妊娠前和妊娠期间的干预措施,以预防儿童肥胖
Ulla Kampmann1,2, Louise Birk Suder1,2, Malene Nygaard3
1Steno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus N, DK-8200, Denmark.
The Journal of clinical endocrinology and metabolism
|October 14, 2024
概括
预防儿童肥胖需要早期干预. 在怀孕之前改变生活方式,而不仅仅是在怀孕期间,对于父母和胎儿的代谢健康至关重要.
科学领域:
- 生殖健康 生殖健康
- 儿科内分泌学 儿科内分泌学
- 公共卫生 公共卫生
背景情况:
- 儿童肥胖是一个复杂的全球健康问题,其起源早于受孕.
- 孕产妇妊娠前的肥胖和妊娠期糖尿病增加了后代的代谢风险.
- 当前在怀孕期间的干预措施表现出有限的成功,错过了一个关键的发育窗口.
研究的目的:
- 审查当前以怀孕为重点的生活方式干预措施的局限性.
- 强调怀孕前干预的关键窗口.
- 倡导加强孕前的父母代谢健康战略.
主要方法:
- 关于生活方式干预和围产期结果现有研究的文献综述.
- 分析父母怀孕前健康对后代代谢的影响.
- 检查当前的临床实践及其有效性.
主要成果:
- 怀孕期间的生活方式干预措施在改善围产期结果方面有效性有限.
- 怀孕前的健康状况显著影响胎儿发育和长期的代谢健康.
- 代谢调整的关键窗口存在于怀孕之前.
结论:
- 目前基于怀孕的干预措施不足以预防儿童肥胖.
- 怀孕前的生活方式干预对于优化父母和胎儿代谢健康至关重要.
- 要对抗儿童肥胖症,必须采取战略性转变,转向怀孕前护理.
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