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孕妇产前饮食中的钾、钙、镁与婴儿血压

Maternal prenatal dietary potassium, calcium, magnesium, and infant blood pressure.

作者信息

McGarvey S T, Zinner S H, Willett W C, Rosner B

机构信息

Department of Medicine, Brown University, Roger Williams General Hospital, Providence, R.I. 02908.

出版信息

Hypertension. 1991 Feb;17(2):218-24. doi: 10.1161/01.hyp.17.2.218.

Abstract

We studied the association between the prenatal diets of 212 mothers assessed by a semiquantitative food frequency questionnaire and the blood pressure of their infants. Prenatal potassium, calcium, and magnesium intakes were measured and adjusted for total caloric intake. Infant blood pressure was measured at 2-3 days and at 1, 6, and 12 months of age by using an ultrasonic-auscultatory device and was adjusted for cuff size, observer, and sleep/activity status, age in days in neonates, and weight at 6 and 12 months. Maternal prenatal potassium intake was inversely related to diastolic pressure at 6 months (r = -0.28, p less than 0.01) and at 12 months (r = -0.30, p less than 0.05). After adjustment for neonatal breast versus formula feeding, maternal prenatal calcium intake was inversely related to systolic blood pressure at 1 month (r = -0.21, p less than 0.01), and to diastolic blood pressure at 6 months (r = -0.27, p less than 0.01) and 12 months (r = -0.24, p less than 0.05). Maternal prenatal magnesium intake was inversely related to 6-month systolic blood pressure (r = -0.20, p less than 0.05). In multivariable models with all three cations, maternal prenatal potassium intake was independently and inversely related to diastolic blood pressure at 6 and 12 months. Maternal prenatal calcium intake was independently related to 1-month systolic and 6-month diastolic blood pressure. Age-specific infant blood pressure differences between the upper and lower quartiles of maternal prenatal cation intakes ranged from 3 to 7 mm Hg.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

我们通过半定量食物频率问卷研究了212名母亲的孕期饮食与其婴儿血压之间的关联。测量了孕期钾、钙和镁的摄入量,并根据总热量摄入进行了调整。使用超声听诊设备在婴儿2 - 3天、1个月、6个月和12个月大时测量其血压,并根据袖带大小、观察者、睡眠/活动状态、新生儿日龄以及6个月和12个月时的体重进行了调整。母亲孕期钾摄入量与婴儿6个月时的舒张压呈负相关(r = -0.28,p < 0.01)以及与12个月时的舒张压呈负相关(r = -0.30,p < 0.05)。在调整了新生儿母乳喂养与配方奶喂养因素后,母亲孕期钙摄入量与婴儿1个月时的收缩压呈负相关(r = -0.21,p < 0.01),与6个月时的舒张压呈负相关(r = -0.27,p < 0.01)以及与12个月时的舒张压呈负相关(r = -0.24,p < 0.05)。母亲孕期镁摄入量与6个月时的收缩压呈负相关(r = -0.20,p < 0.05)。在包含所有三种阳离子的多变量模型中,母亲孕期钾摄入量与6个月和12个月时的舒张压独立且呈负相关。母亲孕期钙摄入量与1个月时的收缩压以及6个月时的舒张压独立相关。母亲孕期阳离子摄入量上下四分位数之间特定年龄的婴儿血压差异范围为3至7毫米汞柱。(摘要截短至250字)

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