Higgins A C, Moxley J E, Pencharz P B, Mikolainis D, Dubois S
Montreal Diet Dispensary, Quebec, Canada.
J Am Diet Assoc. 1989 Aug;89(8):1097-103.
A study was conducted to evaluate the impact of the Higgins Nutrition Intervention Program of individual nutritional assessment and rehabilitation on pregnancy outcome in a group of urban low-income women. Developed as an adjunct to routine prenatal care, the Higgins program utilizes an individualized approach to dietary treatment that combines an assessment of the risk profile for the presenting pregnancy with the application of specific nutritional rehabilitation allowances to compensate for the negative impact of diagnosed risks. This report presents results of analyses evaluating differences in birth outcomes between 552 sibling pairs; each mother had participated in the Higgins program during the pregnancy of the second-born, but not of the first-born, member of her pair. After adjustment for parity and sex, the intervention infants weighed an average of 107 gm more than their matched siblings at birth (p less than .01). The rate of low birth weight was 50% lower among the intervention infants than among their siblings (p less than .01); rates of intra-uterine growth retardation and perinatal mortality were also lower in the intervention group. The high risk of poor pregnancy outcome in this group of urban low-income women was reduced by the Higgins program.
开展了一项研究，以评估希金斯营养干预计划（针对个体营养评估与康复）对一组城市低收入女性妊娠结局的影响。作为常规产前护理的辅助措施，希金斯计划采用个性化饮食治疗方法，将当前妊娠风险状况评估与应用特定营养康复补贴相结合，以弥补已确诊风险的负面影响。本报告展示了对552对同胞出生结局差异评估分析的结果；每对同胞的母亲在其第二个孩子而非第一个孩子孕期参与了希金斯计划。在对胎次和性别进行调整后，干预组婴儿出生时平均比其配对同胞重107克（p<0.01）。干预组婴儿低出生体重发生率比其同胞低50%（p<0.01）；干预组宫内生长受限和围产期死亡率也较低。希金斯计划降低了这组城市低收入女性不良妊娠结局的高风险。
