摘要
目的:探讨孕早期膳食模式对婴儿神经心理发育的影响,为引导孕妇调整孕早期膳食结构以及促进婴儿神经心理发育提供科学依据。方法:在合肥市以孕早期(12~12+6周)孕妇作为目标人群,随机抽取496名孕妇作为研究对象,并随访其子代到6月+10天左右。通过问卷调查收集研究对象的基本信息、膳食习惯,并通过膳食频率法记录孕妇的膳食情况;采用因子分析法提取孕早期孕妇膳食模式,并通过多元Logistic回归分析孕早期孕妇不同膳食模式对婴儿神经心理发育的影响。结果:孕早期孕妇共有5种膳食模式,分别为腌制类、水果-奶类、水产-肉类、干坚果-豆类以及饮料-主食类。调整了混杂因素之后在6月龄婴儿智力得分高分组中,腌制类DP中T1与T3相比,增加了婴儿获得更高智力得分的可能性(OR=9.64,95%CI=1.30~71.67);6月龄婴儿运动得分中分组中,水产肉类DP中T2与T3相比,降低了婴儿获得更高运动得分的可能(OR=0.11,95%CI=0.02~0.74)。结论:孕妇孕早期较少的食用腌制类DP对婴儿的神经心理发育有一定的影响,增加婴儿获得智力高分的可能性;水产-肉类DP中,孕妇食用量处于中位水平较食用多者,导致婴儿获得更高运动得分的可能性降低。
【Objective】To investigate the effects of dietary pattern(DP)in early pregnancy on infant neuropsychological develop⁃ment,and to provide a scientific basis for guiding pregnant women to adjust their dietary structure in early pregnancy and promoting infant neuropsychological development in the future.【Method】In Hefei city,496 pregnant women in early pregnancy(12—12+6 weeks)were randomly selected as the target population and their offspring were followed up to about 6 months+10 days.The basic information and dietary habits of the study subjects were collected through questionnaires,and the diets of pregnant women were recorded by the dietary frequency method.The dietary patterns of pregnant women in early pregnancy were extracted by factor analysis,and the effects of different dietary patterns of pregnant women in early pregnancy on infant neuropsychological development were analyzed by multiple Logistic regres⁃sion.【Result】There were five dietary patterns of pregnant women in early pregnancy,namely,pickle,fruit-dairy,aquatic-meat,dried nutlegume,and drink-staple food.After adjusting for confounding factors,in the high IQ score subgroup of 6-month-old infants,T1 compared to T3 in the pickles DP increased the likelihood of higher IQ scores(OR=9.64,95%CI=1.30—71.67).In the medium motor score subgroup of 6-month-old infants,T2 compared to T3 in the aquatic meat DP decreased the likelihood of higher motor scores(OR=0.11,95%CI=0.02—0.74).【Conclusion】The low consumption of pickles DP in the first trimester of pregnant women has a certain effect on the neuropsychological development of infants and increases the possibility of obtaining high intelligence scores.In aquatic and meat DP,the median level of maternal consumption is lower than that of those who consume more food,resulting in a lower likelihood of higher infant exercise score.
作者
潘艳艳
王燕
李明
杨茜
孙瑜
朱媛媛
邵子瑜
PAN Yan-yan;WANG Yan;LI Ming;YANG Xi;SUN Yu;ZHU Yuan-yuan;SHAO Zi-yu(School of Public Health,Anhui Medical University,Hefei 230032,China;Hefei Women's and Children's Health Centre,Hefei 230041,China)
出处
《中国食物与营养》
2024年第1期68-73,共6页
Food and Nutrition in China
基金
中国疾病预防控制中心妇幼保健中心母婴营养与健康研究项目“孕妇孕早期膳食模式及血清营养素水平与子代智能发育相关性的队列研究”(项目编号:2019FYH020)
2017年合肥市卫生计生委应用医学研究项目(项目编号:hwk2017zd018)。
关键词
孕早期
膳食模式
神经心理
early pregnancy
dietary pattern
neuropsychological
