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Nutrifit Diet, Nutrition, Therapeutic Lifestyle Management Clinic Dietery Guidelines for nutritional anemias UNIT 1 – BOGULKUNTA 4-1-1230, Off Abids Road, Bogulkunta, Hyderabad – 500001. UNIT 2 – HYDERGUDA 3-6-282, Opp. Old MLA Qrtrs., Hyderguda, Hyderabad – 500029. UNIT 3 – JUBILEE HILLS Plot # 769, Near MAA TV, Road # 44 Jubilee Hills, Hyderabad – 500033. ALL THREE UNITS Centralized Tel. : +91 40 40222300 Appointments only Tel. : +91 40 40632301 Website : www.fernandezhospital.com Anemia is mostly caused due to iron deficiency, which is associated with several functional impairments. Anemia also predisposes pregnant women to higher morbidity affecting their quality of life and the birth weight of their newborns. Overall, the pregnant women must have between 700 and 800 mg of extra iron, most of which is needed during the last half of pregnancy when the heaviest maternal and fetal demands occur. Iron rich foods should be taken to prevent anemia and to build up iron stores in the fetal body. Here are some nutritional anemia – dietary guidelines: Take iron, folate and calcium supplements regularly, after 14 – 16 weeks of pregnancy. A well balanced diet plan with foods rich in iron, good quality proteins, folic acid, Vitamin- ‘B12’ & C’ needs to be taken. Its preferable to eat small meals at frequent intervals to enhance absorption / digestion. Include two servings of dark green and leafy vegetables like amaranth, mint, parsley, onion stalks etc. daily. Green leafy vegetables have to be cooked well, mashed and can be given as soup preferably. Include adequate protein in the diet by including milk, meat and poultry, paneer, curd, cheese, soya granules. Include an item from each of these food groups every day : Cereals and millets: ragi malt, bajra, whole wheat flour, puffed rice, rice flakes, Legumes: soy granules, cow pea (lobia), lentils, moth beans, roasted Bengal gram, horse gram, peas (dry) Non vegetarian :mutton, egg, liver, oysters, chicken, fish Nuts: almonds, pista, groundnuts, til, coconuts. Fruits: lime, sweet lime, amla, orange, mango, water melon, seethaphal, raspberry, pineapple Dry fruits: apricot, dates, black currants, raisins To further enhance iron absorption from these iron rich foods. Do not drink tea or coffee with your meals. Take it an hour before or after the meal. Take a vitamin-C rich foods like citrus fruits, tomatoes, limejuice, amla, cucumber etc. along with your meals. Do not combine an iron-rich meal with too many calcium rich foods like milk, cheese, paneer etc. Too much fibre in the diet also affects the iron absorption. Try to avoid refined and processed foods – Limit intake of maida, pasta, noodles, polished rice, ready-to-eat foods, etc. To avoid pickles. Model Diet for a Pregnant Anemic Women Early Morning : Milk – 1 cup + black currants – 15 – 20 Nos. (soaked overnight) Breakfast : Roti (ragi or bajra with roasted channa flour) – 3 – 4 Nos. Amaranth with soyagranules – 1 cup Egg (boiled) – 1 Orange juice – 150 ml Mid Morning : Greens soup + black til laddu – 2 Lunch : Salad (Tomato, Cucumber) Roti (wheat : channa flour – 3:1) – 2 Rice – 1 cup Dhal with green leaf vegetables – 1 cup or Non veg. – 75g or Liver (50g) with methi – 1 cup Other vegetables with soya granules (30g) – 1 cup Curd – 1 cup Snacks : Whole grams sundal – 25g + Watermelon – 100g 6.30 pm : Chikoo / banana milkshake (with dates / almonds) – 150 ml Dinner : Same as lunch Bed time : Milk – 100 ml Kindly Note: This is just a model plan, the quantity of each meal has to be customized as per calories required based on BMI. If the patient is diabetic, hypertensive or suffering with any other medical ailment, diet has to be altered accordingly. Please contact the following number for an appointment with the Nutritionists, Dr. Janaki Srinath and Dr. Latha Sashi, Tel. No. : 04040632301. The Nutritionists will be available at the three Units of Fernandez Hospital on following day : Bogulkunta : Monday (1 pm – 3 pm) / Friday (6pm – 8 pm) / Saturday (11 am – 1 pm) Hyderguda : Tuesday (1 pm – 3 pm) / Thursday (2 pm – 4 pm) Jubilee Hills : Saturday (2 pm – 4 pm) For any queries, please reach us at [email protected]