胎児の早期の食事と18ヶ月の発達状態
Lancet (London, England)
|June 23, 1990
まとめ
栄養価の高い産前配粉は,標準配粉と比較して,早産児の発達結果を大幅に改善しました. これらの効果は運動機能において最も顕著であり,特に妊娠年齢の幼児と男性にとって小さかった.
科学分野:
- 新生児の栄養について
- 発達小児科 発達小児科
- 小児の栄養について
背景:
- 胎児は,最適な成長と発達をサポートするために,しばしば特別な栄養を必要とします.
- 標準産児用栄養は,早産児のユニークな栄養要求を満たさない場合があります.
- 早期の栄養は,長期的な神経発達における重要な役割を果たします.
研究 の 目的:
- 胎児に栄養価の高い胎児用配方と,標準的な胎児用配方とを比較して,早産児に栄養価の高い乳児用配方を与えることで,長期的な発達効果を調査した.
- 認知,運動,および社会的発達に対する早期の食事の影響を評価するために,18ヶ月で修正された年齢.
主な方法:
- 424人の早産児を対象としたランダム化対照試験.
- 乳児は,標準産児用配方または栄養価の高い産児用配方を受けることを割り当てられました.
- 発達上のアウトカムは,盲目の評価によって,年齢を修正した18ヶ月で評価されました.
主要な成果:
- 産前配粉を摂取した乳児は,産後配粉を摂取した乳児に比べて,発達上の大きな利点を示した.
- 運動の発達は,精神的発達よりも大きな改善を示した.
- 妊娠年齢の幼児と男性では特に顕著で,運動優位性はそれぞれ15ポイントと23ポイントでした.
- 早期授乳は,中程度の発達障害の発生率,特に運動障害の発生率の低下と関連していました.
結論:
- 専門の早産乳児用栄養介入は,早産児の神経発達に長期に渡って良い影響を与えています.
- 産後最初の数週間は,栄養計画と長期的な発達軌跡にとって重要なようです.
- 発達可能性を最大化するために,早産児の栄養を最適化することが不可欠です.
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