International Journal of Pharmacological Research ISSN: 2277-3312 www.ssjournals.com Journal DOI:10.7439/ijpr Phytochemicals from nine plants beneficial for pregnant women Lakshmi. D*1, N. Prasanna2 and R. Baskar3 1 Department of Biotechnology, M.G.R. College, Hosur, Tamilnadu, India. Department of Chemistry, Adhiyamaan College of Engineering, Hosur, India 3 Department of Biotechnology, Kumaraguru College of Technology, Coimbatore, India 2 Corresponding author* Lakshmi. D Lecturer, Department of Biotechnology, M.G.R. College, Hosur, Tamilnadu, India. E-mail: [email protected] Abstract The phytochemicals found in nine plants which are easily accessible to the women living in developing countries in particular is studied as the prevalence of diseases caused by lack of prenatal nutrients is high in these countries. Knowledge about these plants would help the expectant women to get the maximum prenatal nutrients like Folic acid, Iron, Vitamin B6, Zinc, Calcium, Choline and Alpha linoleic acid precursors needed to synthesize Omega 3 fats which are vital for the foetal growth and development. These plants are easily available and are affordable to the majority of poor women living in slums of the city dwellers and those who live in villages. Due to lack of knowledge, money, palatability issues, improper storage and consumption irregularities the expectant mothers in this category do not consume prescribed prenatal nutrients, affecting the mother and the foetus. Though prescribed prenatal nutrients are still very essential, same from the food sources have many benefits like they are from the complex mixture of many phytochemicals which act synergistically and provide known and unknown benefits to them. Apart from this, most of the plants listed here can be easily grown in pots or plots near their homes, manuring with kitchen wastes and without using chemical fertilizers or pesticides. Plants that provide all the prenatal nutrients and easily accessible for daily consumption by the pregnant women at an affordable cost in developing countries are Cowpea, Tomatoes, Turnip greens, Garlic, Wheat, Drumstick leaves, Cauliflower, purslane and Guava fruits. Keywords: Phytochemicals, Prenatal Nutrients, Synergistically 1. Introduction We know for a long time that a diet rich in vegetables is good for us. Many chemicals present in plants, such as those responsible for their colour, smell and flavour have been shown to be beneficial for our health. Examples include lycopene in tomatoes, B-carotene in carrots, resveratrol in the skin of red grapes and the antioxidant catechin in green tea. Many of these compounds cannot be synthesised by humans and therefore have to be sourced from our food. Some of these micronutrients, such as vitamins, have long been recognised to play a vital role in our health. But many other compounds, not yet considered essential, are likely to be beneficial, commonly referred to as phytochemicals. Lack of proper Nutririch diet during pregnancy will lead to health problems to the mother and foetus1. WHO and National Medical professionals emphasis the administration of prenatal nutrients in the recommended doses. Drugs are synthetic substitutes of the naturally occurring vitamins and minerals. Hence through this paper we suggest the expectant mothers to eat as many plants and nuts listed here to get maximum prenatal nutrients. 1.1 Health risks due to malnutrition in pregnancy Pregnant women who receive inadequate nutrition experience greater maternal morbidity2 and have a higher risk of premature delivery and miscarriage. They may also develop the following conditions: 1.Anaemia3,44, 2.Infection, 3.Lethargy and weakness, 4.Lower productivity. Under-nutrition in pregnant women is associated with a range of detrimental effects to the developing foetus, including intrauterine growth retardation (IUGR) 4 and low-birth weight5, associated with a range of adverse outcomes for the developing foetus and/or newborn baby, including an increased risk of: Stillbirth6 (some 50% of stillbirths in normally formed foetuses are attributable to IUGR), Prematurebirth, Perinatal mortality (death of the infant within seven days of birth) – infants who weigh <2.5kg are 5-30 times more likely to die within the first seven days of life compared to normal weight infants (≥2.5kg). Infants who weigh <1.5kg have a 70100 times increased risk of dying within seven days of birth, Infant (neurological, intestinal, respiratory and circulatory) disorders, Birth defects, Underdevelopment of some organs, Cretinism (a congenital condition affecting the thyroid gland which results in lack of coordination, dull facial expression and dry skin) and Brain damage 7,8. IJPR Volume 4 Issue 4 (2014) 166 Lakshmi. D et al Review Article 1.2 Health risks for the child in the long-term Maternal under-nutrition causes metabolic and other changes in the foetus, which produce ill metabolic responses following birth. A foetus that is malnourished grows at a reduced insulin and glucose production levels 9. This permanently alter the individual’s glucose and insulin metabolism throughout their life and increase the risk of chronic nutritional disorders including type 2 diabetes mellitus, metabolic syndrome and obesity and are seven times more likely to develop diabetes compared to men born at normal birth weight. The offspring of under nourished women during pregnancy have an increased risk of developing: Metabolic disorders (including Type 2 diabetes mellitus, Dyslipidaemia (abnormal concentration of lipids in the blood),Glucose intolerance (a pre-diabetes condition in which the body is unable to metabolise glucose normally), Impaired energy homeostasis (when the body does not function as it should to regulate its energy levels), Obesity, Mitochondrial dysfunction (dysfunction of the mitochondria, which is found in the cell nucleusand provides the cell energy), Oxidative stress10,49 (a state in which the body has too many reactive molecules which can cause cell damage), Ageing, Cardiovascular disorders (including Hypertension, Atherosclerosis (narrowing of the blood