TÜRK VE SURİYELİ GÖÇMEN GEBELERİN MULTİVİTAMİN VE FOLİK ASİT KULLANIMININ MATERNAL KİLO ALIMINA ETKİLERİ
Abstract
Amaç: Çalışmamızda gebelikte folik asit ve multivitamin kullanımının olası faydalarından yola çıkarak hem Türk gebelerin hem de Suriye’li göçmen gebe kadınların folik asit/multivitamin kullanım alışkanlıklarını ve aradaki farklılığı değerlendirmeyi amaçladık.
Yöntem: Çalışmaya ait veriler, gebelerin doğum yaptıktan sonra hastane dosyalarından retrospektif taranması ile elde edilmiştir. Çalışmaya 1 Ocak 2017-31 Aralık 2017 tarihleri arasında hastanemizde doğum yapan 105 Suriye’li göçmen gebe ve 241 Türk gebe dâhil edilmiş; folik asit ve multivitamin kullananlarda gravida, parite, eğitim düzeyi, sigara kulanımı, gebelik başlangıç kiloları ve gebelik boyunca aldıkları kilolar belirlenmiştir.
Bulgular: Çalışmada multivitamin (p=0,03) ve folik asit (p=0,05) kullanımı Türk hastalarda daha fazladır. Çalışmada maternal kilo alımının Türk hastalarda daha fazla olduğu (12,63±6,63 karşın 9,80±8,83; p=0,001) olduğu bulunmuştur.
Sonuç: Çalışmamızda, gebelikte folik asit ve multivitamin kullanımının kilo alımına olumlu etkisi olduğu belirlenmiştir. Gebelerin eğitim düzeyinin ve farkındalıklarının arttırılmasıyla gebelik esnasında folik asit ve multivitamin kullanımı arttırılabilir. Böylece olası folik asit/multivitamin kullanımının faydalarından daha fazla sayıda gebenin yararlanması mümkün olabilecektir.
Keywords
Supporting Institution
çalışmamız herhangi bir kurum yada kuruluş tarafından desteklenmemektedir
References
- Başgöl Ş, Oskay Ü. Prekonsepsiyonel dönemde ve gebelikte kanıt temelli yaklaşımlar. International Journal of Human Sciences. 2012;2(9):1524-1534.
- Wilson RD, Johnson JA, Wyatt P, Allen V, Gagnon A, Langlois S. Preconceptional vitamin/folic acid supplementation: theuse of folic acid in combination with a multivitamin supplement for the prevention of neural tube defects and other congenital anomalies. J Obstet Gynaecol Can. 2007;29(12):1003-1026. doi:10.1016/S1701-2163(16)32685-8.
- Mahomed, K. Iron and folate supplementation in pregnancy. Cochrane Database of Systematic Reviews. 2000;(2):CD001135. doi:10.1002/14651858.CD001135
- Kabaran S, Ayaz A. Maternal ve fetal sağlık üzerinde B12, folik asit, A, D, E ve C vitaminlerinin etkileri. Turk Hij Den Biyol Derg. 2013;70(2):103-112. doi:10.5505/TurkHijyen.2013.48039.
- Cağlayan EK, Kara M, Karacavuş S, Erdoğan Y, Ustun YE. Orta Anadolu’da yaşayan gebelerdeki demir-vitamin kullanımı ve bunu etkileyen faktörler. J Turk Soc Obstet Gynecol. 2014;2:94-97. doi:10.4274/tjod.27880.
- Beluska-Turkan K, Korczak R, Hartell B, et al. Nutritional gaps and supplementation in the first 1000 Days. Nutrients. 2019;11(12):2891. doi:10.3390/nu11122891.
- Asemi Z, Samimi M, Tabassi Z, Ahmad E. Multivitamin versus multivitamin-mineral supplementation and pregnancy outcomes: A single-blind randomized clinical trial. Int J Prev Med. 2014;5(4):439–446.
- Vanderlelie J, Scott R, Shibl R, Lewkowicz J, Perkins A, Scuffham PA. First trimester multivitamin/mineral use is associated with reduced risk of pre-eclampsia among over weight and obese women. Matern Child Nutr. 2016;12(2):339-348. doi:10.1111/mcn.12133
- Bulloch RE, Lovell AL, Jordan VMB, McCowan LME, Thompson JMD, Wall CR. Maternal folic acid supplementation for the prevention of preeclampsia: A systematic review and meta-analysis. Paediatr Perinat Epidemiol. 2018;32(4):346-357. doi:10.1111/ppe.12476.
