diet diversity

饮食多样性
  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    为了满足儿童的营养需求,需要食物的多样性和充足性。由于贫困/文盲,贫困家庭依赖于一个单一的食物群体,谷物。由于大流行,成长中的儿童的营养受到影响。
    了解饮食的数量和质量对五岁以下儿童营养状况的影响。
    这项研究有270名在Anganwadi注册的1至4岁儿童作为研究参与者。有关社会人口统计学变量的信息,消耗的卡路里和蛋白质的数量,饮食质量,收集了儿童的人体测量学。百分比和配对t检验用于发现不同间隔的营养状况和饮食之间的差异,差异有统计学意义(P<0.05)。
    在我们的研究中,我们发现,随着饮食的数量和质量改善营养状况,尤其是年龄的体重,体重指数(BMI)的年龄Z评分也有所改善。基线消耗的卡路里之间存在显着差异,6个月和1年,P<0.05。蛋白质摄入量在基线和6个月之间是显著的,P<0.005。
    我们的研究发现,当饮食质量和数量不足时,五岁以下人群的营养不良和消瘦比例很高。随着饮食质量和数量的改善,营养状况也有所改善。
    UNASSIGNED: Variety and adequacy of intake of food are required to meet the nutritional needs of the children. Due to poverty/illiteracy, poor families depend on a single food group that is, cereals. Due to the pandemic also, the nutrition of the growing children is affected.
    UNASSIGNED: To know the effect of quantity and quality of diet on the nutritional status of under-five children.
    UNASSIGNED: This study had 270 children aged between 1 and 4 years registered at Anganwadi as study participants. Information on sociodemographic variables, quantity of calories and proteins consumed, quality of diet, and anthropometry of children was collected. Percentages and paired t-tests were used to find the difference between nutritional status and diet at different intervals, which was found to be statistically significant (P < 0.05).
    UNASSIGNED: In our study, we found that as the quantity and quality of diet improved nutritional status, especially weight for age, body mass index (BMI) for age Z score also improved. There was a significant difference between calories consumed at the baseline, 6 months and 1 year with P < 0.05. Protein intake was significant between baseline and six months with P < 0.005.
    UNASSIGNED: Our study found a high percentage of undernutrition and wasting in the under-five population when diet was not sufficient in quality and quantity. As the quality and quantity of diet improved nutritional status also improved.
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  • 文章类型: Journal Article
    背景:采用避免过敏原的饮食可能会增加食物过敏(FA)儿童营养缺乏的风险并影响其生长。目前尚不清楚这些饮食限制如何对饮食多样性产生影响。促进健康的饮食行为。
    目的:为了评估饮食多样性,FA儿童的饮食摄入量和体重状况。
    方法:观察性研究。
    方法:100名IgE介导的乳汁患儿,鸡蛋或坚果FA或多个FA和60名常年呼吸道过敏(RA)的儿童作为对照,3-18岁,被连续招募到研究中。
    方法:通过四次24小时召回评估了饮食摄入量和饮食多样性(每天消耗的不同食物数量)。体重状态(体重不足,健康体重,超重或肥胖)也进行了评估。
    方法:采用卡方检验和两样本独立t检验来检验组间差异。性别调整,年龄和能量摄入,使用线性回归。
    结果:与对照组的儿童(5.1%)相比,FA儿童的体重不足百分比更高(19.6%)。与对照组儿童相比,患有FA的儿童食用更多的肉类[1.7,95CI(1.6,1.9)与1.5,95CI(1.3,1.7)份/天,(padj=0.031)].两组之间的饮食多样性没有观察到差异(11-12种不同的食物/天)。在FA组中,对牛奶蛋白过敏的儿童从蛋白质中摄入的能量较低,钙的摄入量较低,降低商业制备的糖果的消费量,和更高的鸡蛋消费量,与坚果或鸡蛋过敏的儿童相比,但是没有观察到饮食多样性的差异。
    结论:FA儿童和无FA儿童的饮食多样性没有差异,尽管特定食物组的摄入量存在一些差异。然而,FA患儿体重过轻的比例较高,提示需要在FA确诊后尽早进行有针对性的营养干预.