vessels), Stroke; andCoronary heart disease, Osteoporosis, Breast cancer, Chronic obstructive lung disease, Chronic kidney failure, Polycystic ovarian syndrome, Psychiatric disorders including schizophrenia11,47. Organ dysfunction or abnormal development of organs including the testes, ovaries, brain, heart, liver, small intestine and mammary gland, Reduced adolescent health, especially for females, Reduced health during adulthood, Infectious disease, The greatest brain growth12 occurs between 3 months before birth and 2 years of age. It is at these stages that the development of the brain’s nerve system and the connection between nerves is at its peak and so the brain requires the most energy to maintain its growth. The nerve system developing during this time determines how brain is structurally and functionally organised (cortical organisation) throughout life13. Poor foetal development may lead to :Poor performance at school, learning and developing skills, reduced ability to perform physical work and reduced economic productivity14,46. Health risks due to micronutrient deficiency during pregnancy Vitamin B12 deficiency risks pregnant women with Anaemia and its symptoms, Neurological complications15. Vitamin K deficiency is associated with blood clotting disorders, including increased clotting time which presents particular risks during delivery when women lose substantial amounts of blood, even when blood clotting functions normally. Iodine deficiency is associated with poor pregnancy outcomes including Miscarriage and Stillbirth. Zinc deficiency is associated with Pre-eclampsia (high blood pressure and urinary protein concentrations during pregnancy), Premature rupture of membranes and Preterm delivery. 2. Daily Value Considering the above risks due to nutritional deficiency during pregnancy expectant mothers should take adequate nutrition as per the recommended daily value16. The percent Daily Value (% DV) is based primarily on the 1968 Recommended Dietary Allowances (RDAs). Specifically, the % DVs for nutrients listed on the required labels are based on the highest of the 1968 RDAs. The reference values used for labelling 17 vitamins and minerals are termed the Reference Daily Intakes (RDIs), with Daily Reference Values (DRVs) established by the FDA for macronutrients, sodium, and potassium. Additional regulations later added RDIs for vitamins and minerals from the 1989 RDAs and established RDIs for vitamin K, selenium, manganese, chromium, molybdenum, and chloride. The % DV is based on the Food and Drug Administration (FDA) reference values18 and a daily 2,000 calorie diet. The table below shows the Daily Values for pregnant and lactating women. Table 1: Daily value of nutrients for pregnant women Nutrient Vitamin A Vitamin C Calcium Iron Vitamin D Vitamin E Thiamine Riboflavin Niacin Vitamin B6 Folate Vitamin B12 Biotin Pantothenic acid Phosphorus Iodine Magnesium Zinc Copper IJPR Volume 4 Issue 4 (2014) DV 8,000 60 1,300 18 400 30 1.7 2 20 2.5 800 8 300 10 1,300 150 450 15 2 Units of Measure International Unit (IU) milligrams (mg) milligrams (mg) milligrams (mg) International Unit (IU) International Unit (IU) milligrams (mg) milligrams (mg) milligrams (mg) milligrams (mg) micrograms (µg) micrograms (µg) micrograms (µg) milligrams (mg) milligrams (mg) micrograms (µg) milligrams (mg) milligrams (mg) milligrams (mg) 167 Lakshmi. D et al Review Article 3. Prenatal Nutrients and their Benefits 3.1 Folic acid Folate – or synthetically called folic acid is a B vitamin that has miraculous powers for a pre-pregnant woman in preventing neural tube defects (NTD), serious abnormalities19 of the brain and spinal cord. Studies show that if all women could consume the recommended amount of folic acid before and during early pregnancy up to 70% of all NTD, serious problem that can lead to pregnancy termination or a baby born with spina bifida, could be prevented20. Folic acid most importantly helps cellular growth and regeneration, nucleotide biosynthesis in cells, DNA synthesis and repair, red blood cell creation, and prevention of anemia. Folic acid, also known as vitamin B9, is well known for its application in the prevention of fetal deformities, Alzheimer’s disease, and several types of cancer. Fortunately, there are many foods that are available naturally are rich sources of folic acid. The metabolism of naturally occurring folate and synthetic folic acid is quite different and the folate is readily bioavailable form of vitamin B9 found in many plants and animal foods. Folic acid, while readily utilized by the body, is the synthetic form of the vitamin, often found in supplements and fortified foods. The body is more adept at using folate and will regulate healthy levels by releasing excess through the urine. Folate plays a role in DNA synthesis and repair and encourages cell and tissue growth 21. Folate helps metabolize homocysteine into methionine, an essential amino acid. Without adequate folate, homocysteine levels increase. Homocysteine22 has been linked to atherosclerosis and cardiovascular problems and cerebral stroke. An overabundance of homocysteine, or hyperhomocysteinemi23, results from a breakdown in the methionine-homocysteine metabolism. Folic acid supplementation with 0.4mg daily also encourages normal cholesterol levels 24. Often, perinatal depression,25,28 cannot be addressed with pharmaceuticals due to concern for the child. So safer natural alternatives is Folate, along with other B vitamins from diet. 3.2 Iron Iron is needed for the production of red blood cells in the body and more iron is required during pregnancy on a daily basis26 because the volume of the blood increases as the baby’s blood is also developing. Hence 18 mg of Iron is recommended daily, throughout pregnancy to meet higher demands of Iron during third trimester 27. Also it is important to take lot of fruits because all fruits contain some amount of vitamin C which helps the absorption of Iron from plant sources. 