产前多种微量营养素补充与改善母亲妊娠期体重增加有关:印度尼西亚帕雷帕雷的一项前性纵向研究
Sabaria Manti Battung1,2, Eline M van der Beek1,3, Henk Groen4
1Department of Pediatrics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
概括
适当的产前多重微量营养素补充剂 (MMS) 摄入与印尼妇女更好的妊娠体重增加 (GWG) 有关. 在怀孕期间确保足够的MMS剂量可以改善营养和GWG结果.
科学领域:
- 孕产妇和儿童的健康
- 营养流行病学 营养流行病学
- 公共卫生干预 公共卫生干预
背景情况:
- 许多印度尼西亚孕妇没有达到推的妊娠期体重增加 (GWG).
- 产前多重微量营养素补充 (MMS) 是改善孕产妇营养的关键干预措施.
- 了解MMS摄入量和GWG之间的关系对于优化产前护理至关重要.
研究的目的:
- 评估产前多种微量营养素补充剂 (MMS) 摄入水平与妊娠期体重增加 (GWG) 建议之间的关联.
- 调查MMS坚持对在印尼孕妇中实现充足的GWG的影响.
主要方法:
- 一项基于人口的前性队列研究在印度尼西亚帕雷帕雷进行,招募了1216名孕妇.
- 收集的数据包括怀孕前的BMI,MMS消费 (≥90片被定义为坚持),以及基于医学研究所指导方针的GWG充足度.
- 使用二进制物流回归来分析MMS消费与GWG之间的关联.
主要成果:
- 超过一半 (53.9%) 的参与者摄入了≥90个MMS片,但63.2%的GWG不足.
- 摄入足够的MMS的女性获得足够的GWG的几率更高 (OR=1.34,95% CI:1.05-1.69).
- 在对潜在混因素进行调整后,这种关联仍然很重要.
结论:
- 许多印度尼西亚妇女经历不充分的GWG,突出显著的公共卫生问题.
- 确保在怀孕期间遵守推的多种微量营养素补充剂剂量,可能会改善营养状况和GWG.
- 建议将关于MMS消费和适当的GWG建议纳入产前护理.
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