Dietary meats play a crucial role in human health. The objective of this survey was to determine the fatty acid content and omega-6/omega-3 polyunsaturated fatty acids (n-6/n-3 PUFA) ratio of fresh red meat (beef a...Dietary meats play a crucial role in human health. The objective of this survey was to determine the fatty acid content and omega-6/omega-3 polyunsaturated fatty acids (n-6/n-3 PUFA) ratio of fresh red meat (beef and pork) from four cities (Shanghai, Nanjing, Yinchuan and Hohhot) in China. The results showed that the n-6/n-3 PUFA ratio from all the samples ranged from 6 to 23. The total n-6 PUFA concentrations ranged from 290.54 mg/100 g in beef from Nanjing to 1601.48 mg/100 g in pork from Hohhot, whereas the total concentrations of n-3 PUFA ranged from 46.34 mg/100 g in beef from Nanjing to 96.03 mg/100 g in pork from Nanjing. The results indicated that the n-6/n-3 ratio in the red meat from all four regions is unbalanced and is much higher than that (〈 5:1) rec- ommended by the WHO/FAO. The total amount of n-3 PUFA was far lower than the required daily dose. There- fore, potential solutions to increase the n-3 PUFA content in meat products or to provide alternative source of n-3 PUFA should be explored.展开更多
AIM:To evaluate whether red meat intake is related to the risk of endometrial cancer(EC) using meta-analysis.METHODS:We searched Pub Med,EMBASE,and the Cochrane Library up to June 2013,using common keywords related to...AIM:To evaluate whether red meat intake is related to the risk of endometrial cancer(EC) using meta-analysis.METHODS:We searched Pub Med,EMBASE,and the Cochrane Library up to June 2013,using common keywords related to red meat and EC.Case-control studies and cohort studies comparing the risk of endometrial cancer among categories by the amount of intake were included.Eleven case-control studies and five cohort studies met our criteria.We performed a conventional and a dose-response meta-analysis of case-control studies using the Der Simonian-Laird method for random-effects.For cohort studies we performed a conventional meta-analysis.Publication bias was evaluated using Egger's test.RESULTS:In the meta-analysis of 11 case-control studies including 5419 cases and 12654 controls,higher red meat consumption was associated with an increased risk of EC [summary relative risk(SRR) = 1.43,95%CI:1.15-1.79;I2 = 73.3% comparing extreme intake categories).In a dose-response analysis,for red meat intake of 100 g/d,SRR was 1.84(95%CI:1.64-2.05).In contrast,in the meta-analysis of five prospective studies including a total of 2549 cases among 247746 participants,no significant association between red meat intake and EC risk(SRR = 0.97,95%CI:0.85-1.11;I2 = 4.9% comparing extreme intake categories) was observed.CONCLUSION:Our meta-analysis found a significantlinear association between red meat intake and EC risk based on case-control studies but this was not confirmed in prospective studies.展开更多
In this study, impact of inflation (WPI--Wholesale Price Index), exchange rate, and interest rate on the production of red meat in Turkey was examined using the vector autoregressive (VAR) model. The model consist...In this study, impact of inflation (WPI--Wholesale Price Index), exchange rate, and interest rate on the production of red meat in Turkey was examined using the vector autoregressive (VAR) model. The model consisting of variables of dollar exchange rate, inflation rate, interest rate, beef, buffalo meat, mutton, and goat meat production amounts has been estimated for the period from 1981 to 2014. It has been detected that there is a tie among the dollar exchange rate, inflation rate, interest rate, and the amount of red meat production in Turkey. In order to determine the direction of this relation, Granger causality test was conducted. A one-way causal relation has been observed between: the goat meat production and dollar exchange rate; the buffalo meat production and the mutton production; and the beef production and the mutton production. To interpret VAR model, the impulse response function and variance decomposition analysis was used. As a result of variance decomposition, it has been detected that explanatory power of changes in the variance of dollar exchange rate, inflation rate, and interest rate in goat meat production amount is more than explanatory power of changes in the variances of mutton, beef, and buffalo meat variables.展开更多
