Department of Medicine, University Hospital of Udine, Piazzale S. Maria Misericordia 1, 33100 Udine, Italy.
Nutrients. 2018 Jul 18;10(7):919. doi: 10.3390/nu10070919.
Experimental evidence from animal models and epidemiology studies has demonstrated that nutrition affects lung development and may have a lifelong impact on respiratory health. Chronic restriction of nutrients and/or oxygen during pregnancy causes structural changes in the airways and parenchyma that may result in abnormal lung function, which is tracked throughout life. Inadequate nutritional management in very premature infants hampers lung growth and may be a contributing factor in the pathogenesis of bronchopulmonary dysplasia. Recent evidence seems to indicate that infant and childhood malnutrition does not determine lung function impairment even in the presence of reduced lung size due to delayed body growth. This review will focus on the effects of malnutrition occurring at critical time periods such as pregnancy, early life, and childhood, on lung growth and long-term lung function.
动物模型和流行病学研究的实验证据表明,营养会影响肺部发育,并可能对呼吸系统健康产生终身影响。怀孕期间营养和/或氧气的慢性限制会导致气道和实质的结构变化,可能导致肺功能异常,这种异常会伴随终生。极低出生体重儿的营养管理不足会阻碍肺部生长,并且可能是支气管肺发育不良发病机制中的一个因素。最近的证据似乎表明,即使由于身体生长延迟导致肺部缩小,婴儿和儿童期的营养不良也不会导致肺功能受损。这篇综述将重点讨论在妊娠、生命早期和儿童期等关键时期发生的营养不良对肺部生长和长期肺功能的影响。