    BACKGROUND: Adoption of allergen avoidance diets may increase the risk of nutritional deficiencies and affect growth in children with food allergy (FA). How these dietary restrictions have an impact on diet diversity, a health-promoting eating behavior, remains unclear.
    OBJECTIVE: To evaluate diet diversity, dietary intake, and weight status of children with FA.
    METHODS: Observational study.
    METHODS: One hundred children with immunoglobulin E (IgE)-mediated milk, egg, or nut FA or multiple FAs and 60 children with perennial respiratory allergies (RA) matched as controls, aged 3 to 18 years, were consecutively recruited into the study.
    METHODS: Dietary intake and diet diversity (number of different foods consumed/day) were assessed through 4 24-hour recalls. Weight status (underweight, healthy weight, overweight, or obesity) was also evaluated.
    METHODS: Chi-squared test and 2-sample independent t test were used to test differences between groups. Adjustment for sex, age, and energy intake was made using linear regression.
    RESULTS: The percentage of underweight was higher in children with FA (19.6%) compared with children in the control group (5.1%). Children with FA compared with children in the control group consumed more servings of meat (1.7, 95% CI, 1.6, 1.9 vs. 1.5, 95% CI, 1.3, 1.7 servings/day [Padj = 0.031]). No difference was observed in the diet diversity between the 2 groups (11-12 different foods/day). Within the FA group, children with allergy to milk proteins had lower energy intake from protein, lower intake of calcium, lower consumption of commercially prepared sweets, and higher consumption of eggs, compared with children with nut or egg allergy, but no difference in diet diversity was observed.
    CONCLUSIONS: Diet diversity did not differ between children with FA and children with no FA, despite some differences in the intake from specific food groups. However, the higher percentage of underweight in children with FA suggests the need for targeted nutrition intervention as early as possible after FA diagnosis.
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  • 文章类型: Journal Article
    在马达加斯加和全球许多粮食系统中,生物多样性和人类饮食多样性的同时丧失是显而易见的。野生食物收获可以减轻营养不安全感,但也可能引起物种保护问题。
    这项研究旨在研究马达加斯加西南部Alandraza-Agnalavelo保护区森林附近饥饿季节野生动植物物种消费与饮食多样性和儿童生长的关系。第二,我们研究了食用野生植物的保护状况。
    来自公共卫生营养的方法(24小时召回饮食摄入量,使用世界卫生组织[世卫组织]生长标准进行人体测量),民族植物学,和森林生态学(丰度的生态学研究,栖息地偏好,相关物种,食品化学化验,和物种丰富度)被应用。
    儿童营养不良(n=305)非常普遍:发育迟缓(32.3%);消瘦(18.8%);低饮食多样性(4%达到WHO最低饮食多样性阈值)。动物性食物被少量消耗,为所有限制性营养素提供<10%的饮食参考摄入量。在饥饿季节消耗了22种野生植物,突出的块茎(山药科),和绿叶蔬菜(菊科,车头科,马齿科,和茄科)。9个目标物种中有8个被确定为丰富和“最不关心,“而紫花苜蓿是丰富的,容易受到伤害。回归模型显示,野生食物消费与家庭饮食多样性评分增加相关[β=0.29(0.06标准误差);P<0.001],总野生动物食物与身高年龄Z评分呈正相关[β=0.14(0.07标准误差);P=0.04]。
    野生动植物食品可能是食物系统中支持人类营养同时保持生态系统活力的重要元素。
    UNASSIGNED: Concurrent losses in biodiversity and human dietary diversity are evident in Madagascar and across many food systems globally. Wild food harvest can mitigate nutrition insecurities but may also pose species conservation concerns.
    UNASSIGNED: This study aimed to examine the association of wild plant and animal species consumption during hunger season with diet diversity and child growth near the Alandraza-Agnalavelo protected forest in Southwestern Madagascar. Second, we studied the conservation status of the consumed wild plants.
    UNASSIGNED: Methods from public health nutrition (24-h recall dietary intake, anthropometry using World Health Organization [WHO] Growth Standards), ethnobotany, and forest ecology (ecologic studies of abundance, habitat preference, associated species, food chemistry assays, and species richness) were applied.
