Objective: The purpose of this study was to evaluate serum zinc status of pregnant women in the China Adult Chronic Disease and Nutrition Surveillance (CACDNS) in 2015–2016. Methods: A total of 7147 apparently healthy pregnant women were randomly selected in 302 national monitoring sites. Information on age, race, residence region, education, pregnancy, and family income per annum was collected, and the concentration of serum zinc was determined. The evaluation of serum zinc status was further performed according to the recommendations by the International Zinc Nutrition Consultative Group (IZiNCG). Results: The median concentration of serum zinc was 858.9 μg/L with an interquartile range (IQR) of 712.9 μg/L and 1048.9 μg/L, while the overall prevalence of zinc deficiency was 3.5% with a 95% confidence interval (CI) of 3.0% and 3.9%. Serum zinc status of pregnant women changed greatly in the different categories, particular in pregnancy and family income per annum (p < 0.05), but no significant difference was observed in the prevalence of zinc deficiency (p > 0.05). Conclusions: The lower prevalence of zinc deficiency generally indicated a better zinc status for pregnant women in the CACDNS in 2015–2016. However, a well-designed evaluation system of zinc status for pregnant women should be continually optimized and improved by inducing more parameters such as biochemical, dietary, or functional indicators. 相似文献
Psoriasis is an immune-mediated systemic disease that may be treated with probiotics. In this study, probiotic strains that could or could not decrease interleukin (IL)-17 levels were applied to imiquimod (IMQ)-induced psoriasis-like mice via oral administration. Bifidobacterium adolescentis CCFM667, B. breve CCFM1078, Lacticaseibacillus paracasei CCFM1074, and Limosilactobacillus reuteri CCFM1132 ameliorated psoriasis-like pathological characteristics and suppressed the release of IL-23/T helper cell 17 (Th17) axis-related inflammatory cytokines, whereas B. animalis CCFM1148, L. paracasei CCFM1147, and L. reuteri CCFM1040 neither alleviated the pathological characteristics nor reduced the levels of inflammatory cytokines. All effective strains increased the contents of short-chain fatty acids, which were negatively correlated with the levels of inflammatory cytokines. By performing 16S rRNA gene sequencing, the diversity of gut microbiota in psoriasis-like mice was found to decrease, but all effective strains made some specific changes to the composition of gut microbiota compared to the ineffective strains. Furthermore, except for B. breve CCFM1078, all other effective strains decreased the abundance of the family Rikenellaceae, which was positively correlated with psoriasis-like pathological characteristics and was negatively correlated with propionate levels. These findings demonstrated effects of strain-specificity, and how probiotics ameliorated psoriasis and provide new possibilities for the treatment of psoriasis. 相似文献
The purpose of this study was to examine differences between perceived harm of cigarette and electronic cigarette (e-cigarette) use while pregnant and differences between healthcare providers’ communication about these products during pregnancy.
Methods
A convenience sample of gestational women (n?=?218; ages 18–45) living in the US completed an online survey between May and December 2017. Participants reported perceived likelihood of adverse health outcomes (e.g., low birth weight, sudden infant death syndrome) among infants/children born to mothers who used cigarettes/e-cigarettes. T-tests and two-way ANOVAs examined differences between risk perceptions of using cigarettes/e-cigarettes while pregnant based on pregnancy status (previously pregnant, currently pregnant, future pregnant). Chi-square analyses examined differences between healthcare provider communication about cigarette/e-cigarette use during pregnancy.
Results
Overall, participants believed adverse health outcomes were significantly more likely to be caused by maternal use of cigarettes than e-cigarettes. Participants who planned to be pregnant reported higher endorsement that smoking combustible cigarettes would cause a miscarriage (p?<?.05) or increased blood pressure (p?<?.05) for a child than currently pregnant participants. Participants reported healthcare providers asked about (p?<?.05), advised them not to use (p?<?.001), and talked to them about health effects of smoking combustible cigarettes while pregnant (p?<?.001) significantly more than e-cigarettes.
Conclusions for Practice
Healthcare providers working with pregnant women should perform the 5As behavioral intervention method to provide pregnant women with tobacco cessation care. They should also discuss the absolute harm nicotine exposure (via cigarettes or e-cigarettes) can have on fetal health and development.
Health Care Management Science - With the implementation of a series of pro-competition policies in China, the hospital market competition has been intensified dramatically over the past decade.... 相似文献
目的 调查产妇产后初次泌乳时间及相关因素,为产妇产后泌乳指导工作提供参考资料。方法 以2020年1—12月在重庆市大足区2家医院住院分娩的产妇为研究对象进行问卷调查,收集产妇基本情况及喂养相关因素,并对产妇初次泌乳时间进行随访跟踪调查。采用描述流行病学分析方法对产妇产后初次泌乳时间进行分析,并采用单、多因素方法分析产妇产后初次泌乳时间的影响因素。结果 共671名产妇纳入研究,年龄21~43岁,平均(31.6±2.9)岁,其中初产妇438人,经产妇233人;胎数单胎642人,双胎29人;分娩方式阴道分娩512人,剖宫产159人。产后初次泌乳时间<24 h 329人、24~<48 h 176人、48~<72 h 105人、≥72 h 61人,分别占49.03%、26.23%、15.65%、9.09%。有序多分类Logistic回归分析显示年龄≥35岁(OR=1.895)、经产(OR=0.689)、分娩孕周≥37周(OR=0.498)、分娩方式为剖宫产(OR=1.637)、乳头凹陷/扁平(OR=2.565)、母婴同室(OR=0.520)、首次吸吮乳房时间≥30 min(OR=2.787)、每天吸吮乳房次数越多(OR=0.845)是产后初次泌乳时间的影响因素。结论 重庆市大足区产妇产后初次泌乳时间以<24 h所占比例较大,初次泌乳时间受到年龄、产次、分娩孕周、分娩方式、乳头凹陷/扁平、母婴同室、首次吸吮乳房时间、每天吸吮乳房次数多种因素影响,应当加强孕前、产前教育,鼓励阴道分娩,产后早接触、早吸吮、多吸吮促进泌乳,提高母乳喂养率,促进母婴健康。 相似文献