{"id":65382,"date":"2025-06-10T05:00:59","date_gmt":"2025-06-10T08:00:59","guid":{"rendered":"https:\/\/nutritotal.com.br\/pro\/?p=65382"},"modified":"2025-06-03T19:51:22","modified_gmt":"2025-06-03T22:51:22","slug":"toda-gestante-precisa-suplementar-calcio","status":"publish","type":"post","link":"https:\/\/nutritotal.com.br\/pro\/toda-gestante-precisa-suplementar-calcio\/","title":{"rendered":"Toda gestante precisa suplementar c\u00e1lcio?"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_75 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Conte\u00fado<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/nutritotal.com.br\/pro\/toda-gestante-precisa-suplementar-calcio\/#Em_primeiro_lugar_qual_e_o_papel_do_calcio_na_gestacao\" >Em primeiro lugar, qual \u00e9 o papel do c\u00e1lcio na gesta\u00e7\u00e3o?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/nutritotal.com.br\/pro\/toda-gestante-precisa-suplementar-calcio\/#Toda_gestante_precisa_suplementar_calcio\" >Toda gestante precisa suplementar c\u00e1lcio?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/nutritotal.com.br\/pro\/toda-gestante-precisa-suplementar-calcio\/#Como_suplementar_calcio_na_gestacao\" >Como suplementar c\u00e1lcio na gesta\u00e7\u00e3o?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/nutritotal.com.br\/pro\/toda-gestante-precisa-suplementar-calcio\/#Proximos_passos_para_acesso_e_distribuicao\" >Pr\u00f3ximos passos para acesso e distribui\u00e7\u00e3o<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/nutritotal.com.br\/pro\/toda-gestante-precisa-suplementar-calcio\/#Referencias\" >Refer\u00eancias:<\/a><\/li><\/ul><\/nav><\/div>\n<p><span style=\"font-weight: 400;\">Recentemente, a suplementa\u00e7\u00e3o de c\u00e1lcio na gesta\u00e7\u00e3o voltou aos holofotes com a publica\u00e7\u00e3o da Nota T\u00e9cnica Conjunta n\u00ba 251\/2024 pelo Minist\u00e9rio da Sa\u00fade.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Entre os diversos nutrientes com demanda aumentada durante esse per\u00edodo, o c\u00e1lcio se destaca por seu papel fundamental na regula\u00e7\u00e3o da press\u00e3o arterial e na preven\u00e7\u00e3o de complica\u00e7\u00f5es graves, como a <\/span><a href=\"https:\/\/nutritotal.com.br\/pro\/material\/hipertensao-gestacional\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">pr\u00e9-ecl\u00e2mpsia<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<div id=\"attachment_65384\" style=\"width: 1160px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-65384\" class=\"wp-image-65384 size-full\" src=\"https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2025\/06\/portal-para-nutricionistas-suplementar-calcio.png\" alt=\"suplementar c\u00e1lcio\" width=\"1150\" height=\"460\" srcset=\"https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2025\/06\/portal-para-nutricionistas-suplementar-calcio.png 1150w, https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2025\/06\/portal-para-nutricionistas-suplementar-calcio-300x120.png 300w, https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2025\/06\/portal-para-nutricionistas-suplementar-calcio-768x307.png 768w, https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2025\/06\/portal-para-nutricionistas-suplementar-calcio-1024x410.png 1024w\" sizes=\"(max-width: 1150px) 100vw, 1150px\" \/><p id=\"caption-attachment-65384\" class=\"wp-caption-text\">Fonte: Canva<\/p><\/div>\n<p><span style=\"font-weight: 400;\">Afinal, toda gestante precisa mesmo suplementar c\u00e1lcio, ou a alimenta\u00e7\u00e3o balanceada \u00e9 suficiente? Confira com base nas novas recomenda\u00e7\u00f5es.