medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2022-24-8-15medalphabet-2829Research ArticleСтатьиРоль железа во время беременности и кормления грудьюThe role of iron during pregnancy and lactationhttps://orcid.org/0000-0002-4689-3591ОрловаС. В.OrlovaS. V.

Орлова Светлана Владимировна, д. м. н., профессор, заведующая кафедрой диетологии и клинической нутрициологии

Москва

Orlova Svetlana V., DM Sci (habil.), professor, head of Dept of Dietetics and Clinical Nutritiology

Moscow

orlova-sv@rudn.ruhttps://orcid.org/0000-0003-3220-0333НикитинаЕ. А.NikitinaE. A.

Никитина Елена Александровна, к. м. н., доцент кафедры диетологии и клинической нутрициологии

Москва

Nikitina Elena A., PhD Med, assistant professor of Dept of Dietetics and Clinical Nutritiology

Moscow

nikitina-ea1@rudn.ruhttps://orcid.org/0000-0002-0548-3414БалашоваН. В.BalashovaN. V.

Балашова Наталья Валерьевна, к. б. н., ассистент доцент кафедры диетологии и клинической нутрициологии

Москва

Balashova Natalya V., PhD Bio Sci, assistant of Dept of Dietetics and Clinical Nutritiology

Moscow

balashovaN77@mail.ruФГАОУ ВО «Российский университет дружбы народов»РоссияPeoples Friendship University of Russia (RUDN University)Russian Federation202220112022024Современная гинекология (2)815Copyright © Орлова С.В., Никитина Е.А., Балашова Н.В., 20222022Орлова С.В., Никитина Е.А., Балашова Н.В.Orlova S.V., Nikitina E.A., Balashova N.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/2829

Питание является одним из важных условий благополучных течения и исхода беременности, полноценной лактации, поддержания здоровья матери, плода и новорожденного. Развитие плода напрямую зависит от нутритивного статуса матери, и если питание неполноценно, то снабжение плода будет ограниченно, что может привести к конкуренции между матерью и ребенком за пищевые вещества. Питание, обедненное микронутриентами, в первую очередь железом, может привести к его дефициту у матери и повлиять как на беременность, так и на лактационную функцию. Имеющиеся данные свидетельствуют о том, что несбалансированное питание и дефицит железа у плода могут оказывать негативное влияние на здоровье человека в постнатальном периоде, а также влиять на метаболический статус следующих поколений. Дефицит железа возникает в результате несоответствия между возросшей в период беременности потребностью и поступлением минерала с пищей, что приводит к нарушению работы всех органов и систем, снижает физическую и умственную работоспособность. В случае выявления латентного дефицита железа необходимо сбалансировать рацион питания и в качестве нутритивной коррекции использовать ВМК или препараты с железом. При выявлении железодефицитной анемии необходимо применение лекарственных препаратов железа вместе с комплексной диетотерапией, учитывающей влияние отдельных пищевых веществ на усвоение микроэлемента.

Nutrition is one of the important factors for a successful pregnancy and its outcome, sufficient lactation, maintaining the health of the mother, fetus and newborn. The development of the fetus is directly dependent on the nutritional status of the mother, and if the nutrition is inadequate, the supply of the fetus will be limited, which can lead to competition between mother and child for nutrients. A diet depleted of micronutrients, primarily iron, can lead to iron deficiency in the mother and affect lactation function. Evidence suggests that unbalanced nutrition and iron deficiency in the fetus can have a negative impact on human health in the postnatal period, as well as affect the metabolic status of future generations. Iron deficiency occurs as a result of a discrepancy between the need increased during pregnancy and the intake of the mineral from food, which leads to disruption of the work of all organs and systems, and reduces physical and mental performance. If a latent iron deficiency is detected, it is necessary to balance the diet, and use IUDs or iron preparations as a nutritional correction. When iron deficiency anemia is detected, it is necessary to use iron preparations along with complex diet therapy, taking into account the effect of individual nutrients on the absorption of the microelement.

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The authors declare that there are no conflicts of interest present.