Climate change poses great risks to poverty alleviation, food security and livelihoods sustainability in sub-Saharan Africa, declining crop yields and livestock productivity, especially in ASALs that suffer from fragi...Climate change poses great risks to poverty alleviation, food security and livelihoods sustainability in sub-Saharan Africa, declining crop yields and livestock productivity, especially in ASALs that suffer from fragile ecosystems characterized by frequent droughts and low rainfall. Climate-Smart Agriculture (CSA) objectives of improving productivity and incomes, adaptation, resilience to climate change and mitigation on GHGs emissions, are responses to these climate risks. CSA technologies, innovation and management practices (TIMPs) in general do exist, however they are concentrated in crop farming neglecting livestock production and especially in marginalized areas such as ASALs, which forms 85% of Kenyan land mass and is dominated by pastoral and nomadic livestock production. Most CSA practices are mainly at the production level and hardly extend to the entire value chain, and diffusion is slow due to several barriers. A mixed method approach was used to evaluate barriers to actors’ adoption of CSA in the pastoral Livestock red meat value chain starting from input suppliers, producers, to consumers (pasture to plate). This study used six broad perspectives to examine the barriers: 1) Knowledge and institutional;2) Market and financial;3) Policy and incentives;4) Networks and engagement platforms;5) Cultural and social;6) Physical infrastructure barriers. These barriers can be surmounted with concerted efforts from the government, development partners, pastoral communities, value chain actors and public private partnership among others. Efforts such as modernization of the pastoral red meat value chains, integration of MSMEs into the livestock systems, access to affordable financing, availability of context based, affordable CSA TIMPs, incentives, policies and institutional support, which currently remains inadequate. Institutional barriers like lack of capacity, coupled with knowledge and behavioral barriers hinder adoption. Financial institutions and cooperative societies can be enablers, however, their reluctance to invest in the sector is a barrier too.展开更多
Objective The present study aimed to investigate the association of red meat usual intake with metabolic syndrome(Met S),and explore the contribution of red meat usual intake to serum ferritin.Methods Based on the dat...Objective The present study aimed to investigate the association of red meat usual intake with metabolic syndrome(Met S),and explore the contribution of red meat usual intake to serum ferritin.Methods Based on the data from the longitudinal China Health and Nutrition Survey(CHNS),2,797 healthy adults aged 18–75 years without hypertension,diabetes,and Met S were selected in 2009 as subjects and follow-up studies were carried out till 2015.We used the National Cancer Institute(NCI)method to estimate the usual intake of foods.Multivariable logistic regressions were performed to evaluate the association between red meat usual intake and the risk of Met S.Quantile regression analysis was used to study the relationship between red meat consumption and serum ferritin levels.Results After adjusting for potential confounders,red meat,and fresh red meat were positively associated with the risk of Met S(RR=1.41,95%CI:1.05–1.90 and RR=1.37,95%CI:1.02–1.85,respectively).These relationships showed increasing trend(P<0.05).The level of serum ferritin increased significantly with the number of Met S components(P<0.05).The quantile regression analysis showed that red meat and fresh red meat usual intake had a significant positive association with serum ferritin levels across the entire conditional serum ferritin distribution(P<0.05).Processed red meat did not exhibit a similar association.Conclusion Higher red meat usual intake was associated with an increased risk of Met S and elevated serum ferritin levels.展开更多
