Maternal and Pediatric Nutrition
Objectives
a) To know and apply the nutritional and dietary recommendations for pregnant and lactating women
b) To know and apply specific dietary intervention in main comorbidities during the pregnancy
c) To recognize the importance of fetal overnutrition and malnutrition on metabolic and obesity programming
d) To know and apply the recommended measures to promote breastfeeding and to know the nutritional and biological advantages of breastfeeding.
e) To recognize the importance of the intestinal microbiota of pregnant women and breastfeeding in modulation of the newborn's microbiota and its impact on infants health
f) To know and apply the nutritional and dietary recommendations for pediatric age, including all ages and vegetarian children.
g) To recognize the importance of functional nutrients for the child's health
h) To know and advise regular infant formulas for healthy children and special formulas for children with health problems.
i) To recognize the importance of early modulation of food preferences for healthy eating
j) To know the scientific basis for complementary feeding and its recommendations, including the introduction of gluten and of potentially allergenic foods
k) To know how to advise an appropriate feeding schedule for infants, children of preschool and school age, including those with food allergies.
l) To know and apply the vitamins and supplements recommendations for the first year of life
m) To know how to advise the diet for adolescents, including those who practice high-performance sports
n) To know the characteristics of different dietary patterns and their impact on health
o) To know the eating habits of Portuguese children and adolescents, based on representative surveys
p) To know and apply recommended tools for assessing nutritional risk in pediatric age
q) To know and apply instruments for assessing the nutritional status of children and adolescents, including food questionnaires, anthropometry, biochemical parameters and methods for body composition assessment.
r) To know the principles of indirect calorimetry and how to apply it to guide nutritional intervention
s) Specifically in pediatric obesity: to understand and apply preventive measures and to know the associated comorbidities; to know and apply the criteria for diagnosis, the dietary intervention and monitoring the intervention.
t) Specifically in preterm nutrition: to know their needs and nutritional support through parenteral and enteric routes, including the fortification of human milk.
u) To know the nutritional recommendations and apply the dietary intervention specific to the main chronic diseases.
General characterization
Code
41030
Credits
Available soon
Responsible teacher
Luís Manuel Fernandes Pereira da Silva,ANA CATARINA DOMINGUES PEREIRA SANTOS,SUSANA ISABEL MATEUS SANTOS
Hours
Weekly - Available soon
Total - 0
Teaching language
PT
Prerequisites
Not applicable
Bibliography
Not applicable
Teaching method
The Maternal and Pediatric Nutrition curricular unit is organized in theoretical, theoretical-practical and practical classes. Theoretical classes have a duration of 50 minutes, are biweekly and based on expository classes and classes for solving problem-cases. Theoretical-practical classes have a duration of 2 hours, are biweekly and are based on seminars, problem-based learning and journal club. These classes serve as preparation for clinical learning in the field, thus the practical classes follow the theoretical-practical ones, are biweekly have a duration of 2 hours and are based on the transmission of clinical experience and patient-centred assistance.
Evaluation method
The assessment of learning is based on a final written exam and continuous assessment that is based on marks given by teachers in theoretical-practical and practical classes.
Subject matter
Theoretical component
Nutrition in obese pregnant women with type I and II diabetes
Nutrition of pregnant women in the presence of intrauterine growth restriction
Programming of metabolic disease and obesity due to fetal overnutrition and malnutrition
Breastfeeding: prevalence in Portugal, advantages and contraindications
Intestinal microbiota in pregnant women and newborns: current aspects
Food and nutrition recommendations in pediatrics
Infant formulas for healthy children: importance of functional nutrients; and Special formulas (hypoallergenic, anti-reflux, lactose-free, semi-elementary and elemental)
Vitamins and supplements in the first year of life
Food diversification: from empiricism to evidence
Food and nutrition at preschool and school age
Assessment of nutritional status in the newborn
Obesity in children and adolescents: determinants, diagnosis and nutritional assessment and intervention and monitoring
Food in the allergic child
Special diets, including modular diets and routes of administration
Nutrition in diabetes mellitus: classification, comorbidities and intervention
Nutrition in chronic disease: liver failure, cystic fibrosis, celiac disease, chronic intestinal disease and kidney failure
Nutrition in inherited diseases of metabolism: amino acids, organic acidurias, diseases of the urea cycle and diseases of energy metabolism
Ketogenic diet: types and clinical applicability
Theoretical-practical component
Protein theory: metabolic pathways
Analysis of Portuguese literature on overweight and obesity in children and adolescents
Feeding schedule for: an infant with 3 months using milk formula, infant with 7 months and an infant with 10 months
Diet for adolescents, including adolescents practicing high-performance sports
Vegetarian children: risks and eating schedule
Intervention in a child with diabetes mellitus
Intervention in a child with constipation and regurgitation
Intervention in a child with phenylketonuria
Practical component
Nutritional advice in pregnant and lactating women
Nutritional advice in healthy children
Nutritional intervention in the newborn, particularly in the preterm
Nutritional intervention in overweight and obese children
Nutritional intervention in the short intestine
Nutritional intervention in children with inborn errors of metabolism