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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 蕭寧馨 | |
| dc.contributor.author | Wan-Jen Lee | en |
| dc.contributor.author | 李宛臻 | zh_TW |
| dc.date.accessioned | 2021-06-15T00:53:33Z | - |
| dc.date.available | 2013-08-24 | |
| dc.date.copyright | 2011-08-24 | |
| dc.date.issued | 2011 | |
| dc.date.submitted | 2011-08-22 | |
| dc.identifier.citation | 行政院衛生署 (2003) 國人膳食營養素參考攝取量及其說明 修訂第六版 (行政院衛生署) 。
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/42219 | - |
| dc.description.abstract | 母體營養狀態足以影響胎兒成長後的健康與疾病發展，因此孕期營養對於下一代的健康相當重要。本研究目的為以血液及尿液生化定量分析法來評估懷孕各階段營養狀況，除了對孕婦較關鍵的微量營養素葉酸和鐵，另分析在臺灣可能較有缺乏風險的維生素B2和維生素D，以及為WHO所關注的碘營養問題，並依補充劑使用情形分組觀察補充劑的使用對於懷孕婦女的營養是否有所助益。本研究屬縱貫式追蹤法，以2009年衛生署委託之計畫樣本為依據，選定臺灣桃園敏盛醫院104名健康孕婦為研究對象，87%的第一次受訪孕婦為懷孕16週以下，由懷孕初期定期追蹤至生產前，配合健保提供孕婦四次抽血檢驗的時間，於孕婦回診時填寫問卷並進行血液及尿液採集。結果發現受試孕婦存有碘、維生素B2、葉酸、鐵和維生素D的不足情形；孕婦攝取含對應營養素之補充劑，對於提升該微量營養素狀態的效益高於無攝取者，尤其在懷孕後期更為明顯。但在營養狀態上，對懷孕初期相當關鍵卻易被忽略的碘有約50%以上的不足；同為初期重要營養素葉酸，未補充的孕婦有83%不足；於懷孕第二期開始扮演重要角色的維生素B2，在懷孕24–27週時未補充的孕婦中卻有最高不足率（57%）；懷孕最後階段時，未補充的鐵缺乏或耗盡率為87%；而未補充維生素D者在初期和後期分別有86%和80%的不足。以上結果顯示孕婦存有各營養素缺乏的風險，而補充劑效益顯著且能提升某些營養素如維生素B2、葉酸、鐵的營養狀態。懷孕或育齡婦女之營養狀態是亟需被關切的，未來需要更多後續相關調查研究，以期能針對此一族群加強飲食營養選擇建議或適當的補充劑介入。 | zh_TW |
| dc.description.provenance | Made available in DSpace on 2021-06-15T00:53:33Z (GMT). No. of bitstreams: 1 ntu-100-R98b47304-1.pdf: 1846010 bytes, checksum: 30d28e3cf8390dd138f532c546db3c40 (MD5) Previous issue date: 2011 | en |
| dc.description.tableofcontents | 口試委員會審定書 i
謝誌 ii 中文摘要 iii 英文摘要 iv 縮寫對照表 vi 總目錄 vii 圖目錄 ix 表目錄 x 第一章 引言 1 第二章 文獻回顧 2 第一節 懷孕期營養需要與缺乏之不良結果 2 第二節 國內外孕婦或育齡婦女之微量營養素狀況 7 第三節 懷孕期間補充劑的使用與效益 11 第四節 營養生化評估方法與判定標準 14 第五節 國內孕產期檢查與營養照護現況 17 第六節 研究動機與目的 19 第三章 研究對象與方法 20 第一節 研究對象 20 第二節 研究設計與流程 20 第三節 檢體收集與處理 20 第四節 營養素生化檢測方法及判定標準 22 第五節 補充劑使用情形之統計與分組依據 28 第六節 統計分析 29 第四章 結果 31 第一節 懷孕婦女基本資料 31 第二節 孕期之營養生化概況 31 第三節 懷孕婦女之補充品使用情形 34 第四節 孕婦攝取補充劑之各階段營養生化情況 35 第五節 孕婦攝取涵蓋各營養素的補充劑與營養狀況的關係 37 第六節 各微量營養素對應其它特定營養素之關係 38 第七節 孕婦孕程之營養生化追蹤情形 38 第八節 孕婦血漿同半胱胺酸 40 第五章 討論 70 第一節 維生素B2生化定量分析 70 第二節 孕婦分項微量營養素情形探討 70 第三節 孕婦營養狀態綜合探討 73 第四節 補充劑效益與攝取情形之探討 74 第六章 結論 77 第七章 參考文獻 78 附錄一 人體試驗委員會研究計畫通過函 92 附錄二 基本資料問卷 93 附錄三 飲食頻率問卷（部分） 97 | |
| dc.language.iso | zh-TW | |
| dc.title | 孕婦孕程之生化營養狀況追蹤 | zh_TW |
| dc.title | A Longitudinal Follow-up Study for Assessment of
Nutritional Status among Pregnant Women | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 99-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 孫寶年,周輝政,駱菲莉,盧立卿 | |
| dc.subject.keyword | 懷孕,微量營養素,生化評估,營養狀況,補充劑, | zh_TW |
| dc.subject.keyword | pregnancy,micronutrients,biochemical assessment,nutritional status,supplements, | en |
| dc.relation.page | 100 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2011-08-22 | |
| dc.contributor.author-college | 生命科學院 | zh_TW |
| dc.contributor.author-dept | 生化科技學系 | zh_TW |
| 顯示於系所單位： | 生化科技學系 | |
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