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孕期健康体重和体重增加的行为咨询干预措施:美国预防服务工作组建议声明
, Karina W Davidson1, Michael J Barry2
1Feinstein Institute for Medical Research at Northwell Health, Manhasset, New York.
JAMA
|May 25, 2021
概括
在怀孕期间健康增加体重的行为辅导对孕妇有适度的益处. 这项建议有助于预防过度的妊娠体重增加,改善母亲和婴儿的健康状况.
科学领域:
- 公共卫生
- 预防医学
- 产妇和胎儿医学
背景情况:
- 在生育年龄的妇女和怀孕期间,超重和肥胖的患病率增加.
- 种族和民族之间存在超重和肥胖率的差异.
- 妊娠前体重过重和妊娠期间体重增加与母亲和婴儿的不良结果有关.
研究的目的:
- 评估在怀孕期间对肥胖管理的行为咨询的益处和危害.
- 评估干预措施对预防过度妊娠体重增加的影响.
- 以新的建议为临床实践提供信息.
主要方法:
- 美国预防服务工作组 (USPSTF) 委托进行系统审查.
- 对怀孕的青少年和初级保健中的成年人进行行为咨询的评估.
- 对孕妇和婴儿健康结果以及妊娠期体重增加等中间结果的影响的评估.
主要成果:
- 行为辅导干预对孕妇来说具有中等的净益处.
- 干预措施在促进健康体重增加和防止过度妊娠体重增加方面有效.
- 美国PSTF发现净利的确定性中等.
结论:
- 临床医生应为孕妇提供有效的行为咨询干预措施.
- 建议侧重于促进健康的体重增加和预防过度的妊娠体重增加.
- 这代表了B级建议,表明实施的建议.
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