3.3 Pyridoxine Vitamin B6 is a remarkable nutrient probably involved in more body processes than any other vitamin or mineral. It's needed to break down and release energy from protein, and is important for the functioning of the nervous and immune systems. It functions primarily as a coenzyme to speed up chemical reactions in the cells. Forming red blood cells, helping cells to make proteins and brain chemicals (neurotransmitters), such as serotonin, and releasing stored forms of energy – these are just a few of the functions of vitamin B628. Getting enough B6 through the diet of supplements may help prevent heart disease. Working with folic acid and vitamin B12, this vitamin helps the body to process homocysteine, an aminoacid-like compound that has been linked to an increased risk of heart disease and other vascular disorders when large amounts are present in the blood.High doses of vitamin B6 (more than 2000 mg a day) can cause nerve damage when taken for long periods. In rare cases, prolonged use at lower doses (200 – 300 mg a day) can have the same consequences. Fortunately, nerve damage is completely reversible once you discontinue the vitamin. Vitamin B6 supplements can relieve morning sickness in pregnant women. Although the vitamin appears to be safe in the dosages typically recommended (25 mg a day), there have been no studies showing how extra vitamin B6 affects the developing baby. Women are about twice as likely as men to be deficient in vitamin B6. The difference is due to dietary choices. 3.4 Zinc Cells need zinc for about 100 different enzymes to function correctly. Zinc also becomes part of many proteins, body makes, helping keep them stable and maintaining their structure. It is also vital for maintenance of cell membranes. Zinc affects cell function in many other ways, including helping cells make hormones and communicate with each other. Zinc also helps transmit signals between nerve cells, allowing our nervous system to function normally. 3.5 Calcium Calcium is one of the vital nutrients for building the bones of the foetus. We often believe that cow’s milk is the sole source of calcium. However, other excellent and well-absorbed calcium sources for vegans include fruits and vegetables. Our bones contain large amounts of calcium, which helps to make them firm and rigid. Calcium is also needed for other tasks including nerve and muscle function and blood clotting, so important for survival, that, when dietary calcium is too low, calcium will be lost from bone and used for other critical functions 29,48. The body tightly controls calcium in the blood, so measuring blood calcium levels cannot assess calcium status. 3.6 Choline Choline is used for the synthesis of phosphatidylcholine, the principle phospholipid 30 in cell membranes. It is also needed to synthesize very low density lipoproteins (VLDL) and the neurotransmitter, acetylcholine. Along with its metabolite, betaine, choline functions as a methyl donor. 3.7 DHA (Docosahexaenoic acid) Essential fatty acids, or EFAs, are fatty acids that humans and other animals must ingest because the body requires them for good health but cannot synthesize them. Only two fatty acids are known to be essential for humans: alpha-linolenic acid (an omega-3 fatty acid) and linoleic acid (anomega-6 fatty acid). Some other fatty acids are sometimes classified as "conditionally essential," meaning that they can become essential under some developmental or IJPR Volume 4 Issue 4 (2014) 168 Lakshmi. D et al Review Article disease conditions; examples include docosahexaenoic acid (an omega-3 fatty acid) and gamma-linolenic acid (an omega6 fatty acid). Omega-3 fatty acids, a type of polyunsaturated fat that could help lower blood pressure, prevent heart disease, treat depression and boost brain health is available in oily fish or fish oil supplements. But there are other plenty of vegetarian sources to get omega-3's, including flaxseed oil, chia seeds and purslane (Table .2).Most of these vegetarian sources contain a type of omega-3 fatty acid known as alpha-linolenic acid (ALA). The omega-3's found in fish and fish oil -- and the types made by our bodies are docosahexaenoic acid (DHA) and Eicosapentaenoic acid (EPA). ALA has not been shown to have the same health benefits as DHA or EPA. Our bodies can totally convert ALA from plant sources into EPA and subsequently DHA. Because of this, the absorption of fatty acids may be greater from animal sources like fish, meat or eggs31. Diet high in Trans and saturated fat can impair the ability of our body to convert ALA into omega-3 fatty acid. The ratio of omega-3 to omega-6 fatty acids in our diet must be 1:4, for our body to utilize the benefits of omega-3 and if omega-6, which are common in seed oils and animal fats, the absorption of omega-3 would be reduced as both fatty acids compete each other for the same target. Pregnant women are recommended to consume maximum from the food sources shown in the following table (Table.2) which will give them all the required prenatal nutrients during pregnancy. Table 2: Nutritional content of selected plants for daily consumption for pregnant women ( % DV = % Daily Value requirement for a pregnant woman) S. No. Nutrient Source (serving size 100gms) 1 2 3 Iron Vit. B6 Qty % DV Qty. % DV Cowpeas 168µg 42% 1.1 mg 6% Sundried Tomatoes 15µg 4% 27 gm 27% Turnip green 194µg 49% 1.1 mg 6% Garlic and cloves 0.54µg - 0.3 mg 2% Wheat 142µg 36% 2.4 mg 13% Drumstick Leaves 40µg 10% 4 mg 22% 4 5 6 7 Folate Cauliflower 57µg 14% Purslane 12µg 3% Guava 49µg 12% 8 9 0.42 mg 1.99 mg 0.26 Mg 2% 11% 1% Qty. 0.067 mg 0.08 mg 0.263 mg 0.222 mg 0.394 mg 1.2 mg 0.184 mg 0.073 mg 0.11 mg Zinc % DV 3% 4% 13 % 12 % 20 % 60 % 9% 4% 6% Qty 1.01 mg 0.17 mg 0.19 mg 0.2 mg 2.94 mg 0.6 mg 0.27 mg 0.17 mg 0.23 mg Calcium % DV 7% 1% 1% 1% 20 % 4% 2% 1% 2% Qty. 126 mg 10 mg 190 mg 16.29 mg 26 mg 185 mg 22 mg 65 mg 18 mg Choline DHA (Omega 3) % DV Qty % DV 13% - - 1% 6.7 mg 0.01 % 19% - - 2% 4.18 mg - 3% - - - - - - - 14 mg - - - - - 112 mg 37.33% 19% 2% 7% 2% 44.3 mg 12.8 mg 7.6 mg Qty 63 mg 3 mg 84 mg 4 mg 1687 mg % DV 0.18% 1% 28% 374% (*Daily Values in percentage are based on a 2,000 calorie diet. Our daily requirement values may vary depending on