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The concerns, “Will pregnancy
make me fat?” and “Will
I ever be able to lose those
extra pounds?” trouble
nearly every pregnant woman—especially
with a first pregnancy. These
fears are not without some justification.
Weight gain is a natural part
of pregnancy, and for many of
us, weight loss presents a formidable
challenge. The myth of “eating
for two”, or that you
can eat anything you want and
it doesn’t count during
pregnancy continues, despite
clear evidence to the contrary.
Many of us are hyper-conscious
of our body weight before we
even become pregnant, and during
pregnancy, we have frequent
reminders that reinforce that
preoccupation. With every prenatal
visit to the obstetrician, we
are weighed, measured, and evaluated
against statistical norms to
assess health risks.
Health
Risks of Too Much Weight-Gain
With obesity rates soaring in
our society, more women than ever
before now enter their childbearing
years either over-weight or obese.
Rising obesity rates have lead
to a corresponding increase in
the occurrence of gestational
diabetes and other pregnancy complications
that threaten the health of both
the mother and her unborn child.
Recent studies have shown that
babies born to mothers with gestational
diabetes may have impaired blood
sugar regulation from birth. Other
studies have shown that babies
born to mothers who were significantly
overweight before pregnancy or
gained too much weight during
pregnancy are more likely to become
overweight as children.
Fears about
Pregnancy’s Impact on the
Body
For women who have long struggled
with weight control, the additional
weight gain of pregnancy can
further challenge her sense
of personal power, control,
and self-image. Lowered self-worth
often triggers emotional eating,
poor nutritional choices, and
binging, which can lead to excessive
weight gain.
On the other side of the spectrum,
lean women worry that pregnancy
will “ruin” their
bodies, and signal the “beginning
of the end” of their youth
and vitality.
Beneath all our weight-gain
anxiety lies the core issue,
the abiding fear—conscious
or not—that we will be
less sexually desirable after
pregnancy.
Banish
Fears with Practical Facts
You know that your developing
baby’s future health depends
directly on what you eat and
how well you take care of your
body. Therefore, you need to
keep both fitness and nutrition
foremost in your mind during
pregnancy.
Accurate, practical information
about how to safely and effectively
manage body weight during and
after pregnancy can greatly
ease anxieties about what will
happen to your figure. The quantity
of weight a woman gains during
pregnancy and how fast she rebounds
afterwards need not remain a
mystery. It’s a direct
consequence of her nutrition
and fitness habits during pregnancy.
But it’s not always easy
to find solid fitness information
appropriate for pregnant and
postpartum women. Thus, women
are uncertain about what actions
they can take to promote peak-health
during and after their pregnancies.
Focus
First on Food-Quality Rather
than Quantity
Much has been written about
how to optimize nutrition during
pregnancy; however, it bears
repeating that pregnant women
should first focus on eating
the highest quality diet available
to them. Eating a high-quality
diet while actively avoiding
environmental toxins—particularly
cigarette smoke and alcohol—is
of primary importance and nurtures
both you and your baby.
Disregard
Messages of a “Super-Size-Me”
Society
Pregnancy increases your body’s
need for protein, calcium, iron,
other minerals, vitamins, and
water. Pregnant and postpartum
women should consume generous
amounts of nutrient-rich fruits
and vegetables, whole-grain
breads and cereals; calcium-rich
dairy products; and lean protein-rich
foods such as meats, fish, and
legumes (For more specifics
on what to eat during pregnancy,
consult your doctor, or a certified
nutritionist.) But you may be
uncertain about the correct
quantity of high-quality
food that will provide optimal
nutrition and health for both
you and your baby.
To have the healthiest pregnancy
without excessive fat storage,
you need to eat a high-quality
diet in the proper amount.
This means finding the right
caloric balance for your individual
needs. In our “super-size-me”
society, where waistlines have
expanded with portion sizes,
balanced eating has never been
more of challenge. For many,
chronic over-consumption has
now become the established norm.
Metabolism
Increases to Support Your Growing
Baby
Pregnancy increases metabolic
activity, which explains why
pregnant women overheat easily.
Your body is not only growing
a baby, but also building the
infrastructure—increased
blood
volume,
placenta,
and breast tissue development
for milk production—that
will support your baby before
and after birth. These additional
metabolic demands rise slowly
during pregnancy as the placenta
and fetus develop. By the second
trimester of pregnancy you will
need to consume about 300 additional
calories per day over your pre-pregnant
basal
metabolism.
Estimating
Your Daily Caloric Needs
To estimate your daily caloric
needs and prevent excessive
weight gain, start with your
ideal body weight.
| |
1. |
Write down
your ideal weight. |
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2.
|
Estimate
your average activity level.
If your Activity Level is
…
| |
Sedentary
…multiply your
Ideal Weight by: |
10 |
| |
Low………
multiply your Ideal
Weight by:
|
11
- 12 |
| |
Moderate
…multiply your
Ideal Weight by:
|
12
- 13 |
| |
High………multiply
your Ideal Weight
by: |
14
- 15 |
|
| |
3. |
To this
sum, add the number of calories
needed for your trimester
of pregnancy:
| |
First
trimester
add
150 - 200 |
|
| |
Second Trimester add
300 |
|
| |
Third Trimester add
300
|
|
|
This equation provides a rough
estimate of your actual caloric
needs throughout your pregnancy.
