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母亲营养摄入和体重增加对新生儿出生体重的影响:泰国南部的一项前瞻性队列研究。

Influence of maternal nutrient intake and weight gain on neonatal birth weight: a prospective cohort study in southern Thailand.

作者信息

Jaruratanasirikul Somchit, Sangsupawanich Pasuree, Koranantakul Ounjai, Chanvitan Prasin, Sriplung Hutcha, Patanasin Thanomjit

机构信息

Faculty of Medicine, Department of Pediatrics, Prince of Songkla University, Hat-Yai, Songkhla, Thailand.

出版信息

J Matern Fetal Neonatal Med. 2009 Nov;22(11):1045-50. doi: 10.3109/14767050903019668.

DOI:10.3109/14767050903019668
PMID:19900042
Abstract

OBJECTIVES

To assess the nutritional intake and gestational weight gain of pregnant women and the relationship between nutritional intake, gestational weight gain, and neonatal birth weight.

METHODS

A prospective cohort study was carried out in three districts of Songkhla Province in southern Thailand. Nutritional intakes were calculated based on a 24-h food record and a food frequency checklist. The women were followed until delivery and the neonatal birth weight recorded.

RESULTS

Two hundred and thirty-six pregnant women with a mean age of 27.2 +/- 6.2 years were recruited. The average daily energy intake was 1806 +/- 482 kcal. The average gestational weight gain was 12.2 +/- 4.6 kg and the average neonatal birth weight was 3054 +/- 474 g. Micronutrient intakes were overall inadequate averaging only 50-80% of recommended levels. Neonatal birth weight was significantly positively correlated with gestational weight gain (r = 0.17, p = 0.01), but was not correlated with maternal nutritional intakes.

CONCLUSIONS

Pregnant women in rural areas of Songkhla Province consume adequate macronutrients with appropriate gestational weight gain, but generally consume inadequate micronutrients. A nutritional education program explaining the importance of micronutrients should be a focus of a public education program.

摘要

目的

评估孕妇的营养摄入和孕期体重增加情况,以及营养摄入、孕期体重增加与新生儿出生体重之间的关系。

方法

在泰国南部宋卡府的三个地区开展了一项前瞻性队列研究。根据24小时食物记录和食物频率清单计算营养摄入量。对这些女性进行随访直至分娩,并记录新生儿出生体重。

结果

招募了236名平均年龄为27.2±6.2岁的孕妇。平均每日能量摄入量为1806±482千卡。平均孕期体重增加为12.2±4.6千克,平均新生儿出生体重为3054±474克。微量营养素摄入量总体不足,平均仅为推荐水平的50 - 80%。新生儿出生体重与孕期体重增加显著正相关(r = 0.17,p = 0.01),但与母亲的营养摄入量无关。

结论

宋卡府农村地区的孕妇摄入了足够的宏量营养素,孕期体重增加适当,但微量营养素的摄入普遍不足。解释微量营养素重要性的营养教育项目应成为公共教育项目的重点。

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