our calorie needs). Table 3. Phytochemicals and pharmacological actions of cowpea and tomato – two of the nine plants selected for prenatal nutition for pregnant women Name of the Phytochemical Alanine Alpha-linoleic-acid Aluminium Argenine Ascorbic acid Beta-carotene Boron Calcium Chlorine Choline Chromium Source Cowpea, Cowpea, Cowpea, Tomato Cowpea, Tomato Cowpea, Tomato Cowpea, Tomato, Cowpea, Tomato, Cowpea, Tomato, Cowpea, Tomato, Cowpea, Tomato, Cowpea, IJPR Volume 4 Issue 4 (2014) Important Pharmacological actions Antioxydent, Antihypertensive, Anti -inflammatory, Immunostimulant, Vasodilator, Candidicide, Antivaginitic Antidiabetic, Antihypertensive, Diuretic, Pitutary-stimulant, vasodialator. Antiallergic, Antiarthritic, Antiasthmatic, Anticold, Antidementia, Antidepressant, Antidiabetic, Antidote (aluminium, cadmium, lead,paraquat), Antieczemic, Antiedemic, Antifatigue, Antigastritic, Antiginivitic, Antihangover, Antihistaminic, Antihypertensive, Antioxydant, Antiperiodontic, Antipyretic, Antirhinitic, Antiseptic, Antispasmodic, Antistress, Antisyndrome, Asthmapreventive, Cardioprotective, Detoxcant, Diuretic,Fistiula -preventive, Hypoglycemic, hypotensive Antiarthritic, Antiasthmatic, Antihyperkeratotic, Antilipoperoxidant, Antimutagenic, Antioxidant, Antistress, Antitumor(breast,stomach, colon, lung), Antixerophthalmic,Chemopreventive, Immunostimulant. Antiosteoarthritic, Estrogenic Antiallergic, Antianxiety, Antiarrhythmic, antiarthrytic, Antidepressant , antidote(aluminium,lead), Antihypertensive, Antiinsomniac, antiperiodontitic, antistress, anxiolytic: calcium-channel-blocker, Diuretic, Laxative, vasodilator. Antibacterial, Antiviral, Candidicide, Fungicide Anticirrhotic, Anticystinuric, Antidementia, Antidiabetic, Cerebrotonic, Hepatoprotective, Hypotensive, Antiatherosclerotic, Antidiabetic, Antidote(lead), Antifatigue, Antisyndrome-X, Antitriglyceride, cardioprotective, 169 Lakshmi. D et al Copper Fiber Folacin Glutamic acid Glycine Histidine Iron Leucin Linoleic-acid Phytic- acid Potassium Riboflavin Selenium Lysine Review Article Tomato, Cowpea, Tomato, Cowpea, Tomato, Cowpea, Tomato, hypotensive, insulinogenic, Antianemic, antiarthritic, antidiabetic, antifatigue, anitinflammatory, Cardioprotective, Hypocholesterolemic. Cowpea, Tomato, Cowpea, Tomato, Cowpea Cowpea Cowpea Cowpea, Tomato, Cowpea Cowpea, Tomato, Cowpea Cowpea Antiepileptic, Antihyperammenomic, Anxiolytic, neurotoxic. Magnesium Cowpea, Tomato, Cowpea Manganese Mercury Methionine Cowpea Cowpea Cowpea Molibdenum Mufa Sodium Stearic acid Stigmastrol Cowpea Cowpea Cowpea Cowpea Cowpea Tryptophan Cowpea Tyrosine Valine Zinc Cowpea Cowpea Cowpea, Tomato, 4-vinyl-guaiacol 5-hydroxytryptamine Tomato Tomato Acetic-acid Tomato Alanine Alpha-amyrin Tomato Tomato Tomato Alpha-linolenic-acid Alpha-pinene Tomato Alpha-tocopherol Tomato Aspartic-acid Bezaldehyde Tomato Tomato Benzyl-alcohol Tomato IJPR Volume 4 Issue 4 (2014) Angiotensin-Receptor block,Antidiabetic,Antihypertensive, Antitumor, Antiulcer, Laxative, vasodilator. Antianemic, Anticervicaldysplastic, Antidepressant, Antigingivitic, Antimyelotoxic, Antinephropathic, Antipsychotic, Antispina-bifida, Hematopoetic. Antacid, Antiencephalopathic, Antipruritic, Antiulcer, cancer-preventive, uricosuric. Antiarteriosclerotic, Antinephritic, antioxidant, antiulcer,antiuremic Antianemic, Anticheilitic, Antimenorrhagic, Prooxidant. Antiencepalopathic. 5-Alpha-Reductase-Inhibitor, Antianaphylactic, Antiarteriosclerotic, Antiarthritic, Antieczemic, Antifibrinolytic, Antigranular, Antihistaminic, Antimenorrhagic Antiagreggant, Anticancer, Antioxidant, Fungicide, Antiarrhythmic, Antidepressant, Antifatigue, Antihypertensive, Antispasmodic, Antistroke, Anxiolytic, Betablocker, cardiopretective, Diuretic,Vasoldilator Antiarabiflavinotic, Anticataract, Anticephalagic, Anticervicaldysplastic, Antikeratitic, Antioxidant. Analgesic, Anorexic, Antiacne, Antiangiogenic, Antiarthritic, Antiashtmatic, Anticirrhotic, Anticlimateric, Antidandruff, Antidepressant, Antidote(mercury), Antifibrotic, Antigout, AntiHIV; Antikeshan, Antioxidant, Antisyndrome – X SYN-X,Antitumor,Antiulcerogenic, Anxiolytic, Cardioprotective, Immunostimulant, cancerpreventive, Hepatoprotective. Antialkalotic,Antiherpetic, Antiaggregant, Antialcoholic, Antiangina, Antianxiety, Antiarrhythmic, Antiarthritic, Antiasthmatic, Anticonvulsant, Antidepressant, Antidiabetic, Antidysmenorrheic, Antiendometriotic, Antifibromyalgic, Antihypertensive, Antimitral valve prolapse, Antinephritic, Antineurotic, Antiplague, Antiretinopathic, Antiplague, Antistress, Antistroke, Antisyndrome-X, Calcium-Antagonist, cardioprotective, CNSdepressant, Diurectic, Hypotensive, Insuliongenic, Laxative,Myorelaxant, Neurotransmitter, tranquilizer, Uterorelaxant, Vasodilator. Antialcoholic, Antianemic, Antidiabetic, Antiepileptic, Antioxidant, Antisyndrome-X, Nephrotoxic Anticataract, Antidote(acetaminophen), Antieczemic, Antihepatotic, Antioxidant, antiparkinsoinan, cancerpreventive, Emetic, Hepatoprotective, Urine-acidifier. Anticancer (Esophagus) Allergenic, Anemiagenic, Antiinflammatory, Cancerpreventive, Perfumery, Percutaneostimulant. Hypertensive. 5-Alpha-Reductase inhibitor, Cosmetic, Hypochesterolemic, Lubricant. Antiheptotoxic, Antiinflammatory, Antioxidant, Antiviral, Estrogenic, Cancerpreventive, Hypochesterolemic, Ovulant, Sedative. Analgesic, Antianxiety, Antidementia, Antidepressant, Antihypertensive, Antimigraine, Antioxidant, Antiparkinsonian, Antiphenylketonuric, Antipsychotic, Hypnotic, Hypoglycemic, Hypotensive, Insulinaseinhibitor, Monoamine precursor, Seratoninergic. Antiparkinsonian, Antiencephalopathic, Antiphenylketnuric, Antiulcer, Cancer-preventive, Monoamine precursor. Antiencephalopathic. Analgesic, Antiacrodermatitic, Anticold, Anticolitis, Antidiabetic, Antidote For cadmium, AntiHIV, Antiinfective, Antimetastatic, Antineuropathic, Antiperiodontitic, Antisyndrome-X, Antiulcer, Astringent, Collagenic, CopperAntagonist, Ergogenic, Hypotensive, Immunomodulator, Immunosuppressant, Immunostimulant, Insulogenic, Mucogenic, Trichomonicide. Antiedemic, Antiinflammatory, Antiprostaglandin, Prostaglandin-Synthesis-Inhibitor. Allergenic, Antidepressant, Antidote (Manganese), Antimutilation, Antiparkinsonian, Antitourette, CancerPreventive, Cerebrophilic, Hypertensive, Insecticide, Secretogogue, Spasmogenic, Ulcerogenic, Vasoconstrictor . Acidulant, Antibacterial, Antiotitic, Antisalmonella, Antivaginitic, Expectorant, Keratitigenic, Mucolytic , Osteolytic Antioxidant, Cancer-Preventive, Oxidant. Analgesic, Antiedemic, Antiinflammatory, ntinociceptive; Antitumor, Antiulcer, Cytotoxic, Gastroprotective, Hepatoprotective , 5-Alpha-Reductase-Inhibitor, Antiaggregant, Antihypertensive, Antiinflammatory, Antileukotriene-D, Antimenorrhagic, Antimetastatic, Antiprostatitic, Cancer-Preventive, Hypotensive, Immunostimulant, Lymphocytogenic, Propecic,Prostaglandin-Synthesis-Inhibitor, Vasodilator. Allelochemic; Allergenic, Antiacne, Antibacterial, Antifeedant, Antiflu, Antiinflammatory, Antipneumonic, Antiseptic,Antispasmodic; Antistaphylococcic, Antiviral, Cancer-Preventive, Coleoptophile, Expectorant, P4502B1-Inhibitor. Antialzheimeran, Antianginal, Antiarthritic, Antiasthmatic, Antiatherosclerotic, Anticancer, Anticataract,Anticonvulsant, Antidementia, Antidiabetic, Antiinfarctal, Antiischemic , Antimaculitic, Antimutagenic, Antineuropathic, Antioxidant,Antiparkinsonian,Antiradicular, Antiretinotic, Antistroke, Antitumor, Cardioprotective, Circulotonic, Immunomodulator. Antisickling, Diuretic, Antimorphinic, Neuroexitant. Allergenic, Anesthetic, Antibacterial, Anticancer, Antimutagenic, Antipeptic, Antiseptic, Antispasmodic, Candidicide, Motordepressant, Narcotic, Sedative, Tyrosinase-Inhibitor. Allergenic, anesthetic, Antipruritic, Antiseptic, Fungiside, sedative, Avicide. 170 Lakshmi. D et al Review Article Beta-amyrin Tomato Beta-sistosterol Tomato Betaine Tomato Biotine Chlorogenic-acid Tomato Tomato Chlorophyll Tomato Cinnamaldehyde Tomato Citral Tomato Ethanol Tomato Ethylene Eugenol Tomato Tomato Ferulic-acid Tomato Formic-acid Tomato Fructose Fumric-acid Furfural Gaba Tomato Tomato Tomato Tomato Gama-carotene Glucose Tomato Tomato Glutamic acid Glyceric-acid Glycolic-acid Guaiacol Tomato Tomato Tomato Toamto Histidine Iodine Tomato Tomato Iron Isoleucine Lactic-acid Leucin Lutein Tomato Tomato Tomato Toamto Tomato Lycopene Malic-acid Tomato Tomato Manganese Tomato Mercury (0.002ppm) Methanol Methionine Tomato Tomato Tomato Methyl-salicylate Tomato Molybdenum Myristic-acid Narcotine Naringenin Tomato Toamto Tomato Tomato Neo-chlorogenic-acid Niacin Tomato Tomato IJPR Volume 4 Issue 4 (2014) Analgesic, Antiemtic, Antiinflamatory, antinociceptive, Antiulcer, Gastroprotective, Hepatoprotective, Larvicide, Mosquitocide. Androgenic, Anorexic, Antiadenomic, Antiandrogenic, Antibacterial, Anti-cancer, Antiedemic, Antigonadotropic, Antihyperlipproteinaemic, , Antilymphomic, Antigonadotropic, Antimutamutagenic, Hepato -protective, Antiviral, Apoptotic, Antileukimic Abortifacient, Antigastric, Antihomocystinuric, Antimyoatrophic, Bruciphobe, Cardioprotective, Diuretic, Expectorant, Hepatoprotective, mucogenic. Antidermatitic, Antineuralgic, Antiseborrheic. Aldose-Reductase-Inhibitor, Antibacterial, Anticancer, Antidiabetic, Antigenotoxic, Antigonadotropic, Antiherpetic, Antihistaminic, Antileukotriene, Antitumor (Forestomach) , Antitumor (Liver), Antitumor (Skin), Antihypercholesterolemic, Antihyperthyroid, Cholagogue, Antiradicular, Metalchelator, sunscreen ,Sweetener. Antibacterial, Anticancer, Antidecubitic, Antihalitosic, Antiotitic, Antioxidant, Antiulcer, Antirhinitic, Antisinusitic, Acaricide, Adrenergic, Allelochemic, Allergenic, Anesthetic, Antiescherichic, Antiherpetic, Antiinflammatory , Antiklebsiellic, Antileukemic, Antimutagenic, Antipneumonic, Hypotensive, Histaminic, Lipoxygenase-Inhibitor, CNS-Depressant, Circulatory-Stimulant, Lipoxygenase-Inhibitor, Tranquilizer, Tyrosinase-Inhibitor, Vasodilator. Allergenic, Antiallergenic, Antiallergic, Antianaphylactic , Antibacterial, Anticancer, Antihelicobacter, Antiherpetic, Antihistaminic, Antishock, Antispasmodic, Antitumor, Bronchorelaxant , Estrogenic, Chemopreventive, Anticalculic, Anticoagulant. Allergenic, Anesthetic, Anhydrotic, Antiatherosclerotic, Antibacterial, Antipruritic, Antiseptic, CNSDepressant, Expectorant, Hepatotoxic, Hypertensive, Hypnotic Antidote=Naloxone, Hypocalcemic, Hypotensive, Mucotropic, Neurolytic. Anesthetic Acaricide, Allergenic, Analgesic, Anesthetic , Antiaggregant , Antiarachidonate , Antibacterial, Anticonvulsant, Antiedemic, Antiestrogenic, Antifeedant, Antigenotoxic, Antiherpetic, Antispasmodic, Antistaphylococcic, Hepatoprotective. Allelopathic, Analgesic, Antiaggregant, Antiallergic, Antiarrhythmic, Antibacterial, Anticancer, Antidysmenorrheic , Antiestrogenic, Antihepatotoxic, Antiherpetic, Antiinflammatory, Antileukemic, Antimitotic, Antimutagenic, Antineoplastic(Stomach). Acaricide, Antiseptic, Antisyncopic, Astringent, Corrosive, Counterirritant, FungisFungitoxic, Irritant, Preservative, Toxic. Antialcoholic, Antidiabetic, Antihangover, Antiketotic, Antinauseant, Laxative, Neoplastic, Sweetener Acidulant, Antidermatitic, Antihepatocarcinogenic , Antioxidant, Antipsoriac, Antitumor. Antiseptic, Fungicide, Insecticide. Analeptic, Anticephalagic, Anticerebrotic, Antichoreic, Anticonvulsant, Antihypertensive, Antiinsomniac, Antilethargic, Antistress, Antitinnitic, Anxiolytic, Hypotensive. Previtamin-A, colorant. / Acetylcholinergic, Antiedemic, Antihepatotoxic, Antiketotic, Antivaricose, Hyperglycemic, MemoryEnhancer. Acetylcholinergic, Antiedemic, Antihepatotoxic, Antiketotic, Antivaricose, Hyperglycemic, Memory-Enhancer. Antiepileptic, Antihyperammonemic, Antilithic, Antiprostatitic, Antiretardation, Anxiolytic, Neurotoxic. Cholesterolytic, Diuretic, Hepatotonic. Cholesterolytic, Diuretic, Hepatotonic. Anesthetic, Antibacterial, Antidermatitic, Antieczemic, Antiesophagitic, Antiseptic, Antituberculic, Cardiodepressant, Cardiotonic, Dermal, Emetic, Expectorant, Insectifuge, Transdermal. Antiarteriosclerotic, Antinephritic, Antioxidant, Antiulcer, Antiuremic, Acnegenic, Antibacterial, Antigoiter, Antiseptic, Antithyrotoxic, Antiviral, Dermatitigenic, Fungicide, Goitrogenic, Hyperthyroid, Protisticide, Thyrotropic. Antiakathisic, Antianemic, Anticanker; Anticheilitic, Antimenorrhagic. Antiencephalopathic?, Antipellagric. Acidulant, Antileukorrheic, Antioxidant