{"id":948,"date":"2020-01-22T12:28:13","date_gmt":"2020-01-22T11:28:13","guid":{"rendered":"https:\/\/www.celiacscatalunya.org\/blog\/?p=948"},"modified":"2020-01-22T12:35:45","modified_gmt":"2020-01-22T11:35:45","slug":"alimentacio-saludable-durant-lembaras","status":"publish","type":"post","link":"https:\/\/www.celiacscatalunya.org\/blog\/alimentacio-saludable-durant-lembaras\/","title":{"rendered":"Alimentaci\u00f3 saludable durant l\u2019embar\u00e0s"},"content":{"rendered":"\n<p><strong>Embar\u00e0s i celiaquia <\/strong><\/p>\n<p>Les dones embarassades que s\u00f3n cel\u00edaques <strong>cal que segueixin la dieta sense gluten com m\u00e9s estricta millor durant aquesta etapa i que evitin les transgressions puntuals o reiterades (volunt\u00e0ries o no)<\/strong>, per evitar possibles complicacions tant en l\u2019embarassada com en el fetus, derivades de la inflamaci\u00f3 generada pels anticossos i la manca d\u2019absorci\u00f3 de nutrients. \u00c9s per aquest motiu que en aquest per\u00edode cal refor\u00e7ar les pautes d\u2019elecci\u00f3 de productes sense gluten (etiquetatge) i preparaci\u00f3 d\u2019aliments. <strong>Si se segueix correctament la dieta sense gluten ni traces, el fet de tenir celiaquia no afecta negativament durant l&#8217;embar\u00e0s<\/strong> i es pot fer vida totalment normal.<\/p>\n<p><strong>Consells alimentaris per a totes les embarassades <\/strong><\/p>\n<p>Les seg\u00fcents recomanacions d\u2019alimentaci\u00f3 s\u00f3n v\u00e0lides per a totes les dones embarassades, no nom\u00e9s les que s\u00f3n cel\u00edaques.<\/p>\n<p>Durant l&#8217;embar\u00e0s l\u2019organisme necessita construir teixits (teixit uter\u00ed, mamari, placenta, fetus, etc. &#8230;), augmentant aix\u00ed \u00a0les necessitats energ\u00e8tiques i diet\u00e8tiques de la mare. <strong>Durant aquest proc\u00e9s \u00e9s habitual que apareguin diferents problemes g\u00e0strics<\/strong>, com per exemple les n\u00e0usees i v\u00f2mits (al primer trimestre), el restrenyiment i l\u2019acidesa o pirosi (al final de la gestaci\u00f3) i<strong> la dieta \u00e9s una eina fonamental per evitar-les.<\/strong><\/p>\n<p>Quan una dona est\u00e0 embarassada augmenta el seu apetit i les necessitats nutricionals, per\u00f2 <strong>una alimentaci\u00f3 excessiva durant aquest per\u00edode pot repercutir negativament la seva salut i la del futur nad\u00f3<\/strong>. Per tant, cal recalcar que les dones embarassades no han de menjar per dos i que tampoc han de menjar tot el que vulguin. Tot i aix\u00f2, <strong>en algun moment de l\u2019embar\u00e0s poden sorgir antulls, els quals es poden satisfer sempre que no desequilibrin la dieta normal de l\u2019embarassada.<\/strong><\/p>\n<p><strong>Quantes calories di\u00e0ries es recomana ingerir? <\/strong><\/p>\n<p>Les recomanacions d\u2019ingesta energ\u00e8tica varien al llarg de l\u2019embar\u00e0s. Durant el primer trimestre de gestaci\u00f3 una dona (amb pes redu\u00eft, normo-pes o sobrep\u00e8s) ha de mantenir les mateixes necessitats energ\u00e8tiques que a l\u2019inici de l\u2019embar\u00e0s (1800-2200Kcal\/dia) i a partir del tercer m\u00e9s cal augmentar-les progressivament (2000-2400Kcal\/dia).