妊娠与哺乳期矿物质及骨代谢改变的管理指南。
Guide of management of alterations in mineral and bone metabolism during gestation and lactation.
机构信息
Servicio de Endocrinología y Nutrición, Hospital Universitario Clínico San Cecilio, Granada, Spain; Red Temática de Investigación Cooperativa en Envejecimiento y Fragilidad (RETICEF), Granada, Spain.
Unidad de Gestión Clínica de Endocrinología y Nutrición, Hospital Universitario Reina Sofía, Córdoba, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain.
出版信息
Endocrinol Diabetes Nutr (Engl Ed). 2022 Aug-Sep;69(7):530-539. doi: 10.1016/j.endien.2022.08.002. Epub 2022 Aug 23.
OBJECTIVE
To provide practical recommendations for the management of mineral and bone metabolism alterations in pregnancy and lactation.
PARTICIPANTS
Members of the Working Group on Osteoporosis and Mineral Metabolism of the Spanish Society of Endocrinology and Nutrition.
METHODS
Recommendations were formulated according to the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system to describe both the strength of recommendations and the quality of evidence. A systematic search was carried out in Medline of the available evidence for each pathology. Papers in English with publication date until 29 February 2020 were included. A methodologist resolved the differences that arose during the process of reviewing the literature and formulating recommendations. The recommendations were discussed and approved by all members of the Working Group.
CONCLUSIONS
The document establishes practical recommendations based on evidence about the management of mineral and bone metabolism disorders in pregnancy and lactation.
目的
为妊娠和哺乳期矿物质和骨代谢异常的管理提供实用建议。
参与者
西班牙内分泌学会和营养学会骨质疏松症和矿物质代谢工作组的成员。
方法
根据推荐分级评估、制定与评价系统（GRADE）制定建议，以描述建议的强度和证据的质量。对每种疾病的可用证据进行了系统的 Medline 搜索。纳入了出版日期截至 2020 年 2 月 29 日的英文文献。方法学家解决了在文献复习和制定建议过程中出现的分歧。该建议经工作组所有成员讨论和批准。
结论
本文件根据妊娠和哺乳期矿物质和骨代谢紊乱管理的证据，制定了实用建议。
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