在北印度的城市环境中,预孕和怀孕期间营养不良的管理
Neeta Dhabhai1, Ranadip Chowdhury1, Sunita Taneja1
1Society for Applied Studies (SAS), New Delhi, India.
Frontiers in public health
|September 13, 2024
概括
解决南亚生育年龄妇女体重不足的问题至关重要. 营养补充剂在孕前和怀孕阶段显著改善了女性的体重增加,改善了母亲和新生儿的健康结果.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 营养科学 营养科学
背景情况:
- 在南亚的生殖年龄妇女中,低体重的高患病率导致不良健康结果,包括不孕症和不良妊娠结果.
- 在WRA中营养不良会影响免疫力,增加非传染性疾病的风险,并在怀孕期间对新生儿和母亲的健康产生负面影响.
研究的目的:
- 评估营养干预策略对在怀孕前和怀孕阶段营养不良的有效性.
- 介绍北印度妇女和婴儿增长综合干预研究 (WINGS) 干预小组的发现.
主要方法:
- 分析了来自德里中低收入社区的WINGS干预组 (预孕和怀孕阶段) 的13,500名妇女的数据.
- 提供家庭送达,本地准备的食品补充剂 (零食,牛奶或蛋),以满足基于体重指数 (BMI) 的热量和蛋白质需求.
- 个别追踪,每月监测合规性,以及对感染的查/治疗.
主要成果:
- 预孕组的17%的女性和怀孕组的14%的女性在入学时体重不足.
- 大约三分之二的体重不足女性在预孕组的干预后9-12个月和怀孕组的干预后4周后出现改善.
- 在怀孕前体重不足的妇女在怀孕期间体重增加不足的发病率更高.
结论:
- 使用高能量食品补充剂的综合营养管理方法显著改善了女性的体重增加.
- 该干预表明,在关键的生殖时期,该干预表明了打击WRA营养不良的可行策略.
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