产前风险对健康食品的获取和高出生体重的结果
Carol Duh-Leong1, Eliana M Perrin2, William J Heerman3
1NYU Grossman School of Medicine (C Duh-Leong, RS Gross, and HS Yin), Division of General Pediatrics, Department of Pediatrics, New York, NY.
Academic pediatrics
|September 2, 2023
概括
怀孕期间的粮食不安全与婴儿出生体重增加有关,增加了健康风险. 解决食品获取问题对于健康的怀孕和分娩结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 营养流行病学 营养流行病学
背景情况:
- 婴儿出生时高体重与不良健康结果的风险增加有关.
- 产前因素,包括获得健康食品,可能会影响婴儿出生体重.
- 了解社区食品环境和粮食不安全的影响对于公共卫生干预至关重要.
研究的目的:
- 调查贫困社区粮食环境和/或粮食不安全与高婴儿出生体重之间的联系.
- 确定这些食物获取风险对出生体重结果的个别和综合影响.
主要方法:
- 来自Greenlight Plus肥胖预防试验 (n=787) 的横截面基线数据的分析.
- 通过验证的调查评估社区的食品环境和家庭的粮食不安全.
- 对多个潜在混因素进行调整后的物流回归分析.
主要成果:
- 34%的参与者报告说,社区的食品环境不佳和/或粮食不安全.
- 粮食不安全与高出生体重的更大概率 (aOR 1.96) 有显著的关联.
- 获得健康食品的每一个额外风险都与高出生体重几率增加56%相关.
结论:
- 产前对健康食品获取的风险,特别是粮食不安全,可能会增加高婴儿出生体重的几率.
- 未来的研究应该在检查邻居因素和婴儿出生体重时考虑健康的产前社会决定因素.
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