孕妇肥胖和代谢 (功能障碍) 相关的脂肪肝疾病在怀孕期间:一个全面的叙事审查
Bianca M Leca1,2, Lukasz Lagojda1,3, Chris Kite1,4,5,6
1Warwickshire Institute for the Study of Diabetes, Endocrinology and Metabolism (WISDEM), University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
孕妇肥胖和代谢相关的脂肪肝疾病 (MAFLD) 在怀孕期间增加了母亲和后代的风险. 早期诊断和个性化管理策略对于改善结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 肝病学 肝病学是一种肝病学.
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 肥胖和与代谢相关的脂肪肝疾病 (MAFLD) 在怀孕期间越来越普遍.
- 这两种情况都会增加孕妇患子宫前和妊娠期糖尿病等并发症的风险.
- 怀孕期间的MAFLD往往被诊断不足,治疗选择有限.
研究的目的:
- 审查关于孕期孕产妇肥胖和MAFLD之间的关联的证据.
- 探索将这些疾病联系在一起的病理生理机制.
- 概述诊断方法和未来的研究方向.
主要方法:
- 在PubMed/MEDLINE,EMBASE和Scopus的系统文献搜索到2024年.
- 关于孕期孕产妇肥胖和MAFLD的综合证据.
- 审查潜在的机制,诊断策略和并发症.
主要成果:
- 肥胖和MAFLD有共同的病理生理联系,包括胰岛素耐药性和改变的阿迪波金分泌.
- 在孕妇人群中存在MAFLD的诊断挑战.
- 孕产妇肥胖和MAFLD对孕产妇和胎儿/后代的健康构成风险.
结论:
- 了解孕产妇肥胖和MAFLD的进展对于改善诊断方法和治疗方法至关重要.
- 需要个性化的管理策略,可能使用遗传或生物标志物分析,是必要的.
- 未来的研究应该专注于加强预防,早期诊断和怀孕期间MAFLD的治疗.
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