在双胞胎怀孕中探索基础代谢率和饮食充足度:VENERE研究
Monica Dinu1, Antonia Napoletano2, Ilaria Giangrandi3
1Department of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, 50134, Florence, Italy.
Nutrition & metabolism
|December 2, 2024
概括
双胞胎怀孕的妇女有更高的能量需求和营养摄入不足,表明需要专门的饮食建议. 这项研究跟踪了整个怀孕期间的新陈代谢率和饮食.
科学领域:
- 产科和妇科 产科和妇科
- 营养科学 营养科学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 双胞胎怀孕带来了独特的孕产妇医疗保健挑战.
- 现有的指导方针往往侧重于单子怀孕,造成双胞胎怀孕的知识差距.
- 双胞胎怀孕中特定的代谢和饮食需求需要进一步调查.
研究的目的:
- 评估双胞胎怀孕妇女的基础代谢率 (BMR),饮食摄入量和饮食质量.
- 为了跟踪这些参数在怀孕的三个季度.
- 识别潜在的营养不足,并为量身定制的干预提供信息.
主要方法:
- 一项前性观察性研究,涉及32名双胞胎怀孕的妇女,经过两年时间.
- 在第一,第二和第三季度进行间接热量测量和人体测量评估.
- 通过使用7天的食物日记和Medi-Lite坚持评分来评估饮食摄入量.
主要成果:
- 基底代谢率 (BMR) 从第一个到第三个季度增加了16%.
- 在双胞胎怀孕中,Hronek的方程被证明是估计双胞胎怀孕中的BMR最准确的方程.
- 在整个怀孕期间,平均每日能量摄入量仍低于推值,而宏观和微量营养素消费不足.
- 饮食质量很差,以低摄入水果,蔬菜和鱼类为特征,高摄入加工食品和含糖饮料.
结论:
- 双胞胎怀孕会显著增加能量需求.
- 营养摄入量经常不足,突出了潜在的风险.
- 对于怀孕双胞胎的妇女,制定具体的饮食指南和干预措施是非常必要的.
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