National Institute of Public Health NIH - National Research Institute, Department of Nutrition and Nutritional Value of Food, Warsaw, Poland.
Rocz Panstw Zakl Hig. 2021;72(3):309-320. doi: 10.32394/rpzh.2021.0176.
The composition of preparations, intended for pregnant women is an important issue of proper dietary supplementation. The range of such products on the market is very wide and their composition is not regulated by law.
To evaluate the composition of preparations for pregnant women in the context of 2014 Polish Gynecological Society (PTG) recommendation and the 2020 recommendation of the Polish Society of Gynecologists and Obstetricians (PTGiP).
A range of preparations was collected in pharmacies and e-pharmacies in 2019. The nutrient content was determined based on the information on the unit packaging or the pharmacy's website. The content of folic acid, vitamin D, iodine, DHA, and iron was assessed.
There were 33 vitamin-mineral preparations (VMPs) on offer on the analyzed market. All preparations contained folic acid, of which 55% contained precisely the dose recommended by the PTG, and 45% of the preparations is compliant in this respect with the recommendation of the PTGiP. Ninety seven percent of VMPs contained vitamin D. Fifty percent of them did not contain this vitamin at the dose recommended by the PTG, and half of the preparations do not meet the PTGiP recommendation either. Ninety seven percent of VMPs contained iodine. Out of them 44% contained a too low dose of iodine, by the PTG standards, but only 9% of preparations do not meet the PTGiP recommendation in this respect. DHA was a component contained in 73% of VMPs. Among them, 33% contained the dose recommended by the PTG for women who eat little fish and 88% of the preparations are in line with the new recommendation PTGiP. Eighty two percent of preparations contained iron, which in the light of the PTGiP recommendation is debatable.
The composition of many VMPs did not reflect experts' recommendations regarding the type and amounts of particular nutrients.
孕妇用制剂的成分是适当饮食补充的一个重要问题。市场上此类产品的种类繁多，其成分不受法律监管。
根据 2014 年波兰妇科协会（PTG）建议和 2020 年波兰妇科和产科医师协会（PTGiP）建议，评估孕妇用制剂的成分。
2019 年在药店和网上药店收集了一系列制剂。根据单位包装上的信息或药店网站来确定营养素含量。评估了叶酸、维生素 D、碘、DHA 和铁的含量。
在分析的市场上有 33 种维生素-矿物质制剂（VMP）。所有制剂均含有叶酸，其中 55%的制剂含有 PTG 推荐的剂量，45%的制剂在这方面符合 PTGiP 的建议。97%的 VMP 含有维生素 D。其中 50%的制剂维生素 D 剂量未达到 PTG 的推荐剂量，一半的制剂也不符合 PTGiP 的建议。97%的 VMP 含有碘。其中 44%的制剂含碘量低于 PTG 的标准，但只有 9%的制剂在这方面不符合 PTGiP 的建议。DHA 是 73%的 VMP 的成分。其中，33%的制剂含有 PTG 建议的食用小鱼较少的女性剂量，88%的制剂符合新的 PTGiP 建议。82%的制剂含有铁，根据 PTGiP 的建议，这是有争议的。
许多 VMP 的成分与专家关于特定营养素的种类和数量的建议不符。
