预防因肥胖而复杂的怀孕中不良心血管结果
Aarti Purohit1, Chigolum Pamela Oyeka1, Sadiya S Khan2
1Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Current obstetrics and gynecology reports
|October 16, 2023
概括
孕产妇肥胖会增加父母和孩子的不良妊娠结果和未来心血管疾病 (CVD) 的风险. 早期查和多学科护理对于预防和管理这些风险至关重要.
科学领域:
- 心脏病学 心脏病学
- 产科 产科 产科 产科 产科
- 公共卫生 公共卫生
背景情况:
- 肥胖是一个日益严重的全球健康问题,特别是在生育年龄的个体中.
- 孕产妇的肥胖症对孕妇及其后代构成重大短期和长期的健康风险.
- 这些风险包括增加心血管疾病和死亡率.
研究的目的:
- 审查目前对母亲肥胖和不良妊娠结果 (APO) 之间的联系的理解.
- 探索APO与未来心血管疾病 (CVD) 风险之间的关联.
- 确定基于证据的干预措施,以预防肥胖孕妇的不良结果.
主要方法:
- 对当前关于母亲肥胖和怀孕结果的研究进行文献综述.
- 分析APO与长期心血管疾病风险之间的关联.
- 评估现有和拟议的预防策略.
主要成果:
- 孕产妇的肥胖增加了孕期糖尿病,高血压疾病和早产等APO的风险.
- 后代面临死亡率增加的风险,先天性形,早产和长期健康问题,包括肥胖和胰岛素抵抗.
- 孕产妇肥胖与父母未来心血管疾病风险增加有关,包括代谢综合征和高血压.
结论:
- 孕产妇肥胖需要全面的产前和产后护理策略.
- 多学科心脏产科团队对于管理肥胖和心血管风险因素的孕妇至关重要.
- 需要进一步的研究来阐明潜在的机制,并解决APO和心血管疾病风险的种族/民族差异.
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