健康孕妇的能源消耗:一个系统的审查
1Department of Nutrition and Dietetics, Bandirma Onyedi Eylul University, Balikesir, Turkey.
Nutrition reviews
|February 28, 2024
概括
在怀孕期间精确测量能量消耗对母婴健康至关重要. 建议使用间接热量计和加速度计等经过验证的方法进行精确的监测,并为能量摄入目标提供信息.
科学领域:
- 生殖健康 生殖健康
- 孕产妇的营养 孕产妇的营养
- 能量代谢的能量代谢
背景情况:
- 怀孕对母亲和儿童的健康有重大影响,需要精确的能源消耗评估.
- 由于生理变化的动态,目前用于确定怀孕期间的能量消耗的方法缺乏标准化的参考方法.
- 了解能量稳态转变对于最佳妊娠结果至关重要.
研究的目的:
- 审查整个怀孕期间能源消耗的变化.
- 评估这些变化对母亲体重增加的影响.
- 评估用于确定孕妇能量消耗的方法.
主要方法:
- 在主要的科学数据库 (2010-2022) 中进行了系统的文献搜索.
- 最初的搜索结果为2095篇文章;根据纳入标准,选择了20篇文章进行审查.
- 数据的提取和分析是由两个独立的审稿人进行的.
主要成果:
- 怀孕前的BMI,妊娠期间的体重增加,以及身体成分 (脂肪和肌肉质量) 都会影响能量消耗.
- 双标记水和间接热量计是已建立的参考方法.
- 间接热量计与活动监测相结合,提供准确的休息能量支出和需求;加速度计对于活动能量支出是有效的.
结论:
- 使用经过验证的方法,仔细监测休息和活动能量消耗,对于怀孕期间适当的能量摄入至关重要.
- 现有的能源支出估计方程需要改进或开发特定于怀孕的模型以提高准确性.
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