    UNASSIGNED: Malnutrition in children (n = 305) was highly prevalent: stunting (32.3%); wasting (18.8%); and low-dietary diversity (4% meeting WHO minimum dietary diversity threshold). Animal foods were consumed in small quantities, providing <10% of Dietary Reference Intakes for all limiting nutrients. Twenty-two wild plant species were consumed during hunger season, prominently tubers (Dioscoreaceae), and leafy greens (Asteraceae, Blechnaceae, Portulacaceae, and Solanaceae). Eight of the 9 target species were identified as abundant and \"Least Concern,\" whereas Amorphophollus taurostigma was abundant and \"Vulnerable.\" Regression modeling showed wild food consumption was associated with an increased household dietary diversity score [β = 0.29 (0.06 standard error); P < 0.001], and total wild animal foods positively correlated with height-for-age Z score [β = 0.14 (0.07 standard error); P = 0.04].
    UNASSIGNED: Wild plant and animal foods may be an important element of food systems to support human nutrition while maintaining ecosystem viability.
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  • 文章类型: Journal Article
    本研究的目的是严格评估现有饮食多样性指标的饮食数据收集方法中的差距。该研究提出了克服智能手机应用缺点的重要性。审查文件确定并评估了饮食多样性指标中使用的常规方法,包括妇女最低饮食多样性(MDD-W),婴儿和幼儿喂养方式的最低膳食多样性(IYCF-MDD),和家庭饮食多样性评分(HDDS)。来自38个国家的80项研究根据其研究目标进行了严格评估,研究设计,目标受众,饮食数据收集方法,样本量,饮食数据类型,饮食数据收集频率,和饮食数据收集的位置点。结果表明,大多数研究采用采访者管理的24小时回忆评估饮食多样性。评论文件得出结论,智能手机应用程序有可能克服传统方法的局限性,包括召回偏差,社会可取性偏见,面试官培训,和成本时间限制。
    The purpose of the current study was to critically assess the gaps in the existing methodologies of dietary data collection for diet diversity indicators. The study proposed the importance of smartphone application to overcome the drawbacks. The review paper identified and assessed the conventional methodologies used in diet diversity indicators including Minimum Dietary Diversity for Women (MDD-W), Minimum Dietary Diversity of Infant and Young Child Feeding Practices (IYCF-MDD), and Household Dietary Diversity Score (HDDS). The 80 research studies from 38 countries were critically assessed on the basis of their research aim, study design, target audience, dietary data collection methodology, sample size, dietary data type, dietary data collection frequency, and location point of dietary data collection. Results indicated that most studies employed interviewer-administered 24-h recall assessing the dietary diversity. The review paper concluded that smartphone application had potential to overcome the identified limitations of conventional methodologies including recall bias, social-desirability bias, interviewer training, and cost-time constraints.
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  • 文章类型: Journal Article
    儿童时期饮食质量差(饮食多样性和动物源食物[ASF]消费)对生长产生负面影响,发展,在以后的生活中的行为和生理功能。与5岁以下儿童相比,人们对不良饮食对学龄儿童成长的影响知之甚少,特别是在中低收入国家。需要更好地了解有效干预措施的交付策略,以改善饮食,从而改善学龄儿童的成长。在尼泊尔农村进行的一项为期36个月的纵向受控影响评估评估了通过社区集群分配到全面干预措施的家庭中5岁以下儿童的营养和生长(社区发展,营养[怀孕期间和5岁以下儿童]和畜牧业培训),部分包(仅训练)或控制(无输入)。前瞻性地收集了这些家庭中学龄儿童(基线时5-8岁)的同时数据;本研究分析了在所有五次研究访问(n=341)中看到的学龄儿童队列的结果。与部分包装或对照家庭相比,完整包装的学龄儿童的饮食质量改善更多。全包儿童消耗更多的ASF(β+0.40[CI0.07,0.73],p<0.05),更多样化的饮食(β+0.93[CI0.55,1.31],p<0.001),头围z评分更好(β+0.21[CI0.07,0.35],p<0.01)比对照儿童。总之,多部门社区发展干预与尼泊尔农村地区学龄儿童的饮食和成长改善相关,尽管该干预的重点是5岁以下儿童的饮食.社区一级的干预措施可以对学龄儿童的饮食和成长产生有利的影响,甚至间接。
