Junhui Zhong, Nan Li, Junxi Chen, Jufen Liu, Zhiwen Li, Jiamei Wang, Xiaohong Liu
{"title":"补充多种微量营养素对预防妊娠期间贫血的影响：一项回顾性队列研究。","authors":"Junhui Zhong, Nan Li, Junxi Chen, Jufen Liu, Zhiwen Li, Jiamei Wang, Xiaohong Liu","doi":"10.1186/s12986-025-00944-x","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy of Multiple Micronutrient (MMN) Supplements during pregnancy in reducing the risk of anemia among pregnant women.</p><p><strong>Method: </strong>A retrospective cohort study was conducted with the supplement of Folic Acid (FA) only and FA plus MMN groups. Data was collected through questionnaires during the first prenatal visit. Hemoglobin levels were extracted from the Laboratory Information System. A total of 4,239 pregnant women who were admitted to Beijing Haidian Maternal & Child Health Hospital between May 2017 and November 2020 was evaluated. Chi-square tests and log-binomial regression were conducted to evaluate the relative risks (RRs) of two groups on the reduction of anemia during pregnancy.</p><p><strong>Results: </strong>The supplement of MMN was found to significantly decrease the risk of anemia in the later stages of pregnancy. Focusing on the third trimester specifically, the crude RR and adjusted RR were 0.891 and 0.844 respectively. In the second and third trimester of pregnancy, a sufficient monthly intake frequency of MMN(≥ 24 pills) is associated with a lower relative risk of anemia, with a value of 0.897 and 0.809 compared to the group supplement FA only.</p><p><strong>Conclusions: </strong>The supplement of MMN has been correlated with a reduced risk of anemia in the second and third trimesters of pregnancy. But the efficacy was limited in the first trimester. Frequent and early initiation of supplementation with FA and MMN pills is associated with a more significant reduction in the risk of anemia compare to group supplement of FA only.</p>","PeriodicalId":19196,"journal":{"name":"Nutrition & Metabolism","volume":"22 1","pages":"62"},"PeriodicalIF":3.9000,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177998/pdf/","citationCount":"0","resultStr":"{\"title\":\"The effect of multiple micronutrients supplementation on preventing anemia during pregnancy: a retrospective cohort study.\",\"authors\":\"Junhui Zhong, Nan Li, Junxi Chen, Jufen Liu, Zhiwen Li, Jiamei Wang, Xiaohong Liu\",\"doi\":\"10.1186/s12986-025-00944-x\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To evaluate the efficacy of Multiple Micronutrient (MMN) Supplements during pregnancy in reducing the risk of anemia among pregnant women.</p><p><strong>Method: </strong>A retrospective cohort study was conducted with the supplement of Folic Acid (FA) only and FA plus MMN groups. Data was collected through questionnaires during the first prenatal visit. Hemoglobin levels were extracted from the Laboratory Information System. A total of 4,239 pregnant women who were admitted to Beijing Haidian Maternal & Child Health Hospital between May 2017 and November 2020 was evaluated. Chi-square tests and log-binomial regression were conducted to evaluate the relative risks (RRs) of two groups on the reduction of anemia during pregnancy.</p><p><strong>Results: </strong>The supplement of MMN was found to significantly decrease the risk of anemia in the later stages of pregnancy. Focusing on the third trimester specifically, the crude RR and adjusted RR were 0.891 and 0.844 respectively. In the second and third trimester of pregnancy, a sufficient monthly intake frequency of MMN(≥ 24 pills) is associated with a lower relative risk of anemia, with a value of 0.897 and 0.809 compared to the group supplement FA only.</p><p><strong>Conclusions: </strong>The supplement of MMN has been correlated with a reduced risk of anemia in the second and third trimesters of pregnancy. But the efficacy was limited in the first trimester. Frequent and early initiation of supplementation with FA and MMN pills is associated with a more significant reduction in the risk of anemia compare to group supplement of FA only.</p>\",\"PeriodicalId\":19196,\"journal\":{\"name\":\"Nutrition & Metabolism\",\"volume\":\"22 1\",\"pages\":\"62\"},\"PeriodicalIF\":3.9000,\"publicationDate\":\"2025-06-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177998/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nutrition & Metabolism\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s12986-025-00944-x\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nutrition & Metabolism","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12986-025-00944-x","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
The effect of multiple micronutrients supplementation on preventing anemia during pregnancy: a retrospective cohort study.
Objective: To evaluate the efficacy of Multiple Micronutrient (MMN) Supplements during pregnancy in reducing the risk of anemia among pregnant women.
Method: A retrospective cohort study was conducted with the supplement of Folic Acid (FA) only and FA plus MMN groups. Data was collected through questionnaires during the first prenatal visit. Hemoglobin levels were extracted from the Laboratory Information System. A total of 4,239 pregnant women who were admitted to Beijing Haidian Maternal & Child Health Hospital between May 2017 and November 2020 was evaluated. Chi-square tests and log-binomial regression were conducted to evaluate the relative risks (RRs) of two groups on the reduction of anemia during pregnancy.
Results: The supplement of MMN was found to significantly decrease the risk of anemia in the later stages of pregnancy. Focusing on the third trimester specifically, the crude RR and adjusted RR were 0.891 and 0.844 respectively. In the second and third trimester of pregnancy, a sufficient monthly intake frequency of MMN(≥ 24 pills) is associated with a lower relative risk of anemia, with a value of 0.897 and 0.809 compared to the group supplement FA only.
Conclusions: The supplement of MMN has been correlated with a reduced risk of anemia in the second and third trimesters of pregnancy. But the efficacy was limited in the first trimester. Frequent and early initiation of supplementation with FA and MMN pills is associated with a more significant reduction in the risk of anemia compare to group supplement of FA only.
期刊介绍：
Nutrition & Metabolism publishes studies with a clear focus on nutrition and metabolism with applications ranging from nutrition needs, exercise physiology, clinical and population studies, as well as the underlying mechanisms in these aspects.
The areas of interest for Nutrition & Metabolism encompass studies in molecular nutrition in the context of obesity, diabetes, lipedemias, metabolic syndrome and exercise physiology. Manuscripts related to molecular, cellular and human metabolism, nutrient sensing and nutrient–gene interactions are also in interest, as are submissions that have employed new and innovative strategies like metabolomics/lipidomics or other omic-based biomarkers to predict nutritional status and metabolic diseases.
Key areas we wish to encourage submissions from include:
-how diet and specific nutrients interact with genes, proteins or metabolites to influence metabolic phenotypes and disease outcomes;
-the role of epigenetic factors and the microbiome in the pathogenesis of metabolic diseases and their influence on metabolic responses to diet and food components;
-how diet and other environmental factors affect epigenetics and microbiota; the extent to which genetic and nongenetic factors modify personal metabolic responses to diet and food compositions and the mechanisms involved;
-how specific biologic networks and nutrient sensing mechanisms attribute to metabolic variability.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
