怀孕期间补充和对婴儿精神发育和行为的影响:一项后续研究
Jena D Hamadani1, George J Fuchs, Saskia J M Osendarp
1Centre for Health and Population Research, International Centre for Diarrhoeal Disease Research, Bangladesh.
Lancet (London, England)
|July 31, 2002
概括
孟加拉国孕妇的产前补充剂没有改善婴儿发育. 安慰剂组的婴儿在13个月后表现出更好的认知和精神运动得分.
科学领域:
- 孕产妇和儿童的健康
- 营养科学 营养科学
- 发育儿科 发育儿科
背景情况:
- 缺乏是发展中国家的一个重大公共卫生问题.
- 此前的研究表明,产前补充剂可减少婴儿感染性疾病.
- 这项研究研究了孟加拉国婴儿产前对长期发育的影响.
研究的目的:
- 评估产前补充剂对13个月龄婴儿发育和行为的影响.
- 评估孕期母亲摄入量对儿童发育结果的长期影响.
- 为了确定产前是否除了减少早期儿童感染之外,还能带来好处.
主要方法:
- 随机对照试验涉及559名孕妇,分别接受或安慰剂.
- 在13个月后对168名婴儿的子样本进行后续评估.
- 使用贝利婴儿发育II尺度和行为评估评估精神和精神运动发育的评估.
主要成果:
- 安慰剂组的婴儿表现出明显更高的精神和精神运动发育指数得分.
- 产前补充剂对婴儿行为或身体成长没有显著影响.
- 营养状况不佳,以体重与年龄为指标,与发育水平相关,影响治疗效果.
结论:
- 在孟加拉国营养不良妇女中仅服用产前补充剂并不能增强婴儿的精神发育.
- 在这个人群中使用补充剂需要谨慎考虑,因为缺乏证明的益处.
- 可能需要进一步的研究来探索在资源有限的环境中,为儿童发育提供最佳的营养干预措施.
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