孕期特异性与早产产妇饮食模式之间的关联:中国医学大学出生队列研究
Jiajin Hu1,2, Meihui Li2,3,4, Chuang Li2,3,4
1Health Sciences Institute, China Medical University, Shenyang, China. dlwen@cmu.edu.cn.
Food & function
|August 4, 2023
概括
怀孕期间母亲的饮食对早产 (PTB) 风险的影响在三个月内不同. 在第一季度的鱼类消费增加了PTB风险,而在第二季度,它降低了风险. 乳制品和蛋的摄入量在后期的三个月增加了PTB的风险.
科学领域:
- 产科和妇科 产科和妇科
- 营养科学 营养科学
- 流行病学 流行病学
背景情况:
- 孕妇的饮食模式对早产 (PTB) 风险的影响在整个怀孕期间各不相同.
- 了解季度特定的饮食影响对于PTB预防策略至关重要.
研究的目的:
- 调查母亲饮食模式与早产风险 (PTB) 之间的三个月特定关联.
- 在怀孕期间确定饮食模式影响PTB风险的关键窗口.
主要方法:
- 预期产前队列研究,涉及1500名孕妇.
- 饮食摄入量评估使用验证的食物频率问卷在第一,第二和第三个三个月.
- 用于分析与PTB及其子类型的关联的物流回归和通用估计方程模型.
主要成果:
- 第一个三个月的鱼类和海鲜饮食模式与增加PTB风险 (OR=2.29) 和阴性早产 (IPTB) (OR=2.26) 相关.
- 相反,第二个三个月的鱼类和海鲜模式与PTB风险降低有关 (OR=0.49).
- 乳制品和蛋制品在第二或第三季度的模式与更高的PTB和IPTB风险有关. 没有与自发早产相关的模式.
结论:
- 母亲的饮食模式对PTB风险表现出三个月的特定影响,一些模式显示反向关联.
- 针对不同怀孕阶段的饮食指导是有效预防PTB的必要条件.
- 研究结果强调了产前营养与怀孕结果之间的动态关系.
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