从DOHaD理论看孕期营养干预的重要性

李婷,段涛

中国实用妇科与产科杂志 ›› 2014, Vol. 30 ›› Issue (8) : 582-585.

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PDF(1011 KB)
中国实用妇科与产科杂志 ›› 2014, Vol. 30 ›› Issue (8) : 582-585. DOI: 10.7504/fk2014070102
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从DOHaD理论看孕期营养干预的重要性

  • 李婷,段涛
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Importance of intervening the nutritional problems during pregnancy in based on evidences of developmental origins of health and disease (DOHaD).

  • LI Ting,DUAN Tao.
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文章历史 +

摘要

孕期可能出现多种营养问题。与健康和疾病发育起源学说(DOHaD)的相关研究显示,妊娠期热量摄入过多或过少、三大营养素水平失衡以及包括铁、叶酸在内的多种微量营养素缺乏,都可以通过改变胎儿下丘脑-垂体-肾上腺素轴应答、氧化应激状态、表观遗传学等机制,永久的改变后代对疾病的易感性,增加成年期慢性疾病的发生。产科医生需根据循证医学证据,在孕期对所有孕妇实施合理的营养干预,提高整个人群的健康素质。

Abstract

Abstract: Pregnancy women may facing various nutritional problems during pregnancy including excess or insufficient energy intake, imbalance of macronutrients, deficiency of micronutrient . Based on evidences of developmental origins of health and disease (DOHaD), the fetal hypothalamic - pituitary - adrenaline-axis response, oxidative stress and epigenetic mechanisms can be permanently changed by these nutritional problems. The susceptibility to chronic non-communicable disease in adulthood is changed. Obstetricians should intervene the nutritional problems based on uptodate evidences to improve the health of the whole population.

关键词

健康和疾病的发育起源 / 慢性成人疾病 / 营养干预 / 妊娠期

Key words

developmental origins of health and disease / chronic non-communicable diseases in adulthood / nutrition interventions / pregnancy

引用本文

导出引用
李婷,段涛. 从DOHaD理论看孕期营养干预的重要性[J]. 中国实用妇科与产科杂志. 2014, 30(8): 582-585 https://doi.org/10.7504/fk2014070102
LI Ting,DUAN Tao.. Importance of intervening the nutritional problems during pregnancy in based on evidences of developmental origins of health and disease (DOHaD).[J]. Chinese Journal of Practical Gynecology and Obstetrics. 2014, 30(8): 582-585 https://doi.org/10.7504/fk2014070102
中图分类号: R714.2   

参考文献

[1]   Barker DJ, Winter PD, Osmond C, et al. Weight in infancy and death from ischaemic heart disease[J]. Lancet ,1989,148: 577-580

[2]   Barker DJ.Fetal origins of coronary heart disease[J].BMJ,1995 ,311(6998):171-174.

[3]   Burdge GC,Lillycrop KA,Jackson AA,et al. The nature of the growth pattern and of the metabolic response to fasting in the rat aredependent upon the dietary protein and folic acid intakes of their pregnant dams and post -weaning fat consumption[J]. Br J Nutr,2008,99(3):540-549

[4]    St Clair D, Xu M, Wang P, et al. Rates of adult schizophrenia following prenatal exposure to the Chinese famine of 1959-1961[J].JAMA,2005,294(5):557-562

[5]    Lawrence GM, Shulman S, Friedlander Y,et al. Associations of maternal pre-pregnancy and gestational body size with offspring longitudinal change in BMI[J].Obesity (Silver Spring), 2014,22(4):1165-1171.

[6]   Moreno-Castilla C, Hernandez M,Bergua M,et al. Low-carbohydrate diet for the treatment of gestational diabetes mellitus: a randomized controlled trial[J]. Diabetes Care, 2013 ,36(8):2233-2238

[7]   Walsh JM, McGowan CA, Mahony R, et al. Low glycaemic index diet in pregnancy to prevent macrosomia (ROLO study): randomised control trial[J].BMJ,2012,345:e5605

[8]   Campbell DM, Hall MH, Barker DJ,et al. Diet in pregnancy and the offspring's blood pressure 40 years later[J]. Br J Obstet Gynaecol. 1996,103(3):273-280.

[9]    Ota E, Tobe-Gai R, Mori R, et al. Antenatal dietary advice and supplementation to increase energy and protein intake[J]. Cochrane Database Syst Rev,2012,9:CD000032.

[10]    Bouanane S, Benkalfat NB, Baba Ahmed FZ,et al. Time course of changes in serum oxidant/antioxidant status in overfed obese rats and their offspring[J]. Clin Sci,2009 ,116(8):669-680

[11]    Frias AE, Morgan TK, Evans AE,et al. Maternal high-fat diet disturbs uteroplacental hemodynamics and increases the frequency of stillbirth in a nonhuman primate model of excess nutrition[J]. Endocrinology,2011,152(6):2456-2464

[12]   Haider BA, Olofin I, Wang M,et al. Anaemia, prenatal iron use, and risk of adverse pregnancy outcomes: systematic review and meta-analysis[J]. BMJ, 2013,21:346.

[13]   Chang S, Zeng L, Brouwer ID,et al. Effect of iron deficiency anemia in pregnancy on child mental development in rural China. Pediatrics[J]. 2013,131(3):e755-763.

[14]   Lillycrop KA, Phillips ES, Jackson AA,et al. Dietary protein restriction of pregnant rats induces and folic acid supplementation prevents epigenetic modification of hepatic gene expression in the offspring[J]. J Nutr, 2005,135(6):1382-1386.

[15]   Scholl TO, Hediger ML, Schall JI, et al. Dietary and serum folate: their influence on the outcome of pregnancy[J]. Am J Clin Nutr, 1996,63(4):520-525.

[16]   Yajnik CS, Deshpande SS, Jackson AA, et al. Vitamin B12 and folate concentrations during pregnancy and insulin resistance in the offspring: the Pune Maternal Nutrition Study[J]. Diabetologia, 2008 ,51(1):29-38.

(2014-04-28收稿)


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