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孕妇和哺乳期妇女的营养:《2020 - 2025年美国膳食指南》的最新建议及实践意义

Nutrition for Pregnant and Lactating Women: The Latest Recommendations From the Dietary Guidelines for Americans 2020-2025 and Practice Implications.

作者信息

Esquivel Monica Kazlausky

机构信息

Department of Human Nutrition, Food and Animal Sciences, College of Tropical Agriculture and Human Resources, University of Hawaii at Manoa, Honolulu, Hawaii.

出版信息

Am J Lifestyle Med. 2021 Mar 26;15(4):392-396. doi: 10.1177/15598276211004082. eCollection 2021 Jul-Aug.

Abstract

The influence of maternal nutrition and dietary intake is intergenerational. In recognizing that diet-related chronic conditions, such as obesity and diabetes, especially during conception and pregnancy, are associated with childhood obesity and diabetes risk, the latest Dietary Guidelines for Americans 2020-2025 includes an emphasis on lifespan nutrition. Research supports the need to achieve a healthy weight preconception, as women with a high body mass index before pregnancy are at risk for excessive gestational weight gain, gestational diabetes, hypertension, caesarian section delivery, and excessive postpartum weight retention, which sets the stage for subsequent risk in future pregnancies. The Dietary Guidelines committee emphasized that key components to healthy dietary patterns include higher consumption of vegetables, fruits, nuts, legumes, whole grains, lean meat and seafood, dairy, and unsaturated vegetable oils and lower consumption of processed meat, foods high in saturated fat and cholesterol, and foods and drinks with added sugar. The guidelines offer health care providers, individuals, and other stakeholders with a framework of strategies that can help individuals achieve optimal health. This framework can be utilized to develop individualized approaches for implementing culturally relevant interventions.

摘要

母亲营养和饮食摄入的影响具有代际性。认识到与饮食相关的慢性病,如肥胖和糖尿病,尤其是在受孕和怀孕期间,与儿童肥胖和糖尿病风险相关,最新的《2020 - 2025年美国膳食指南》强调了终生营养。研究支持孕前达到健康体重的必要性,因为孕前体重指数高的女性有妊娠期体重过度增加、妊娠糖尿病、高血压、剖宫产以及产后体重过度滞留的风险,这为未来怀孕的后续风险埋下了伏笔。膳食指南委员会强调,健康饮食模式的关键组成部分包括增加蔬菜、水果、坚果、豆类、全谷物、瘦肉和海鲜、乳制品以及不饱和植物油的摄入量,减少加工肉类、饱和脂肪和胆固醇含量高的食物以及添加糖的食品和饮料的摄入量。这些指南为医疗保健提供者、个人和其他利益相关者提供了一个策略框架,有助于个人实现最佳健康状态。这个框架可用于制定实施与文化相关干预措施的个性化方法。

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