ニューラルチューブの欠陥を予防するための葉酸補給:米国予防サービスタスクフォースの再確認勧告声明
, Michael J Barry1, Wanda K Nicholson2
1Harvard Medical School, Boston, Massachusetts.
JAMA
|August 1, 2023
まとめ
葉酸のサプリメントは,新生児における神経管の欠陥のリスクを有意に低下させる. 予防サービス・タスク・フォースは 妊娠の可能性のある女性に対し 葉酸を毎日摂取することを推奨しています
科学分野:
- 公衆衛生
- 母親 の 健康
- 産婦人科
背景:
- 神経管の欠陥 (NTD) は,米国で一般的な先天性欠陥であり,年間約3000人の妊娠に影響します.
- 母親の葉酸レベルが低いことは,NTDの発生に大きく寄与する要因です.
研究 の 目的:
- 葉酸サプリメントの利点と害に関する再確認証拠の更新を行う.
- NTDを予防するための勧告を伝える.
主な方法:
- 米国予防サービスタスクフォース (USPSTF) が委託した体系的なレビューと証拠の統合.
- NTDの予防のための葉酸補給の有効性と安全性に関するデータの評価
主要な成果:
- 葉酸のサプリメントは,NTDの予防に実質的な純利益をもたらすという高い確信がある.
- 証拠は,NTDの発生率を減らすための葉酸の有効性を支持しています.
結論:
- USPSTFは,妊娠を計画している人,または妊娠する可能性のある人に対して,毎日葉酸の補給を推奨しています.
- 葉酸の0. 4から0. 8mg (400から800μg) の毎日の摂取は推奨されます.
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