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JAMA Pediatr:怀孕吃鱼较多,对孩子的成长并没有什么好处

2016-04-09 MedSci MedSci原创

女性怀孕时,鱼的摄入已被证明影响胎儿的生长。但目前鱼类摄入对儿童生长和肥胖影响的程度仍不清楚。该研究的目的是探讨怀孕时吃鱼与后代的成长以及儿童超重和肥胖的风险是否有关系。该多中心,以人群为基础的出生队列单胎研究在比利时,法国,希腊,爱尔兰,意大利,荷兰,挪威,波兰,葡萄牙,西班牙和马萨诸塞进行,持续时间为从1996年到2011年。共有26184名孕妇和她们的孩子参与此研究,2年一次随访,直到孩子6

女性怀孕时,鱼的摄入已被证明影响胎儿的生长。但目前鱼类摄入对儿童生长和肥胖影响的程度仍不清楚。

该研究的目的是探讨怀孕时吃鱼与后代的成长以及儿童超重和肥胖的风险是否有关系。

该多中心,以人群为基础的出生队列单胎研究在比利时,法国,希腊,爱尔兰,意大利,荷兰,挪威,波兰,葡萄牙,西班牙和马萨诸塞进行,持续时间为从1996年到2011年。共有26184名孕妇和她们的孩子参与此研究,2年一次随访,直到孩子6岁。干预措施为在怀孕期间吃鱼。

研究人员评估了后代从出生3个月到6岁的身体质量指数轨迹。研究人员将婴儿快速成长定义为从出生到2岁时体重增加Z值超过0.67,在4岁和6岁时儿童超重/肥胖,对于年龄和性别身体质量指数在第85百分位或更高。研究人员计算了特定人群效果估计,并通过随机效应荟萃分析对其进行结合。

这项多中心,基于人群的出生队列研究包括26184名孕妇和她们的孩子。怀孕期间平均摄入鱼的范围从比利时0.5次/周到西班牙4.45次/周。与摄入鱼的次数较少(3次/周或更少)的女性相比,在怀孕期间吃鱼超过3次/周的孕妇,其后代从婴儿时期到儿童中期有较高的身体质量指数值。与那些在怀孕期间每周摄入鱼一次或更少的女性相比,在怀孕期间摄入较多的鱼(>3次/周),增加了婴儿快速生长的风险,调整后的比值比(aOR)为1.22(95%CI,1.05-1.42),并且增加了后代在4岁时(aOR为1.14 [95%CI,0.99-1.32])和6岁时(aOR为1.22 [95%CI,1.01-1.47])超重/肥胖的风险。交互分析表明,在怀孕期间摄入较多的鱼,快速生长的影响在女孩中(aOR,1.31 [95%CI,1.08-1.59])比男孩(aOR,1.11[95%CI,0.92-1.34];相互P=0.02)要大。

怀孕期间摄入较多的鱼增加了婴儿快速生长和儿童肥胖的风险。该研究结果符合美国FDA和环境保护局对于鱼的摄入量的限制。

原始出处:

Nikos Stratakis,Theano Roumeliotaki,Emily Oken,et al.Fish Intake in Pregnancy and Child Growth,JAMA Pediatr,2016.4.8

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    2016-07-21 feather89
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    2016-05-05 1dec631em90(暂无匿称)

    还是应该均衡饮食

    0

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    2016-04-18 1deadedam23(暂无匿称)

    估计我妈是怀我的时候鱼吃少了

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1726078, encodeId=dcb91e26078ac, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Thu Jul 21 11:24:00 CST 2016, time=2016-07-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1637312, encodeId=5cc6163e31214, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Fri Jun 10 22:24:00 CST 2016, time=2016-06-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=84301, encodeId=cc2584301d4, content=还是应该均衡饮食, beContent=null, objectType=article, channel=null, level=null, likeNumber=153, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=301d1720835, createdName=1dec631em90(暂无匿称), createdTime=Thu May 05 14:01:00 CST 2016, time=2016-05-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79287, encodeId=5bcce9287d3, content=估计我妈是怀我的时候鱼吃少了, beContent=null, objectType=article, channel=null, level=null, likeNumber=154, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cf501714004, createdName=1deadedam23(暂无匿称), createdTime=Mon Apr 18 00:07:00 CST 2016, time=2016-04-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=78105, encodeId=ca59e8105b2, content=文章不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=136, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=240a1683959, createdName=李继凯, createdTime=Thu Apr 14 18:30:00 CST 2016, time=2016-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=78106, encodeId=3861e81060e, content=值得学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=187, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=240a1683959, createdName=李继凯, createdTime=Thu Apr 14 18:30:00 CST 2016, time=2016-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=77328, encodeId=0565e73285e, content=吃吧,多吃鱼, beContent=null, objectType=article, channel=null, level=null, likeNumber=144, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=078f1661649, createdName=wei834766788, createdTime=Mon Apr 11 00:41:00 CST 2016, time=2016-04-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=77325, encodeId=624ae732525, content=倡导素食,代谢性疾病或许就少了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=166, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=225a1697989, createdName=1de7460am01(暂无匿称), createdTime=Sun Apr 10 23:07:00 CST 2016, time=2016-04-10, status=1, ipAttribution=)]
    2016-04-14 李继凯