<\/p>\n<p>La ingesta recomanada di\u00e0ria de carbohidrats, l\u00edpids i prote\u00efnes \u00e9s la mateixa que la recomanada per una alimentaci\u00f3 equilibrada. Les prote\u00efnes s\u00f3n l\u2019\u00fanic nutrient que cal variar durant la gestaci\u00f3: en els dos primers trimestres cal consumir 1g de prote\u00efnes per kg de pes corporal de la mare al dia, mentre que despr\u00e9s del sis\u00e8 m\u00e9s han d\u2019augmentar-se fins a 1,5g de prote\u00efnes per kg de pes corporal de la mare al dia.<\/p>\n<p><strong>Vitamines i minerals, qu\u00e8 cal tenir en compte? \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/strong><\/p>\n<p><strong>Les quantitats de vitamines i minerals que necessita una dona embarassada poden obtenir-se dels aliments de consum diari, sempre que la dieta sigui suficient i equilibrada<\/strong>. Tot i aix\u00f2, \u00e9s necessari que a partir del segon trimestre rebi un suplement de 30mg de ferro per tal d\u2019evitar el risc associat a l\u2019an\u00e8mia i tamb\u00e9 possibles complicacions hemorr\u00e0giques al part. Els suplements de ferro solen anar acompanyats de Vitamina B12 i Ac. F\u00f2lic. La suplementaci\u00f3 durant la gestaci\u00f3 ha de ser supervisada per un ginec\u00f2leg.<\/p>\n<p><strong>Com \u00e9s una dieta orientativa? <\/strong><\/p>\n<p>Les recomanacions generals per a la dona en gestaci\u00f3 s\u00f3n les mateixes que es recomanen per mantenir una alimentaci\u00f3 saludable:<\/p>\n<ul>\n<li><strong>4-5 racions de farinacis diaris.<\/strong> Pa, pasta, patata, moniato, arr\u00f2s, blat sarra\u00ed, blat de moro&#8230;<\/li>\n<li><strong>3 racions de verdures i hortalisses.<\/strong> Pastanaga, pebrot, carabass\u00f3, enciam, coliflor&#8230;<\/li>\n<li><strong>3-5 racions de greixos.<\/strong> Olis vegetals, fruits secs, advocats, rovell d\u2019ou, peix blau&#8230;<\/li>\n<li><strong>2-3 racions de fruites.<\/strong> Poma, pera, tom\u00e0quet, ra\u00efm, taronja&#8230;<\/li>\n<li><strong>2-3 racions de prote\u00efnes.<\/strong> Peix amb baix contingut en mercuri (amb <a href=\"https:\/\/www.celiacscatalunya.org\/blog\/2018\/12\/17\/peix-marisc-i-molluscs-que-hem-de-saber-els-celiacs\/\">alt contingut en mercuri est\u00e0 prohibit<\/a> segons les darreres recomanacions de l\u2019Agencia Espa\u00f1ola de Seguridad Alimentaria y Nutrici\u00f3n &#8211; AECOSAN), pollastre, carn de vedella (1 raci\u00f3 a la setmana), llegums, tofu, ous i <strong>lactis dels quals es recomana consumir unes 3 racions di\u00e0ries.<\/strong><\/li>\n<li><strong>Aigua<\/strong> com a beguda principal.<\/li>\n<li>Reducci\u00f3 del consum de cafe\u00efna.<\/li>\n<\/ul>\n<p>Totes aquestes recomanacions s\u2019han de repartir en 5 o 6 \u00e0pats diaris.<\/p>\n<p>Per saber que \u00e9s una raci\u00f3, pots consultar la <a href=\"http:\/\/www.estilosdevidasaludable.mscbs.gob.es\/alimentacionSaludable\/habilidades\/compra\/menus\/pdf\/Peso_de_raciones_por_grupos.pdf\">Guia de pesos i racions<\/a> de la <a href=\"http:\/\/www.nutricioncomunitaria.org\/es\/noticia\/guia-alimentacion-saludable-ap\">Sociedad Espa\u00f1ola de Nutrici\u00f3n Comunitaria (SENC)<\/a>.<\/p>\n<p>El model de dieta ha de ser similar al que recomanen <a href=\"https:\/\/www.celiacscatalunya.org\/blog\/2018\/02\/05\/triangle-de-la-salut-aplicat-a-la-celiaquia\/\">l\u2019Institut Flamenc de Vida Saludable<\/a> i el <a href=\"https:\/\/www.hsph.harvard.edu\/nutritionsource\/healthy-eating-plate\/translations\/spanish\/\">Plat Per Menjar Saludable de Harvard<\/a>, prioritzant els aliments d\u2019origen vegetal. Pots consultar m\u00e9s informaci\u00f3 sobre els aliments d\u2019origen vegetal com fruites i verdures <a href=\"https:\/\/www.celiacscatalunya.org\/blog\/2018\/07\/05\/consells-utils-a-lhora-de-comprar-cuinar-i-consumir-fruites-i-hortalisses\/\">al nostre blog.