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Nutritional Requirements Throughout the Life Cycle: Conclusion

Requirements for energy and micronutrients change throughout the life cycle.  Although inadequate intake of certain micronutrients is a concern, far greater problems come from the dietary excesses of energy, saturated fat, cholesterol, and refined carbohydrate, which are fueling the current epidemics of obesity and chronic disease. Clinicians can assist patients in choosing foods that keep energy intake within reasonable bounds, while maximizing intakes of nutrient–rich foods, particularly vegetables, fruits, legumes, and whole grains.

Life Stage

Change in Nutrient Needs

Pregnancy*

Increased requirements: energy, protein, essential fatty acids, vitamin A, vitamin C, B–vitamins (B1, B2, B3, B5, B6, B12, folate, choline) & calcium, phosphorus**, magnesium, potassium, iron, zinc, copper, chromium, selenium, iodine, manganese, molybdenum

Lactation*

Increased requirements: vitamins A, C, E, all B–vitamins, sodium, magnesium**

Decreased requirements: iron

Infancy, childhood*

Increased requirements: energy, protein, essential fatty acids

Adolescence*

Increased requirements: energy, protein, calcium, phosphorus, magnesium, zinc (females only)

Early adulthood (ages 19–50)

Increased requirements for males compared with females:  vitamins C, K; B1, B2, B3, and choline; magnesium, zinc, chromium, manganese

Increased requirements for females compared with males: iron

Middle age (ages 51–70)*

Increased requirements: vitamin B6, vitamin D

Elderly (age 70+)*

Increased requirements: vitamin D

Decreased requirements: energy; iron (females only)

* Relative to adult requirements for those 19–50 years of age (and on a per–kg basis for macronutrients).
** Applies only to individuals under age 18.
For detailed nutrient recommendations, see chapters on Macronutrients and Micronutrients.

 

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