- Jahanbin A, Shadkam E, Miri HH, Shirazi AS, Abtahi M. Maternal folic acid supplementation and the risk of oral clefts in offspring. Craniofac Surg. 2018;29(6):e534-e541. doi:10.1097/SCS.0000000000004488
- Levine SZ, Kodesh A, Viktorin A, et al. Association of maternal use of folic acid and multivitamin supplements in the periods before and during pregnancy with the risk of autism spectrum disorder in offspring. JAMA Psychiatry. 2018;75(2):176-184. doi:10.1001/jamapsychiatry.2017.4050
- Erata YE, Güçlü S. Gebelikte Vitamin Desteği. Perinat derg. 2003;11(2):13-19.
- Arınkan SA, Dönmez EE, Bütün Z, Bilgiç MT, Muhcu M. Gebelikte multivitamin kullanımının doğum ağırlığına etkisi. Perinatoloji Dergisi. 2017;25(2):71–75. doi:10.2399/prn.17.0252008
- Budak N. Folik asitin kadın ve çocuk sağlığında önemi. Erciyes Medical Journal. 2002;24(4):209-214.
- WHO 1998. Healty Eating During Pregnancy and Lactation. (Training Course and Workshop Curriculum for Health Professionals Revısed Draft.)
- 1Demirci H, Yildirim Topak N, Ocakoglu G, Karakulak Gomleksiz M, Ustunyurt E, Turker AU. Birth characteristics of Syrian refugees and Turkish citizens in Turkey in 2015. International Journal of Gynecology & Obstetrics 2017;137:63-66. doi:10.1002/ijgo.12088
- Alnuaimi K, Kassab M, Ali R, Mohammad K, Shattnawi K. Pregnancy outcomes among Syrian refugee and Jordanian women: a comparative study. Int Nurs Rev. 2017;64(4):584-592. doi:10.1111/inr.12382
- Kelly KB, Kennelly JP, Ordonez M et al. Excess folic acid increases lipid storage, weight gain, and adipose tissue inflammation in high fat diet-fed rats. Nutrients. 2016;23;8(10):594. doi:10.3390/nu8100594
EFFECTS OF MULTIVITAMIN AND FOLIC ACID MATERNAL WEIGHT GAIN DURING PREGNANCY WITHIN TURKISH AND SYRIAN REFUGEES
Abstract
Objective: In our study we aimed to assess the difference between folicacid/multivitamin usage habits on Turkish pregnant women and Syrian refugees pregnant women based on the potential benefits of using folic acid and multivitamin during pregnancy period.
Methods:The data of study were obtained by hospital files of retrospective screening of the pregnant women after delivery. Study were included 105 Turkish and 241 Syrian refugees pregnant women who gave birth between 1 January 2017-31 December 2017 in our hospital. In the study, gravity, parity, education level, smoking, the initial weight of pregnancy and gained weight during pregnancy were determined within folic acid and multivitamin users.
Results: Multivitamins (p=0.03) and folic acid (p=0.05) usage was greater in Turkish patient group. The study evaluated that maternal weight gain was higher in Turkish patient group than Syrian refugees pregnant women (9.80±8.83 vs 12.63±6.63 while; p=0.001) respectively.
Conclusion: In our study, it was determined that folic acid and multivitamin usage in pregnancy had a positive effect on weight gain. Increasing the level of education and awareness of pregnant women can increase the use of folic acid and multivitamin during pregnancy. Thus, it will be possible for a greater number of pregnant women to benefit from the possible advantages of folicacid/multivitamin usage.
Keywords
References
- Başgöl Ş, Oskay Ü. Prekonsepsiyonel dönemde ve gebelikte kanıt temelli yaklaşımlar. International Journal of Human Sciences. 2012;2(9):1524-1534.
- Wilson RD, Johnson JA, Wyatt P, Allen V, Gagnon A, Langlois S. Preconceptional vitamin/folic acid supplementation: theuse of folic acid in combination with a multivitamin supplement for the prevention of neural tube defects and other congenital anomalies. J Obstet Gynaecol Can. 2007;29(12):1003-1026. doi:10.1016/S1701-2163(16)32685-8.
