Доцільність та необхідність застосування вітамінно-мінерального комплексу під час вагітності

Автор(и)

  • Т.Г. Романенко Національна медична академія післядипломної освіти імені П.Л. Шупика МОЗ України, м. Київ, Україна
  • Г.М. Жалоба Національна медична академія післядипломної освіти імені П.Л. Шупика МОЗ України, м. Київ, Україна
  • Л.Ю. Стаселович Національна медична академія післядипломної освіти імені П.Л. Шупика МОЗ України, м. Київ, Україна
  • Т.В. Довбня Національна медична академія післядипломної освіти імені П.Л. Шупика МОЗ України, м. Київ, Україна

DOI:

https://doi.org/10.15574/HW.2019.137.64

Ключові слова:

вагітність, прегравідарна підготовка, вітамінно-мінеральні комплекси, фолієва кислота, залізо, вітаміни D, вітаміни D,С, А, вади нервової трубки плода

Анотація

У статті наведено сучасні дані щодо потреб вагітної та плода у вітамінах та мікроелементах і доцільності та необхідності застосування вітамінно-мінеральних комплексів як супровідних медикаментозних засобів. Представлено інформацію про оптимальні дози вітамінних та мінеральних добавок та рекомендовані терміни їхнього використання.

Посилання

National Institute for Health and Care Excellence. (2014). Maternal and child nutrition (PH11) (online). Available: https://www.nice.org.uk/guidance/ph11

Ramakrishnan U et al. (2012). Effect of women’s nutrition before and during early pregnancy on maternal and infant outcomes: a systematic review. Paediatr Perinat Epidemiol 26(suppl 1): 285-301. https://doi.org/10.1111/j.1365-3016.2012.01281.x; PMid:22742616

Ramakrishnan U et al. (2012). Effect of multiple micronutrient supplementation on pregnancy and infant outcomes: a systematic review. Paediatr Perinat Epidemiol 26(suppl 1): 153-67. https://doi.org/10.1111/j.1365-3016.2012.01276.x; PMid:22742608

National Institute for Health and Care Excellence. (2014). Vitamin D: increasing supplement use in at-risk groups (PH56) (online). Available: http://www.nice. org.uk/guidance/ph56

Royal College of Obstetricians and Gynaecologists. (2014). Healthy eating and vitamin supplements in pregnancy (online). Available: https://www.rcog.org. uk/globalassets/documents/patients/patient-information-leaflets/pregnancy/ pi-healthy-eating-and-vitamin-supplements-in-pregnancy.pdf

Khoshnood B et al. (2015). Long term trends in prevalence of neural tube defects in Europe: population based study. BMJ 351: h5949. https://doi.org/10.1136/bmj.h5949; PMid:26601850 PMCid:PMC4658393

Laurence KM et al. (1981). Double-blind randomised controlled trial of folate treatment before conception to prevent recurrence of neural-tube defects. BMJ 282: 1509-12. https://doi.org/10.1136/bmj.282.6275.1509; PMid:6786536 PMCid:PMC1505459

MRC Vitamin Study Research Group. (1991). Prevention of neural tube defects: results of the Medical Research Council Vitamin Study. Lancet 338: 131-7. https://doi.org/10.1016/0140-6736(91)90133-A

Czeizel AE et al. (1992). Prevention of the first occurrence of neural-tube defects by periconceptional vitamin supplementation. N Eng J Med 327:1832-5. https://doi.org/10.1056/NEJM199212243272602; PMid:1307234

Berry RJ et al. (1999). Prevention of neural-tube defects with folic acid in china. N Eng J Med 341: 1485-90. https://doi.org/10.1056/NEJM199911113412001; PMid:10559448

Barua S et al. (2014). Folic acid supplementation in pregnancy and implications in health and disease. J Biomed Sci 21:77. M https://doi.org/10.1186/s12929-014-0077-z; PMid:25135350 PMCid:PMC4237823

De-Regil LM et al. (2015). Effects and safety of periconceptional oral folate supplementation for preventing birth defects. Cochrane Database Syst Rev 12. CD007950. https://doi.org/10.1002/14651858.CD007950.pub3

National Institute for Health and Care Excellence. (2016). Antenatal care for uncomplicated pregnancies (CG62) (online). Available: http://www.nice.org.uk/ guidance/cg62

Yang N et al. (2015). Effects of vitamin D supplementation during pregnancy on neonatal vitamin D and calcium concentrations: a systematic review and meta-analysis. Nutr Res 35: 547-56. https://doi.org/10.1016/j.nutres.2015.04.010; PMid:25953481

Scientific Advisory Committee on Nutrition. (2007). Update on vitamin D (online). Available: https://www.gov.uk/government/publications/sacn-update-onvitamin-d-2007

Scientific Advisory Committee on Nutrition. (2015). Draft vitamin D and health report (online). Available: https://www.gov.uk/government/uploads/system/ uploads/attachment_data/file/447402/Draft_SACN_Vitamin_D_and_Health_ Report.pdf

Christesen HT et al. (2012). The impact of vitamin D on pregnancy: a systematic review. Acta Obstet Gynecol Scand 9:1357-67.

