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与孕妇饮食相关的母体及脐带脂肪酸状况

Maternal and umbilical fatty acid status in relation to maternal diet.

作者信息

De Vriese S R, Matthys C, De Henauw S, De Backer G, Dhont M, Christophe A B

机构信息

Department of Internal Medicine, Section of Endocrinology and Metabolic Diseases, Division of Nutrition, Ghent University Hospital, Belgium.

出版信息

Prostaglandins Leukot Essent Fatty Acids. 2002 Dec;67(6):389-96. doi: 10.1054/plef.2002.0446.

Abstract

The aim of this study was to describe the dietary fat intake during pregnancy and to study the relationship between the intake of polyunsaturated fatty acids (PUFAs) and the fatty acid composition of maternal and umbilical plasma phospholipids (PLs) and cholesterol esters (CEs) at delivery. In addition, the contribution of food groups to the intake of total fat and fatty acids in the diet was quantified.Maternal and umbilical blood samples were collected at delivery from 30 healthy pregnant women. The women completed a food frequency questionnaire during the first and third trimesters. The total fat intake during pregnancy is 85 (SD 24) g/day. The mean intake of saturated fatty acids (SFAs) is 33.4 g/day, of monounsaturated fatty acids (MUFAs) 28.6 g/day and of PUFA 15.2 g/day. Major sources of fat, MUFA and PUFA are fats, oils and sauces. Major sources of SFA are meat and poultry followed by cheese and eggs. Meat and poultry contribute the most to the intake of 20:4n-6 whereas fish is the major source of 20:5n-3 (EPA) and 22:6n-3 (docosahexaenoic acid (DHA)) in the diet. Linoleic acid, EPA and DHA (w%) in PL of maternal plasma are positively related to the intake of these fatty acids during pregnancy. No association is found between the maternal intake of the two parent essential fatty acids (18:2n-6 and 18:3n-3) and their fraction in umbilical PL or CE. EPA and the sum of n-6 fatty acids (w%) in umbilical plasma PL are positively correlated with the dietary intake of these fatty acids.

摘要

本研究的目的是描述孕期的膳食脂肪摄入量,并研究多不饱和脂肪酸(PUFA)摄入量与分娩时母体和脐血血浆磷脂(PL)及胆固醇酯(CE)的脂肪酸组成之间的关系。此外,还对各类食物在膳食总脂肪和脂肪酸摄入量中的贡献进行了量化。在分娩时从30名健康孕妇采集了母体和脐血样本。这些孕妇在孕早期和孕晚期完成了一份食物频率问卷。孕期总脂肪摄入量为85(标准差24)克/天。饱和脂肪酸(SFA)的平均摄入量为33.4克/天,单不饱和脂肪酸(MUFA)为28.6克/天,PUFA为15.2克/天。脂肪、MUFA和PUFA的主要来源是脂肪、油类和调味汁。SFA的主要来源是肉类和家禽,其次是奶酪和蛋类。肉类和家禽对20:4n - 6摄入量的贡献最大,而鱼类是膳食中20:5n - 3(二十碳五烯酸(EPA))和22:6n - 3(二十二碳六烯酸(DHA))的主要来源。母体血浆PL中的亚油酸、EPA和DHA(重量百分比)与孕期这些脂肪酸的摄入量呈正相关。未发现母体摄入两种母体必需脂肪酸(18:2n - 6和18:3n - 3)与其在脐血PL或CE中的比例之间存在关联。脐血血浆PL中的EPA和n - 6脂肪酸总和(重量百分比)与这些脂肪酸的膳食摄入量呈正相关。

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