Purpose In the present study,the activity concentrations of long-lived gamma-ray emitters(^(238)U,^(232)Th and ^(40)K)in ten dif-ferent types of frozen red meat samples selected from markets in Iraq were measured.Meth...Purpose In the present study,the activity concentrations of long-lived gamma-ray emitters(^(238)U,^(232)Th and ^(40)K)in ten dif-ferent types of frozen red meat samples selected from markets in Iraq were measured.Methods The technique of gamma spectrometer equipped with scintillation detector NaI(Tl)was used.Results The annual effective dose was estimated in adults and kids.The results showed that the concentrations of ^(238)U,^(232)Th and ^(40)K were found in the range of permissible limits of 30,32 and 400 Bq kg−1,respectively.On the other hand,the maximum values of ^(238)U and ^(232)Th in beef samples are higher than in lamb meat samples.The annual effective dose of adults and kids was observed to be below the limit(1.0 mSv)recommended by ICRP.Conclusion The frozen red meat samples are safe for human consumption and have gamma-ray emitter concentrations lower than the maximum permissible levels.展开更多
To summarize the evidence about the association between red and processed meat intake and the risk of esophageal cancer,we systematically searched the PubMed and EMBASE databases up to May 2012,with a restriction to E...To summarize the evidence about the association between red and processed meat intake and the risk of esophageal cancer,we systematically searched the PubMed and EMBASE databases up to May 2012,with a restriction to English publications,and the references of the retrieved articles.We combined the studyspecific relative risks(RRs) and 95%CI,comparing the highest with the lowest categories of consumption by using a random-effects model.A total of 4 cohort studies and 23 case-control studies were included in the meta-analysis.The combined RRs(95%CI) of the cohort studies comparing the highest and lowest categories were 1.26(1.00-1.59) for red meat and 1.25(0.83-1.86) for processed meat.For the case-control studies,the combined RRs(95%CI) comparing the highest and lowest categories were 1.44(1.16-1.80)for red meat and 1.36(1.07-1.74) for processed meat.Findings from this meta-analysis suggest that a higher consumption of red meat was associated with a greater risk of esophageal cancer.展开更多
Improving the efficiency and production of grazing ruminants to support food and fiber production,while reducing the environmental footprint and meeting the welfare needs of the animals,is important for sustainable li...Improving the efficiency and production of grazing ruminants to support food and fiber production,while reducing the environmental footprint and meeting the welfare needs of the animals,is important for sustainable livestock production systems.Development of new technologies that can improve the efficiency of nitrogen(N)utilization in ruminants,and that are effective and safe,has important implications for ruminant livestock production.N-carbomoylglutamate(NCG)is a functional micronutrient that stimulates endogenous synthesis of arginine,which can improve survival,growth,lactation,reproductive performance,and feed efficiency in mammals.There is a growing body of evidence to support the potential of dietary NCG supplementation to improve the productive capacity and N utilization efficiency of ruminants.This review summarizes the current literature on the effects of dietary supplementation with NCG in ruminants and impacts on production and potential to reduce the environmental footprint of farmed ruminant livestock.The current literature highlights the potential for commercial application in ruminant livestock to improve productivity and N utilization efficiency.展开更多
目的了解北京地区孕早期孕妇膳食蛋白质摄入情况,探讨膳食蛋白质摄入频率与妊娠期糖尿病(gestational diabetes mellitus,GDM)的关系。方法本研究数据来自北京出生队列研究(Beijing Birth Cohort Study),最终纳入10320例于2018年9月至2...目的了解北京地区孕早期孕妇膳食蛋白质摄入情况,探讨膳食蛋白质摄入频率与妊娠期糖尿病(gestational diabetes mellitus,GDM)的关系。方法本研究数据来自北京出生队列研究(Beijing Birth Cohort Study),最终纳入10320例于2018年9月至2020年12月在首都医科大学附属北京妇产医院门诊进行常规产检的孕6~16周健康单胎孕妇,通过食物频率法了解孕早期孕妇膳食蛋白质摄入情况。于孕24~28周行75 g口服葡萄糖耐量试验,根据国际糖尿病与妊娠研究组(International Association of the Diabetes and Pregnancy Study Groups,IADPSG)标准诊断GDM。采用χ^(2)检验分析研究对象基线特征与GDM发病率的关系,采用多因素Logistic回归分析方法探讨膳食蛋白质摄入频率与GDM发病率的关系。结果①本研究纳入的10320例孕妇中确诊为GDM的有1585例,发病率为15.4%。②单因素分析结果显示,总蛋白质类食物、动物蛋白、红肉的摄入频率与GDM的发生风险有关(P<0.05),每周摄入频率越高,GDM发病率越高;而植物蛋白、白肉摄入频率与GDM的发生风险无关(P>0.05)。进一步分析显示,猪肉的摄入频率与GDM的发生风险有关(P<0.05),摄入频率越高,GDM发病率越高。③多因素Logistic回归分析结果显示,在控制了年龄、学历、产次、孕前体质量指数(body mass index,BMI)、糖尿病家族史后,孕早期蛋白质类食物总摄入频率增加会增加GDM的发生风险(OR=1.504,95%CI:1.138~1.988);其中动物蛋白摄入频率对GDM发生有影响(OR=1.429,95%CI:1.122~1.984),而未发现植物蛋白摄入频率对GDM发生有影响。进一步分析显示,红肉的摄入频率增加会增加GDM的发生风险(OR=1.288,95%CI:1.072~1.547),而未发现白肉摄入频率对GDM发生有影响。在红肉类别中,猪肉的摄入频率增加会增加GDM的发生风险(OR=1.025,95%CI:1.007~1.044)。结论北京地区孕早期孕妇膳食蛋白质的主要来源为动物蛋白中的肉类。较高的动物蛋白摄入频率,特别是以猪肉为主的红肉,是GDM发生的危险因素,而白肉和植物蛋白摄入频率与GDM发生无关。妇幼保健人员应该开展孕早期,甚至备孕期的营养宣教,以利于GDM的预防。展开更多