    Poor diet quality (diet diversity and animal-source food [ASF] consumption) during childhood negatively affects growth, development, behaviour and physiologic function in later life. Relatively less is known about the impact of poor diet on the growth of school-age children compared to children <5 years of age, especially in low/middle-income countries. A better understanding of delivery strategies for effective interventions to improve diet and hence growth in school-age children is needed. A 36-month longitudinal controlled impact evaluation in rural Nepal assessed the nutrition and growth of children <5 years of age in families assigned via community clusters to full package intervention (community development, training in nutrition [during pregnancy and for children <5 years] and livestock husbandry), partial package (training only) or control (no inputs). Concurrent data were collected prospectively (baseline plus additional four rounds) on school-age children (5-8 years at baseline) in these households; the present study analysed findings in the cohort of school-age children seen at all five study visits (n = 341). Diet quality improved more in the full package school-age children compared to those in partial package or control households. full package children consumed more ASF (β +0.40 [CI 0.07,0.73], p < 0.05), more diverse diets (β +0.93 [CI 0.55,1.31], p < 0.001) and had better head circumference z-scores (β +0.21 [CI 0.07,0.35], p < 0.01) than control children. In conclusion, a multi-sectoral community development intervention was associated with improvements in diet and growth of school-age children in rural Nepal even though the intervention focused on the diet of children <5 years of age. The diet and growth of school-age children can be favourably influenced by community-level interventions, even indirectly.
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  • 文章类型: Journal Article
    饮食可以对生物体的健康和健身产生一系列直接和间接的影响,这可能会影响宿主-病原体相互作用的结果。土地利用变化,这可能会影响饮食的数量和质量,对重要的自然和农业传粉者施加了觅食压力。与饮食相关的压力可能会加剧病原体感染的现有负面影响。在蛋白质和许多微量营养素方面占其大部分营养摄入量,花粉可以通过免疫力的变化影响蜜蜂的健康,感染,以及个人和群体适应性的各个方面。我们调查了成年花粉的消费,花粉类型,花粉多样性会影响小孢子虫病原体Nosema(Vairimorpha)bombi的大黄蜂生存和感染结果。幼虫的实验性病原体暴露发生在小菌落中,新出现的成年工人被给予三种主要是单花的一种,多花,或者没有花粉饮食。工人被评估大小,花粉消耗,成年后8天感染,生存,以及死亡时细胞外微孢子孢子的存在。花粉饮食治疗,特别是没有花粉,感染独立降低了生存率,但是我们没有看到花粉的影响,花粉类型,或花粉饮食多样性对感染结果的影响。后者表明感染结果可能已经确定,在不同的饮食之前。尽管在我们的研究中花粉饮食没有改变感染结果,它强调了病原体感染和花粉可用性对大黄蜂健康的重要性,这些因素可能在大黄蜂发育的不同阶段相互作用,在殖民地一级,或在不同的饮食制度下。
    Diet can have an array of both direct and indirect effects on an organism\'s health and fitness, which can influence the outcomes of host-pathogen interactions. Land use changes, which could impact diet quantity and quality, have imposed foraging stress on important natural and agricultural pollinators. Diet related stress could exacerbate existing negative impacts of pathogen infection. Accounting for most of its nutritional intake in terms of protein and many micronutrients, pollen can influence bee health through changes in immunity, infection, and various aspects of individual and colony fitness. We investigate how adult pollen consumption, pollen type, and pollen diversity influence bumble bee Bombus impatiens survival and infection outcomes for a microsporidian pathogen Nosema (Vairimorpha) bombi. Experimental pathogen exposures of larvae occurred in microcolonies and newly emerged adult workers were given one of three predominantly monofloral, polyfloral, or no pollen diets. Workers were assessed for size, pollen consumption, infection 8-days following adult-eclosion, survival, and the presence of extracellular microsporidian spores at death. Pollen diet treatment, specifically absence of pollen, and infection independently reduced survival, but we saw no effects of pollen, pollen type, or pollen diet diversity on infection outcomes. The latter suggests infection outcomes were likely already set, prior to differential diets. Although infection outcomes were not altered by pollen diet in our study, it highlights both pathogen infection and pollen availability as important for bumble bee health, and these factors may interact at different stages of bumble bee development, at the colony level, or under different dietary regimes.
