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妊娠中の健康的な体重と体重増加のための行動カウンセリング介入:米国の予防サービスタスクフォースの勧告声明
, Karina W Davidson1, Michael J Barry2
1Feinstein Institute for Medical Research at Northwell Health, Manhasset, New York.
JAMA
|May 25, 2021
まとめ
妊娠中の健康的な体重増加のための行動カウンセリングは,妊娠中の個人に適度な利益をもたらします. この勧告は,妊娠中の過剰な体重増加を予防し,母と乳児の健康状態を改善することを支援しています.
科学分野:
- 公衆衛生
- 予防医学
- 妊婦と胎児の医療
背景:
- 妊娠中や出産年齢の女性の 過剰体重や肥満の増加
- 人種や民族の間で 肥満や肥満率の格差があります
- 妊娠前の体重増加と妊娠中の体重増加は,母親と乳児の不良の結果と関連しています.
研究 の 目的:
- 妊娠中の肥満管理のための行動カウンセリングの利益と害を評価する.
- 過剰な妊娠体重増加を防ぐための介入の影響を評価する.
- 臨床実務に新しい勧告を提示する.
主な方法:
- 米国予防サービスタスクフォース (USPSTF) が委託した体系的なレビュー.
- 妊娠中の青少年と成人のための行動カウンセリングの評価
- 妊娠中の体重増加などの母親と乳児の健康への影響の評価
主要な成果:
- 行動カウンセリングの介入は妊婦にとって適度な純利益を示しています.
- 介入は健康的な体重増加を促進し,過剰な妊娠体重増加を防ぐのに有効です.
- USPSTFは,純利益に関して適度な確実性を発見しました.
結論:
- 臨床医は妊婦に効果的な行動カウンセリングを提供すべきである.
- 推奨事項は,健康的な体重増加を促進し,過剰な妊娠体重増加を防ぐことに焦点を当てています.
- これは,実行のための勧告を示すグレードBの勧告を表します.
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