促进孕产妇心理健康的营养实践证据总结

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[中图分类号]R173 [文献标识码]A [文章编号]1673—5293(2025)11—0037-08

[Abstract]ObjectiveTosystematicallyintegratethebestevidenceon maternaldietarynutritionand mentalhealthfrom both domesticandinternationalsources,summarizeevidenceGbasedrecommendationsfornutritionalsupportofmaternalmentalhealth,andprovideabasisforsientificallformulatingutritionalinterventionstrategies.MethodsFollowingthe“6S”pyramidmodelof evidenceresources,atop-downsystematicsearchwasconductedinUpToDate,theGuidelines InternationalNetwork,theJoanna BriggsIstitute,theNationalInstiuteforHealthandCareExcellence,teSotishIntercollgiateGuidelinesNetwork,theWorld HealthOrganization,the InternationalFederationofGynecologyandObstetrics,MedLive,andChineseandEnglish journal databases.The searchused keywordssuch as“perinatal”“nutrition”“depresion”“anxiety".The search period wassetasJanuary 1990toNovember 2O23.Theincludedevidenceconsistedofclinicalpracticeguidelines,expertconsensus,andsystematicreviews. Theevidence levelandrecommendationcriteriaof theOxford UniversityCenterforEvidence-Based Medicine wereadoptedAtleast tworesearchers independentlyconductedqualityevaluationandevidence aggregation,andcross-checked toensureconsistency. ResultsAtotalofOarticlesereincuded,inuding8gudelines,2xpertconsesus,1Ostematicviews.Thedenceotent canbedividedintothreemainthemsdietarypatesutrientsndnutritioalsupprtforspecialpopulations,fringatotalof 12 evidence summaries,of which 75.0% of the evidence level is B or above. Conclusion Available evidence supports maternal intake of appropriate levels of multi-nutrients and vitamin D3 to reduce maternal depressive symptoms (Grade A recommendation). Besides,individualizednutritionalinterventionsguidedbyhalthcareprofesionalsareecommendedforwomenwithperinatal mentalhealthdisordersornutritionaldeficiencies(GradeDrecommendation).Thisstudyoffersevidence-basedreferencefor developing scientific nutritional strategies to enhance perinatal mental health.

[Key words] pregnant and postpartum women;mental health;nutrition;evidence summary

孕产期作为女性生命周期中的关键阶段,伴随着生理机能、心理状态和社会角色的显著变化。(剩余12127字)

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