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  • 文章类型: Journal Article
    背景:在COVID-19大流行期间,粮食安全和营养受到严重影响,特别是在低收入和中等收入国家(LMICs)。我们旨在量化大流行对赞比亚奇兰加地区粮食安全和饮食多样性的影响,并确定高影响力社会保护和安全网计划的目标地区。
    方法:我们在2022年2月Omicron变体激增后立即在Chilanga地区进行了一项横断面研究。根据家庭饮食问卷评估饮食质量和食品安全,并计算最低饮食多样性妇女(MDD-W)评分。使用配对t检验来确定MDD-W评分是否存在统计学上的显着变化,并使用McNemar检验来调查COVID-19前后期间食品安全的变化。
    结果:与COVID-19前期相比,在COVID-19期间,食品价格全面上涨,包括豆类在内的主要食品类别的消费量下降,乳制品和维生素A丰富的食物。尽管粮食不安全的发生率很高,只有6.6%的受访家庭从政府机构获得任何现金或实物援助,非营利组织,或其他组织在后COVID-19时期。
    结论:COVID-19大流行对Chilanga地区的粮食安全和饮食多样性产生了重大影响。这在我们调查的低收入社区中尤其重要,在粮食安全方面存在挑战。必须在奇兰加区和类似的受影响地区投入额外资源,以解决获得粮食方面的这一差距,并促进国家公平。试用登记N/A。
    BACKGROUND: Food security and nutrition have been severely impacted during the COVID-19 pandemic, particularly in low- and middle-income countries (LMICs). We aimed to quantify the impacts of the pandemic on food security and diet diversity within Chilanga District in Zambia and identify target areas for high-impact social protection and safety net programs.
    METHODS: We conducted a cross-sectional study in Chilanga district immediately after the Omicron variant surge in February 2022. Diet quality and food security were assessed based on a household diet questionnaire and a Minimum Dietary Diversity-Women (MDD-W) score was calculated. A paired t-test was used to determine whether there was a statistically significant change in the MDD-W score and McNemar test was used to investigate the change in food security between the pre- and peri-COVID-19 period.
    RESULTS: Compared to the pre-COVID-19 period, there were increases in food prices across the board in the peri-COVID-19 period and decreased consumption of key food categories including legumes, dairy and vitamin A rich foods. Despite high rates of food insecurity, only 6.6% of surveyed households received any cash or in-kind assistance from a government agency, non-profit, or other organization in the post-COVID-19 period.
    CONCLUSIONS: The COVID-19 pandemic had significant impacts on food security and dietary diversity in Chilanga district. This is particularly relevant in the low-income communities that we surveyed, which had pre-existing challenges with food security. Additional resources must be invested in Chilanga District and similarly affected areas to address this gap in access to food and promote national equity. Trial Registration N/A.
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  • 文章类型: Journal Article
    (1)背景:儿童期次优的喂养方式和饮食摄入量与成年期不良的健康结果有关。这项混合方法研究旨在概述喂养方式,父母的看法,以及来自西悉尼的0-5岁(n=29)儿童样本的饮食多样性,澳大利亚。(2)方法:2019年对家长进行半结构化访谈,探索他们孩子的喂养方式。在线定量调查用于评估儿童的喂养史。使用在线24小时饮食回忆评估营养素摄入量和饮食多样性得分。使用描述性统计和单向方差分析对定量数据进行分析,而定性数据采用归纳主题分析法进行分析。(3)结果:分析表明,27.6%的儿童在6个月之前完全母乳喂养,62.1%的儿童在6个月之前被引入固体。超过60%的儿童实现了最低限度的饮食多样性。主题分析确定了四个主题,包括母亲的喂养选择,母亲对孩子饮食的看法,对喂养选择的影响,和母亲的个人经历。(4)结论:该样本中超过一半的儿童的喂养史表明不符合澳大利亚和WHO婴儿喂养指南。主题分析揭示了对父母喂养选择的各种可能影响,可用于提供有针对性的支持。
    (1) Background: Sub-optimal feeding practices and dietary intakes in childhood are associated with poor health outcomes in adulthood. This mixed methods study aims to profile feeding practices, parent perceptions, and dietary diversity in a sample of children aged 0-5 years (n = 29) from Western Sydney, Australia. (2) Methods: In 2019, semi-structured interviews were conducted with parents, exploring their child\'s feeding practices. An online quantitative survey was used to assess children\'s feeding history. Nutrient intakes and dietary diversity scores were assessed using an online 24-h dietary recall. Quantitative data were analysed using descriptive statistics and one-way ANOVA, while qualitative data were analysed using inductive thematic analysis. (3) Results: The analysis showed that 27.6% of children were exclusively breastfed until 6 months of age and that 62.1% of children were introduced to solids before 6 months. Over 60% of children achieved minimum dietary diversity. The thematic analysis identified four themes, including mothers\' feeding choices, mothers\' perceptions of their children\'s diet, influences on feeding choices, and mothers\' personal experiences. (4) Conclusions: The feeding history of over half the children in this sample indicated non-compliance with Australian and WHO infant feeding guidelines. The thematic analysis revealed various possible influences on parent feeding choices that can be used to inform targeted support.
