在怀孕期间保持健康计划的影响评估:有效性的证据
Bronwyn McGill1, Dominic Lees2, Justine Salisbury3
1Prevention Research Collaboration, Charles Perkins Centre, Sydney School of Public Health, The University of Sydney, Camperdown, NSW 2006, Australia.
Healthcare (Basel, Switzerland)
|September 9, 2023
概括
怀孕时保持健康 (GHiP) 计划改善了参与者完成10个以上的健康行为. 虽然许多超出了妊娠期体重增加 (GWG) 准则,但该计划显示了更健康的怀孕的潜力,即使是那些患有肥胖症的人.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生干预 公共卫生干预
- 行为科学 行为科学
背景情况:
- 生活方式干预是有效的管理妊娠期体重增加 (GWG),但现实世界的有效性数据是有限的.
- 怀孕时保持健康 (GHiP) 计划为澳大利亚新南威尔士州的健康孕妇提供电话健康指导.
研究的目的:
- 评估GHiP计划对行为结果和GWG的影响.
- 分析参与者数据以了解影响行为和体重结果的因素.
主要方法:
- 对2018-2019年GHiP参与者数据的分析 (n=3702).
- 麦克纳马的测试对个体内部的行为变化.
- 后勤回归用于评估人口统计,参与度和结果之间的关联.
主要成果:
- 参与者完成了十次或更多的辅导电话,在多种健康行为中显著改善 (p < 0.001).
- 在有体重数据的245名女性中,31%的体重低于,33%在GWG指南范围内,36%高于GWG指南.
- 怀孕前的BMI是满足GWG指南的唯一重要因素;超重/肥胖女性保持在指南范围内的几率较低,但往往低于上限.
结论:
- 通过增加参与度,GHiP计划有效地促进了更健康的行为.
- 虽然大多数超出了GWG指南,但该计划支持妇女,包括那些怀孕前肥胖的妇女,实现更健康的怀孕体重结果.
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