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营养素在人类神经发育中的作用及其预防神经发育逆境的潜力。

The role of nutrients in human neurodevelopment and their potential to prevent neurodevelopmental adversity.

作者信息

Heland Sarah, Fields Neville, Ellery Stacey Joan, Fahey Michael, Palmer Kirsten Rebecca

机构信息

Monash Women's and Newborn, Monash Health, Clayton, VIC, Australia.

Department of Obstetrics and Gynaecology, Monash University, Clayton, VIC, Australia.

出版信息

Front Nutr. 2022 Nov 22;9:992120. doi: 10.3389/fnut.2022.992120. eCollection 2022.

Abstract

Nutritional deficits or excesses affect a huge proportion of pregnant women worldwide. Maternal nutrition has a significant influence on the fetal environment and can dramatically impact fetal brain development. This paper reviews current nutritional supplements that can be used to optimise fetal neurodevelopment and prevent neurodevelopmental morbidities, including folate, iodine, vitamin B12, iron, and vitamin D. Interestingly, while correcting nutritional deficits can prevent neurodevelopmental adversity, overcorrecting them can in some cases be detrimental, so care needs to be taken when recommending supplementation in pregnancy. The potential benefits of using nutrition to prevent neurodiversity is shown by promising nutraceuticals, sulforaphane and creatine, both currently under investigation. They have the potential to promote improved neurodevelopmental outcomes through mitigation of pathological processes, including hypoxia, inflammation, and oxidative stress. Neurodevelopment is a complex process and whilst the role of micronutrients and macronutrients on the developing fetal brain is not completely understood, this review highlights the key findings thus far.

摘要

全球范围内,营养不足或过剩影响着很大比例的孕妇。孕产妇营养对胎儿环境有重大影响,并可能极大地影响胎儿大脑发育。本文综述了目前可用于优化胎儿神经发育和预防神经发育疾病的营养补充剂,包括叶酸、碘、维生素B12、铁和维生素D。有趣的是,虽然纠正营养不足可以预防神经发育不良,但在某些情况下过度纠正可能有害,因此在推荐孕期补充剂时需要谨慎。目前正在研究的有前景的营养保健品萝卜硫素和肌酸表明了利用营养预防神经多样性的潜在益处。它们有可能通过减轻包括缺氧、炎症和氧化应激在内的病理过程来促进改善神经发育结果。神经发育是一个复杂的过程,虽然微量营养素和常量营养素对发育中的胎儿大脑的作用尚未完全了解,但本综述突出了迄今为止的关键发现。

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