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波兰农村和城市环境中孕妇的营养行为。

Nutritional behaviours among pregnant women from rural and urban environments in Poland.

作者信息

Wojtyła Andrzej, Bojar Iwona, Boyle Peter, Zatoński Witold, Marcinkowski Jerzy T, Biliński Przemysław

机构信息

Institute of Rural Health, Lublin, Poland.

出版信息

Ann Agric Environ Med. 2011;18(1):169-74.

Abstract

Based on data obtained from the system MoZMaD - PL (Polish Mother and Child Health Monitoring System); an equivalent of the American system PRAMS (Pregnancy Risk Assessment Monitoring System). The health behaviour of a pregnant woman, including adequate nutritional behaviours and supply of all the necessary nutrients, exert an effect on the health of a woman, development of the foetus, and the occurrence of diseases among the offspring at the age of maturity. The objective of the study was analysis of the nutritional behaviours among Polish pregnant women, with particular consideration of the recognition of dietary changes caused by the fact of becoming pregnant. The studies were based on questionnaire forms within the Polish Mother and Child Heath Monitoring System (MoZMaD - PL) implemented in Poland. The precise day of studies is appointed annually for the whole of Poland by the Chief Sanitary Inspector. The questionnaire forms were correctly completed in 2010 by 2,877 women. The replies to the questions were introduced by surveyors into the MoZMaD - PL system, a central database managed by the Institute of Agricultural Medicine. The results obtained were subjected to statistical analysis. More than a half of Polish women change their diet in pregnancy. According to the pregnant women examined, the changes in their diet consist in a more frequent consumption of white meat, fish, fruits and vegetables, as well as milk and dairy products. Favourable changes in diet were observed primarily among the respondents from the urban environment. Considering an insufficient awareness with respect to nutritional behaviours among females at reproductive age, the education of pregnant women and those who plan a pregnancy concerning an adequate diet should be jointly conducted by medical circles, schools, and the media, and directed primarily to women from the rural environment.

摘要

基于从MoZMaD - PL系统(波兰母婴健康监测系统)获取的数据;该系统等同于美国的PRAMS系统(妊娠风险评估监测系统)。孕妇的健康行为,包括充足的营养行为和所有必需营养素的供应,会对女性健康、胎儿发育以及后代成年后的疾病发生情况产生影响。本研究的目的是分析波兰孕妇的营养行为,尤其要考虑到对因怀孕这一事实导致的饮食变化的认知。这些研究基于波兰实施的母婴健康监测系统(MoZMaD - PL)中的问卷形式。波兰首席卫生检查员每年为整个波兰指定具体的研究日期。2010年有2877名女性正确填写了问卷。调查员将问题的答案录入到MoZMaD - PL系统中,这是一个由农业医学研究所管理的中央数据库。对所得结果进行了统计分析。超过一半的波兰女性在孕期会改变饮食。据接受检查的孕妇称,她们饮食的变化在于更频繁地食用白肉、鱼类、水果和蔬菜,以及牛奶和奶制品。主要在城市环境的受访者中观察到了饮食方面的有利变化。鉴于育龄女性对营养行为的认识不足,医学界、学校和媒体应联合开展针对孕妇及计划怀孕者的合理饮食教育,且主要针对农村环境的女性。

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