<\/a><strong> <img data-attachment-id=\"951\" data-permalink=\"https:\/\/www.celiacscatalunya.org\/blog\/alimentacio-saludable-durant-lembaras\/alimentacio-embaras-celiaquia\/\" data-orig-file=\"https:\/\/i0.wp.com\/www.celiacscatalunya.org\/blog\/wp-content\/uploads\/2020\/01\/alimentacio-embaras-celiaquia.jpg?fit=1432%2C968&amp;ssl=1\" data-orig-size=\"1432,968\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"alimentacio embaras celiaquia\" data-image-description=\"\" data-medium-file=\"https:\/\/i0.wp.com\/www.celiacscatalunya.org\/blog\/wp-content\/uploads\/2020\/01\/alimentacio-embaras-celiaquia.jpg?fit=300%2C203&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/www.celiacscatalunya.org\/blog\/wp-content\/uploads\/2020\/01\/alimentacio-embaras-celiaquia.jpg?fit=616%2C416&amp;ssl=1\" decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-951 size-full\" src=\"https:\/\/i0.wp.com\/www.celiacscatalunya.org\/blog\/wp-content\/uploads\/2020\/01\/alimentacio-embaras-celiaquia.jpg?resize=616%2C416&#038;ssl=1\" alt=\"\" width=\"616\" height=\"416\" srcset=\"https:\/\/i0.wp.com\/www.celiacscatalunya.org\/blog\/wp-content\/uploads\/2020\/01\/alimentacio-embaras-celiaquia.jpg?w=1432&amp;ssl=1 1432w, https:\/\/i0.wp.com\/www.celiacscatalunya.org\/blog\/wp-content\/uploads\/2020\/01\/alimentacio-embaras-celiaquia.jpg?resize=300%2C203&amp;ssl=1 300w, https:\/\/i0.wp.com\/www.celiacscatalunya.org\/blog\/wp-content\/uploads\/2020\/01\/alimentacio-embaras-celiaquia.jpg?resize=768%2C519&amp;ssl=1 768w, https:\/\/i0.wp.com\/www.celiacscatalunya.org\/blog\/wp-content\/uploads\/2020\/01\/alimentacio-embaras-celiaquia.jpg?resize=1024%2C692&amp;ssl=1 1024w, https:\/\/i0.wp.com\/www.celiacscatalunya.org\/blog\/wp-content\/uploads\/2020\/01\/alimentacio-embaras-celiaquia.jpg?resize=816%2C552&amp;ssl=1 816w, https:\/\/i0.wp.com\/www.celiacscatalunya.org\/blog\/wp-content\/uploads\/2020\/01\/alimentacio-embaras-celiaquia.jpg?w=1232&amp;ssl=1 1232w\" sizes=\"(max-width: 616px) 100vw, 616px\" data-recalc-dims=\"1\" \/><\/strong><strong>Consells per evitar problemes digestius durant l\u2019embar\u00e0s<\/strong><\/p>\n<p>Aquests consells s\u00f3n \u00fatils per a totes les dones embarassades. A la seg\u00fcent taula pots consultar recomanacions per evitar els principals problemes digestius relacionats amb els \u00e0pats que pot patir la mare durant la gestaci\u00f3.<\/p>\n<table style=\"width: 100%;\">\n<tbody>\n<tr>\n<td style=\"width: 50.8117%;\" width=\"375\">\n<p><strong>Consells per evitar aquests problemes:<\/strong><\/p>\n<\/td>\n<td style=\"width: 14.2857%;\" width=\"94\">\n<p><strong>V\u00f2mits i n\u00e0usees<\/strong><\/p>\n<\/td>\n<td style=\"width: 18.9935%;\" width=\"100\">\n<p><strong>Restrenyiment<\/strong><\/p>\n<\/td>\n<td style=\"width: 14.4481%;\" width=\"95\">\n<p><strong>Acidesa i pirosi<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50.8117%;\" width=\"375\">\n<p>Disminuir la ingesta d\u2019aliments grassos com els fregits\u00a0 i substituir la llet sencera per