基金supported by the National Natural Science Foundation of China(No.81070671)the National Basic Research Program(973 ProgramNo.2009CB918904)
文摘Dietary meats play a crucial role in human health. The objective of this survey was to determine the fatty acid content and omega-6/omega-3 polyunsaturated fatty acids (n-6/n-3 PUFA) ratio of fresh red meat (beef and pork) from four cities (Shanghai, Nanjing, Yinchuan and Hohhot) in China. The results showed that the n-6/n-3 PUFA ratio from all the samples ranged from 6 to 23. The total n-6 PUFA concentrations ranged from 290.54 mg/100 g in beef from Nanjing to 1601.48 mg/100 g in pork from Hohhot, whereas the total concentrations of n-3 PUFA ranged from 46.34 mg/100 g in beef from Nanjing to 96.03 mg/100 g in pork from Nanjing. The results indicated that the n-6/n-3 ratio in the red meat from all four regions is unbalanced and is much higher than that (〈 5:1) rec- ommended by the WHO/FAO. The total amount of n-3 PUFA was far lower than the required daily dose. There- fore, potential solutions to increase the n-3 PUFA content in meat products or to provide alternative source of n-3 PUFA should be explored.
基金Supported by A grant of the Korean Health Technology R and D Project,Ministry of Health and Welfare,Republic of Korea,No.HI12C0050
文摘AIM:To evaluate whether red meat intake is related to the risk of endometrial cancer(EC) using meta-analysis.METHODS:We searched Pub Med,EMBASE,and the Cochrane Library up to June 2013,using common keywords related to red meat and EC.Case-control studies and cohort studies comparing the risk of endometrial cancer among categories by the amount of intake were included.Eleven case-control studies and five cohort studies met our criteria.We performed a conventional and a dose-response meta-analysis of case-control studies using the Der Simonian-Laird method for random-effects.For cohort studies we performed a conventional meta-analysis.Publication bias was evaluated using Egger's test.RESULTS:In the meta-analysis of 11 case-control studies including 5419 cases and 12654 controls,higher red meat consumption was associated with an increased risk of EC [summary relative risk(SRR) = 1.43,95%CI:1.15-1.79;I2 = 73.3% comparing extreme intake categories).In a dose-response analysis,for red meat intake of 100 g/d,SRR was 1.84(95%CI:1.64-2.05).In contrast,in the meta-analysis of five prospective studies including a total of 2549 cases among 247746 participants,no significant association between red meat intake and EC risk(SRR = 0.97,95%CI:0.85-1.11;I2 = 4.9% comparing extreme intake categories) was observed.CONCLUSION:Our meta-analysis found a significantlinear association between red meat intake and EC risk based on case-control studies but this was not confirmed in prospective studies.
文摘In this study, impact of inflation (WPI--Wholesale Price Index), exchange rate, and interest rate on the production of red meat in Turkey was examined using the vector autoregressive (VAR) model. The model consisting of variables of dollar exchange rate, inflation rate, interest rate, beef, buffalo meat, mutton, and goat meat production amounts has been estimated for the period from 1981 to 2014. It has been detected that there is a tie among the dollar exchange rate, inflation rate, interest rate, and the amount of red meat production in Turkey. In order to determine the direction of this relation, Granger causality test was conducted. A one-way causal relation has been observed between: the goat meat production and dollar exchange rate; the buffalo meat production and the mutton production; and the beef production and the mutton production. To interpret VAR model, the impulse response function and variance decomposition analysis was used. As a result of variance decomposition, it has been detected that explanatory power of changes in the variance of dollar exchange rate, inflation rate, and interest rate in goat meat production amount is more than explanatory power of changes in the variances of mutton, beef, and buffalo meat variables.
