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母亲饮食对新生儿黄疸的影响:一项病例对照研究。

The Effect of Maternal Diet on Neonatal Jaundice: A Case-Control Study.

作者信息

Mahdipoor Marzieh, Motlagh Alireza J, Baghbanan Hamid S, Bakhtiyari Mahmood, Khodaii Zohreh, Saeieh Sara E

机构信息

Department of Midwifery, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.

Department of Pediatrics, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.

出版信息

Sultan Qaboos Univ Med J. 2025 May 2;25(1):794-803. doi: 10.18295/2075-0528.2909. eCollection 2025.

Abstract

OBJECTIVES

This study aims to investigate the influence of dietary heat intensity in maternal diets on the incidence of neonatal jaundice. Specifically, we examine whether maternal consumption of "dietary heat intensity" foods affects neonatal bilirubin levels, while controlling for potential demographic and obstetric confounding factors.

METHODS

This retrospective case-control study was conducted between October 2023 and September 2024. The study population consisted of mothers and their newborns attending healthcare centers in Alborz Province, Iran. Based on predefined inclusion and exclusion criteria, 152 newborns were enrolled, comprising 75 non-jaundiced and 77 jaundiced infants. Data were collected using an information-gathering form and a food frequency questionnaire. A total bilirubin level of ≥5 mg/dL was defined as the threshold for jaundice. The collected data were subsequently analyzed using SPSSv16 software.

RESULTS

Statistical analysis revealed significant differences between the two groups in several variables, including the number of pregnancies, delivery type, infant birth weight, gestational age, infant nutrition type, use of herbal medications in infants, and maternal age. Logistic regression analysis demonstrated a significant association between neonatal bilirubin levels and maternal consumption of "dietary heat intensity" foods, particularly warm-classified carbohydrates, fruits, and vegetables.

CONCLUSION

The study results demonstrated that increased maternal consumption of hot-nature foods was significantly correlated with elevated bilirubin levels, suggesting a potential influence of maternal diet on neonatal jaundice incidence.

摘要

目的

本研究旨在调查孕期饮食的热强度对新生儿黄疸发病率的影响。具体而言,我们在控制潜在的人口统计学和产科混杂因素的同时,研究母亲食用“热强度饮食”食物是否会影响新生儿胆红素水平。

方法

本回顾性病例对照研究于2023年10月至2024年9月进行。研究人群包括伊朗阿尔伯兹省医疗中心的母亲及其新生儿。根据预先定义的纳入和排除标准,招募了152名新生儿,其中包括75名非黄疸婴儿和77名黄疸婴儿。使用信息收集表和食物频率问卷收集数据。总胆红素水平≥5mg/dL被定义为黄疸阈值。随后使用SPSSv16软件对收集的数据进行分析。

结果

统计分析显示,两组在多个变量上存在显著差异,包括怀孕次数、分娩类型、婴儿出生体重、胎龄、婴儿营养类型、婴儿使用草药以及母亲年龄。逻辑回归分析表明,新生儿胆红素水平与母亲食用“热强度饮食”食物之间存在显著关联,特别是温热分类的碳水化合物、水果和蔬菜。

结论

研究结果表明,母亲食用热性食物的增加与胆红素水平升高显著相关,提示母亲饮食可能对新生儿黄疸发病率有潜在影响。

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本文引用的文献

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Breastfeeding During Pregnancy: A Systematic Review of the Literature.孕期母乳喂养:文献系统综述
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Neonatal jaundice: aetiology, diagnosis and treatment.新生儿黄疸:病因、诊断与治疗
Br J Hosp Med (Lond). 2017 Dec 2;78(12):699-704. doi: 10.12968/hmed.2017.78.12.699.

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