食用油性鱼类是否能改善妊娠和新生儿结局？一项西西里岛研究的结果。

Does eating oily fish improve gestational and neonatal outcomes? Findings from a Sicilian study.

作者信息

Le Donne Maria, Alibrandi Angela, Vita Roberto, Zanghì Delia, Triolo Onofrio, Benvenga Salvatore

机构信息

Department of Pediatrics, Gynecology, Microbiology and Biomedical Sciences, University of Messina School of Medicine, Messina 98125, Italy.

Department of Economics, University of Messina, Messina, Italy.

出版信息

Women Birth. 2016 Jun;29(3):e50-7. doi: 10.1016/j.wombi.2015.12.005. Epub 2016 Feb 1.

DOI:10.1016/j.wombi.2015.12.005

PMID:26837604

Abstract

BACKGROUND

Fish is a source of long-chain polyunsaturated n-3 fatty acids, but it may also contain a number of pollutants.

METHODS

Between April and July 2013, we selected 114 women who gave birth to living babies, and divided them according to type and frequency of the fish consumed. We evaluated both gestational and neonatal outcomes. Docosahexaenoic acid (DHA) supplementation was taken into account.

FINDINGS

One hundred and four women (91.2%) consumed fish on the average of 4.7 times/month, while 10 (8.8%) did not consume fish at all. Fifty-nine women (51.8%) were taking supplements containing DHA (200mg/day), almost all of whom (n=55) consumed fish. Pregnancy induced hypertension was more frequent in non-fish eaters than in fish eaters (20% vs 4.8%, P=0.056). Consumption of small size oily fish correlated positively with both neonatal weight (r=0.195, P=0.037) and head circumference (r=0.211, P=0.024). In contrast, consumption of lean fish or shellfish correlated negatively with neonatal head circumference (r=0.206, P=0.028, or r=0.192, P=0.041).

DISCUSSION

These data agree with previous observational studies and reinforce the protective role of small oily fish consumption on preterm birth risk, neonatal weight, length and head circumference.

CONCLUSION

Small oily fish consumption should be favored over other types of fish.

摘要

背景

鱼类是长链多不饱和n-3脂肪酸的来源，但也可能含有多种污染物。

方法

2013年4月至7月，我们选取了114名分娩活产婴儿的女性，根据她们食用鱼类的种类和频率进行分组。我们评估了妊娠结局和新生儿结局。同时考虑了二十二碳六烯酸（DHA）补充剂的使用情况。

研究结果

104名女性（91.2%）平均每月食用鱼类4.7次，而10名女性（8.8%）完全不食用鱼类。59名女性（51.8%）服用含DHA的补充剂（200毫克/天），其中几乎所有人（n = 55）都食用鱼类。非鱼类食用者中妊娠高血压的发生率高于鱼类食用者（20%对4.8%，P = 0.056）。食用小型油性鱼类与新生儿体重（r = 0.195，P = 0.037）和头围（r = 0.211，P = 0.024）均呈正相关。相比之下，食用瘦鱼或贝类与新生儿头围呈负相关（r = 0.206，P = 0.028，或r = 0.192，P = 0.041）。