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孕期头三个月母亲的高糖饮食与肠道菌群失调有关。

A maternal sweet diet is associated with the gut dysbiosis in the first trimester of pregnancy.

作者信息

Momeni Navid, Mousavi Seyedeh Neda, Chiti Hossein, Heidarzadeh Siamak

机构信息

Zanjan Metabolic Diseases Research Center, Health and Metabolic Diseases Research Institute, Zanjan University of Medical Sciences, Parvin Etesami St, Azadi Square, Zanjan, Iran.

Department of Nutrition, School of Public Health, Zanjan University of Medical Sciences, Zanjan, Iran.

出版信息

BMC Nutr. 2024 Dec 18;10(1):162. doi: 10.1186/s40795-024-00972-5.

Abstract

BACKGROUND

The composition of maternal gut phylum in each trimester of pregnancy has been associated with fetal development, separately. Diet is a main effective factor on the gut composition of phylum. However, associations between dietary glycemic index (GI), load (GL) and total antioxidant capacity (TAC) not studied with the gut population of phylum in mothers at the first trimester of pregnancy.

MATERIALS AND METHODS

Ninety healthy pregnant women aged 18-40 yrs, in the first trimester, were participated. Stool samples were gathered in a fasting state. Population of dominant phylum was determined after DNA extraction based on the 16SrRNA expression, as a housekeeping gene. Dietary intake was collected by a validated food frequency questionnaire and dietary indices were computed.

RESULTS

The Proteobacteria population was significantly higher in the gut of pregnant mothers than the other phylum (p < 0.001). Participants in the highest level of dietary GI had lower Bacteroidetes (p < 0.001) and Actinobacteria (p = 0.04) in their gut compared to the lowest level. Participants in the lowest level of dietary GL had higher Bacteroidetes (p < 0.001) and lower proteobacteria (p = 0.04) in their gut than the highest level. Dietary selenium showed a significant negative effect on the Firmicutes (p = 0.04) and Proteobacteria (p = 0.04), however positively affected the Actinobacteria (p = 0.01) population. Dietary zinc and manganese showed a negative effect on the Firmicutes population (p = 0.01 and p = 0.003). Zinc and vitamin E showed a negative effect on the Proteobacteria population (p = 0.04 and p = 0.03).

CONCLUSIONS

A maternal diet with high GI and GL have been associated with the gut dysbiosis, however dietary intake of selenium, zinc, manganese and vitamin E act in favor of the intestinal eubiosis in the first trimester of pregnancy.

摘要

背景

孕期各阶段母体肠道菌门的组成分别与胎儿发育相关。饮食是影响肠道菌门组成的主要因素。然而,孕期头三个月母体饮食的血糖生成指数(GI)、血糖负荷(GL)与总抗氧化能力(TAC)之间的关联尚未与肠道菌门菌群进行研究。

材料与方法

招募了90名年龄在18 - 40岁之间、处于孕期头三个月的健康孕妇。在空腹状态下采集粪便样本。基于作为管家基因的16SrRNA表达进行DNA提取后,确定优势菌门菌群。通过经过验证的食物频率问卷收集饮食摄入量并计算饮食指数。

结果

变形菌门菌群在孕妇肠道中显著高于其他菌门(p < 0.001)。饮食GI最高水平的参与者肠道中的拟杆菌门(p < 0.001)和放线菌门(p = 0.04)低于最低水平的参与者。饮食GL最低水平的参与者肠道中的拟杆菌门高于最高水平的参与者(p < 0.001),而变形菌门低于最高水平的参与者(p = 0.04)。饮食中的硒对厚壁菌门(p = 0.04)和变形菌门(p = 0.04)有显著负面影响,但对放线菌门菌群有积极影响(p = 0.01)。饮食中的锌和锰对厚壁菌门菌群有负面影响(p = 0.01和p = 0.003)。锌和维生素E对变形菌门菌群有负面影响(p = 0.04和p = 0.03)。

结论

高GI和GL的母体饮食与肠道菌群失调有关,然而孕期头三个月饮食中摄入硒、锌、锰和维生素E有利于肠道微生态平衡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecef/11657500/fa1dee9d9f7f/40795_2024_972_Fig1_HTML.jpg

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