    文章不错

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1726078, encodeId=dcb91e26078ac, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Thu Jul 21 11:24:00 CST 2016, time=2016-07-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1637312, encodeId=5cc6163e31214, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Fri Jun 10 22:24:00 CST 2016, time=2016-06-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=84301, encodeId=cc2584301d4, content=还是应该均衡饮食, beContent=null, objectType=article, channel=null, level=null, likeNumber=153, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=301d1720835, createdName=1dec631em90(暂无匿称), createdTime=Thu May 05 14:01:00 CST 2016, time=2016-05-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79287, encodeId=5bcce9287d3, content=估计我妈是怀我的时候鱼吃少了, beContent=null, objectType=article, channel=null, level=null, likeNumber=154, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cf501714004, createdName=1deadedam23(暂无匿称), createdTime=Mon Apr 18 00:07:00 CST 2016, time=2016-04-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=78105, encodeId=ca59e8105b2, content=文章不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=136, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=240a1683959, createdName=李继凯, createdTime=Thu Apr 14 18:30:00 CST 2016, time=2016-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=78106, encodeId=3861e81060e, content=值得学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=187, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=240a1683959, createdName=李继凯, createdTime=Thu Apr 14 18:30:00 CST 2016, time=2016-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=77328, encodeId=0565e73285e, content=吃吧,多吃鱼, beContent=null, objectType=article, channel=null, level=null, likeNumber=144, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=078f1661649, createdName=wei834766788, createdTime=Mon Apr 11 00:41:00 CST 2016, time=2016-04-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=77325, encodeId=624ae732525, content=倡导素食,代谢性疾病或许就少了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=166, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=225a1697989, createdName=1de7460am01(暂无匿称), createdTime=Sun Apr 10 23:07:00 CST 2016, time=2016-04-10, status=1, ipAttribution=)]
    2016-04-14 李继凯

    值得学习

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1726078, encodeId=dcb91e26078ac, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Thu Jul 21 11:24:00 CST 2016, time=2016-07-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1637312, encodeId=5cc6163e31214, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Fri Jun 10 22:24:00 CST 2016, time=2016-06-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=84301, encodeId=cc2584301d4, content=还是应该均衡饮食, beContent=null, objectType=article, channel=null, level=null, likeNumber=153, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=301d1720835, createdName=1dec631em90(暂无匿称), createdTime=Thu May 05 14:01:00 CST 2016, time=2016-05-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79287, encodeId=5bcce9287d3, content=估计我妈是怀我的时候鱼吃少了, beContent=null, objectType=article, channel=null, level=null, likeNumber=154, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cf501714004, createdName=1deadedam23(暂无匿称), createdTime=Mon Apr 18 00:07:00 CST 2016, time=2016-04-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=78105, encodeId=ca59e8105b2, content=文章不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=136, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=240a1683959, createdName=李继凯, createdTime=Thu Apr 14 18:30:00 CST 2016, time=2016-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=78106, encodeId=3861e81060e, content=值得学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=187, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=240a1683959, createdName=李继凯, createdTime=Thu Apr 14 18:30:00 CST 2016, time=2016-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=77328, encodeId=0565e73285e, content=吃吧,多吃鱼, beContent=null, objectType=article, channel=null, level=null, likeNumber=144, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=078f1661649, createdName=wei834766788, createdTime=Mon Apr 11 00:41:00 CST 2016, time=2016-04-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=77325, encodeId=624ae732525, content=倡导素食,代谢性疾病或许就少了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=166, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=225a1697989, createdName=1de7460am01(暂无匿称), createdTime=Sun Apr 10 23:07:00 CST 2016, time=2016-04-10, status=1, ipAttribution=)]
    2016-04-11 wei834766788

    吃吧,多吃鱼

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1726078, encodeId=dcb91e26078ac, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Thu Jul 21 11:24:00 CST 2016, time=2016-07-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1637312, encodeId=5cc6163e31214, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Fri Jun 10 22:24:00 CST 2016, time=2016-06-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=84301, encodeId=cc2584301d4, content=还是应该均衡饮食, beContent=null, objectType=article, channel=null, level=null, likeNumber=153, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=301d1720835, createdName=1dec631em90(暂无匿称), createdTime=Thu May 05 14:01:00 CST 2016, time=2016-05-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79287, encodeId=5bcce9287d3, content=估计我妈是怀我的时候鱼吃少了, beContent=null, objectType=article, channel=null, level=null, likeNumber=154, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cf501714004, createdName=1deadedam23(暂无匿称), createdTime=Mon Apr 18 00:07:00 CST 2016, time=2016-04-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=78105, encodeId=ca59e8105b2, content=文章不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=136, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=240a1683959, createdName=李继凯, createdTime=Thu Apr 14 18:30:00 CST 2016, time=2016-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=78106, encodeId=3861e81060e, content=值得学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=187, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=240a1683959, createdName=李继凯, createdTime=Thu Apr 14 18:30:00 CST 2016, time=2016-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=77328, encodeId=0565e73285e, content=吃吧,多吃鱼, beContent=null, objectType=article, channel=null, level=null, likeNumber=144, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=078f1661649, createdName=wei834766788, createdTime=Mon Apr 11 00:41:00 CST 2016, time=2016-04-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=77325, encodeId=624ae732525, content=倡导素食,代谢性疾病或许就少了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=166, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=225a1697989, createdName=1de7460am01(暂无匿称), createdTime=Sun Apr 10 23:07:00 CST 2016, time=2016-04-10, status=1, ipAttribution=)]
    2016-04-10 1de7460am01(暂无匿称)

    倡导素食,代谢性疾病或许就少了。

    0

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