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Em_primeiro_lugar_qual_e_o_papel_do_calcio_na_gestacao\"><\/span><b>Em primeiro lugar, qual \u00e9 o papel do c\u00e1lcio na gesta\u00e7\u00e3o?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">O c\u00e1lcio \u00e9 um componente intracelular fundamental e importante para:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Manuten\u00e7\u00e3o das membranas celulares<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fun\u00e7\u00e3o das c\u00e9lulas nervosas<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Contra\u00e7\u00e3o muscular\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A\u00e7\u00f5es enzim\u00e1ticas e hormonais<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mineraliza\u00e7\u00e3o \u00f3ssea<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Na gesta\u00e7\u00e3o, ele \u00e9 transportado para o feto atrav\u00e9s da placenta por um processo de transporte ativo, e \u00e9 importante em muitas fun\u00e7\u00f5es do desenvolvimento, incluindo o desenvolvimento esquel\u00e9tico.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Para a gestante, o c\u00e1lcio atua principalmente na <\/span><b>regula\u00e7\u00e3o metab\u00f3lica<\/b><span style=\"font-weight: 400;\"> e na <\/span><b>manuten\u00e7\u00e3o da press\u00e3o arterial normal<\/b><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Os dist\u00farbios hipertensivos s\u00e3o a principal causa de morbimortalidade materna e perinatal no Brasil, podendo levar a complica\u00e7\u00f5es graves, como parto prematuro e \u00f3bito materno e neonatal. Dentre eles, a <\/span><b>pr\u00e9-ecl\u00e2mpsia<\/b><span style=\"font-weight: 400;\"> e a <\/span><b>ecl\u00e2mpsia<\/b><span style=\"font-weight: 400;\">, consideradas evit\u00e1veis, t\u00eam o maior impacto.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Outros riscos maternos da ingest\u00e3o inadequada de c\u00e1lcio incluem osteopenia, osteoporose, tremor, parestesia, c\u00e3ibras musculares e tetania (espasmos e espasmos musculares). J\u00e1 problemas potenciais para o feto\/beb\u00ea incluem atraso no crescimento fetal, baixo peso ao nascer e mineraliza\u00e7\u00e3o \u00f3ssea deficiente.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Toda_gestante_precisa_suplementar_calcio\"><\/span><b>Toda gestante precisa suplementar c\u00e1lcio?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Segundo o Minist\u00e9rio da Sa\u00fade, <\/span><b>sim, com in\u00edcio na 12\u00aa semana de gesta\u00e7\u00e3o at\u00e9 o momento do parto<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Desde 2011, a Organiza\u00e7\u00e3o Mundial da Sa\u00fade (OMS) recomenda a suplementa\u00e7\u00e3o de c\u00e1lcio para gestantes com baixo consumo do micronutriente e mulheres com alto risco para pr\u00e9-ecl\u00e2mpsia como medida profil\u00e1tica. Outros estudos evidenciam a import\u00e2ncia da suplementa\u00e7\u00e3o profil\u00e1tica na redu\u00e7\u00e3o do risco de pr\u00e9-ecl\u00e2mpsia.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">De acordo com a Pesquisa de Or\u00e7amentos Familiares (POF 2017-2018), observou-se um elevado percentual de inadequa\u00e7\u00e3o na ingest\u00e3o de c\u00e1lcio na popula\u00e7\u00e3o brasileira, sendo 99% entre adolescentes e 96,1% entre mulheres adultas.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A Nota T\u00e9cnica Conjunta n\u00ba 251\/2024 estabelece a <\/span><b>suplementa\u00e7\u00e3o universal de c\u00e1lcio<\/b><span style=\"font-weight: 400;\"> para gestantes na Aten\u00e7\u00e3o Prim\u00e1ria \u00e0 Sa\u00fade (APS).