文摘Climate change poses great risks to poverty alleviation, food security and livelihoods sustainability in sub-Saharan Africa, declining crop yields and livestock productivity, especially in ASALs that suffer from fragile ecosystems characterized by frequent droughts and low rainfall. Climate-Smart Agriculture (CSA) objectives of improving productivity and incomes, adaptation, resilience to climate change and mitigation on GHGs emissions, are responses to these climate risks. CSA technologies, innovation and management practices (TIMPs) in general do exist, however they are concentrated in crop farming neglecting livestock production and especially in marginalized areas such as ASALs, which forms 85% of Kenyan land mass and is dominated by pastoral and nomadic livestock production. Most CSA practices are mainly at the production level and hardly extend to the entire value chain, and diffusion is slow due to several barriers. A mixed method approach was used to evaluate barriers to actors’ adoption of CSA in the pastoral Livestock red meat value chain starting from input suppliers, producers, to consumers (pasture to plate). This study used six broad perspectives to examine the barriers: 1) Knowledge and institutional;2) Market and financial;3) Policy and incentives;4) Networks and engagement platforms;5) Cultural and social;6) Physical infrastructure barriers. These barriers can be surmounted with concerted efforts from the government, development partners, pastoral communities, value chain actors and public private partnership among others. Efforts such as modernization of the pastoral red meat value chains, integration of MSMEs into the livestock systems, access to affordable financing, availability of context based, affordable CSA TIMPs, incentives, policies and institutional support, which currently remains inadequate. Institutional barriers like lack of capacity, coupled with knowledge and behavioral barriers hinder adoption. Financial institutions and cooperative societies can be enablers, however, their reluctance to invest in the sector is a barrier too.
基金funded by the Ministry of Finance of the People’s Republic of China[No.13103110700015005]Carolina Population Center[No.P2CHD050924,T32 HD007168]+1 种基金the University of North Carolina at Chapel Hill,the NIH[No.R01-HD30880,DK056350,R24 HD050924,and R01-HD38700]the NIH Fogarty International Center[No.D43TW009077,D43 TW007709].
文摘Objective The present study aimed to investigate the association of red meat usual intake with metabolic syndrome(Met S),and explore the contribution of red meat usual intake to serum ferritin.Methods Based on the data from the longitudinal China Health and Nutrition Survey(CHNS),2,797 healthy adults aged 18–75 years without hypertension,diabetes,and Met S were selected in 2009 as subjects and follow-up studies were carried out till 2015.We used the National Cancer Institute(NCI)method to estimate the usual intake of foods.Multivariable logistic regressions were performed to evaluate the association between red meat usual intake and the risk of Met S.Quantile regression analysis was used to study the relationship between red meat consumption and serum ferritin levels.Results After adjusting for potential confounders,red meat,and fresh red meat were positively associated with the risk of Met S(RR=1.41,95%CI:1.05–1.90 and RR=1.37,95%CI:1.02–1.85,respectively).These relationships showed increasing trend(P<0.05).The level of serum ferritin increased significantly with the number of Met S components(P<0.05).The quantile regression analysis showed that red meat and fresh red meat usual intake had a significant positive association with serum ferritin levels across the entire conditional serum ferritin distribution(P<0.05).Processed red meat did not exhibit a similar association.Conclusion Higher red meat usual intake was associated with an increased risk of Met S and elevated serum ferritin levels.
基金This study was supported by the Kufa University,College of Science.
文摘Purpose In the present study,the activity concentrations of long-lived gamma-ray emitters(^(238)U,^(232)Th and ^(40)K)in ten dif-ferent types of frozen red meat samples selected from markets in Iraq were measured.Methods The technique of gamma spectrometer equipped with scintillation detector NaI(Tl)was used.Results The annual effective dose was estimated in adults and kids.The results showed that the concentrations of ^(238)U,^(232)Th and ^(40)K were found in the range of permissible limits of 30,32 and 400 Bq kg−1,respectively.On the other hand,the maximum values of ^(238)U and ^(232)Th in beef samples are higher than in lamb meat samples.The annual effective dose of adults and kids was observed to be below the limit(1.0 mSv)recommended by ICRP.Conclusion The frozen red meat samples are safe for human consumption and have gamma-ray emitter concentrations lower than the maximum permissible levels.
