Neonatology Unit, Hospital Clinic-Maternitat, ICGON, BCNatal, 08028 Barcelona, Spain.
Grup de Recerca Infancia i Entorn (GRIE), Institut d'investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), 08028 Barcelona, Spain.
Nutrients. 2019 Mar 6;11(3):557. doi: 10.3390/nu11030557.
Vegetarian and vegan diets have increased worldwide in the last decades, according to the knowledge that they might prevent coronary heart disease, cancer, and type 2 diabetes. Althought plant-based diets are at risk of nutritional deficiencies such as proteins, iron, vitamin D, calcium, iodine, omega-3, and vitamin B12, the available evidence shows that well planned vegetarian and vegan diets may be considered safe during pregnancy and lactation, but they require a strong awareness for a balanced intake of key nutrients. A review of the scientific literature in this field was performed, focusing specifically on observational studies in humans, in order to investigate protective effects elicited by maternal diets enriched in plant-derived foods and possible unfavorable outcomes related to micronutrients deficiencies and their impact on fetal development. A design of pregestational nutrition intervention is required in order to avoid maternal undernutrition and consequent impaired fetal growth.
在过去几十年中,素食和纯素饮食在全球范围内有所增加,这是基于它们可能预防冠心病、癌症和 2 型糖尿病的认识。虽然植物性饮食存在蛋白质、铁、维生素 D、钙、碘、欧米伽 3 和维生素 B12 等营养缺乏的风险,但现有证据表明,精心计划的素食和纯素饮食在怀孕和哺乳期可能被认为是安全的,但需要强烈意识到关键营养素的均衡摄入。对该领域的科学文献进行了综述,重点是对人类进行的观察性研究,以调查富含植物性食物的母体饮食所产生的保护作用,以及与微量营养素缺乏及其对胎儿发育的影响相关的不利后果。需要进行孕前营养干预设计,以避免母体营养不足和随之而来的胎儿生长受损。