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A medida, baseada em recomenda\u00e7\u00f5es da OMS e j\u00e1 prevista no protocolo de aten\u00e7\u00e3o ao pr\u00e9-natal de baixo risco do Minist\u00e9rio da Sa\u00fade desde 2012, integra a Rede Alyne, principal estrat\u00e9gia do SUS para fortalecer o pr\u00e9-natal e reduzir as desigualdades no cuidado materno e infantil.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Estudos mostram que a suplementa\u00e7\u00e3o di\u00e1ria de <\/span><a href=\"https:\/\/nutritotal.com.br\/pro\/quais-os-tipos-de-calcio-mais-usados-em-suplementos-alimentares\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">c\u00e1lcio<\/span><\/a><span style=\"font-weight: 400;\"> reduz em at\u00e9 55% o risco de pr\u00e9-ecl\u00e2mpsia.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Como_suplementar_calcio_na_gestacao\"><\/span><b>Como suplementar c\u00e1lcio na gesta\u00e7\u00e3o?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">De acordo com as recomenda\u00e7\u00f5es do MS:<\/span><\/p>\n<p><b>Quando<\/b><span style=\"font-weight: 400;\">: 12\u00aa semana de gesta\u00e7\u00e3o at\u00e9 o parto.<\/span><\/p>\n<p><b>Dose<\/b><span style=\"font-weight: 400;\">: dois comprimidos di\u00e1rios de carbonato de c\u00e1lcio (1.250 mg, equivalente a 1.000 mg de c\u00e1lcio elementar).<\/span><\/p>\n<p><b>Prescri\u00e7\u00e3o<\/b><span style=\"font-weight: 400;\">: pode ser feita por m\u00e9dicos(as), enfermeiros(as) e nutricionistas.<\/span><\/p>\n<p><b>Forma de consumo:<\/b><span style=\"font-weight: 400;\"> a ingest\u00e3o do suplemento de c\u00e1lcio deve ocorrer com intervalo m\u00ednimo de 2 horas do suplemento de ferro (sulfato ferroso) ou de polivitam\u00ednicos contendo ferro.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Al\u00e9m disso, deve-se evitar a ingest\u00e3o do suplemento em associa\u00e7\u00e3o com alimentos ricos em fitatos, oxalatos ou ferro (por exemplo: feij\u00e3o, f\u00edgado, espinafre, acelga, couve, beterraba, batata doce, sementes, castanhas ou cereais), bem como deve se evitar a ingest\u00e3o do suplemento com alta ingest\u00e3o de cafe\u00edna e de alimentos ultraprocessados, pois podem afetar sua absor\u00e7\u00e3o do c\u00e1lcio.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Uma op\u00e7\u00e3o \u00e9 a ingest\u00e3o no per\u00edodo da noite com um copo de leite ou suco de frutas.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Proximos_passos_para_acesso_e_distribuicao\"><\/span><b>Pr\u00f3ximos passos para acesso e distribui\u00e7\u00e3o<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">A distribui\u00e7\u00e3o do suplemento de c\u00e1lcio ser\u00e1 feita dentro do planejamento da assist\u00eancia farmac\u00eautica do SUS, com responsabilidade compartilhada entre estados, munic\u00edpios e o Distrito Federal.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A implementa\u00e7\u00e3o da medida ser\u00e1 acompanhada pelas equipes da Aten\u00e7\u00e3o Prim\u00e1ria \u00e0 Sa\u00fade (APS), garantindo que as gestantes tenham acesso ao suplemento nas Unidades B\u00e1sicas de Sa\u00fade (UBS).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A tecnologia indicada para a suplementa\u00e7\u00e3o de c\u00e1lcio em gestantes dispon\u00edvel no SUS, de acordo com a Rela\u00e7\u00e3o Nacional de Medicamentos Essenciais (RENAME), \u00e9 o carbonato de c\u00e1lcio, que integra o componente b\u00e1sico da assist\u00eancia farmac\u00eautica.