营养干预措施降低怀孕高血压障碍后的心血管风险:系统审查
Meghan G Macphail1, Sonje Juul1, Krista Wollny2
1Department of Community Health Science, University of Calgary, Calgary, Alberta, Canada.
CJC open
|March 15, 2024
概括
营养干预措施显示,有望降低心血管疾病 (CVD) 风险在有妊娠高血压疾病 (HDP) 病史的妇女. 虽然结果并不总是具有统计学意义,但观察到临床上重要的改善,突出了针对性产后护理的需要.
科学领域:
- 产科和妇科 产科和妇科
- 心血管健康 心血管健康
- 营养科学 营养科学
背景情况:
- 妊娠高血压障碍 (HDP) 在产后10年内显著增加2至4倍的早产心血管疾病 (CVD) 风险.
- 患有HDP的妇女往往难以满足预防心血管疾病的国家饮食指南.
- 在这种人群中,产后营养支持计划对于心血管疾病风险管理至关重要.
研究的目的:
- 系统地审查营养修改对妊娠高血压疾病后妇女心血管风险因素的影响.
- 确定有效的营养策略,以预防产后心血管疾病,在妇女有史以来的HDP.
主要方法:
- 进行了对四个电子数据库 (MEDLINE,EMBASE,CINAHL,Cochrane图书馆) 的系统审查.
- 搜索战略侧重于营养计划/干预措施和难民后妇女.
- 包括报告心血管疾病风险或心血管风险因素结果的原始研究.
主要成果:
- 包括6项研究 (4项实验试验,2项前性队列研究).
- 营养干预通常是更广泛的健康行为计划的一部分.
- 在不同研究中,血压变化范围从没有变化到临床上有意义的改善.
结论:
- 营养干预表明,在HDP后的妇女中,心血管疾病风险指标的改善在统计上是无意义的,但在临床上是重要的.
- 进一步进行高质量的研究是必要的,以指导开发有效的营养策略,预防CVD在这个高风险群体.
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