在怀孕前改善营养和健康行为的干预策略
Mary Barker1, Stephan U Dombrowski2, Tim Colbourn3
1MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, UK; NIHR Southampton Biomedical Research Centre, Southampton General Hospital, Southampton, UK.
改善父母双方的孕前营养和健康对于儿童的发展至关重要. 研究表明补充剂,激励和行为改变干预措施可以提高母亲和婴儿的健康结果.
科学领域:
- 公共卫生
- 母婴健康
- 营养科学
背景情况:
- 孕前的营养状况对后代的生长,发育和长期健康有重大影响.
- 有效预孕干预的证据有限,但由于潜在的健康益处和低风险,研究是有必要的.
- 解决怀孕前健康问题对于改善代际健康结果至关重要.
研究的目的:
- 确定并提出可扩展的预先概念干预策略.
- 建议设计和针对整个生命过程的干预模式.
- 探索广泛参与和制定政策的方法.
主要方法:
- 确定三个有前途的干预策略:补充/增强,现金转移/激励和行为改变.
- 制定一个概念模型,概述在生命周期框架内实现的途径.
- 考虑社会和环境决定因素,以及针对不同群体的参与策略.
主要成果:
- 建议的策略可扩展,并可能对各种健康结果产生积极影响.
- 建议采取双重策略,针对那些计划怀孕和一般人群.
- 充分利用现代营销和私营部门的参与可以加快公共卫生效益.
结论:
- 孕前的干预措施,包括营养和健康行为改变,对于母亲和孩子的福祉至关重要.
- 需要采用多方面的方法,包括个人动机,社会决定因素和全民参与.
- 战略伙伴关系和宣传对于将政策转化为改善孕前健康的有效协调行动至关重要.
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