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孕期及哺乳期的营养需求。

Nutritional requirements in pregnancy and lactation.

作者信息

Talebi Saeedeh, Kianifar Hamid Reza, Mehdizadeh Atieh

机构信息

Department of Pediatric, Assistant Professor of Mashhad University of Medical Sciences, Mashhad, Iran.

Department of Pediatric, Professor of Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Clin Nutr ESPEN. 2024 Dec;64:400-410. doi: 10.1016/j.clnesp.2024.10.155. Epub 2024 Nov 1.

Abstract

Optimal nutrition during pregnancy and lactation is vital for the health of the mother and fetus. Nutritional needs should begin in the preconception period, as the fetus depends on the placenta for essential nutrients required for growth and development. A balanced diet rich in nutrient-dense foods-such as whole grains, vegetables, fruits, dairy, legumes, fish, and lean meats-is essential to meet caloric needs during pregnancy. Assessment of maternal health, including dietary history and micronutrient status, is critical to identify potential risks and ensure adequate nutrition. The increased need for micronutrients must be met to prevent complications and fetal growth. Exclusive breastfeeding is recommended for the first six months, and continued breastfeeding is recommended throughout the first year and beyond. During pregnancy and lactation, calorie intake should be increased by focusing on protein and healthy fats. The composition of breast milk is adapted during the breastfeeding period, so that it can provide the necessary nutrients for the growth of the infant. Personalized nutrition plans, developed in consultation with health care professionals, are critical to optimizing maternal and infant health outcomes. This manuscript supports the importance of comprehensive nutritional strategies during pregnancy and lactation to reduce risks and support healthy growth and development of mother and child.

摘要

孕期和哺乳期的最佳营养对母亲和胎儿的健康至关重要。营养需求应在孕前阶段就开始,因为胎儿依靠胎盘获取生长发育所需的必需营养素。富含营养密集型食物(如全谷物、蔬菜、水果、乳制品、豆类、鱼类和瘦肉)的均衡饮食对于满足孕期的热量需求至关重要。评估母亲的健康状况,包括饮食史和微量营养素状况,对于识别潜在风险并确保充足营养至关重要。必须满足对微量营养素增加的需求,以预防并发症和胎儿生长问题。建议头六个月纯母乳喂养,并且建议在整个第一年及以后持续母乳喂养。在孕期和哺乳期,应通过关注蛋白质和健康脂肪来增加热量摄入。母乳的成分在哺乳期会有所调整,以便为婴儿的生长提供必要的营养素。与医疗保健专业人员协商制定的个性化营养计划对于优化母婴健康结局至关重要。本手稿支持孕期和哺乳期全面营养策略对于降低风险以及支持母婴健康生长发育的重要性。

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