Synergist, Antivaginitic, Antixerotic, Keratolytic Antiencephalopathic Antiatherosclerotic, Anticancer (Breast), Antimaculitic, Antinyctalopic, Antioxidant, Antiproliferant, Antiradicular, Antiretinitic Optometry, Retinoprotectant Optometry, Ubiquiot. Anticancer, Hypocholesteriolemic, Prooxidant. Antiatherosclerotic, Antibacterial, Antifibromyalgic, Antioxidant Synergist, Antiseborrheic, Antiseptic, Antitubercular, Antitumor, Bacteristat, Hemopoietic, Laxative?, Mycobactericide. Antialcoholic, Antianemic, Antiarthritic, Antidiabetic , Antidiscotic, Antidyskinetic, Antiepileptic, Antiosteoporotic, Antiototic, Antioxidant, Antisyndrome-X, Hypoglycemic Nephrotoxic Antidote =Sodium-bicarbonate, AntiHIV Anticataract, Antidote (Acetaminophen), Antieczemic, Antihepatotic, Antioxidant, Antiparkinsonian, CancerPreventive, Emetic, Glutathionigenic, Hepatoprotective, Lipotropic, Urine-Acidifier, Urine-Deodorant Allergenic, Analgesic, Anaphrodisiac, Antiinflammatory, Antioxidant, Antipyretic, Antiradicular, Antirheumatalgic, Antiseptic, Antitartar, Cancer-Preventive, Carminative, Counterirritant, Dentifrice, Fungicide, Herpetifuge, Insectifuge Anticancer (Esophagus)? Antioxidant , Cancer-Preventive , Lubricant, Hypercholesterolemic, Nematicide. Analgesic, Antiherpetic, Antitussive, Antiviral, Artemicide, Sedative. 11B-HSD-Inhibitor, Aldose-Reductase-Inhibitor, Antiacetylcholinesterase, Antiaflatoxin, Antiaggregant Antialzheimeran, Antiamnesic, Antiamyloid-Beta, Antibacterial, Anticancer, Antiescherichic, etc., Antiinflammatory Allergenic, Antiacrodynic, Antiallergic, Antialzheimeran , Antiamblyopic, ntianginal, Anticataract, 171 Lakshmi. D et al Review Article Oxalic-acid P-coumaric-acid Tomato, Tomato Palmitic-acid Tomato Pantothenic-acid Pectin Tomato Tomato Phenol Tomato, Phosphorus Phytosterols Quercetin Tomato Tomato Rishintin Rutin Tomato Tomato Salicylaldehyde Selenium Serine Silver Solanine Sqaline Tomato Tomato Tomato Tomato Toamto Tomato Starch Stearic-acid Stigmasterol Tomato Tomato Tomato Succinic-acid Sulfur Tomato Tomato Tartaric-acid Thiamin Tomato Tomato Treonine Trypamine Tryptophan Tyramine Tomato Tomato Tomato, Tomato, Tyrosine Valine Vanadium Xanthophyll Zeatin Zeaxanthin Tomato Tomato Tomato Tomato Tomato Tomato Antichilblain, , Antidementia, Antidermatitic, Antidiabetic, Antidysphagic, Antiepileptic, Antihangover, Antihistaminic, Antihyperactivity , Antiinsomnic, etc., Acaricide, Antiseptic, CNS-Paralytic, Fatal, Hemostatic, Irritant, Pesticide, Renotoxic, Varroacide. Aldose-Reductase-Inhibitor, Allelopathic, Antibacterial, Anticlastogen, Antifertility, Antihepatotoxic, Antileukemic, Antinitrosaminic, Antioxidant, Antiperoxidant, Antiseptic, Prostaglandin-Synthesis-Inhibitor, Tyrosinase-Inhibitor. 5-Alpha-Reductase-Inhibitor, Antialopecic, Antiandrogenic, Antifibrinolytic, Antioxidant, Hypercholesterolemic, soap. Antiallergic, Anticephalagic, Anticlaudificant?, Antidermatitic, Antihypercholesterolemic, Antifatigue . Antiatheromic, Antibacterial, Antidiabetic, Antidiarrheic, Antienteritic, Antigallstone, Antigastritic, Antilithic, Antimetastatic, Antimutagenic, Antiobesity. Analgesic , Anesthetic , Antibacterial, Antihemorrhoidal , Antihydrocoele , Antiincontinence , Antionychogryphotic, Antiotitic , Antioxidant , Antiprostatitic , Antipyruvetic , Antiseptic , Antisinusitic, Antispastic , Antiviral , Antiwrinkle , etc., Antiosteoporotic, Anxiolytic, Immunostimulant, Osteogenic. Antiprostatotic, Hypocholesterolemic. 5, -Lipoxygenase-Inhibitor, Aldose-Reductase-Inhibitor , Antiaging , Antiaging, Antiarthritic , Antiasthmatic; Antiatherosclerotic , Anticataract, Antihepatotoxic, etc., Antibacterial, Fungiside, Herbiside, Neamtistat. 5-HT-Inhibitor, Aldehyde-Oxidase-Inhibitor, Aldose-Reductase-Inhibitor, Allelochemic, Antiaggregant , Antiallergic, Antiapoplectic, Antiatherogenic; Antiatherosclerotic, Antibacterial. Anticancer, etc., Allelochemic, Pesticide, Sprout-Inhibitor. Analgesic, Anorexic, Antiarithmic, AntiHIV, Antioxidant, Antidote(mercury), Antifibrotic, etc., Cncer-Preventive Antibacterial, Astringent, Pesticidie. Analgesic, Antiasthmatic, Antibronchitic, Anticholinesterase, cardiodepressant, cardiotonic, narcotic, etc., Antibacterial, Antioxidant, Antitumor, Cancer-Preventive, Chemopreventive, Immunostimulant, Lipoxygenase-Inhibitor, Sunscreen. Absorbent, Antidote (Iodine), Antinesidioblastosic, Emollient, Poultice. 5-Alpha-Reductase-Inhibitor, Hypocholesterolemic, Lubricant, Suppository. Antihepatotoxic, Antiinflammatory, Antinociceptive, Antiophidic, Antioxidant , Antivira, Artemicide, CancerPreventive, Estrogenic; Hypocholesterolemic , Ovulant, Sedative. Additive, Antifeedant, Dye, Cancer-Preventive. Antiarthritic, Antidandruff, Antiseptic, Comedogenic, Laxative, Antiseborrheic, etc., Acidifier, Additive, Antioxidant Synergist, Irritant, Sequestrant . Analgesic, Antialcoholic, Antialzheimeran, Antianorectic, Antibackache, Antiberiberi, Anticardiospasmic, Anticataract, Anticolitic, etc., Antioxidant?, Antiulcer, Flavour. Antiamebic, Hypertensive, Vasopressor. Analgesic, Antiaxiety, Antidementia, Antidepressant, Antihypertensive, Antiinsomniac etc., Adrenergic, Antiaggregant, Cardiovascular, Hypertensive, Insectifuge, Neurotoxic, Sympathomimetic, Vasoconstrictor, Vasopressor. Antidepressant?,Antiencephalopathic, Antiphenylketonuric, Antiulcer ,etc., Antiencephalopathic. Antiatherosclerotic,Antidiabetic,Antiinfertility, Antiinsulinogenic,Antimanic,etc., Bruchifuge, Insectifuge,Pesticide. Mitotic,Phytohormonal. Anticancer (Breast), Antitumor (Breast), Colorant, Hepatoprotective. Above exhaustive list of phytochemicals present in two of the nine plants selected shows that there are a lot of phytochemicals present in each plant and each phytochemical possess many pharmacological actions good for the pregnant women32. More than their