Racial disparities in preterm birth: an overview of the potential role of nutrient deficiencies.
Racial disparities in preterm birth: an overview of the potential role of nutrient deficiencies.
复制标题
早产中的种族差异：营养缺乏症的潜在作用的概述。
DOI：
10.1111/j.1600-0412.2011.01274.x
复制
发表时间：
2011-12
影响因子：
4.3
通讯作者：
Ramakrishan U
中科院分区：
文献类型：
--
作者：
Dunlop AL;Kramer MR;Hogue CJ;Menon R;Ramakrishan U
对非裔美国妇女和白种人妇女早产（PTB）差异中营养缺乏的证据进行文献综述。结构化文献调查。我们检索MEDLINE以确定评估营养摄入和/或补充与PTB之间关系的观察性和实验性研究。对于有相关研究支持的营养素，我们在MEDLINE中搜索了美国按种族的缺乏症患病率的研究。总结了有关营养素的研究结果，这些营养素有证据表明在肺结核中起作用，并因种族而异。与白人妇女相比，非裔美国妇女的营养缺乏与肺结核有不同程度的关联，并且负担更大，其中包括铁、叶酸、锌、维生素D、钙和镁的缺乏，以及ω-3和ω-6多不饱和脂肪酸的不平衡。目前还没有足够的高质量研究来调查营养缺乏在PTB中的作用，它们与其他风险的潜在相互作用，它们所占的过度风险比例，以及补充剂是否可以降低美国人群中PTB的风险和种族差异。有不同程度的证据表明，几种营养素的缺乏与肺结核有关，与白人妇女相比，非洲裔美国妇女的负担更大。虽然需要进一步的研究，但改善非裔美国妇女营养状况的策略可能是解决部分肺结核种族差异的一种手段。
To give an overview of the literature for evidence of nutrient deficiencies as contributors to the disparity in preterm birth (PTB) between African-American and Caucasian women. Structured literature survey. We searched MEDLINE to identify observational and experimental studies that evaluated the relation between nutrient intake and/or supplementation and PTB. For nutrients for which studies supported an association, we searched MEDLINE for studies of the prevalence of deficiency in the USA by race. Summarized findings on nutrients for which there is both evidence of a role in PTB and variability in the prevalence of deficiency by race. Nutrient deficiencies for which there are varying levels of evidence for an association with PTB and a greater burden among African-American compared with Caucasian women include deficiencies of iron, folic acid, zinc, vitamin D, calcium and magnesium, and imbalance of ω-3 and ω-6 polyunsaturated fatty acids. There are inadequate high-quality studies that investigate the role of nutrient deficiencies in PTB, their potential interaction with other risks, the proportion of excess risk for which they account, and whether supplementation can reduce the risk of, and racial disparities in, PTB in US populations. Deficiencies of several nutrients have varying levels of evidence of association with PTB and are of greater burden among African-American compared with Caucasian women. Although further research is needed, strategies that improve the nutritional status of African-American women may be a means of addressing a portion of the racial disparity in PTB.
登录
查看更多内容
影响因子：
4.2
作者：
Allen, LH
通讯作者：
Allen, LH
DOI：
10.1073/pnas.0334211100
发表时间：
2003-02-18
影响因子：
11.1
作者：
Bagga, D;Wang, L;Reddy, ST
通讯作者：
Reddy, ST
影响因子：
4.4
作者：
Courtemanche, C;Elson-Schwab, I;Ames, BN
通讯作者：
Ames, BN
影响因子：
120.7
作者：
GOLDENBERG, RL;TAMURA, T;HAUTH, JC
通讯作者：
HAUTH, JC
影响因子：
13.6
作者：
Hemachandra, Anusha H.;Klebanoff, Mark A.;Furth, Susan L.
通讯作者：
Furth, Susan L.