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孕妇和哺乳期妇女的膳食脂肪摄入量。

Dietary fat intakes for pregnant and lactating women.

作者信息

Koletzko Berthold, Cetin Irene, Brenna J Thomas

机构信息

Dr. von Hauner Children's Hospital, University of Munich, Germany.

出版信息

Br J Nutr. 2007 Nov;98(5):873-7. doi: 10.1017/S0007114507764747. Epub 2007 Aug 10.

Abstract

Dietary fat intake in pregnancy and lactation affects pregnancy outcomes and child growth, development and health. The European Commission charged the research project PERILIP, jointly with the Early Nutrition Programming Project, to develop recommendations on dietary fat intake in pregnancy and lactation. Literature reviews were performed and a consensus conference held with international experts in the field, including representatives of international scientific associations. The adopted conclusions include: dietary fat intake in pregnancy and lactation (energy%) should be as recommended for the general population; pregnant and lactating women should aim to achieve an average dietary intake of at least 200 mg DHA/d; intakes of up to 1 g/d DHA or 2.7 g/d n-3 long-chain PUFA have been used in randomized clinical trials without significant adverse effects; women of childbearing age should aim to consume one to two portions of sea fish per week, including oily fish; intake of the DHA precursor, alpha-linolenic acid, is far less effective with regard to DHA deposition in fetal brain than preformed DHA; intake of fish or other sources of long-chain n-3 fatty acids results in a slightly longer pregnancy duration; dietary inadequacies should be screened for during pregnancy and individual counselling be offered if needed.

摘要

孕期和哺乳期的膳食脂肪摄入量会影响妊娠结局以及儿童的生长、发育和健康。欧盟委员会委托“PERILIP研究项目”与“早期营养编程项目”共同制定关于孕期和哺乳期膳食脂肪摄入量的建议。开展了文献综述,并与该领域的国际专家(包括国际科学协会的代表)举行了一次共识会议。通过的结论包括:孕期和哺乳期的膳食脂肪摄入量(占能量的百分比)应按照一般人群的建议摄入;孕妇和哺乳期妇女应争取达到每日平均膳食摄入至少200毫克DHA;在随机临床试验中使用高达每日1克DHA或2.7克n-3长链多不饱和脂肪酸的摄入量,未发现明显不良反应;育龄妇女应争取每周食用一至两份海鱼,包括油性鱼类;DHA前体α-亚麻酸在胎儿脑内DHA沉积方面的效果远不如现成的DHA;摄入鱼类或其他长链n-3脂肪酸来源会使孕期略延长;孕期应筛查膳食不足情况,必要时提供个性化咨询。

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