母体铁和摄入量对低出生体重风险的影响:一项嵌套病例对照研究
Liping Yang1,2, Zifu Wang2, Lei Cao2
1Department of Public Health and Infection Management, Gansu Provincial Hospital of Traditional Chinese Medicine, Gansu, Lanzhou, China.
PeerJ
|August 25, 2025
概括
怀孕前和怀孕期间母亲的铁和摄入量与婴儿低出生体重 (LBW) 有关. 这些营养素的摄入不足,特别是组合摄入不足,会增加LBW的风险,突出需要改善营养.
科学领域:
- 母婴营养 母婴营养
- 公共卫生 公共卫生
- 营养流行病学 营养流行病学
背景情况:
- 母体铁/摄入量与婴儿低出生体重 (LBW) 之间的关系需要进一步澄清.
- 了解这种关联对于制定有效的公共卫生战略至关重要.
研究的目的:
- 调查孕前和产前铁和摄入量对LBW婴儿分娩风险的影响.
- 检查铁和摄入量之间关于LBW风险的潜在相互作用.
主要方法:
- 一个嵌套的病例控制研究,涉及565例和7,510对照在中国兰州.
- 通过采访评估饮食摄入量;使用无条件逻辑回归和受限制立方线模型进行统计分析.
- 探索铁和摄入量对LBW风险的非线性关联和协同效应.
主要成果:
- 怀孕前和怀孕期间母亲的铁和摄入量较低与LBW风险增加和特定亚型相关.
- 在铁/摄入水平和LBW发生之间观察到显著的非线性趋势 (P非线性<0.05).
- 确定了联合低铁和低摄入量对LBW风险的协同不利影响.
结论:
- 加强努力促进充足的铁和摄入量在怀孕前和怀孕期间是必不可少的.
- 这些干预措施对于减少研究人口中低出生体重的发生率至关重要.
- 公共卫生倡议应专注于改善母亲的微量营养素状况.
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