哺乳期母亲的饮食回避和膳食补充剂。

Maternal food-avoidance diets and dietary supplements during breastfeeding.

机构信息

Institute of Clinical Medicine, University of Oslo, Oslo, Norway.

Division of Paediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway.

出版信息

Nurs Open. 2023 Jan;10(1):230-240. doi: 10.1002/nop2.1298. Epub 2022 Jul 22.

DOI:10.1002/nop2.1298

PMID:35866582

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9748056/

Abstract

AIMS

To identify maternal food-avoidance diets and dietary supplement use during breastfeeding, and to explore factors associated with food avoidance diets.

DESIGN

A prospective mother-child birth cohort study.

METHODS

Electronic questionnaires were answered by 1,462 breastfeeding mothers 6 months postpartum in the Preventing Atopic Dermatitis and Allergies in Children (PreventADALL) study from 2014-2016. Demographic and antenatal factors were analysed for associations with food avoidance diets in 1,368 women by multiple logistic regression.

RESULTS

Overall, 289 breastfeeding women (19.8%) avoided at least one food item in their diet, most commonly cow's milk in 99 women (6.8%). Foods were most often avoided due to conditions in the child, maternal factors or lifestyle choice. The odds for food avoidance diets were 2.1 (95% CI: 1.3, 3.4) for food allergy (presumed or diagnosed) and 19.4 (5.4, 70.1) for celiac disease in the mother. Dietary supplements were reported by nearly 80%, most commonly cod liver oil.

摘要

目的

确定哺乳期的母亲避免食用的食物和使用的膳食补充剂，并探讨与避免食用食物相关的因素。

设计

前瞻性母婴出生队列研究。

方法

2014 年至 2016 年期间，在预防儿童特应性皮炎和过敏症（PreventADALL）研究中，1462 名哺乳期母亲在产后 6 个月通过电子问卷回答问题。通过多因素逻辑回归分析，对 1368 名妇女的人口统计学和产前因素与避免食用食物的饮食进行了分析。

结果

总体而言，289 名哺乳期妇女（19.8%）避免食用至少一种食物，其中 99 名妇女（6.8%）最常避免食用牛奶。食物通常是因为孩子的状况、母亲的因素或生活方式选择而被避免。对于食物过敏（推测或确诊），避免食用食物的饮食的几率为 2.1（95%CI：1.3，3.4），对于母亲的乳糜泻，几率为 19.4（5.4，70.1）。近 80%的妇女报告了膳食补充剂，最常见的是鱼肝油。