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怀孕 胃绕道或袖子胃切除术后体重增加
Huiling Xu1, Natalie Holowko1,2, Ingmar Näslund3
1Clinical Epidemiology Division, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
JAMA network open
|December 5, 2023
概括
与没有手术的女性相比,接受减肥手术的女性在怀孕期间体重增加较少. 这种效应在怀孕前间隔较短或体重减轻较少时更加明显.
科学领域:
- 生殖健康 生殖健康
- 腹部外科手术的结果
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 怀孕期间体重增加是影响母亲和婴儿健康的关键因素.
- 减肥手术对怀孕体重增加的影响尚不清楚.
- 了解这种关系对于优化照顾怀孕期间曾经接受过减肥手术的孕妇至关重要.
研究的目的:
- 为了比较怀孕期间体重增加的女性,有和没有空腹手术史.
- 为了研究手术过程,手术后的时间和体重减轻如何影响怀孕体重增加.
主要方法:
- 在瑞典 (2014-2021年) 进行了全国性,基于人口的匹配队列研究.
- 12,776个单独怀孕 (6,388个怀有减肥手术史,6,388个匹配的对照).
- 根据BMI,糖尿病,高血压,年龄和其他因素进行倾向性得分匹配.
主要成果:
- 患有减肥手术史的妇女在所有BMI层中显示出明显较低的怀孕体重增加.
- 与对照人群相比,怀孕体重增加z分数较低-0.33至-0.08.
- 根据手术程序 (胃绕道 vs. 袖子胃切除术) 没有观察到体重增加的差异.
- 较短的间隔 (特别是<1年) 和较少的妊娠前体重减轻与较低的妊娠体重增加有关.
结论:
- 患有减肥手术史的女性在怀孕期间体重增加的趋势较小.
- 怀孕体重增加受到手术后的时间和怀孕前体重减轻的影响.
- 这些发现凸显了为这群人群量身定制的怀孕管理策略的需要.
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