregnant women are likely to be faced with the same, even if these sessions are not foreseen by law, she said. Pregnant women register a pregnancy at a local government office, where they receive a maternity and child health reference book that was developed 70 years ago. A guide that looks at the mother's and the child's health as one is a record of prenatal reviews, delivery, child development and vaccination, and serves the same purpose, more or less, as a portable electronic medical record. Using this manual, midwives carefully monitor the increase in weight of women in adults.

"In my opinion, doctors, nurses and midwives (especially doctors) are strict in regard to increasing weight," wrote Hayami-Chisuwa. "The reason for this is mainly to prevent the syndrome of hypertension caused by pregnancy." High blood pressure during pregnancy can lead to complications during childbirth. However, preserving low weight during pregnancy can damage the future of the child's health and affect the general condition of the nation, says one researcher.

Lack of weight can cause health problems

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"Numerous studies have shown that weight loss reduces weight" – Dr. Nacho Morisaki, Head of the Department of Epidemiology of Life in the Department of Social Medicine at the National Center for Health of Children

Pregnant Women who are not getting enough weight can deliver children who are too small, which leads to difficulties in breastfeeding, increased risk of diseases and developmental problems, according to US Centers for Disease Control and prevention.

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Different recommendations have a tangible impact. Japanese women give birth to babies 300 grams (about 0.7 pounds) less than average babies, said Morisaki. This is a direct result of low weight in gestational weight.

Data from 2010 indicate that almost 20% of Japanese women are gaining less weight than indicated in the recommendations, – said Morisaki.

"The Japanese have an extremely low weight gain in pregnant women among the thin and normal women of BMI, which explains why body weight is low even compared to other Eastern asians who also tend to be thin as Japanese," said He

Hayami-Chiswa noted that the official leadership of the ministry may not be taken into account by some doctors who recommend even more stringent recommendations for weight gain, as it was in her case.

When applying US standards to Japan, 68% of women do not gain enough time " If the Japanese guidelines are not correct, we may have a big problem, "said Morisaki.

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the Ministry has formed a working group to study whether scientifically substantiated recommendations for increasing the weight of the gestation period, issued in 2001.

A member of the group, Dr. Kyoko Nomura, a Professor at the Department of Health at the Akatha University of Medicine, wrote in an e-mail that his team's study compared the effects of the American Medical Institute and Japanese recommendations.

In a 2017 study, cesarean and low-birth-high-birth-rate children in the Japanese recommendations were compared and compared with women in the US leadership.

The results show that the Japanese guidelines are "fair enough and do not require change", because the differences were insignificant, she said.

But this does not mean that both guidelines are equally useful to everyone, she said. recommendations are useful for western countries where women with overweight and obesity are more common, but Asian women are smaller and their pregnancy is different from that of women of other nationalities. "

" Japan is now faced with a serious problem, "The growing number of children with low birth weight," Nomura said. By 1990, the prevalence in Japan of low birth-rate children was lower than 6.5% among the member countries of the Organization for Economic Cooperation and Development, she explained. However, over time, the number of infants with a low birth rate increased, and Japan experienced a prevalence rate of 9.5% in the 2018 survey.
"One of the most important reasons" for this growing indicator is the fact that a quarter of Japanese women of reproductive age are underweight, said Nomura. As a result, she emphasizes the importance of staying in normal weight ranges for all women of childbearing age.

Low weight gain at birth can affect longevity

. Birth weight increases the risk of developing chronic illness later in life. Moriashaki's own study shows how the gestational growth of the mother is related to both the weight of the baby's birth and its growth in adulthood.
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"Adult height, With high risk of chronic diseases in large studies in Japan and Japan, it can be an indicator of health throughout life, "he explained.

The rate of infants with low fertility and height in adults shows a strong reciprocal correlation. small babies, the growth among adults in Japan has begun to decline among those born after 1980. Creating a prediction model, he estimated that the average adult height would drop by about 0.7 centimeters (about a quarter inches) from the current average level of 170.7 centimeters for men born to in 2014.

Based on these data, he also suggested that among Japanese men would be 3% more deaths associated with cardiovascular disease (about 6000 deaths) Born in 2014 compared with those who born in 1980.

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t Japan, where citizens can expect to live an average of 84.2 years, is proud of its global rating number 1 on this issue.

Fearing a future in which life expectancy is declining, Morisaki conducted a study among pregnant women to better understand why some of them do not want to gain weight.

"The Japanese, as a rule, independently limit their weight gain even lower than the current recommendations." They believe that it will "ease the delivery" and "help them maintain the best body share after childbirth," he said

. do not reduce the risk of cesarean section and do not change the amount of extra kilograms that persist one year after birth.

Hayami-Chisuwa believes that greater flexibility is needed in increasing the weight of pregnancy, since some women who are less likely to be overweight than average weight can not take "enough archuvannya for the unborn child. "

" Experts in the field of health care & # 39; I have to pay attention not only to weight gain, but its weight before pregnancy. "


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