OBJECTIVE:Whereas there are numerous reports in the literature relating the impact of maternal nutritional status on subsequent birth outcome, much less is known about the long-term impact on infant growth after birth. Therefore, we conducted a prospective cohort study to investigate the association of maternal micronutrient status (vitamins A, C and E, folate) and oxidative stress status in pregnancy with infant growth during the first year of life. DESIGN:Prospective cohort study. SETTING:Outpatient clinic of obstetrics, Ewha Womans University Hospital, Seoul, South Korea. SUBJECTS AND METHODS:Two groups were constructed for this study - the Ewha pregnancy cohort (n = 677) and the infant growth cohort comprising follow-up live newborns of all the recruited pregnant women (n = 317). Maternal serum vitamin and urinary oxidative stress levels were collected and infant weights and heights were measured at birth and at 6 and 12 months after birth. RESULTS:Division of the subjects into folate-deficient and normal groups revealed that infant weight and height at 0, 6 and 12 months were adversely affected by folate deficiency. High maternal vitamin C was associated with increased infant weight and height at birth and after birth. CONCLUSION:Our findings indicate the importance of preventing folate deficiency and supplementing vitamin C during pregnancy.

译文

目的:尽管在文献中有许多关于孕产妇营养状况对随后分娩结果的影响的报道,但对出生后对婴儿生长的长期影响知之甚少。因此,我们进行了一项前瞻性队列研究,以调查孕妇出生后第一年中婴儿微量营养素状况(维生素A,C和E,叶酸)与氧化应激状况之间的关系。
设计:前瞻性队列研究。
地点:韩国首尔梨花女子大学附属医院妇产科门诊。
研究对象和方法:本研究分为两组-梨花妊娠队列(n = 677)和婴儿生长队列,其中包括所有新招募孕妇的随访活新生儿(n = 317)。收集母亲的血清维生素和尿液氧化应激水平,并在出生时以及出生后6个月和12个月时测量婴儿的体重和身高。
结果:将受试者分为叶酸缺乏组和正常组,发现0、6和12个月的婴儿体重和身高受到叶酸缺乏的不利影响。母体维生素C含量高与婴儿出生时和出生后体重和身高的增加有关。
结论:我们的研究结果表明了预防怀孕期间叶酸缺乏和补充维生素C的重要性。

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