desnatada<\/p>\n<\/td>\n<td style=\"width: 14.2857%;\" width=\"94\">\n<p>X<\/p>\n<\/td>\n<td style=\"width: 18.9935%;\" width=\"100\">\n<p>\u00a0<\/p>\n<\/td>\n<td style=\"width: 14.4481%;\" width=\"95\">\n<p>X<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50.8117%;\" width=\"375\">\n<p>Disminuir la ingesta de \u00a0grans quantitats de l\u00edquids<\/p>\n<\/td>\n<td style=\"width: 14.2857%;\" width=\"94\">\n<p>X<\/p>\n<\/td>\n<td style=\"width: 18.9935%;\" width=\"100\">\n<p>\u00a0<\/p>\n<\/td>\n<td style=\"width: 14.4481%;\" width=\"95\">\n<p>X<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50.8117%;\" width=\"375\">\n<p>Menjar racions petites cada 2 o 3 hores<\/p>\n<\/td>\n<td style=\"width: 14.2857%;\" width=\"94\">\n<p>X<\/p>\n<\/td>\n<td style=\"width: 18.9935%;\" width=\"100\">\n<p>\u00a0<\/p>\n<\/td>\n<td style=\"width: 14.4481%;\" width=\"95\">\n<p>X<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50.8117%;\" width=\"375\">\n<p>Menjar aliments rics en midons<\/p>\n<\/td>\n<td style=\"width: 14.2857%;\" width=\"94\">\n<p>X<\/p>\n<\/td>\n<td style=\"width: 18.9935%;\" width=\"100\">\n<p>\u00a0<\/p>\n<\/td>\n<td style=\"width: 14.4481%;\" width=\"95\">\n<p>\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50.8117%;\" width=\"375\">\n<p>Menjar plats freds i poc arom\u00e0tics<\/p>\n<\/td>\n<td style=\"width: 14.2857%;\" width=\"94\">\n<p>X<\/p>\n<\/td>\n<td style=\"width: 18.9935%;\" width=\"100\">\n<p>\u00a0<\/p>\n<\/td>\n<td style=\"width: 14.4481%;\" width=\"95\">\n<p>\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50.8117%;\" width=\"375\">\n<p>Evitar rentar-se les dents just despr\u00e9s de menjar<\/p>\n<\/td>\n<td style=\"width: 14.2857%;\" width=\"94\">\n<p>X<\/p>\n<\/td>\n<td style=\"width: 18.9935%;\" width=\"100\">\n<p>\u00a0<\/p>\n<\/td>\n<td style=\"width: 14.4481%;\" width=\"95\">\n<p>\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50.8117%;\" width=\"375\">\n<p>Augmentar la ingesta de cereals integrals, fruites i verdures<\/p>\n<\/td>\n<td style=\"width: 14.2857%;\" width=\"94\">\n<p>\u00a0<\/p>\n<\/td>\n<td style=\"width: 18.9935%;\" width=\"100\">\n<p>X<\/p>\n<\/td>\n<td style=\"width: 14.4481%;\" width=\"95\">\n<p>\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50.8117%;\" width=\"375\">\n<p>Practicar exercici de forma regular<\/p>\n<\/td>\n<td style=\"width: 14.2857%;\" width=\"94\">\n<p>\u00a0<\/p>\n<\/td>\n<td style=\"width: 18.9935%;\" width=\"100\">\n<p>X<\/p>\n<\/td>\n<td style=\"width: 14.4481%;\" width=\"95\">\n<p>\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50.8117%;\" width=\"375\">\n<p>Evitar estirar-se al llit despr\u00e9s d\u2019un \u00e0pat<\/p>\n<\/td>\n<td style=\"width: 14.2857%;\" width=\"94\">\n<p>\u00a0<\/p>\n<\/td>\n<td style=\"width: 18.9935%;\" width=\"100\">\n<p>\u00a0<\/p>\n<\/td>\n<td style=\"width: 14.4481%;\" width=\"95\">\n<p>X<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50.8117%;\" width=\"375\">\n<p>Evitar portar roba molt ajustada<\/p>\n<\/td>\n<td style=\"width: 14.2857%;\" width=\"94\">\n<p>\u00a0<\/p>\n<\/td>\n<td style=\"width: 18.9935%;\" width=\"100\">\n<p>\u00a0<\/p>\n<\/td>\n<td style=\"width: 14.4481%;\" width=\"95\">\n<p>X<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>\u00a0<\/p>\n<p><strong>BIBLIOGRAFIA<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/medlineplus.gov\/spanish\/pregnancyandnutrition.html\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Nutrici\u00f3n durante el embarazo<\/strong>. Medline Plus<\/a>.