Divisions of Environmental Medicine and Epidemiology, Norwegian Institute of Public Health, Oslo, Norway.
Am J Clin Nutr. 2011 Dec;94(6 Suppl):1970S-1974S. doi: 10.3945/ajcn.110.001248. Epub 2011 May 4.
There has been a thrilling development , as well as profound changes, in our understanding of the effect of fetal nutrition on the development and health of the child. The Norwegian Mother and Child Cohort Study (MoBa) is an ongoing nationwide population-based pregnancy cohort study that between 1999 and 2008 recruited 90,723 women with 106,981 pregnancies and 108,487 children. The objective of MoBa is to test specific etiologic hypotheses by estimating the association between exposures and diseases with a special focus on disorders that may originate in early life. An important aspect in this regard is maternal diet and nutritional status during pregnancy. Nutritional factors have long been considered to be important determinants of maternal and fetal health, and dietary information is currently being collected in a number of pregnancy cohorts in Europe and the United States. Thus far, pregnancy complications studied in MoBa are preterm birth, preeclampsia, and fetal growth; and the aim of this article is to report results of recently published studies of dietary factors in relation to these outcomes. Numerous studies are planned using MoBa data, and the aim is to add to the knowledge of the interplay between dietary factors, nonnutrients, and toxic dietary substances and epigenetic modulation on fetal development and health later in life.
我们对胎儿营养对儿童发育和健康影响的理解发生了令人激动的新进展和深刻变化。挪威母婴队列研究(MoBa)是一项正在进行的全国性基于人群的妊娠队列研究,在 1999 年至 2008 年间招募了 90723 名女性,她们共经历了 106981 次妊娠和 108487 次分娩。MoBa 的目的是通过估计暴露与疾病之间的关联来检验特定的病因假设,特别关注可能起源于生命早期的疾病。这方面的一个重要方面是孕妇在怀孕期间的饮食和营养状况。营养因素长期以来一直被认为是母婴健康的重要决定因素,目前在欧洲和美国的一些妊娠队列中正在收集饮食信息。到目前为止,MoBa 研究的妊娠并发症是早产、子痫前期和胎儿生长受限;本文的目的是报告最近发表的关于这些结局与饮食因素关系的研究结果。计划使用 MoBa 数据进行许多研究,目的是增加对饮食因素、非营养物质和有毒饮食物质与胎儿发育和生命后期的表观遗传调节之间相互作用的了解。