首页|妊娠期补锌对新生儿出生体重影响的meta分析

妊娠期补锌对新生儿出生体重影响的meta分析

Effect of zinc supplementation during pregnancy on neonatal birth weight:a meta-analysis

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目的 系统评价妊娠期补锌对新生儿出生体重的影响,为妊娠期合理补锌提供循证依据.方法 计算机检索CNKI、CBM、WanFang Data、PubMed、Web of Science、EMbase、The Cochrane Library、Ebsco 等数据库,搜集妊娠期补锌对新生儿出生体重影响的随机对照试验(RCT),检索时限为建库至2022年5月.两位研究者独立背对背进行文献筛选,资料提取并对文献质量进行偏倚风险评估,使用RevMan 5.3软件进行meta分析.结果 共10个RCT纳入研究,包括研究对象4 267例.meta分析结果显示:与对照组相比,妊娠期补锌对新生儿出生体重的影响并不显著(MD=6.87,95%CI:-18.47~32.21,P=0.60).亚组分析结果显示,锌基础水平低的人群妊娠期补锌(MD=-7.61,95%CI:-69.90~54.68,P=0.81)和锌基础水平正常人群妊娠期补锌(MD=16.83,95%CI:-28.17~61.84,P=0.46)比较,差异无统计学意义(P>0.05);妊娠期单独补充锌(MD=-3.09,95%CI:-55.19~49.00,P=0.91)和含锌的多种微量营养素联合补充(MD=20.95,95%CI:-40.95~82.36,P=0.50)比较,差异无统计学意义(P>0.05).结论 当前证据显示,妊娠期补锌对新生儿出生体重没有显著影响.因纳入文献的质量和数量有所限制,所以本结论有待更多高质量研究给予验证.
Objective To systematically evaluate the effect of zinc supplementation during pregnancy on neonatal birth weight,and to provide evidence for reasonable zinc supplementation during pregnancy.Methods Databases including CN-KI,CBM,WanFang Data,Web of Science,PubMed,EMbase,Cochrane Library,Ebsco were searched to collect randomized controlled trials(RCT)on the effect of zinc supplementation during pregnancy on neonatal birth weight were to provide evi-dence basis for rational zinc supplementation during pregnancy from inception to May 2022.Two researchers independently conducted back-to-back literature screening,data extraction and risk assessment of literature quality bias.Meta analysis was performed by RevMan 5.3 software.Results A total of 10 RCTs were included in the study,including 4 267 subjects.The results of meta analysis results showed that:compared with control group,zinc supplementation during pregnancy had no significant effect on neonatal birth weight(MD=6.87,95%CI:-18.47-32.21,P=0.60).The results of subgroup analysis showed that there was no statistically significant difference between the zinc supplemention during pregnancy in the group with low zinc basal level(MD=-7.61,95%CI:-69.90-54.68,P=0.81),and in the group with normal zinc basal level(MD=16.83,95%CI:-28.17-61.84,P=0.46)(P>0.05).And there was no statistically significant difference between the zinc supple-mentation alone during pregnancy(MD=-3.09,95%CI:-55.19-49.0,P=0.91)and combination of multiple micronutrients containing zinc(MD=20.95,95%CI:-40.95-82.36,P=0.50)(P>0.05).Conclusion Current evidence shows that Zinc sup-plementation during pregnancy had no significant effect on neonatal birth weight.Due to the limited quality and quantity of the included literature,this conclusion needs to be validated by more high-quality studies.

PregnancyZinc supplementationNewbornsBirth weightMeta-analysis

邵丽婷、杜婧、王维红

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甘肃省妇幼保健院妇三科,甘肃兰州 730070

妊娠期 补锌 新生儿 出生体重 meta分析

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(26)