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Review Nutrition (Burbank, Los Angeles County, Calif.). 2025 Apr 3:136:112778. doi: 10.1016/j.nut.2025.112778 Q23.22024

Nutritional supplementation in pregnant, lactating women and young children following a plant-based diet: A narrative review of the evidence

基于植物的饮食的孕妇、哺乳期妇女和儿童营养补充剂的证据综述 翻译改进

María Pilar Herrero Jiménez  1, Susana Del Pozo de la Calle  2, Carmen Cuadrado Vives  3, Daniel Escobar Sáez  4

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作者单位

  • 1 Faculty of Health Sciences, International University of La Rioja (UNIR), Spain. Logroño, La Rioja, Spain.
  • 2 Department of Nutrition and Food Science, Faculty of Pharmacy, Complutense University of Madrid, Madrid, Spain. Electronic address: spozocal@ucm.es.
  • 3 Department of Nutrition and Food Science, Faculty of Pharmacy, Complutense University of Madrid, Madrid, Spain.
  • 4 Faculty of Health Sciences, International University of La Rioja (UNIR), Spain. Logroño, La Rioja, Spain; Department of Nutrition and Food Science, Faculty of Pharmacy, Complutense University of Madrid, Madrid, Spain; Member of the Pediatric Nutrition Specialization Group (GENUT-Pedia), Spanish Academy of Nutrition and Dietetics, Navarra, Spain.
  • DOI: 10.1016/j.nut.2025.112778 PMID: 40373355

    摘要 中英对照阅读

    Plant-based diets are increasingly popular in contemporary society. While they are suitable for all life stages, there is a potential risk of nutrient deficiencies, particularly in omega-3 fatty acids, vitamins A, D, and B12, zinc, iodine, selenium, choline, and creatine. During pregnancy and lactation, the nutritional demands increase significantly, making proper supplementation essential. Breastfeeding remains the optimal feeding method for infants, provided key nutrient needs are met through supplementation. A bibliographic search in Scopus, Web of Science, and PubMed focused on plant-based diets, supplementation, and key nutrients over the past 10 years. Studies involving diseases or duplicates were excluded, and data were analyzed from European and U.S. sources to assess nutrient supplementation trends. Micronutrient deficiencies during pregnancy and lactation can negatively impact infant neurological development. Vitamin A supports vision and immunity, while vitamin D aids fetal bone mineralization. Deficiency in vitamin B12 can lead to anemia and neurological issues. Zinc, iodine, selenium, omega-3 fatty acids (EPA and DHA), choline, and creatine also play critical roles in development and may require supplementation in plant-based diets. With careful planning, plant-based diets can meet nutritional needs during pregnancy, lactation, and childhood. Supplementation with key micronutrients, including choline and creatine, is essential for neurodevelopment and energy metabolism. Dietitians play a vital role in guiding individualized dietary plans, and further research is needed on optimal supplement dosages and long-term health effects.

    Keywords: Lactation; Offspring; Plant-based diet; Pregnancy; Supplementation.

    Keywords:nutritional supplementation; plant-based diet; pregnant women; lactating women; young children

    植物性饮食在当代社会越来越受欢迎。尽管它们适合所有生命阶段,但仍存在营养缺乏的风险,特别是在欧米伽-3脂肪酸、维生素A、D和B12、锌、碘、硒、胆碱和肌酸方面。怀孕和哺乳期间,营养需求显著增加,因此适当的补充至关重要。只要通过补充满足关键营养需求,母乳喂养仍然是婴儿的最佳喂养方式。在Scopus、Web of Science和PubMed上进行了一项关于过去十年内植物性饮食、补充剂和关键营养素的文献综述研究。排除了涉及疾病的或重复的研究,并从欧洲和美国来源分析数据以评估营养补充的趋势。孕期和哺乳期的微量营养素缺乏会对婴儿神经发育产生负面影响。维生素A支持视力和免疫功能,而维生素D有助于胎儿骨骼矿化。维生素B12缺乏可能导致贫血和神经系统问题。锌、碘、硒、欧米伽-3脂肪酸(EPA和DHA)、胆碱和肌酸在发育中也发挥关键作用,可能需要植物性饮食中的补充。通过精心规划,植物性饮食可以在怀孕、哺乳和儿童期满足营养需求。补充关键微量营养素,包括胆碱和肌酸,对于神经发育和能量代谢至关重要。营养师在制定个性化膳食计划方面起着至关重要的作用,并且还需要进一步研究最佳补充剂量以及长期健康影响。

    关键词: 哺乳;后代;植物性饮食;怀孕;补充剂。

    关键词:营养补充; 植物基饮食; 孕妇; 哺乳妇女; 幼儿

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    期刊名:Nutrition

    缩写:NUTRITION

    ISSN:0899-9007

    e-ISSN:1873-1244

    IF/分区:3.2/Q2

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    Nutritional supplementation in pregnant, lactating women and young children following a plant-based diet: A narrative review of the evidence