individual pharmacological actions their synergistic actions of phytochemicals in the plant sources suggests that two or more such foods may be added in every day dietfor better health of the baby and mother. Phytochemicals and their actions of other seven plants are not listed here for want of space. Hence the Table 4 shows number of phytochemicals in each plant source for us to imagine the synergistic pharmacological benefits we may get from these plants. Table 4: Number of phytochemicals present in each plant S.No. Name of the plant Number of Phytochemicals present 1 Cowpea (Vignaunguiculata) 122 2 Tomato (Lycopersiconesculantum) 289 3 Turnip greens (Brassica rapa) 3* 4 Garlic (Allium sativum) 189 5 Wheat (Triticumspp) 161 6 Drumstick leaves (Moringaoleifera) 19 7 Cauliflower (Brassica oleracea) 122 8 Purslane (Portulacaoleracea subsp. Sativa) 116 9 Guava (Guava psidium) 98 *Zeaxanthins, ascorbic acid and high calcium content present. IJPR Volume 4 Issue 4 (2014) 172 Lakshmi. D et al Review Article 4. Conclution Selective consumption of food during pregnancy will certainly enhance the health of mother and foetus33,50. But all the nutrients in recommended quantity may not be had from the phytonutrients alone 34. Hence monthly antenatal checks and administration of prescribed prenatal drugs are a must for the pregnant women. The significance of this study lies in understanding the importance of consuming recommended nutrients as much as possible from the plant sources as they are easily available, palatable, cost effective, contains mixture of many phytochemicals with many known and unknown protective and nutritive benefits. In fact prescribed nutrient pill with all nutrients may be unaffordable for the poor women living in villages in developing countries35,36,43 and what at present they are provided at the public health facilities21 may have inadequate micronutrients37,38,45 and DHA. Currently Andrographispaniculata (Nilavembu in tamillanguage) extract and papaya leaf (carica papaya) extract are used to treat viral fevers in all hospitals in south India as their effectiveness was proved, when the chemical drugs failed and mortality ensued in large number of cases 39,40. There are many such examples where health professionals and patients used phytochemicals in combination with drugs 41 throughout medical history. Food is good source of health if administered with proper knowledge and in this connection pregnant woman must eat one or more of vegetables, grains and fruits that we recommend here, readily available in their living places. Consumption of egg and fish are also essential during pregnancy, for DHA and protein supply. Natural phytochemicals have no toxic effects42, which can be eaten freely by the expectants in tastes they like. References 1. Scholl TO, Hediger ML, Ances IG. Maternal growth during pregnancy and decreased infant birth weight. Am J Clin Nutr 1990;51: p.790–3. 2. Institute of Medicine Committee on Nutritional Status During Pregnancy and Lactation. Washington, DC: National Academy Press, 1990. 3. Scholl TO, Hediger ML. Anemia and iron-deficiency anemia: compilation of data on pregnancy outcome. Am J Clin Nutr 1994; 59(suppl):492S–500S. 4. De Onis M, Bloosner M, Villar J. Levels and patterns of intrauterine growth retardation in developing countries. Eur J Clin Nutr 1998;52(suppl):S p.5–15. 5. Fall CH, Stein CE, Kumaran K, Cox V, Osmond C, et al. Size at birth, maternal weight, and type 2 diabetes in South India. Diabet Med 1998; 15: p.220-227. 6. World Health Organization/United Nations Children's Fund. Revised 1990 estimates of maternal mortality: a new approach by WHO and UNICEF. Geneva: WHO, 1996. (WHO/FRH/MSM/96.11.) 7. Lechtig A, Shrimpton R. Maternal nutrition: what relevance for childrens' survival and development? In: Kretchmer N, Quilligan EJ, Johnson JD, eds. Prenatal and perinatal biology and medicine. Chur, Switzerland: Harwood Academic Publishers, 1997: p.93–160. 8. Grantham-McGregor SM. The effect of malnutrition on mental development. In: Waterlow JC, Grantham-McGregor SM, Tomkins A, eds. Protein energy malnutrition in third world children. London: E Arnold of Hodder Stoughton Ltd, 1992: p.344–60. 9. Leon DA. Fetal growth and adult disease. Eur J Clin Nutr1998;52(suppl):S p.72–82. 10. Elenkov IJ, Chrousos GP 1999 Stress Hormones, Th1/Th2 patterns, Pro/Anti-inflammatory Cytokines and Susceptibility to Disease. Trends EndocrinolMetab 10: p.359-368. 11. Schenk S, Saberi M, Olefsky JM (2008) Insulin sensitivity: modulation by nutrients and inflammation. J Clin Invest 2008; 118: p. 2992-3002. 12. Nokes C, van den Bosch C, Bundy DAP. The effects of iron deficiency and anemia on mental and motor performance, educational achievement, and behavior in children: a report to the International Anemia Consultative Group. Washington, DC: ILSI Press, 1998. 13. Aagaard-Tillery KM, Grove K, Bishop J, Ke X, Fu Q, et al.Developmental origins of disease and determinants of chromatin structure: maternal diet modifies the primate fetal epigenome. J Mol Endocrinol 2008; 41: p.91-102. 14. Baker J, Martin L, Piwoz E. The time to act: women's nutrition and its consequences for child survival and reproductive health in Africa. Washington, DC: US Agency for International Development, SARA Project, 1996. 15. Merchant KM, Kurz KM. Women's nutrition through the life cycle: social and biological vulnerabilities. In: Koblinsky M, Timyan J, Gay J, eds. The health of women: a global perspective. Boulder, CO: Preview Press, 1993. 16. National Research Council (NRC). Recommended dietary allowances, 10th ed. Washington, DC: National Academy Press; 1989. 17. Food and Drug Administration (FDA). Food labelling; mandatory status of nutrition labelling and nutrient content revision; format of nutrition label. Final rule. Fed Regist. 1993;58: p.2079-2205. 18. Food and Drug Administration (FDA). Food labelling: Reference Daily Intakes, Part II; Final rule. Fed Regist. 1995;60: p.67164-67175. 19. Manniën J, de Jonge A, Cornel MC, Spelten E, Hutton EK. Factors associated with not using folic acid supplements preconceptionally. Public Health Nutr. 2013 Oct 10: p.1-7. 