当前位置: X-MOL 学术Matern. Child Nutr. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
The impact of maternal supplementation during pregnancy and the first 6 months postpartum on the growth status of the next child born after the intervention period: Follow-up results from Bangladesh and Ghana.
Maternal & Child Nutrition ( IF 2.8 ) Pub Date : 2020-02-05 , DOI: 10.1111/mcn.12927
Katherine P Adams 1 , Seth Adu-Afarwuah 2 , Malay K Mridha 3 , Brietta M Oaks 4 , Susana L Matias 5 , Charles D Arnold 1 , Sika M Kumordzie 1 , Harriet Okronipa 1 , Maku E Ocansey 1 , Kathryn G Dewey 1
Affiliation  

Pregnancy and breastfeeding make demands on maternal nutrient stores. The extent of depletion and the degree to which nutrient stores are replenished between pregnancies has implications for a mother's nutritional status at conception of the subsequent child and therefore that child's birth outcomes and growth. Using follow-up data collected several years after a randomized effectiveness trial conducted in rural Bangladesh and a randomized efficacy trial conducted in semiurban Ghana, we evaluated the impact of maternal supplementation with small-quantity lipid-based nutrient supplements (LNS) or multiple micronutrients (MMN) through pregnancy (the index pregnancy) and 6 months postpartum on the growth status of the next living younger sibling conceived and born after the index pregnancy. In both Bangladesh (n = 472 younger siblings) and Ghana (n = 327 younger siblings), there were no overall differences in the growth status or the prevalence of undernutrition among younger siblings whose mothers had received LNS (or MMN, Ghana only) during and after the index pregnancy compared with the younger siblings of mothers who had received iron plus folic acid (IFA) during the index pregnancy (Ghana) or during and for 3 months after the index pregnancy (Bangladesh). These findings do not indicate that preconception nutrition interventions do not improve child growth. Rather, they suggest that any benefits of maternal LNS or MMN supplementation during one pregnancy and for 6 months postpartum are unlikely to extend to the growth of her next child beyond any effects due to IFA alone.

中文翻译:

妊娠期和产后前六个月补充母亲对干预期后下一个孩子的生长状况的影响:孟加拉国和加纳的随访结果。

怀孕和母乳喂养对母体营养储备的需求。怀孕之间的耗竭程度和补充营养的程度,对母亲在生下一个孩子时的营养状况具有影响,因此也关系到孩子的出生结局和成长。使用在孟加拉国农村进行的随机有效性试验和在加纳半城市进行的随机有效性试验数年后收集的随访数据,我们评估了小剂量基于脂质的营养补充剂(LNS)或多种微量营养素对孕产妇补充的影响( MMN)到怀孕(指数妊娠)和产后6个月,了解指数妊娠后怀孕并出生的下一个年轻同胞的生长状况。在孟加拉国(n = 472个较年轻的兄弟姐妹)和加纳(n = 327个较年轻的兄弟姐妹),其母亲在2002年接受LNS(或仅MMN,仅加纳)的年轻同胞的生长状况或营养不良发生率没有总体差异。与在指数妊娠期间(加纳)或在指数妊娠期间和之后三个月(孟加拉国)接受铁加叶酸(IFA)的母亲的年轻兄弟姐妹相比,该指数怀孕之后。这些发现并不表明孕前营养干预不能改善儿童生长。相反,他们认为,在一个怀孕期间和产后6个月补充产妇LNS或MMN的任何好处都不可能扩展到下一个孩子的成长,而不仅仅是IFA所带来的任何影响。与母亲的年轻兄弟姐妹接受铁加叶酸(指数怀孕期间(加纳)或指数怀孕期间和之后的3个月(孟加拉国)。这些发现并不表明孕前营养干预不能改善儿童生长。相反,他们认为,在一个怀孕期间和产后6个月补充孕产妇LNS或MMN的任何好处都不可能扩展到下一个孩子的成长,而不仅仅是IFA所带来的任何影响。与接受铁加叶酸(母亲)的年轻同胞相比,母亲在指数妊娠期间和之后接受LNS(或仅MMN,仅加纳)的年轻同胞的生长状况或营养不足患病率没有总体差异。 IFA)在指标怀孕期间(加纳)或指标怀孕期间和之后3个月(孟加拉国)。这些发现并不表明孕前营养干预不能改善儿童生长。相反,他们认为,在一个怀孕期间和产后6个月补充孕产妇LNS或MMN的任何好处都不可能扩展到下一个孩子的成长,而不仅仅是IFA所带来的任何影响。与在指数妊娠期间(加纳)或在指数妊娠期间和之后三个月(孟加拉国)接受铁加叶酸(IFA)的母亲的年轻兄弟姐妹相比,仅在加纳妊娠期间和之后。这些发现并不表明孕前营养干预不能改善儿童生长。相反,他们认为,在一个怀孕期间和产后6个月补充孕产妇LNS或MMN的任何好处都不可能扩展到下一个孩子的成长,而不仅仅是IFA所带来的任何影响。与在指数妊娠期间(加纳)或指数妊娠期间和之后三个月(孟加拉国)接受铁加叶酸(IFA)的母亲的年轻兄弟姐妹相比,仅在加纳妊娠期间和之后。这些发现并不表明孕前营养干预不能改善儿童生长。相反,他们认为,在一个怀孕期间和产后6个月补充孕产妇LNS或MMN的任何好处都不可能扩展到下一个孩子的成长,而不仅仅是IFA所带来的任何影响。这些发现并不表明孕前营养干预不能改善儿童生长。相反,他们认为,在一个怀孕期间和产后6个月补充孕产妇LNS或MMN的任何好处都不可能扩展到下一个孩子的成长,而不仅仅是IFA所带来的任何影响。这些发现并不表明孕前营养干预不能改善儿童生长。相反,他们认为,在一个怀孕期间和产后6个月补充孕产妇LNS或MMN的任何好处都不可能扩展到下一个孩子的成长,而不仅仅是IFA所带来的任何影响。
更新日期:2020-02-05
down
wechat
bug