Duclau Amandine, Abad Fanny, Adenis Antoine, Sabbah Nadia, Leneuve Malika, Nacher Mathieu
Centre d'Investigation Clinique, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana.
Service d'endocrinologie et diabétologie, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana.
Food Nutr Res. 2021 Feb 22;65. doi: 10.29219/fnr.v65.5268. eCollection 2021.
Involved in physical and brain development, immunity and metabolism, micronutrients have profound health effects. The nutritional status of pregnant women is a major determinant of foetal health. French Guiana has a rapid population growth. Social inequalities, cultural practices and gastrointestinal nematode infections in French Guiana could affect the prevalence of these deficiencies. The main objective of the present study was to estimate the prevalence of micronutrient deficiency among pregnant women in French Guiana. The secondary objective was to identify socio-demographic, dietary, obstetrical and neonatal risk factors associated with deficiencies.
Pregnant women over 22 weeks of pregnancy hospitalized for delivery at the Obstetrical Emergency Department of the Hospital Center in Cayenne from May 2018 to March 2019 were included. A socio-demographic and food questionnaire was administered. Medical data were collected from the medical records. Blood and urine samples were taken. The descriptive analysis used Student and chi-squared tests.
A total of 341 women were included. The majority were born in Haiti (39%) and French Guiana (34%). At least one micronutrient deficiency was observed in 81% of women. Precarious women had a significantly greater risk of micronutrient deficiency during pregnancy compared to those with both normal and complementary health insurance.
Micronutrient deficiencies in pregnant women in French Guiana are a public health problem, a fact that was previously overlooked in the context of rising obesity. With over half the women overweight or obese, and 81% with at least 1 micronutrient deficiency, balanced nutrition should be a major focus.
微量营养素参与身体和大脑发育、免疫及新陈代谢，对健康有深远影响。孕妇的营养状况是胎儿健康的主要决定因素。法属圭亚那人口增长迅速。法属圭亚那的社会不平等、文化习俗和胃肠道线虫感染可能会影响这些营养素缺乏症的患病率。本研究的主要目的是估计法属圭亚那孕妇中微量营养素缺乏症的患病率。次要目的是确定与营养素缺乏相关的社会人口统计学、饮食、产科和新生儿风险因素。
纳入2018年5月至2019年3月在卡宴医院中心产科急诊科住院分娩的妊娠22周以上的孕妇。发放了一份社会人口统计学和食物问卷。从病历中收集医疗数据。采集血液和尿液样本。描述性分析采用学生检验和卡方检验。
共纳入341名女性。大多数人出生在海地（39%）和法属圭亚那（34%）。81%的女性至少存在一种微量营养素缺乏。与拥有正常和补充医疗保险的女性相比，不稳定就业的女性孕期微量营养素缺乏的风险显著更高。
法属圭亚那孕妇的微量营养素缺乏是一个公共卫生问题，这一事实在肥胖率上升的背景下此前被忽视。超过一半的女性超重或肥胖，81%的女性至少有一种微量营养素缺乏，均衡营养应成为主要关注点。
