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英国剑桥社会经济地位良好的孕妇和哺乳期母亲的营养摄入量:对微量营养素推荐每日摄入量的一些启示。

The nutrient intakes of pregnant and lactating mothers of good socio-economic status in Cambridge, UK: some implications for recommended daily allowances of minor nutrients.

作者信息

Black A E, Wiles S J, Paul A A

机构信息

MRC Dunn Nutrition Unit, Cambridge.

出版信息

Br J Nutr. 1986 Jul;56(1):59-72. doi: 10.1079/bjn19860085.

Abstract
  1. Forty-two mothers from social classes I, II and III non-manual and twenty-one from social classes III manual M), IV and V were studied longitudinally. The mean daily nutrient intakes in months 4-9 of pregnancy, months 2-4 of lactation and 3 and 6 months post-lactation are presented and are compared with the UK and the US recommended daily allowances (RDA). 2. The quality of the diets (nutrients per 4184 kJ (1000 kcal] was found to be better than that of other adult female populations studied in the UK, except for a group of dietitians. 3. The mean daily intakes of nutrients for which there are UK RDA were almost all greater than 100% of the RDA. The exceptions were iron, which in the manual group (social classes IIIM, IV and V) was 85% of the RDA in pregnancy and 75% post-lactation, and vitamin D. 4. Among the nutrients for which there are US, but not UK RDA, only phosphorus and vitamin B12 intakes were greater than 100% of the RDA in both groups at all stages of the study. Intakes of other nutrients were below the RDA: pantothenate 70-91, vitamin B6, zinc, vitamin E and copper 40-72, folate 21-44, and biotin less than 20% of the RDA. 5. The bases of the RDA for adult women were examined; for most nutrients the information is limited. It was concluded that the RDA for magnesium, vitamin E and pantothenate are probably higher than necessary and that deficiency is unlikely; that zinc, copper, vitamin B6 and folate are probably 'marginal' nutrients for 'at risk' groups; and that information on biotin is insufficient even roughly to assess the dietary requirement.
摘要
  1. 对来自社会阶层I、II和III非体力劳动者的42名母亲以及来自社会阶层III体力劳动者(M)、IV和V的21名母亲进行了纵向研究。列出了怀孕第4至9个月、哺乳第2至4个月以及哺乳后3个月和6个月的平均每日营养素摄入量,并与英国和美国的推荐每日摄入量(RDA)进行了比较。2. 发现这些饮食的质量(每4184千焦(1000千卡)所含营养素)优于在英国研究的其他成年女性群体,但一组营养师除外。3. 对于有英国RDA的营养素,平均每日摄入量几乎都超过了RDA的100%。例外情况是铁,在体力劳动者组(社会阶层IIIM、IV和V)中,孕期铁摄入量为RDA的85%,哺乳后为75%,以及维生素D。4. 在有美国但没有英国RDA的营养素中,在研究的所有阶段,两组中只有磷和维生素B12的摄入量超过了RDA的100%。其他营养素的摄入量低于RDA:泛酸为70 - 91、维生素B6、锌、维生素E和铜为40 - 72、叶酸为21 - 44,生物素低于RDA的20%。5. 对成年女性RDA的依据进行了审查;对于大多数营养素,信息有限。得出的结论是,镁、维生素E和泛酸的RDA可能高于所需量,缺乏的可能性不大;锌、铜、维生素B6和叶酸可能是“高危”群体的“边缘”营养素;并且关于生物素的信息甚至不足以大致评估饮食需求。

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