孕产妇肥胖度和妊娠高血压疾病:一个元分析
Caiping Xiang1, Lun Sui1, Xueteng Ding2
1Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong Province, China.
BMC pregnancy and childbirth
|October 16, 2024
概括
怀孕早期的孕产妇肥胖指标,如体重指数和腰围,显著增加怀孕高血压疾病 (HDP) 的风险. 早期识别这些脂肪测量措施可以帮助为高风险怀孕量身定制护理.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生 公共卫生
背景情况:
- 妊娠高血压障碍 (HDP) 是一个主要的全球健康问题,影响着孕产妇和围产期的结果.
- 孕产妇的肥胖是一个既定的风险因素,有助于HDP的发展.
- 识别怀孕早期的脂肪指标对于风险分层至关重要.
研究的目的:
- 系统地审查和综合有关怀孕早期与HDP风险相关的脂肪指标的证据.
- 量化各种脂肪测量和发展HDP的可能性之间的关联.
主要方法:
- 在PubMed,Web of Science和Embase数据库中进行了系统的文献搜索.
- 两个审稿人的独立选和质量评估确保了研究的严格性.
- 使用随机效应元分析和叙事合成来分析数据.
主要成果:
- 31项涉及81,311名女性的研究被纳入了元分析.
- 增加的肥胖度,包括怀孕前的BMI,内脏和皮下脂肪,腰围,腰与部的比例,体重增加和身体脂肪百分比,与较高的HDP概率显著相关.
- 胸前脂肪厚度也显示出显著的关联,尽管基于有限的数据.
结论:
- 怀孕早期的肥胖度是怀孕高血压疾病的重要预测指标.
- 调查这些预测值对于开发针对性干预和为高风险的孕妇提供个性化护理至关重要.
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