对于预防神经管缺陷的完全有效强化所需的血叶酸水平
Nicholas J Wald1,2, Stephen H Vale3, Jonathan P Bestwick4
1UCL Institute of Health Informatics, University College London, London, UK n.wald@ucl.ac.uk.
Archives of disease in childhood
|February 12, 2025
概括
为了完全预防神经管缺陷 (NTDs),食品强化应以44 ng/mL的中位数血清叶酸水平为目标. 这种增加的叶酸摄入量每年可以预防估计25万个NTD病例.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 产科 产科 产科 产科 产科
背景情况:
- 神经管缺陷 (NTD) 与叶酸缺乏有关,可以通过增加叶酸摄入量来预防.
- 目前的食品强化水平导致血清叶酸水平低于最佳水平,从而导致有限的NTD预防 (约. 20%). 这是一个很好的方法.
研究的目的:
- 确定最大限度降低NTD风险所需的最佳血清叶酸水平.
- 评估当前叶酸强化策略的有效性.
主要方法:
- 分析了两项研究的数据,研究了血清叶酸与NTD风险之间的关系.
- 与叶酸补充剂随机试验的结果进行比较.
主要成果:
- 血清叶酸和NTD风险之间存在比例 (对数) 关系,没有证据表明存在保护值.
- 血清叶酸水平的中位数为44ng/mL,每天服用4毫克叶酸,导致NTD风险降低83%.
- 目前的强化水平 (血清叶酸10-16 ng/mL) 不足以产生充分的预防作用.
结论:
- 为了完全有效地预防NTD,需要达到大约44ng/mL的中位数人群血清叶酸水平.
- 这种水平的叶酸强化可以防止全球每年估计有25万个NTD病例.
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