预防神经管缺陷的叶酸补充:美国预防服务工作组重申建议声明
, Michael J Barry1, Wanda K Nicholson2
1Harvard Medical School, Boston, Massachusetts.
JAMA
|August 1, 2023
概括
补充叶酸可显著降低新生儿神经管缺陷的风险. 美国预防服务工作组建议所有可能怀孕的妇女每天服用叶酸.
科学领域:
- 公共卫生
- 母亲健康
- 妇产科
背景情况:
- 神经管缺陷 (NTD) 是美国常见的先天性缺陷,每年影响大约3000例怀孕.
- 低母体叶酸水平是NTD发展的一个重要因素.
研究的目的:
- 对叶酸补充剂的益处和危害进行证据更新.
- 为预防NTD提供建议.
主要方法:
- 美国预防服务工作组 (USPSTF) 委托进行系统审查和证据综合.
- 对叶酸补充剂预防NTD的有效性和安全性的数据的评估.
主要成果:
- 有很高的确定性,叶酸补充剂在预防NTD方面提供了显著的净益.
- 证据支持叶酸在减少NTD发病率方面的有效性.
结论:
- USPSTF建议所有计划怀孕或可能怀孕的人每天补充叶酸.
- 建议每天摄入0. 4至0. 8毫克 (400至800微克) 叶酸.
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