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  • 文章类型: Journal Article
    背景:年轻时的特应性皮炎(AD)通常先于食物过敏的发展。尽管AD影响全球数百万婴儿,产前和产后危险因素,以及它们与后来食物过敏发展的联系,还没有完全阐明。本研究旨在调查婴儿期AD流行病学及其危险因素,检查可能导致食物过敏后期发展的早期因素(产前和产后)。
    方法:在2019年1月至2019年12月之间,501名婴儿被纳入这项前瞻性队列研究。通过产妇访谈进行纵向数据收集,第一次在交货后三天内进行,第二次在交货后24至36个月内进行,包含变量,如人口统计,有过敏症家族史,母亲吸烟,怀孕期间使用抗生素,交付方式,母乳喂养史,食品实践,和绿色暴露在交货后3天内,当他们还在医院的时候.
    结果:孕妇在怀孕期间吸烟(p=0.001)和有年长的兄弟姐妹特应史(p=0.03)与AD发病率显著相关。剖宫产分娩(p=0.04)与AD婴儿食物过敏的风险较高有关。在家中有花园与AD的可能性更高(p=0.01),和没有医学指导的食物排除(p=0.02),由于AD与食物过敏的风险升高相关。
    结论:鼓励及时引入过敏性食物,同时促进饮食多样性,富含植物性食物,产妇戒烟,和专业的饮食指导可能有助于降低AD和食物过敏的风险。未来的研究应该解决绿色在AD和食物过敏发展中的作用。
    BACKGROUND: Atopic dermatitis (AD) at a young age often precedes the development of food allergies. Although AD affects millions of infants worldwide, prenatal and postnatal risk factors, and their association with the development of food allergies later on, are not fully elucidated. This study seeks to investigate AD epidemiology in infancy and its risk factors, examining early-life factors (both prenatal and postnatal) that could contribute to the later development of food allergies.
    METHODS: Between January 2019 and December 2019, 501 infants were included in this prospective cohort study. Longitudinal data collection was performed through maternal interviews, the first one conducted within three days after the delivery and the second within 24 to 36 months after the delivery, encompassing variables such as demographics, family history of atopy, maternal smoking, antibiotic use during pregnancy, the mode of delivery, breastfeeding history, food practices, and greenness exposure within 3 days from delivery, while they were still in the hospital.
    RESULTS: Maternal smoking during pregnancy (p = 0.001) and an older sibling atopy history (p = 0.03) was significantly linked to AD incidence. Cesarean section delivery (p = 0.04) was associated with a higher risk of food allergies in infants with AD. Having a garden at home correlated with a higher likelihood of AD (p = 0.01), and food elimination without medical guidance (p = 0.02) due to AD correlated with an elevated risk of food allergies.
    CONCLUSIONS: Encouraging timely allergenic food introduction while promoting dietary diversity, rich in plant-based foods, maternal smoking cessation, and professional dietary guidance may help minimize AD and food allergy risk. Future studies should address the role of greenness in the development of AD and food allergies.
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