Christesen HT et al. (2012). The impact of vitamin D in pregnancy on extraskeletal health in children: a systematic review. Acta Obstet Gynecol Scand 91:1368-80. https://doi.org/10.1111/aogs.12006; PMid:23210535

Thorne-Lyman A et al. (2012). Vitamin D during pregnancy and maternal, neonatal and infant health outcomes: a systematic review and meta-analysis. Paediatr Perinat Epidemiol 26 (suppl 1): 75-90. https://doi.org/10.1111/j.1365-3016.2012.01283.x; PMid:22742603 PMCid:PMC3843348

Cooper C et al. (2016). Maternal gestational vitamin D supplementation and offspring bone health (MAVIDOS): a multiple, double-blind, randomised placebocontrolled trial. Lancet Diabetes Endocrinol 4:393-402.

Pérez-López FR et al. (2015). Effect of vitamin D supplementation during pregnancy on maternal and neonatal outcomes: a systematic review and meta-analysis of randomized controlled trials. Fertil Steril 103:1278-88. https://doi.org/10.1016/j.fertnstert.2015.02.019; PMid:25813278

Royal College of Obstetricians and Gynaecologists. (2014). Vitamin D in pregnancy. Available: https://www.rcog.org.uk/globalassets/documents/guidelines/ scientific-impact-papers/vitamin_d_sip43_june14.pdf

Poel YHM et al. (2012). Vitamin D and gestational diabetes: a systematic review and meta-analysis. Eur J Intern Med 23: 465-9. https://doi.org/10.1016/j.ejim.2012.01.007; PMid:22726378

Zhang MX et al. (2015). Vitamin D deficiency increases the risk of gestational diabetes mellitus: a meta-analysis of observational studies. Nutrients 7: 8366-75. https://doi.org/10.3390/nu7105398; PMid:26437429 PMCid:PMC4632418

Hathcock JN et al. (2007). Risk assessment for vitamin D. Am J Clin Nutr 85: 6-18. https://doi.org/10.1093/ajcn/85.1.6; PMid:17209171

Peña-Rosas JP et al. (2015). Daily oral iron supplementation during pregnancy. Cochrane Database Syst Rev 7: CD004736. https://doi.org/10.1002/14651858. CD004736.pub5

Rumbold A et al. (2015). Vitamin C supplementation in pregnancy. Cochrane Database Syst Rev 9: CD004072. https://doi.org/10.1002/14651858.CD004072.pub3.

Rumbold A et al. (2015). Vitamin E supplementation in pregnancy. Cochrane Database Syst Rev 9: CD004069. https://doi.org/10.1002/14651858.CD004069.pub3

National Institute for Health and Care Excellence. (2016). Antenatal care for uncomplicated pregnancies (CG 62) (online). Available: https://www.nice.org.uk/ guidance/cg62

Haider BA et al. (2015). Multiple-micronutrient supplementation for women during pregnancy. Cochrane Database Syst Rev 11: CD004905. https://doi.org/10.1002/14651858. CD004905.pub

Brough L. (2010). Effect of multiple-micronutrient supplementation on maternal nutrient status, infant birth weight and gestational age at birth in a lowincome, multi-ethnic population. Br J Nutr 104: 437-45. https://doi.org/10.1017/S0007114510000747; PMid:20412605

Czeizel AE. (2000, Nov-Dec). Primary prevention of neural-tube defects and some other major congenital abnormalities: recommendations for the appropriate use of folic acid during pregnancy. Paediatr Drugs 2(6):437-49. https://doi.org/10.2165/00128072-200002060-00003; PMid:11127844

Cetin I, Berti C, Calabrese S. (2010, Jan-Feb). Role of micronutrients in the periconceptional period. Hum Reprod Update 16(1):80-95. https://doi.org/10.1093/humupd/dmp025; PMid:19567449

Hanson MA, Bardsley A et al. (2015, Oct). The International Federation of Gynecology and Obstetrics (FIGO) recommendations on adolescent, preconception, and maternal nutrition: «Think Nutrition First». Int J Gynaecol Obstet. 131; 4:S213-53. https://doi.org/10.1016/S0020-7292(15)30023-0

Gulyaev AE. (2014). Polivitaminyi dlya beremennyih: osnovannyie na faktah dokazatelnoy meditsinyi. Voprosyi ginekologii, akusherstva i perinatologii 13; 5: 53–62. M.

De-Regil et al. (2015, Dec 14). Cochrane Database Syst Rev. (12):CD007950. https://doi.org/10.1002/14651858.CD007950.pub3.

Johansen AM, Lie RT, Wilcox AJ, Andersen LF, Drevon CA. (2008). Maternal dietary intake of vitamin A and risk of orofacial clefts: a population-based case-control study in Norway. Am J Epidemiol 167(10): 1164–70. https://doi.org/10.1093/aje/kwn035; PMid:18343877

Chen K, Zhang X, Wei XP, Qu P, Liu YX, Li TY. (2009). Antioxidant vitamin status during pregnancy in relation to cognitive development in the first two years of life. Early Hum Dev. 85(7): 421–7. https://doi.org/10.1016/j.earlhumdev.2009.02.001

Ma AG, Schouten EG, Zhang FZ, Kok FJ, Yang F et al. (2008). Retinol and riboflavin supplementation decreases the prevalence of anemia in Chinese pregnant women taking iron and folic Acid supplements. J Nutr 138(10): 1946–50. https://doi.org/10.1093/jn/138.10.1946; PMid:18806105

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2019-03-05

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