Impact of maternal diet on neonatal anthropometry: a randomized controlled trial
Impact of maternal diet on neonatal anthropometry: a randomized controlled trial
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DOI：
10.1111/j.2047-6310.2013.00216.x
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发表时间：
2015-02-01
影响因子：
3.8
通讯作者：
McAuliffe, F. M.
中科院分区：
文献类型：
--
作者：
Donnelly, J. M.;Walsh, J. M.;McAuliffe, F. M.
胎龄大的婴儿患儿童肥胖症的风险增加，母亲营养影响出生体重。本研究的目的是评估产妇低血糖指数（GI）的饮食对新生儿anthropometry.MethodsThe ROLO（随机对照试验低血糖指数饮食在妊娠期）研究的影响是一项随机对照试验，以评估低GI饮食与平时的饮食对出生体重的影响。这项研究在爱尔兰的一家三级妇产医院进行，妇女从怀孕早期到足月随机接受低GI饮食或不接受饮食干预。265名新生儿在出生后1 - 2天进行了人体测量，干预组126名，对照组139名。测量包括出生体重，长度和周长的头部，胸部，腹部，大腿和中上部arm.A亚组的219（82%）新生儿也有皮肤褶皱measurements.ResultsThe新生儿的母亲在怀孕期间有一个低GI饮食有较低的大腿周长（15.91.7cm与16.6 +/-1.5cm，P = 0.04）。干预组和对照组在头围、胸腹围和中上臂围方面没有差异。两组之间的任何皮肤褶皱测量（肩胛下，大腿，二头肌和三头肌）没有差异。这些研究结果表明，孕妇低GI饮食在怀孕期间是安全的，并可能对婴儿肥胖产生积极影响。
ObjectiveLarge for gestational age infants are at increased risk of childhood obesity and maternal nutrition impacts birthweight. The aim of this study was to assess the impact of a maternal low glycaemic index (GI) diet on neonatal anthropometry.MethodsThe ROLO (Randomised Control Trial of Low Glycaemic Index Diet in Pregnancy) study was a randomized controlled trial to assess the impact of a low GI diet versus usual diet on birthweight. It took place in a tertiary maternity hospital in Ireland and women were randomized to receive either a low GI diet or no dietary intervention from early pregnancy to term. Two hundred sixty-five neonates had anthropometric measurements on day 1-2 of life, 126 in the intervention group and 139 in the control group. Measurements included birthweight, length and circumferences of the head, chest, abdominal, thigh and mid-upper arm. A subgroup of 219 (82%) neonates also had skin-fold measurements.ResultsNeonates whose mothers had a low GI diet in pregnancy had lower thigh circumference (15.91.7cm vs. 16.6 +/- 1.5cm, P=0.04). There was no difference between the intervention and control groups in head, chest abdominal or mid-upper arm circumferences. No difference was noted between the two groups for any skin-fold measurements (subscapular, thigh, biceps and triceps).ConclusionNeonatal thigh circumference was altered by maternal low GI diet in pregnancy. These findings suggest that maternal low GI diet is safe in pregnancy and may positively impact infant adiposity.