临床实践指南：加拿大女性营养共识（一）

　　2016年6月，加拿大妇产科医师学会官方期刊《加拿大妇产科杂志》正式发表《加拿大女性营养共识：青春期、生育期、绝经期》临床实践指南，向加拿大医疗卫生专业人士提供整个女性生命周期营养指导的基本知识和工具。

　　该共识全文分为7个章节和3个附录，英语版共65页，法语版共56页。

　　该共识评价了整个女性生命周期的最佳营养，着重于青春期、孕前期、怀孕期、产后期、绝经期。该指南首先对所有女性的营养指导进行概述，随后章节对各个生命阶段改善健康营养和体重的证据进行检查，并提供推荐意见。各个章节讨论了各个生命阶段需要特别关注的营养素以及其他需要特别考虑的因素。

　　该共识推荐意见的支持证据为已公开发表文献、政府和医疗机构报告、临床实践指南、灰色文献（系指不经营利出版者控制，而由各级政府、学术单位、工商业界所产制的各类印刷与电子形式的资料，介于公开发表的白色文献、不可公开发表的黑色文献之间）、教科书。

　　该共识的证据质量按照加拿大预防医学工作组（CTFPHC）报告描述的标准进行分级。

J Obstet Gynaecol Can. 2016 Jun;38(6):508-554.e18.

Canadian Consensus on Female Nutrition: Adolescence, Reproduction, Menopause, and Beyond.

Nutrition Working Group, O'Connor DL, Blake J, Bell R, Bowen A, Callum J, Fenton S, Gray-Donald K, Rossiter M, Adamo K, Brett K, Khatri N, Robinson N, Tumback L, Cheung A.

Toronto ON; Ottawa ON; Edmonton AB; Saskatoon SK; Montreal QC; Charlottetown PEI; Vancouver BC.

OBJECTIVES: To provide health care professionals in Canada with the basic knowledge and tools to provide nutrition guidance to women through their lifecycle.

OUTCOMES: Optimal nutrition through the female lifecycle was evaluated, with specific focus on adolescence, pre-conception, pregnancy, postpartum, menopause, and beyond. The guideline begins with an overview of guidance for all women, followed by chapters that examine the evidence and provide recommendations for the promotion of healthy nutrition and body weight at each life stage. Nutrients of special concern and other considerations unique to each life stage are discussed in each chapter.

EVIDENCE: Published literature, governmental and health agency reports, clinical practice guidelines, grey literature, and textbook sources were used in supporting the recommendations made in this document.

VALUES: The quality of evidence was rated using the criteria described in the report of the Canadian Task Force on Preventive Health Care.

KEYWORDS: Nutrition; adolescence; chronic disease; deficiency; eating; eating disorders; energy; female; food; health; lactation; lifecycle; macronutrients; menopause; minerals; nutrients; older women; postpartum; pre-conception; pregnancy; supplements; vitamins; weight loss; women

PMID: 27368135

DOI: 10.1016/j.jogc.2016.01.001