中国10城市乳母膳食摄入与营养健康状况研究
作者:
作者单位:

(1.北京大学公共卫生学院 北京 100086;2.清华大学万科公共卫生与健康学院 北京 100091;3.国家儿童医学中心 首都医科大学附属北京儿童医院保健中心 北京 100045;4.内蒙古乳业技术研究院有限责任公司 呼和浩特 010110)

作者简介:

张玉梅(1966—),女,博士,教授 E-mail: zhangyumei@bjmu.edu.cn

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中图分类号:

基金项目:

2020年内蒙古自治区应用技术研究与开发资金资助项目


Studies on Lactating Women Dietary Intake & Nutrition Health Among 10 Chinese Cities
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Affiliation:

(1.School of Public Health, Peking University, Beijing 100086;2.Vanke School of Public Health, Tsinghua University, Beijing 100091;3.National Children's Medical Center, Beijing Children's Hospital Health Care Center,Capital Medical University, Beijing 100045;4.Inner Mongolia Dairy Research & Research Institute Co., Ltd., Huhhot 010110)

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    摘要:

    目的:报告2019—2020年我国不同地理区域,不同经济发展水平的10个城市(北京、广州、苏州、南昌、宁波、许昌、沈阳、成都、兰州、呼和浩特)的孕乳母及0~36月龄婴幼儿的乳母膳食摄入与营养健康状况调查情况。方法:调查纳入北京、广州、苏州、南昌、宁波、许昌、沈阳、成都、兰州、呼和浩特10个城市乳母973名,按照泌乳期将乳母分为产褥期、哺乳中期及哺乳后期。收集乳母孕前体重、分娩前体重以及人口社会经济学信息,采用膳食频率问卷及24 h膳食记录和膳食补充剂问卷进行膳食调查,计算食物及营养素并归纳膳食模式。哺乳期妇女健康问卷调查哺乳习俗,爱丁堡产后抑郁量表调查产后抑郁状况;身体测量调查当日身高、体重,并用INBODY测量体成分,现场测量血压;收集空腹血液,HPLC-MS/MS检测血清维生素A等水平。结果:不同泌乳期乳母的乳类、蔬菜摄入量低于中国居民膳食平衡宝塔建议值;有59.5%的乳母遵从传统哺乳习俗,其根茎类蔬菜、海藻、水果、肉类的摄入量高,新鲜绿叶蔬菜的摄入量较低;乳类摄入量、乳类水果膳食模式与血清维生素A水平呈正相关;血清维生素A水平与产后抑郁呈负相关。结论:当前我国城市乳母的膳食水平亟待提高。呼吁食品行业及公共营养界凝聚合力,食品企业开发有助于乳母健康的食品,助力改善乳母营养健康水平。

    Abstract:

    Objective: To report young investigation which was a nutrition and health survey on maternal and 0-36 months infants & toddlers among 10 different geographic areas, different economic development level cities including Beijing, Guangzhou, Suzhou, Nanchang, Ningbo, Xuchang, Shenyang, Chengdu, Lanzhou & Huhhot. Method: Total of 973 lactating women in ten cities including Beijing, Guangzhou, Suzhou, Nanchang, Ningbo, Xuchang, Shenyang, Chengdu, Lanzhou and Huhhot were recruited, they were divided into puerperium period, early stage of the nursing and late stage of nursing according to lactation period, the nutrition and health information of lactating women were collected by questionnaires such as socioeconomics questionnaires including pre-pregnancy and before delivery body weight, qualified food frequency questionnaire (FFQ), 24 h dietary record and dietary supplement questionnaire used to calculate food and nutrient intake and develop the dietary pattern; questionnaire including traditional postpartum practice, questionnaires on postpartum anxiety and depression; anthropometry record the height and body weight at the investigation day, body composition were tested by Inbody instrument, blood pressure was measured on-site; fasting blood were collected to test hemoglobin level, serum vitamin A were quantified by HPLC-MS/MS. This article concludes 3 published papers. Results: The amount of lactating women diary & vegetables intakes was lower than recommendations in Chinese dietary pagoda; 59.5% of participants self-reported adhering to certain postpartum practices, women who adhere to postpartum practice had significant lower dietary green leafy vegetables, but high dietary meat, algae, fruits & root vegetables intake. The amount of dairy food, diary & food dietary pattern were positively related to blood serum vitamin A level, meanwhile, blood vitamin A level was negatively associated with postpartum depression. Conclusion: Lactating women's nutritional status need to be improved currently, we should encourage food industry and public nutrition condensation to develop healthy and proper food for breastfeeding women to improve mateernal and infants' nutritional health.

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张玉梅,赵艾,杨晨璐,蓝航莲,司徒文佑.中国10城市乳母膳食摄入与营养健康状况研究[J].中国食品学报,2022,22(3):1-7

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  • 收稿日期:2022-03-03
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  • 在线发布日期: 2022-04-13
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