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孕期维生素A与妊娠糖尿病及甲状腺疾病的关联及其对孕产妇、胎儿和新生儿结局的影响。

Association of vitamin A with gestational diabetes and thyroid disorders in pregnancy and their influence on maternal, fetal, and neonatal outcomes.

作者信息

Qadeer Abdul, Ishaq Muhammad Umer, Safi Adnan, Akbar Anum, Asif Sana, Komel Aqsa, Kunwar Digbijay, Bokhari Syed Mujtaba Azhar

机构信息

Department of Cardiovascular Medicine, Shifa International Hospital, Islamabad, Pakistan.

Department of Medicine, Nishtar Medical University, Multan, Pakistan.

出版信息

Ther Adv Reprod Health. 2024 Aug 31;18:26334941241271542. doi: 10.1177/26334941241271542. eCollection 2024 Jan-Dec.

DOI:10.1177/26334941241271542
PMID:39220467
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11366108/
Abstract

Gestational diabetes mellitus (GDM) and thyroid disorders during pregnancy pose significant health concerns, impacting a substantial number of mothers globally. Globally, about 14% of pregnant women develop GDM, while thyroid disorders impact approximately 2%-3%. Both conditions contribute to adverse outcomes, including gestational hypertension, excessive fetal growth, and heightened perinatal morbidity. The central focus of this literature review is to examine the relationship between vitamin A, a crucial fat-soluble micronutrient in fetal development, and the occurrence of GDM and thyroid disorders during pregnancy. The primary research question investigates the association between vitamin A, GDM, and thyroid disorders, analyzing their combined impact on maternal, fetal, and neonatal outcomes. The review underscores the potential of vitamin A to modulate the risk and outcomes of GDM and thyroid disorders during gestation, emphasizing its role in GDM development and resolution and its influence on thyroid function in pregnancy.

摘要

妊娠期糖尿病(GDM)和孕期甲状腺疾病引发了重大的健康问题,对全球大量母亲产生影响。在全球范围内,约14%的孕妇会患妊娠期糖尿病,而甲状腺疾病影响约2%-3%的孕妇。这两种情况都会导致不良后果,包括妊娠期高血压、胎儿过度生长和围产期发病率升高。这篇文献综述的核心重点是研究维生素A(胎儿发育中一种关键的脂溶性微量营养素)与孕期妊娠期糖尿病和甲状腺疾病发生之间的关系。主要研究问题是调查维生素A、妊娠期糖尿病和甲状腺疾病之间的关联,分析它们对母亲、胎儿和新生儿结局的综合影响。该综述强调了维生素A在调节孕期妊娠期糖尿病和甲状腺疾病的风险及结局方面的潜力,强调了其在妊娠期糖尿病发生和缓解中的作用以及对孕期甲状腺功能的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2882/11366108/1383febdba1e/10.1177_26334941241271542-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2882/11366108/c5dd2f071b2a/10.1177_26334941241271542-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2882/11366108/1383febdba1e/10.1177_26334941241271542-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2882/11366108/c5dd2f071b2a/10.1177_26334941241271542-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2882/11366108/1383febdba1e/10.1177_26334941241271542-fig2.jpg

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本文引用的文献

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Effect of vitamin A on maternal, fetal, and neonatal outcomes: An overview of deficiency, excessive intake, and intake recommendations.维生素 A 对母婴及新生儿结局的影响:缺乏、摄入过量及推荐摄入量概述。
Nutr Clin Pract. 2024 Apr;39(2):373-384. doi: 10.1002/ncp.11096. Epub 2023 Nov 29.
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[Relationship of vitamin A and thyroid function in Arctic residents].[北极居民中维生素A与甲状腺功能的关系]
Vopr Pitan. 2023;92(4):66-73. doi: 10.33029/0042-8833-2023-92-4-66-73. Epub 2023 Jun 30.
3
Plasma Retinol Concentrations and Dietary Intakes of Mother-Infant Sets in Singleton versus Twin Pregnancy.
单胎妊娠与双胎妊娠中母婴血浆视黄醇浓度和膳食摄入量。
Nutrients. 2023 May 30;15(11):2553. doi: 10.3390/nu15112553.
4
Serum Vitamins A and E at Mid-Pregnancy and Their Relationships with Both Maternal and Cord Blood Antioxidant Status and Perinatal Conditions: The NELA Cohort.孕期中期血清维生素 A 和 E 及其与母血和脐血抗氧化状态及围产情况的关系:NELA 队列研究。
Ann Nutr Metab. 2023;79(3):313-325. doi: 10.1159/000531239. Epub 2023 Jun 2.
5
The Effects of Gestational Diabetes on Fetus: A Surveillance Study.妊娠期糖尿病对胎儿的影响:一项监测研究。
Cureus. 2023 Feb 17;15(2):e35103. doi: 10.7759/cureus.35103. eCollection 2023 Feb.
6
Retinol and Pro-Vitamin A Carotenoid Nutritional Status during Pregnancy Is Associated with Newborn Hearing Screen Results.妊娠期间视黄醇和维生素前体类胡萝卜素营养状况与新生儿听力筛查结果相关。
Nutrients. 2023 Feb 4;15(4):800. doi: 10.3390/nu15040800.
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The association of maternal fat-soluble antioxidants in early pregnancy with gestational diabetes mellitus: a prospective cohort study.早孕期母体脂溶性抗氧化剂与妊娠期糖尿病的关系:一项前瞻性队列研究。
Nutr Diabetes. 2022 Dec 9;12(1):49. doi: 10.1038/s41387-022-00227-x.
8
Maternal Subclinical Hyperthyroidism and Adverse Pregnancy Outcomes: A Systematic Review and Meta-analysis of Observational Studies.孕妇亚临床甲状腺功能亢进与不良妊娠结局:观察性研究的系统评价和荟萃分析
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Front Endocrinol (Lausanne). 2022 Oct 11;13:968215. doi: 10.3389/fendo.2022.968215. eCollection 2022.