- Mahomed, K. Iron and folate supplementation in pregnancy. Cochrane Database of Systematic Reviews. 2000;(2):CD001135. doi:10.1002/14651858.CD001135
- Kabaran S, Ayaz A. Maternal ve fetal sağlık üzerinde B12, folik asit, A, D, E ve C vitaminlerinin etkileri. Turk Hij Den Biyol Derg. 2013;70(2):103-112. doi:10.5505/TurkHijyen.2013.48039.
- Cağlayan EK, Kara M, Karacavuş S, Erdoğan Y, Ustun YE. Orta Anadolu’da yaşayan gebelerdeki demir-vitamin kullanımı ve bunu etkileyen faktörler. J Turk Soc Obstet Gynecol. 2014;2:94-97. doi:10.4274/tjod.27880.
- Beluska-Turkan K, Korczak R, Hartell B, et al. Nutritional gaps and supplementation in the first 1000 Days. Nutrients. 2019;11(12):2891. doi:10.3390/nu11122891.
- Asemi Z, Samimi M, Tabassi Z, Ahmad E. Multivitamin versus multivitamin-mineral supplementation and pregnancy outcomes: A single-blind randomized clinical trial. Int J Prev Med. 2014;5(4):439–446.
- Vanderlelie J, Scott R, Shibl R, Lewkowicz J, Perkins A, Scuffham PA. First trimester multivitamin/mineral use is associated with reduced risk of pre-eclampsia among over weight and obese women. Matern Child Nutr. 2016;12(2):339-348. doi:10.1111/mcn.12133
- Bulloch RE, Lovell AL, Jordan VMB, McCowan LME, Thompson JMD, Wall CR. Maternal folic acid supplementation for the prevention of preeclampsia: A systematic review and meta-analysis. Paediatr Perinat Epidemiol. 2018;32(4):346-357. doi:10.1111/ppe.12476.
- Jahanbin A, Shadkam E, Miri HH, Shirazi AS, Abtahi M. Maternal folic acid supplementation and the risk of oral clefts in offspring. Craniofac Surg. 2018;29(6):e534-e541. doi:10.1097/SCS.0000000000004488
- Levine SZ, Kodesh A, Viktorin A, et al. Association of maternal use of folic acid and multivitamin supplements in the periods before and during pregnancy with the risk of autism spectrum disorder in offspring. JAMA Psychiatry. 2018;75(2):176-184. doi:10.1001/jamapsychiatry.2017.4050
- Erata YE, Güçlü S. Gebelikte Vitamin Desteği. Perinat derg. 2003;11(2):13-19.
- Arınkan SA, Dönmez EE, Bütün Z, Bilgiç MT, Muhcu M. Gebelikte multivitamin kullanımının doğum ağırlığına etkisi. Perinatoloji Dergisi. 2017;25(2):71–75. doi:10.2399/prn.17.0252008
- Budak N. Folik asitin kadın ve çocuk sağlığında önemi. Erciyes Medical Journal. 2002;24(4):209-214.
- WHO 1998. Healty Eating During Pregnancy and Lactation. (Training Course and Workshop Curriculum for Health Professionals Revısed Draft.)
- 1Demirci H, Yildirim Topak N, Ocakoglu G, Karakulak Gomleksiz M, Ustunyurt E, Turker AU. Birth characteristics of Syrian refugees and Turkish citizens in Turkey in 2015. International Journal of Gynecology & Obstetrics 2017;137:63-66. doi:10.1002/ijgo.12088
- Alnuaimi K, Kassab M, Ali R, Mohammad K, Shattnawi K. Pregnancy outcomes among Syrian refugee and Jordanian women: a comparative study. Int Nurs Rev. 2017;64(4):584-592. doi:10.1111/inr.12382
- Kelly KB, Kennelly JP, Ordonez M et al. Excess folic acid increases lipid storage, weight gain, and adipose tissue inflammation in high fat diet-fed rats. Nutrients. 2016;23;8(10):594. doi:10.3390/nu8100594
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Obstetrics and Gynaecology |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | June 27, 2020 |
| Submission Date | March 19, 2020 |
| Acceptance Date | June 14, 2020 |
| Published in Issue | Year 2020 Volume: 3 Issue: 2 |
The articles in the Journal of "Acta Medica Nicomedia" are open access articles licensed under a Creative Commons Attribution-ShareAlike 4.0 International License at the web address https://dergipark.org.tr/tr/pub/actamednicomedia