全国采用世界卫生组织关于怀孕期间补充的建议
Iris B Romero1,2, María Bernardita Puchulu1,2, Surya M Perez1
1Departamento de Salud, Universidad Nacional de La Matanza (UNLAM), San Justo, Argentina.
Annals of the New York Academy of Sciences
|November 3, 2025
概括
世界卫生组织建议在怀孕期间补充,以预防先兆子. 然而,这一指南的采用率很低,特别是在最需要帮助的国家,这表明在孕产妇医疗保健方面存在严重差距.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 营养科学 营养科学
背景情况:
- 孕产妇高血压疾病是全球孕妇死亡的主要原因.
- 在许多地区,怀孕期间低于最佳的摄入量普遍存在.
- 补充是世卫组织推的一种干预措施,以减少子宫前的风险.
研究的目的:
- 评估世界卫生组织在怀孕期间补充的建议的全球实施情况.
- 确定有关摄入量和补充剂的国家产前护理指南.
主要方法:
- 在2024年1月至7月期间,对卫生部网站,谷歌和世卫组织数据库进行了系统的搜索.
- 从2007年至2024年间出版的194个世卫组织成员国的国家产前护理指南进行了审查.
- 分析了摄入量建议和特定补充方案的指导方针.
主要成果:
- 在92个国家确定了怀孕指南 (47.4%的受访者).
- 其中,58条指导方针 (63%) 包括摄入量建议.
- 只有29个指南建议补充,主要来自中高收入国家.
结论:
- 在全球采用世卫组织关于怀孕期间补充的建议方面存在重大差距.
- 孕产妇高血压疾病负担最高的国家显着缺乏公布的补充指南.
- 需要加大努力,在产前护理中促进补充的政策,特别是在资源较少的环境中.
相关概念视频
01:28International Nursing Organizations II
1.4K
The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
1.4K
01:31Essential Minerals for Bone Health
6.3K
The minerals contained in all of the food we consume are essential for our organ systems. However, certain essential minerals, such as calcium, phosphorus, magnesium, manganese, and fluoride, largely affect bone health.
Calcium and Phosphorus
Calcium is a critical component of bones, especially in the form of calcium phosphate and calcium carbonate. Since the body cannot make calcium, it must be obtained from the diet. However, calcium cannot be absorbed from the small intestine without...
Calcium and Phosphorus
Calcium is a critical component of bones, especially in the form of calcium phosphate and calcium carbonate. Since the body cannot make calcium, it must be obtained from the diet. However, calcium cannot be absorbed from the small intestine without...
6.3K
01:21Skeleton and Calcium Homeostasis
8.5K
Calcium is not only the most abundant mineral in bone but also the most abundant mineral in the human body. Calcium ions are needed for bone mineralization, tooth health, heart rate regulation and strength of contraction, blood coagulation, the contraction of smooth and skeletal muscle cells, and the regulation of nerve impulse conduction. The average calcium level in the blood is about 10 mg/dL. When the body cannot maintain this level, a person will experience hypo or hypercalcemia.
8.5K
01:25Role of Vitamins in Maintaining Bone Health
5.1K
The growth and maintenance of bone are regulated by a combination of nutritional factors, including vitamins, such as vitamin A, B12, C, D, and K.
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
5.1K
01:20Study Designs in Epidemiology
1.7K
Epidemiological study designs are fundamental tools for investigating the distribution, determinants, and control of health conditions in populations. They help researchers understand the relationships between exposures and outcomes, and they broadly fall into two categories: "observational" and "experimental" studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
1.7K
01:27Urinary Tract Calculi IV: Nutrition Therapy and Prevention
764
Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
764