20. Kondo A, Morota N, Ihara S, Saisu T, Inoue K, Shimokawa S, Fujimaki H, Matsuo K, Shimosuka Y, Watanabe T. Risk factors for the occurrence of spina bifida (a case-control study) and the prevalence rate of spina bifida in Japan. Birth Defects Res A Clin Mol Teratol. 2013 Sep;97(9): doi: 10.1002/bdra.23179.p.610-5. 21. Ebisch IM, Thomas CM, Peters WH, Braat DD, Steegers-Theunissen RP. The importance of folate, zinc and antioxidants in IJPR Volume 4 Issue 4 (2014) 173 Lakshmi. D et al Review Article the pathogenesis and prevention of subfertility. Hum Reprod Update. 2007 Mar-Apr;13(2): Epub 2006 Nov 11.p. 163-74. 22. Joseph J, Loscalzo J. Methoxistasis: integrating the roles of homocysteine and folic acid in cardiovascular pathobiology. Nutrients. 2013 Aug 15;5(8): doi: 10.3390/nu5083235. p. 3235-56. 23. Terwecoren A, Steen E, Benoit D, Boon P, Hemelsoet D. Ischemic stroke and hyperhomocysteinemia: truth or myth? Acta Neurol Belg. 2009 Sep;109(3):p.181-8. 24. Mierzecki A, Koda K, Bukowska H, Chestowski K, Makarewicz-Wujec M, Kozowska-Wojciechowska M. Association between low-dose folic acid supplementation and blood lipids concentrations in male and female subjects with atherosclerosis risk factors. Med SciMonit. 2013 Sep 4;19: doi: 10.12659/MSM.889087.p.733-9. 25. Song JH, Park MH, Han C, Jo SA, Ahn K. Serum Homocysteine and Folate Levels are Associated With Late-life Dementia in a Korean Population. Osong Public Health Res Perspect. 2010 Dec;1(1): doi: 10.1016/j.phrp.2010.12.006.p.17-22. 26. Viteri FE. The consequences of iron deficiency and anemia in pregnancy. In: Allen L, King J, Lonnerdal B, eds. Nutrient regulation during pregnancy, lactation, and infant growth. New York: Plenum Press, 1994: p.127–40. 27. National Research Council (NRC). Recommended dietary allowances, 7th ed. Washington, DC: National Academy of Sciences; 1968. 28. Rechenberg K, Humphries D. Nutritional interventions in depression and perinatal depression. Yale J Biol Med. 2013 Jun 13;86(2): Print 2013 Jun.p127-37. 29. Galloway R, Cohen A, eds. Indicators for reproductive health program evaluation: final report of the subcommittee on women's nutrition. Washington, DC: US Agency for International Development, Evaluation Project, 1995. 30. Busetto GM, Koverech A, Messano M, Antonini G, De Berardinis E, Gentile V. Prospective open-label study on the efficacy and tolerability of a combination of nutritional supplements in primary infertile patients with idiopathic astenoteratozoospermia. Arch ItalUrolAndrol. 2012 Sep;84(3): p.137-40. 31. Greenberg AS, Obin MS Obesity and the role of adipose tissue in inflammation and metabolism. Am J Clin Nutr 2006; 83: 461S-465S. 32. Herrera MG, Mora JO, de Paredes B, Wagner M. Maternal weight/height and the effect of food supplementation during pregnancy and lactation. In: Aebi H, Whitehead R, eds. Maternal nutrition during pregnancy and lactation. Vienna: Hans Huber Publishers, 1980: p.252–63. 33. Holmboe-Ottesen G, Mascarenhas O, Wandel M. Women's role in food chain activities and the implications for nutrition. Geneva: World Health Organization, 1989. (ACC/SCN state-of-the-art series nutrition policy discussion paper no. 4. 1989.) 34. Stewart MK, Stanton CK, Ahmed O. Maternal health care. Demographic and health surveys (DHS) comparative studies no. 25. Calverton, MD: Macro International, Inc, 1997. 35. Brems S, Berg A. “Eating down” during pregnancy: nutrition, obstetric and cultural considerations in the third world. Discussion paper prepared for the ACC/ACN. Washington, DC: World Bank, Population, Health and Nutrition Division, 1988. 36. Behrman JR, Deolalikar AB. The intrahousehold in rural India: individual estimates, fixed effects and permanent income. J Hum Resour 1990;25: p.665–96. 37. Institute of Medicine Committee to Study Outreach for Prenatal Care. Prenatal care: reaching mothers, reaching infants. Washington, DC: National Academy Press, 1988. 38. King JC, Butte NF, Bronstein MN, Kopp LE, Linquist SA. Energy metabolism during pregnancy: influence of maternal energy status. Am J Clin Nutr1994;59(suppl): p.439S–45S. 39. Leslie J, Rao Gupta G. Utilization of formal services for maternal nutrition and health care in the third world. Washington, DC: International Research Center for Research on Women, 1989. 40. Bhatia D, Seshadri S. Growth performance in anemia following iron supplementation. Indian Pediatr 1993;30: p.195–200. 41. Olson CM. Promoting positive nutritional practices during pregnancy and lactation. Am J Clin Nutr 1994;59(suppl): p.525S– 30S. 42. Ashmore JH, Lesko SM, Muscat JE, Gallagher CJ, Berg AS, Miller PE, Hartman TJ, Lazarus P. Association of dietary and supplemental folate intake and polymorphisms in three FOCM pathway genes with colorectal cancer in a population-based case-control study. Genes Chromosomes Cancer. 2013 Oct;52(10): p.945-53. 43. Hamilton S, Popkin B, Spicer D. Women and nutrition in third world countries. South Hadley, MA: Bergin and Garvey Publishers, 1984. 44. Yip R. Iron supplementation during pregnancy: is it effective? Am J Clin Nutr 1996;63:p.853–5. 45. Naeye RL. Weight gain and the outcome of pregnancy. Am J Obstet Gynecol1979;135: p.3–9. 46. Galic S, Oakhill JS, Steinberg GR Adipose tissue as an endocrine organ. Mol Cell Endocrinol (2010) 316: p.129-139. 47. Wang H, Hertlein E, Bakkar N, Sun H, Acharyya S, et al. NF-kappaB regulation of YY1 inhibits skeletal myogenesis through transcriptional silencing of myofibrillar genes. Mol Cell Biol (2007) 27: p.4374-4387. 48. Langen RC, Van Der Velden JL, Schols AM, Kelders MC, Wouters EF, et al. Tumor necrosis factor-alpha inhibits myogenic differentiation through MyoD protein destabilization. FASEB J 2004;18: p.227-237. 49. Kern PA, Ranganathan S, Li C, Wood L, Ranganathan G Adipose tissue tumor necrosis factor and interleukin-6 expression in human obesity and insulin resistance. Am J Physiol Endocrinol Metab 2001; 280 E: 745-751. 50. Soysa P. Women and nutrition. World Rev Nutr Diet 1987;52: p.1–70. IJPR Volume 4 Issue 4 (2014) 174
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