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埃塞俄比亚南部孕妇食用新鲜辣木树叶及其与出生体重的关系:一项前瞻性队列研究。

Maternal fresh moringa leaf consumption and its association with birth weight in southern Ethiopia: A prospective cohort study.

作者信息

Derbo Zeritu Dewana, Debelew Gurmesa Tura

机构信息

Department of Midwifery Arba Minch Health Science College Arba Minch Ethiopia.

Population and Family Health, Institute of Health Jimma University Jimma Ethiopia.

出版信息

Food Sci Nutr. 2024 Sep 15;12(11):8978-8989. doi: 10.1002/fsn3.4453. eCollection 2024 Nov.

Abstract

Birth weight is an indicator of neonatal survival and development; however, poor nutrient intake during pregnancy is a primary contributor to low birth weight. Moringa is a multipurpose tree high in macro- and micronutrients. There is insufficient evidence on the relationship between fresh moringa leaf consumption during pregnancy and birth weight. The purpose of this study was to determine the association between maternal fresh moringa leaf consumption on birth weight in southern Ethiopia. A community-based, prospective cohort study design was used with 230 pregnant women who consumed fresh moringa leaves and 230 who did not consume moringa leaves. The mothers were enrolled in their second trimester and monitored until delivery. The structural equation model was used to analyze coefficients with -values <.05. The mean birth weight of newborns born to mothers who took fresh moringa leaves during pregnancy was 3334.42 g, which was considerably higher than the non-consumer 3196.73 g ( = .008). Consuming it during pregnancy significantly increased birth weight by 115.77 g compared to non-consumers ( = 115.77; SE = 43.03:  = .007). The study found that eating fresh moringa leaves during pregnancy increased the birth weight of the newborn. As a result, policymakers and managers of mother and child health programs should strive to promote the use of fresh moringa leaves throughout pregnancy. However, more clinical trials are required to discover the ideal/optimal amount per day and duration of fresh moringa leaves for best outcomes.

摘要

出生体重是新生儿生存和发育的一个指标;然而,孕期营养摄入不足是低出生体重的主要原因。辣木是一种富含大量和微量营养素的多用途树木。关于孕期食用新鲜辣木叶与出生体重之间的关系,证据不足。本研究的目的是确定埃塞俄比亚南部孕妇食用新鲜辣木叶与出生体重之间的关联。采用了基于社区的前瞻性队列研究设计,其中230名食用新鲜辣木叶的孕妇和230名未食用辣木叶的孕妇参与研究。这些母亲在孕中期入组并监测至分娩。使用结构方程模型分析p值<0.05的系数。孕期食用新鲜辣木叶的母亲所生新生儿的平均出生体重为3334.42克,显著高于未食用者的3196.73克(p = 0.008)。与未食用者相比,孕期食用辣木叶可使出生体重显著增加115.77克(β = 115.77;标准误 = 43.03:p = 0.007)。研究发现,孕期食用新鲜辣木叶可增加新生儿的出生体重。因此,母婴健康项目的政策制定者和管理人员应努力在整个孕期推广新鲜辣木叶的使用。然而,需要更多临床试验来确定每天理想/最佳的新鲜辣木叶食用量和食用时长,以取得最佳效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45d4/11606873/e8b8ac8421b0/FSN3-12-8978-g003.jpg

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