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儿童期的微量营养素状况、认知与行为问题

Micronutrient status, cognition and behavioral problems in childhood.

作者信息

Benton David

机构信息

Department of Psychology, University of Swansea, Swansea, Wales, SA2 8PP, UK.

出版信息

Eur J Nutr. 2008 Aug;47 Suppl 3:38-50. doi: 10.1007/s00394-008-3004-9.

Abstract

It is widely accepted that the rapid rate of growth of the brain during the last third of gestation and the early postnatal stage makes it vulnerable to an inadequate diet, although brain development continues into adulthood and micronutrient status can influence functioning beyond infancy. A deficiency of various micro-nutrients in developing countries has been found to have long-term implication for cognitive development. Vitamin A plays a critical role in visual perception and a deficiency is the leading cause of childhood blindness. A lack of iodine during a critical period in brain development is associated with reduced intellectual ability. Iron shortage is a widespread problem in the developing world but also in industrialized countries. There is evidence that iron deficiency in early life adversely effects brain development. In addition in industrialized countries a role for folate in the prevention of neural tube defects is well established and in a few individuals impaired cognitive functioning is associated with the inadequate provision of vitamin B(12. )The controversial suggestions that sub-clinical deficiencies of micronutrients may in industrialized societies influence anti-social behavior and intelligence are also discussed.

摘要

人们普遍认为,在妊娠后期三分之一阶段和出生后早期,大脑的快速生长使其易受饮食不足的影响,尽管大脑发育会持续到成年期,且微量营养素状况会影响婴儿期之后的功能。研究发现,发展中国家各种微量营养素的缺乏对认知发展具有长期影响。维生素A在视觉感知中起关键作用,缺乏维生素A是儿童失明的主要原因。大脑发育关键期缺碘与智力下降有关。缺铁在发展中世界乃至工业化国家都是一个普遍问题。有证据表明,生命早期缺铁会对大脑发育产生不利影响。此外,在工业化国家,叶酸在预防神经管缺陷方面的作用已得到充分证实,少数人的认知功能受损与维生素B12供应不足有关。本文还讨论了有争议的观点,即工业化社会中微量营养素的亚临床缺乏可能会影响反社会行为和智力。

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