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孕期时间营养:夜间进食母亲的综述

Chrononutrition during Pregnancy: A Review on Maternal Night-Time Eating.

机构信息

Department of Reproductive Medicine, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899, Singapore.

Duke-NUS Medical School, 8 College Road, Singapore 169857, Singapore.

出版信息

Nutrients. 2020 Sep 11;12(9):2783. doi: 10.3390/nu12092783.

Abstract

Evidence from women working night shifts during pregnancy indicates that circadian rhythm disruption has the potential to adversely influence pregnancy outcomes. In the general population, chronodisruption with the potential to affect pregnancy outcomes may also be seen in those with high energy intakes in the evening or at night. However, maternal night eating during pregnancy remains understudied. This narrative review provides an overview of the prevalence, contributing factors, nutritional aspects and health implications of night eating during pregnancy. We derived evidence based on cross-sectional studies and longitudinal cohorts. Overall, night eating is common during pregnancy, with the estimated prevalence in different populations ranging from 15% to 45%. The modern lifestyle and the presence of pregnancy symptoms contribute to night eating during pregnancy, which is likely to coexist and may interact with multiple undesirable lifestyle behaviors. Unfavorable nutritional characteristics associated with night eating have the potential to induce aberrant circadian rhythms in pregnant women, resulting in adverse metabolic and pregnancy outcomes. More research, particularly intervention studies, are needed to provide more definite information on the implications of night eating for mother-offspring health.

摘要

来自于孕期上夜班的女性的证据表明,昼夜节律紊乱有可能对妊娠结局产生不利影响。在普通人群中,具有潜在影响妊娠结局的生物钟紊乱也可能发生在那些晚上或夜间能量摄入较高的人群中。然而,孕期夜间进食的问题仍研究不足。本综述概述了孕期夜间进食的流行程度、相关因素、营养方面和健康影响。我们基于横断面研究和纵向队列研究获得了证据。总体而言,孕期夜间进食很常见,不同人群的估计患病率在 15%至 45%之间。现代生活方式和妊娠症状的存在导致了孕期夜间进食,这可能同时存在,并可能与多种不良生活方式行为相互作用。与夜间进食相关的不良营养特征有可能使孕妇的昼夜节律紊乱,导致不良的代谢和妊娠结局。需要更多的研究,特别是干预研究,以提供更明确的信息,了解夜间进食对母婴健康的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/861a/7551833/f7f47e160757/nutrients-12-02783-g001.jpg

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