As you can see, you’re
not “eating for two.”
Mathematically, it’s closer
to eating for 1 and 1/5.
Of course, you should always
consult your doctor or a certified
nutritionist, to make sure that
your weight gain during pregnancy
is appropriate for your body’s
individual needs.
Some
Examples
The following
two examples clearly demonstrate
how easy it is to accidentally
gain too much weight over the
course of 40 weeks.
The
Moderately Active Pregnant
Woman of Average Height
If you are of average height,
fit, at an ideal weight of
130 pounds and are moderately
active, you would need approximately
1,660 calories in the first
trimester, and 1,860 in the
second and third trimesters.
Or, {130 x 12} + 100 = 1,660
and {130 x 12} + 300 = 1,860.
A
More Typical American Woman
of Average Height
For our second example, let’s
run the numbers with a more
typical American woman. Again
she’s of average height,
but slightly overweight, with
an actual weight of 140 pounds,
an ideal weight of 125 pounds,
and sedentary lifestyle.
With her current weight and
level of activity, this woman
would need approximately 1,350
for the first trimester, and
1,550 for the second and third
trimesters. Or, {125 x 10}
+ 100 = 1,350 and {125 x 10}
+ 300 = 1,550.
You may notice that our sedentary
woman has a slightly lower
ideal body weight, and this
is because her body has less
muscle mass and other lean
tissue.
The Lean, Fit Moms Burn More
Calories
From the above examples, you
can see that the lean, active
woman has a higher caloric balance
level (by about 300 calories
per day) than her sedentary,
less fit counterpart. If the
sedentary woman consumed the
same amount of calories as her
fit counterpoint, she would
gain an additional 24 pounds
over the course of 40 weeks.
In this example, if our fit
woman gains the ideal 30 pounds
during her pregnancy, then our
sedentary example would gain
55 pounds. Remember, both of
these women were of average
height, yet they required a
substantially different number
of calories per day to balance
their individual metabolisms.
Fit Moms Lose Weight Rapidly
After Pregnancy
Since our fit woman has minimal
additional fat storage, she
can easily get back down to
her pre-pregnancy weight. But
our sedentary example would
find herself carrying an extra
24 pounds. Since she started
15 pounds overweight, our sedentary
mom is now 39 pounds over her
ideal weight. Not an easy amount
to lose, especially if she continues
with a sedentary lifestyle.
Be
Wary of Misleading, One-Size-Fits
All Guidelines
Some nutritional guidelines
advise pregnant women to consume
a minimum number of calories
(usually in the range of 2,000)
every day during pregnancy.
But this one-size-fits-all approach
does not take into account size,
basal metabolism, lean mass
ratio, or activity level.
In a broader view, current
nutritional labels utilize a
2,000 calorie-per-day diet to
calculate RDA’s (recommended
daily allowances). Yet only
a minority of American women
actually has a 2,000 calorie-per-day
sized metabolism. In fact, a
woman would have to be about
5'10", lean and muscular,
145 pounds, and very active
(145 x 14 = 2,030) to fit that
profile. Not your average American
women, is it?
Put Weight Gain in the Proper
Perspective
A key concept for pregnant
women to keep in the forefront
of their minds is that a small
amount of additional fat-storage
is a natural, healthy part of
human physiology. It’s
big part of our success as a
species and provides a hedge
against disasters that might
cause food shortages. In fact,
fat storage during pregnancy
is a universal phenomenon found
throughout the animal world.
Think about it. Female bears
load on a couple of hundred
pounds to prepare for the duel
need of gestation and hibernation.
Female whales pack on tons of
blubber—literally! —during
pregnancy.
Another important fact not
to forget is that with our average,
healthy weight-gain of 25 to
35 pounds during pregnancy,
only 3 to 5 pounds comes from
additional fat stores. Looked
at from this perspective, stocking
the pantry with 3 to 5 pounds
doesn’t seem that significant,
and certainly not worth all
the worry and stress that we
commonly subject ourselves to
during pregnancy.
Store
Less Fat in the Last Trimester
and Bounce Back Fast!
These additional fat stores
are laid down in the third trimester,
not before, to insure adequate
energy reserves for breastfeeding.
Studies consistently show that
women who remain physically
active during the last trimester
(activities like fitness-walking
on most days of the week) store
less additional fat and lose
weight more rapidly after childbirth.
Another good reason to be fit
and active during pregnancy.
Counter
Negative Thoughts with Reassuring
Facts
As we look into the mirror
at our growing bellies, many
of us forget facts. Our emotions
are given voice, and we say
things like “I look so
fat,” or “I feel
so fat.” When we step
on the scale and read the rising
numbers, again we incorrectly
identify ourselves as “getting
fat.” Remember, during
pregnancy, weight gain is not
synonymous with fat gain. These
types of thoughts are factually
inaccurate and if left unchallenged,
erode self-esteem and create
unnecessary psychological stress.
Monitor your internal dialog.
When you hear self-deprecating
thoughts, push a mental delete
button, and throw that information
away. Then replace faulty information
with nurturing, healthy, reassuring
facts. Recognize this pattern
for what it is—a distortion
of your body image generated
by stress and insecurity, something
every woman, pregnant or not,
experiences. As you develop
positive-thinking patterns,
you will be on the path to better
health, enhanced self-image,
self-acceptance, and happiness.
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