Kinshella Mai-Lei Woo, Moore Sophie E, Elango Rajavel
Department of Obstetrics and Gynaecology, BC Children's and Women's Hospital and University of British Columbia, Vancouver, BC, Canada.
Department of Women & Children's Health, King's College London, London, UK.
Appl Physiol Nutr Metab. 2025 Jan 1;50:1-16. doi: 10.1139/apnm-2024-0127.
Adequate nutrition during pregnancy and postpartum is critical to maternal and child health, but there is often a missing focus around health outcomes specifically for women. Women's health includes sex-specific biological attributes and socially constructed gender roles framing behaviours and practices. This narrative review aims to highlight key areas where women's health has been underrepresented in pregnancy and postpartum nutrition research. Current evidence and research gaps are discussed for nutritional requirements during pregnancy and lactation, maternal mortality and morbidity nutritional risk factors, preconception and postpartum nutrition, and gendered cultural norms and inequities in access to nutritious foods during pregnancy and postpartum. Important areas for future research include strengthening empirical evidence for nutritional requirements in pregnant and lactating populations, the relationship between maternal iron status, anaemia and maternal morbidities, linkages between nutrient status among women and adolescent girls to maternal health outcomes, postpartum nutrition for recovery, lactation, and long-term women's health outcomes, and strength-based cultural practices that can support adequate maternal nutrition. There is an ongoing need to include women in nutritional requirements research, and measure health outcomes for women to ensure creation of an evidence base on both sex and gender-based datasets.
孕期和产后充足的营养对母婴健康至关重要,但对于女性的健康结局往往缺乏关注。女性健康包括特定性别的生物学特征以及塑造行为和实践的社会建构的性别角色。本叙述性综述旨在突出女性健康在孕期和产后营养研究中未得到充分体现的关键领域。讨论了孕期和哺乳期的营养需求、孕产妇死亡率和发病率的营养风险因素、孕前和产后营养以及孕期和产后获取营养食物方面的性别文化规范和不平等的现有证据和研究差距。未来研究的重要领域包括加强关于孕妇和哺乳期人群营养需求的实证证据、孕产妇铁状态、贫血与孕产妇发病之间的关系、妇女和少女的营养状况与孕产妇健康结局之间的联系、产后恢复、哺乳和女性长期健康结局的营养、以及能够支持充足孕产妇营养的基于优势的文化实践。持续需要让女性参与营养需求研究,并衡量女性的健康结局,以确保建立基于性别和性别的数据集的证据基础。