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孕产妇营养与生育结局。

Maternal nutrition and birth outcomes.

机构信息

Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Tel Hashomer, Israel.

出版信息

Epidemiol Rev. 2010;32:5-25. doi: 10.1093/epirev/mxq001. Epub 2010 Mar 17.

Abstract

In this review, the authors summarize current knowledge on maternal nutritional requirements during pregnancy, with a focus on the nutrients that have been most commonly investigated in association with birth outcomes. Data sourcing and extraction included searches of the primary resources establishing maternal nutrient requirements during pregnancy (e.g., Dietary Reference Intakes), and searches of Medline for "maternal nutrition"/[specific nutrient of interest] and "birth/pregnancy outcomes," focusing mainly on the less extensively reviewed evidence from observational studies of maternal dietary intake and birth outcomes. The authors used a conceptual framework which took both primary and secondary factors (e.g., baseline maternal nutritional status, socioeconomic status of the study populations, timing and methods of assessing maternal nutritional variables) into account when interpreting study findings. The authors conclude that maternal nutrition is a modifiable risk factor of public health importance that can be integrated into efforts to prevent adverse birth outcomes, particularly among economically developing/low-income populations.

摘要

在这篇综述中,作者总结了目前关于孕妇营养需求的知识,重点关注了与出生结局最常相关的营养物质。数据来源和提取包括对确定孕妇营养需求的主要资源(例如,膳食参考摄入量)的搜索,以及对 Medline 中“孕产妇营养”/[特定感兴趣的营养素]和“分娩/妊娠结局”的搜索,主要关注来自观察性研究中对孕产妇饮食摄入和出生结局的研究证据。作者使用了一个概念框架,在解释研究结果时考虑了主要和次要因素(例如,基线孕产妇营养状况、研究人群的社会经济地位、评估孕产妇营养变量的时间和方法)。作者得出结论,孕产妇营养是一个具有公共卫生重要性的可改变的风险因素,可以纳入预防不良出生结局的努力中,特别是在经济发展中/低收入人群中。

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