文摘To summarize the evidence about the association between red and processed meat intake and the risk of esophageal cancer,we systematically searched the PubMed and EMBASE databases up to May 2012,with a restriction to English publications,and the references of the retrieved articles.We combined the studyspecific relative risks(RRs) and 95%CI,comparing the highest with the lowest categories of consumption by using a random-effects model.A total of 4 cohort studies and 23 case-control studies were included in the meta-analysis.The combined RRs(95%CI) of the cohort studies comparing the highest and lowest categories were 1.26(1.00-1.59) for red meat and 1.25(0.83-1.86) for processed meat.For the case-control studies,the combined RRs(95%CI) comparing the highest and lowest categories were 1.44(1.16-1.80)for red meat and 1.36(1.07-1.74) for processed meat.Findings from this meta-analysis suggest that a higher consumption of red meat was associated with a greater risk of esophageal cancer.
基金funded by Ballance AgriNutrients and the Ministry of Primary Industries“Future Ready Farms-Together,creating a lower emissions Future”Sustainable Farming Futures Fund program.
文摘Improving the efficiency and production of grazing ruminants to support food and fiber production,while reducing the environmental footprint and meeting the welfare needs of the animals,is important for sustainable livestock production systems.Development of new technologies that can improve the efficiency of nitrogen(N)utilization in ruminants,and that are effective and safe,has important implications for ruminant livestock production.N-carbomoylglutamate(NCG)is a functional micronutrient that stimulates endogenous synthesis of arginine,which can improve survival,growth,lactation,reproductive performance,and feed efficiency in mammals.There is a growing body of evidence to support the potential of dietary NCG supplementation to improve the productive capacity and N utilization efficiency of ruminants.This review summarizes the current literature on the effects of dietary supplementation with NCG in ruminants and impacts on production and potential to reduce the environmental footprint of farmed ruminant livestock.The current literature highlights the potential for commercial application in ruminant livestock to improve productivity and N utilization efficiency.
文摘目的了解北京地区孕早期孕妇膳食蛋白质摄入情况,探讨膳食蛋白质摄入频率与妊娠期糖尿病(gestational diabetes mellitus,GDM)的关系。方法本研究数据来自北京出生队列研究(Beijing Birth Cohort Study),最终纳入10320例于2018年9月至2020年12月在首都医科大学附属北京妇产医院门诊进行常规产检的孕6~16周健康单胎孕妇,通过食物频率法了解孕早期孕妇膳食蛋白质摄入情况。于孕24~28周行75 g口服葡萄糖耐量试验,根据国际糖尿病与妊娠研究组(International Association of the Diabetes and Pregnancy Study Groups,IADPSG)标准诊断GDM。采用χ^(2)检验分析研究对象基线特征与GDM发病率的关系,采用多因素Logistic回归分析方法探讨膳食蛋白质摄入频率与GDM发病率的关系。结果①本研究纳入的10320例孕妇中确诊为GDM的有1585例,发病率为15.4%。②单因素分析结果显示,总蛋白质类食物、动物蛋白、红肉的摄入频率与GDM的发生风险有关(P<0.05),每周摄入频率越高,GDM发病率越高;而植物蛋白、白肉摄入频率与GDM的发生风险无关(P>0.05)。进一步分析显示,猪肉的摄入频率与GDM的发生风险有关(P<0.05),摄入频率越高,GDM发病率越高。③多因素Logistic回归分析结果显示,在控制了年龄、学历、产次、孕前体质量指数(body mass index,BMI)、糖尿病家族史后,孕早期蛋白质类食物总摄入频率增加会增加GDM的发生风险(OR=1.504,95%CI:1.138~1.988);其中动物蛋白摄入频率对GDM发生有影响(OR=1.429,95%CI:1.122~1.984),而未发现植物蛋白摄入频率对GDM发生有影响。进一步分析显示,红肉的摄入频率增加会增加GDM的发生风险(OR=1.288,95%CI:1.072~1.547),而未发现白肉摄入频率对GDM发生有影响。在红肉类别中,猪肉的摄入频率增加会增加GDM的发生风险(OR=1.025,95%CI:1.007~1.044)。结论北京地区孕早期孕妇膳食蛋白质的主要来源为动物蛋白中的肉类。较高的动物蛋白摄入频率,特别是以猪肉为主的红肉,是GDM发生的危险因素,而白肉和植物蛋白摄入频率与GDM发生无关。妇幼保健人员应该开展孕早期,甚至备孕期的营养宣教,以利于GDM的预防。