<\/span><\/p>\n<p><b>Para ter acesso ao documento completo, <\/b><a href=\"https:\/\/www.gov.br\/saude\/pt-br\/centrais-de-conteudo\/publicacoes\/notas-tecnicas\/2024\/nota-tecnica-conjunta-no-251-2024-coemm-cgesmu-dgci-saps-ms-e-cgan-deppros-saps-ms.pdf\/view\" target=\"_blank\" rel=\"noopener\"><b>clique aqui<\/b><\/a><b>.<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Se voc\u00ea gostou deste conte\u00fado, leia tamb\u00e9m:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/nutritotal.com.br\/pro\/material\/suplementacao-para-gestantes-veganas-guia-para-nutricionistas\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Suplementa\u00e7\u00e3o para gestantes veganas: guia para nutricionistas<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/nutritotal.com.br\/pro\/material\/desnutricao-de-gestantes-e-criancas\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Gestantes e Crian\u00e7as com desnutri\u00e7\u00e3o: Guia de Acompanhamento na Aten\u00e7\u00e3o Prim\u00e1ria a Sa\u00fade<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/nutritotal.com.br\/pro\/material\/suplementacao-de-micronutrientes-para-gestantes-bariatricas\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Suplementa\u00e7\u00e3o de Micronutrientes em Gestantes Bari\u00e1tricas<\/span><\/a><\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Referencias\"><\/span><b>Refer\u00eancias:<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Azevedo, Raiane. <\/span><a href=\"https:\/\/www.gov.br\/saude\/pt-br\/assuntos\/noticias\/2025\/fevereiro\/em-estrategia-contra-a-pre-eclampsia-suplementacao-de-calcio-passa-a-ser-universal-para-gestantes\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Em estrat\u00e9gia contra a pr\u00e9-ecl\u00e2mpsia, suplementa\u00e7\u00e3o de c\u00e1lcio passa a ser universal para gestantes<\/span><\/a><span style=\"font-weight: 400;\">. Minist\u00e9rio da Sa\u00fade, 2025.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Kongwattanakul K, Duangkum C, Ngamjarus C, Lumbiganon P, Cuthbert A, Weeks J, Sothornwit J. <\/span><a href=\"https:\/\/doi.org\/10.1002\/14651858.CD007079.pub4\" target=\"_blank\" rel=\"noopener\" class=\"broken_link\"><span style=\"font-weight: 400;\">Calcium supplementation (other than for preventing or treating hypertension) for improving pregnancy and infant outcomes<\/span><\/a><span style=\"font-weight: 400;\">. Cochrane Database Syst Rev. 2024 Nov 19;11(11):CD007079. doi: 10.1002\/14651858.CD007079.pub4. PMID: 39560075; PMCID: PMC11574946.<\/span><\/p>\n<p><a href=\"https:\/\/www.gov.br\/saude\/pt-br\/centrais-de-conteudo\/publicacoes\/notas-tecnicas\/2024\/nota-tecnica-conjunta-no-251-2024-coemm-cgesmu-dgci-saps-ms-e-cgan-deppros-saps-ms.pdf\/view\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">NOTA T\u00c9CNICA CONJUNTA N\u00ba 251\/2024-COEMM\/CGESMU\/DGCI\/SAPS\/MS E CGAN\/DEPPROS\/SAPS\/MS<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Recentemente, a suplementa\u00e7\u00e3o de c\u00e1lcio na gesta\u00e7\u00e3o voltou aos holofotes com a publica\u00e7\u00e3o da Nota T\u00e9cnica Conjunta n\u00ba 251\/2024 pelo Minist\u00e9rio da Sa\u00fade.\u00a0 Entre os diversos nutrientes com demanda aumentada durante esse per\u00edodo, o c\u00e1lcio se destaca por seu papel fundamental na regula\u00e7\u00e3o da press\u00e3o arterial e na preven\u00e7\u00e3o de complica\u00e7\u00f5es graves, como a pr\u00e9-ecl\u00e2mpsia. 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