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首页> 外文期刊>Proceedings of the Nutrition Society >Effects of consuming sugars and alternative sweeteners during pregnancy on maternal and child health: evidence for a secondhand sugar effect
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Effects of consuming sugars and alternative sweeteners during pregnancy on maternal and child health: evidence for a secondhand sugar effect

机译：妊娠期糖类和替代甜味剂在孕产妇健康中的影响：二手糖效应的证据

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摘要

Consumption of sugar and alternative low- or no-energy sweeteners has increased in recent decades. However, it is still uncertain how consumption of sugar and alternative sweeteners during pregnancy affects pregnancy outcomes and long-term offspring health. This review aims to collate the available evidence surrounding the consequences of sugar and alternative sweetener consumption during pregnancy, a so-called secondhand sugar effect. We found evidence that sugar consumption during pregnancy may contribute to increased gestational weight gain and the development of pregnancy complications, including gestational diabetes, preeclampsia and preterm birth. Further, we found a growing body of the animal and human evidence that maternal sugar intake during pregnancy may impact neonatal and childhood metabolism, taste perception and obesity risk. Emerging evidence also suggests that both maternal and paternal preconception sugar intakes are linked to offspring metabolic outcomes, perhaps via epigenetic alterations to the germline. While there have been fewer studies of the impacts of alternative sweetener consumption before and during pregnancy, there is some evidence to suggest effects on infant outcomes including preterm birth risk, increased infant body composition and offspring preference for sweet foods, although mechanisms are unclear. We conclude that preconception and gestational sugar and alternative sweetener consumption may negatively impact pregnancy outcomes and offspring health and that there is a need for further observational, mechanistic and intervention research in this area.
机译：近几十年来，糖和替代的低或无能甜味剂的消耗增加。然而，它仍然不确定妊娠期间糖和替代甜味剂的消耗如何影响妊娠结果和长期后代健康。该审查旨在将糖果和替代甜味剂消费后果的可用证据进行了妊娠期，所谓的二手糖效果。我们发现怀孕期间的糖消耗可能导致妊娠重量增加和妊娠并发症的发展增加，包括妊娠期糖尿病，预胰岛素和早产。此外，我们发现了一种生长的动物和人类证据，即孕妇糖病在妊娠期间可能会影响新生儿和儿童代谢，味道感知和肥胖风险。新兴的证据还表明，母亲和父亲和父亲的先注糖摄入量与后代代谢结果有关，也许通过表观遗传改变与种系。虽然在怀孕前和怀孕前和期间的替代甜味剂消费的影响较少，但有一些证据表明对婴儿结果的影响，但婴儿成果增加，婴儿身体成分和对甜食的后代偏好，尽管机制尚不清楚。我们得出结论，先入为主和妊娠期糖和替代甜味剂消费可能会对妊娠结果和后代健康产生负面影响，并且需要在该领域进一步观察，机械和干预研究。

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