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孕期微量营养素缺乏:是时候超越铁和叶酸补充剂进行思考了。

Micronutrient Deficiency in Pregnancy: Time to Think Beyond Iron and Folic Acid Supplementation.

作者信息

Gopal Muthu, Sunitha K, Arockiasamy J, Sibqathulla Maryam Jamila, Yuvaraj J, Kalyanaraman Shantaraman

机构信息

Laboratory Division, Model Rural Health Research Unit, Kallur, Tamil Nadu, India.

Department of Community Medicine, Thoothukudi Medical College, Ayapakkam, Tamil Nadu, India.

出版信息

Indian J Community Med. 2022 Jul-Sep;47(3):425-428. doi: 10.4103/ijcm.ijcm_743_21. Epub 2022 Oct 10.

Abstract

BACKGROUND

Micronutrients play an important role in influencing pregnancy outcomes. Anemia is common among pregnant women against which iron and folic acid supplementation programs are already in action. The study aimed to estimate the prevalence of anemic and selected micronutrient status among pregnant women.

MATERIALS AND METHODS

It is a community-based cross-sectional study. The study was carried out among pregnant women registered in Primary Health Center, Kallur, Tirunelveli district, Tamil Nadu, India, using a semi-structured data capture tool. The blood samples were collected following standard procedure.

RESULTS

The micronutrient status among 139 pregnant women were selenium <1%, copper <1%, zinc 11.5%, iodine 14.4%, Vitamin B12 41.7%, and ferritin 42.4%. Vitamin B12, zinc, and selenium levels showed a significant difference with reference values among the three trimesters. Iron and folic acid supplementation was followed by 58.7% of pregnant women. Multiple micronutrient deficiency with anemia was found among 54.6%.

CONCLUSION

Anemia and micronutrient deficiency are high among pregnant women in this region. Since iron and folic acid supplementation strategies are already being implemented by the government, it is high time that we extend our health policy beyond that and plan for micronutrient supplementation as well.

摘要

背景

微量营养素在影响妊娠结局方面发挥着重要作用。贫血在孕妇中很常见,针对贫血的铁和叶酸补充计划已经在实施。本研究旨在估计孕妇贫血及特定微量营养素状况的患病率。

材料与方法

这是一项基于社区的横断面研究。研究在印度泰米尔纳德邦蒂鲁内尔维利区卡卢尔初级卫生中心登记的孕妇中进行,使用半结构化数据采集工具。按照标准程序采集血样。

结果

139名孕妇的微量营养素状况为:硒<1%,铜<1%,锌11.5%,碘14.4%,维生素B12 41.7%,铁蛋白42.4%。维生素B12、锌和硒水平在三个孕期与参考值有显著差异。58.7%的孕妇服用铁和叶酸补充剂。54.6%的孕妇存在多种微量营养素缺乏伴贫血。

结论

该地区孕妇贫血和微量营养素缺乏情况严重。鉴于政府已在实施铁和叶酸补充策略,现在是时候将我们的健康政策扩展到这之外,并规划微量营养素补充了。

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