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饮食模式与妊娠高血压的关联:来自苏丹的病例对照研究。

Association between dietary patterns and pregnancy induced hypertension: a case control study from Sudan.

机构信息

Jazan University, Faculty of Applied Medical Sciences, Department of Clinical Nutrition.

Ajman University, College of Medicine; Ajman University, Center of Medical and Bio-allied Health Sciences Research.

出版信息

Afr Health Sci. 2022 Dec;22(4):368-374. doi: 10.4314/ahs.v22i4.42.

Abstract

BACKGROUND

Dietary patterns and its associated factors and can play an essential role in development of preeclampsia and implication in pregnancy-induced hypertension (PIH).

OBJECTIVE

This study was performed to determine nutritional factors associated with PIH among pregnant women in Khartoum, Sudan.

METHODS

This study was a case-control involving 100 women with PIH and 200 normotensive pregnant women.

RESULTS

The mean current weight in the control and PIH groups was 70.25 ± 12.35 and 72.42 ± 12.33 kg; whereas the mean energy intake in the control and PIH groups was 1991.58 ±140.72 and 2154.37 ± 130.85 kcal, respectively. The study results indicated a significantly lower risk of PIH among women ingesting fruits and legumes (odds ratio, 8.44 and 4.07, respectively; 95% confidence interval; P < 0.05).

CONCLUSION

PIH was positively associated with higher energy, fat, and protein intake. A lower risk of PIH was calculated for women whose dietary habits included fruits and legumes. Measures with which to ensure proper nutrition education are needed to obtain good health and pregnancy outcomes. PIH is a multifactorial disease with an unclear etiology, and the findings of this study will serve as a baseline for future studies in this field.

摘要

背景

饮食模式及其相关因素在子痫前期的发生发展中起着重要作用,并与妊娠高血压(PIH)有关。

目的

本研究旨在确定苏丹喀土穆孕妇子痫前期相关的营养因素。

方法

本研究为病例对照研究,共纳入 100 例子痫前期患者和 200 例正常血压孕妇。

结果

对照组和子痫前期组的平均当前体重分别为 70.25 ± 12.35kg 和 72.42 ± 12.33kg;而对照组和子痫前期组的平均能量摄入量分别为 1991.58 ± 140.72kcal 和 2154.37 ± 130.85kcal。研究结果表明,摄入水果和豆类的孕妇发生子痫前期的风险显著降低(比值比分别为 8.44 和 4.07;95%置信区间;P<0.05)。

结论

子痫前期与较高的能量、脂肪和蛋白质摄入呈正相关。饮食习惯包括水果和豆类的孕妇发生子痫前期的风险较低。需要采取措施确保适当的营养教育,以获得良好的健康和妊娠结局。子痫前期是一种病因不明的多因素疾病,本研究的结果将为该领域的未来研究提供基线。

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本文引用的文献

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Hypertension in pregnancy: Pathophysiology and treatment.妊娠期高血压:病理生理学与治疗
SAGE Open Med. 2019 Apr 10;7:2050312119843700. doi: 10.1177/2050312119843700. eCollection 2019.
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Current best practice in the management of hypertensive disorders in pregnancy.妊娠期高血压疾病管理的当前最佳实践。
Integr Blood Press Control. 2016 Jul 27;9:79-94. doi: 10.2147/IBPC.S77344. eCollection 2016.

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