孕期营养干预对妊娠结局及新生儿状况的影响
摘要
<正>科学的孕期营养干预是在正确营养状况评价基础上,通过临床营养的干预手段(膳食疗法、肠内营养、肠外营养以及营养宣教),以解决(预防或治疗)孕期的营养问题的过程。妊娠期营养复杂而特殊,孕妇不仅通过胎盘给胎儿输送全部营养,同时还要满足自身的胎盘增大以及哺乳等储备营养所需。孕妇存在的营养问题较为复杂,可以表现为蛋白质、热能营养不良,也可以能量过剩,也可以表现为单个或多个营养素的过剩或不足,甚至在能量过剩的同时伴随部分微量营养素缺乏等等状况,这给进行孕期营养干预带来了难度。
引文
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[2]Ruifrok AE,Rogozinska E,van Poppel MN,et al.Erratum to:Study protocol:differential effects of diet and physical activity based interventions in pregnancy on maternal and fetal outcomes:individual patient data(IPD)meta-analysis and health economic evaluation[J].Systematic Reviews,2014,3(1):131.
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[4]Kuscu NK,Koyuncu F.Hyperemesis gravidarum-current concept and management[J].Postgrad Med J,2002(78):76-79.
[5]Abramowitz A,Miller ES,Wisner KL.Treatment options for hyperemesis gravidarum[J].Archives of Womens Mental Health,2017:1-10.
[6]Timothy G,Butler,Jeff S,et al.Caroline McMillen:Differential effects of the early and late intrauterine environment on corticotrophic cell development[J].J Clin Invest,2002(110):783-791.
[7]Law CM,Shiell AW,Newsom CA.et al.Fetal,infant,and childhood growth and adult blood pressure:a longitudinal study from birth to 22years of age[J].Circulation,2002(105):1088-1092.
[8]王玉廷,徐雨晨,刘媛,等.地中海贫血对孕妇妊娠结局影响的系统评价[J].重庆医科大学学报,2015(4):569-575.
[9]崔珍珍,于盼,赵艾,等.孕期贫血对出生结局及婴幼儿贫血、生长发育的影响[J].中国儿童保健杂志,2016,24(11):1132-1134.
[10]王丽娟.中国大城市与贫困农村居民铁营养状况综合评估[D].北京:中国疾病预防控制中心,2015.
[11]Pasricha SR,Drakesmith H,Black J,et al.Control of iron deficiency anemia in low-and middle-income countries[J].Blood,2013,121(14):2607-2617.
[12]Rukuni R,Knight M,Murphy MF,et al.Screening for iron deficiency and iron deficiency anaemia in pregnancy:a structured review and gap analysis against UK national screening criteria[J].BMC Pregnancy and Childbirth,2015,15(1):269.
[13]龚华虹,刘海静,蒋维,等.孕期钙营养指导及运动干预对孕妇骨密度的影响[J].中国妇幼保健,2013,28(11):1734-1735.
[14]高桂香,班自芹,陈玲,等.孕期补钙与小儿骨密度关系调查[J].社区医学杂志,2012,10(3):1-2.
[15]Moon RJ,Harvey NC,Cooper C.Endocrinology in Pregnancy:Influence of maternal vitamin D status on obstetric outcomes and the fetal skeleton[J].European Journal of Endocrinology,2015,173(2):69-83.
[16]Liu Y,Dai W,Dai X,et al.Prepregnancy body mass index and gestational weight.
[17]gain with the outcome of pregnancy:A 13-year study of 292,568 cases in china[J].Arch Gynecol Obstet,2012,286(4):905-911.
[18]Margerison Zilko CE,Rehkopf D,Abrams B.Association of maternal gestational weight gain with short-and long-termmaternal and child health outcomes[J].Am J Obstet Gynecol,2010,202(6):574.
[19]Tian C,Hu C,He X,et al.Excessive weight gain during pregnancy and risk of macrosomia:a meta-analysis[J].Archives of Gynecology and Obstetrics,2016,293(1):29-35.
[20]Muktabhant B,Lawrie TA,Lumbiganon P,et al.Diet or exercise,or both,for preventing excessive weight gain in pregnancy[M].State of New Jersey:The Cochrane Library,John Wiley&Sons,Ltd,2015.20.
[21]Milone M,Placido GD,Musella M,et al.Incidence of Successful Pregnancy After Weight Loss Interventions in Infertile Women:a Systematic Review and Meta-Analysis of the Literature[J].Obesity Surgery,2016,26(2):443-451.
[22]牛杨,李继,盛金叶,等.膳食营养干预对妊娠期糖尿病妊娠结局的作用[J].中华全科医学,2017(2):295-297.
[23]杨丽萍,王慧艳.妊娠期糖尿病营养治疗进展[J].医学综述,2014,20(23):4330-4332.
[24]Barquiel B,Herranz L,Grande C,et al.Body weight,weight gain and hyperglycaemia are associated with hypertensive disorders of pregnancy in women with gestational diabetes[J].DiabetesMetab,2014,40(3):204-210.
[25]赵瑞雪.营养治疗对妊娠期糖尿病孕妇体质量和新生儿体质量、血糖的影响观察[J].现代实用医学,2016(11):1498-1540.
[26]Durnwald C.Gestational diabetes:Linking epidemiology,excessive gestational weight gain,adverse pregnancy outcomes,and future metabolic syndrome[J].Seminars in Perinatology,2015,39(4):254-258.
[27]Hofmeyr GJ,Atallah AN,Duley L.Calcium supplementation during pregnancy for preventing hypertensive disorders and related problems.[J].Cochrane Database of Systematic Reviews,2002,1(1):CD001059.
[28]Omotayo MO,Dickin KL,O'Brien KO,et al.Calcium Supplementation to Prevent Preeclampsia:Translating Guidelines into Practice in Low-Income Countries[J].Advances in Nutrition,2016,7(2):275-278.
[29]Buppasiri P,Lumbiganon P,Thinkhamrop J,et al.Calcium supplementation(other than for preventing or treating hypertension)for improving pregnancy and infant outcomes[M].State of New Jersey:John Wiley&Sons,Ltd,2008.20.
[30]Malin GL,Bugg GJ,Thornton J,et al.Does oral carbohydrate supplementation improve labour outcome?A systematic review and individual patient data meta-analysis[J].Bjog An International Journal of Obstetrics&Gynaecology,2016,123(4):510.