\u00a0<\/li>\n<li><a href=\"https:\/\/www.gezondleven.be\/materialen\/placemats-volwassen\" target=\"_blank\" rel=\"noopener noreferrer\">Pir\u00e1mide Nutricionla. Institut Flamenc de Vida Saludable<\/a>.<\/li>\n<li><a href=\"https:\/\/www.hsph.harvard.edu\/nutritionsource\/healthy-eating-plate\/translations\/spanish\/\" target=\"_blank\" rel=\"noopener noreferrer\"><em>El Plato para Comer Saludable<\/em> (Harvard T.H. CHAN)<\/a>.\u00a0\u00a0<\/li>\n<li><a href=\"http:\/\/www.nutricioncomunitaria.org\/es\/noticia\/guia-alimentacion-saludable-ap\" target=\"_blank\" rel=\"noopener noreferrer\"><em>Gu\u00eda de la Alimentaci\u00f3n Saludable para atenci\u00f3n primaria y colectivos ciudadanos<\/em><\/a>. (SENC \u2013 Sociedad Espa\u00f1ola de Nutrici\u00f3n Comunitaria).<\/li>\n<li>Rosa Maria Martinez Garcia, Ana Isabel Jimenez Ortega y Beatriz Navia Lomban. <em><a href=\"http:\/\/scielo.isciii.es\/scielo.php?script=sci_arttext&amp;pid=S0212-16112016001000002&amp;lng=en&amp;tlng=en#?\" target=\"_blank\" rel=\"noopener noreferrer\">Supplements in pregnancy: the latest recommendations<\/a><\/em>. En: Nutrici\u00f3n hospitalaria, n\u00famero 33, supl. 4 2016. ISSN 16995198<\/li>\n<li>Beatriz Esp\u00edn Jaime. <em><a href=\"https:\/\/www.aepap.org\/biblioteca\/cursos\/13o-curso-de-actualizacion-ponencias\" target=\"_blank\" rel=\"noopener noreferrer\">El paso de la teta a la mesa sin gui\u00f3n escrito.<\/a> Baby led weaning: \u00bfventajas?, \u00bfriesgos<\/em>? AEPAP (2016)<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Embar\u00e0s i celiaquia Les dones embarassades que s\u00f3n cel\u00edaques cal que segueixin la dieta sense gluten com m\u00e9s estricta millor durant aquesta etapa i que evitin les transgressions puntuals o reiterades (volunt\u00e0ries o no), per evitar possibles complicacions tant en l\u2019embarassada com en el fetus, derivades de la inflamaci\u00f3 generada pels anticossos i la manca [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":949,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"spay_email":"","jetpack_publicize_message":""},"categories":[57,100],"tags":[],"jetpack_featured_media_url":"https:\/\/i1.wp.com\/www.celiacscatalunya.org\/blog\/wp-content\/uploads\/2020\/01\/pregnant-woman-wearing-beige-long-sleeve-shirt-standing-near-132730.jpg?fit=5472%2C3648&ssl=1","jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p9jMUf-fi","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/posts\/948"}],"collection":[{"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/comments?post=948"}],"version-history":[{"count":10,"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/posts\/948\/revisions"}],"predecessor-version":[{"id":1501,"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/posts\/948\/revisions\/1501"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/media\/949"}],"wp:attachment":[{"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/media?parent=948"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/categories?post=948"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.celiacscatalunya.org\/blog\/wp-json\/wp\/v2\/tags?post=948"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}