协和医学杂志

2020, v.11(05) 585-591

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7931名早孕期女性营养素补充剂使用状况调查
A Survey of the Use of Nutritional Supplements in 7931 Women in Early Pregnancy

石英杰;陈云利;湛永乐;冯雅慧;吴散散;王雅文;严宝湖;沈忠周;马帅;江宇;马良坤;
SHI Ying-jie;CHEN Yun-li;ZHAN Yong-le;FENG Ya-hui;WU San-san;WANG Ya-wen;YAN Bao-hu;SHEN Zhong-zhou;MA Shuai;JIANG Yu;MA Liang-kun;School of Population Medicine and Public Health,Chinese Academy of Medical Sciences &Peking Union Medical College;Department of Obstetrics and Aynecology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences &Peking Union Medical College;

摘要(Abstract):

目的了解我国早孕期女性营养素补充剂的使用现状,并分析其影响因素。方法本研究数据来自中国孕产妇队列研究(Chinese Pregnant Women Cohort Study, CPWCS),该项目于2017年7月25日至2018年7月24日招募早孕期女性,应用在线问卷的方式调查孕妇营养素补充剂使用状况,包括是否使用营养素补充剂及使用种类。采用多因素Logistic回归分析各种营养补充剂使用的影响因素。结果共入选7931名符合纳入标准的早孕期女性。其中使用营养素补充剂7431名(93.7%,7431/7931),各类营养素补充剂使用率由高至低依次为叶酸(88.7%,7034/7931)、复合维生素(43.5%,3451/7931)、钙(29.0%,2297/7931)、维生素D(23.8%,1891/7931)、益生菌(22.4%,1778/7931)、铁(21.9%,1739/7931)、膳食纤维(18.9%,1497/7931)及二十二碳六烯酸(17.0%,1350/7931)。使用2种及以上营养素补充剂者最多(60.0%,4678/7931),其次为使用1种营养素补充剂者(34.7%,2753/7931),未使用营养素补充剂者最少(6.3%,500/7931)。多因素Logistic回归分析表明,孕妇年龄、孕妇及其配偶文化程度是影响早孕期孕妇使用营养素补充剂的主要因素。结论早孕期女性使用营养素补充剂较普遍,其种类以叶酸、复合维生素为主,存在同时使用多种营养素补充剂的现象。孕妇及其配偶的社会经济地位与营养素补充剂的使用有关。
Objective To evaluate the use status and influencing factors of nutrition supplements amongearly pregnant women in China. Methods Data was from the Concorde project of the Chinese Pregnant Women Cohort study(CPWCS). The project recruited pregnant women in the first trimester of pregnancy from July 25 th, 2017 to July 24 th, 2018. An online questionnaire was used to investigate the use of nutritional supplements in pregnant women, including whether they used supplements and the types of supplements used. Multivariate logistic regression was used to analyze the influencing factors of the use of various nutritional supplements. Results A total of 7931 pregnant women who met the inclusion criteria were included in the study. The number of pregnant women using nutrient supplements was 7431, the utilization rates of various nutrient supplements from high to low were folic acid(88.7%, 7034/7931), multivitamin(43.5%, 3451/7931), calcium(29.0%, 2297/7931), vitamin D(23.8%, 1891/7931), probiotics(22.4%, 1778/7931), iron(21.9%, 1739/7931), dietary fiber(18.9%, 1497/7931) and docosahexaenoic acid(DHA)(17.0%, 1350/7931). The number of pregnant women who used two or more nutrient supplements was the highest(60.0%, 4678/7931), followed by who used one nutrient supplement(34.7%, 2753/7931) and who did not use any nutrient supplement(6.3%, 500/7931). The multivariate logistic regression analysis showed that the age of pregnant women and the educational level of pregnant women and their spouse were the main factors influencing the use of nutrient supplements. Conclusions The use of nutrient supplements is universal among early pregnant women; folic acid and multivitamin are the main types. But the phenomenon of using multiple nutrient supplements at the same time exists. Socioeconomic status survey of pregnant women and their spouses were related to the use of nutrient supplements.

关键词(KeyWords): 早孕期;营养素补充剂;社会经济地位;现状调查
first trimester pregnancy;nutrient supplement;socioeconomic status;survey

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基金项目(Foundation): 中国医学科学院医学与健康科技创新工程(2016-I2 M-1-008);; 北京市科委首都临床特色应用研究(Z161100000516117);; 北京市卫计委首发基金自主创新项目(2016-2-40113)

作者(Author): 石英杰;陈云利;湛永乐;冯雅慧;吴散散;王雅文;严宝湖;沈忠周;马帅;江宇;马良坤;
SHI Ying-jie;CHEN Yun-li;ZHAN Yong-le;FENG Ya-hui;WU San-san;WANG Ya-wen;YAN Bao-hu;SHEN Zhong-zhou;MA Shuai;JIANG Yu;MA Liang-kun;School of Population Medicine and Public Health,Chinese Academy of Medical Sciences &Peking Union Medical College;Department of Obstetrics and Aynecology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences &Peking Union Medical College;

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