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胎儿与新生儿体内的锌

Zinc in the fetus and newborn.

作者信息

Simmer K, Thompson R P

出版信息

Acta Paediatr Scand Suppl. 1985;319:158-63. doi: 10.1111/j.1651-2227.1985.tb10126.x.

Abstract

The growing fetus and infant are at risk of becoming deficient of zinc, an adequate supply of which is essential for normal growth and development. Mild maternal zinc depletion was strongly associated with intrauterine growth retardation. Low levels of zinc in maternal plasma and poor placental perfusion reduced the materno-fetal transfer of zinc. Mean maternal dietary intake of zinc was 60% recommended daily allowance and mothers of small-for-gestational-age (SGA) babies consumed significantly less zinc than mothers of appropriate-for-gestational-age babies. In addition, iron/folate supplements, which are often routinely prescribed during pregnancy, despite dietary intakes of iron and folate being adequate, significantly decreased the oral bio-availability of zinc in pregnant women. Zinc supplementation may be beneficial to women at risk of delivering SGA babies. Zinc requirements and interactions are also important to consider when designing mineral supplements for preterm babies, infant formulae and food fortification in developing countries.

摘要

成长中的胎儿和婴儿有缺锌的风险,而充足的锌供应对正常生长发育至关重要。母亲轻度缺锌与胎儿宫内发育迟缓密切相关。母体血浆中锌含量低以及胎盘灌注不良会减少锌的母胎转运。母亲锌的膳食平均摄入量为每日推荐摄入量的60%,小于胎龄儿(SGA)的母亲比适于胎龄儿的母亲摄入的锌显著更少。此外,尽管铁和叶酸的膳食摄入量充足,但孕期经常常规开具的铁/叶酸补充剂会显著降低孕妇锌的口服生物利用度。补充锌可能对有分娩SGA婴儿风险的女性有益。在为发展中国家的早产儿设计矿物质补充剂、婴儿配方奶粉和食品强化时,锌的需求量和相互作用也是需要考虑的重要因素。

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