怀孕期间的正念和心脏代谢健康:综合性审查
Karen L Lindsay1,2, Yuqing Guo3, Lauren E Gyllenhammer1
1Department of Pediatrics, UCI School of Medicine, University of California Irvine, 3800 W. Chapman Ave, Suite 2200, Orange, CA 92868, USA.
产前正念对改善母亲心脏代谢健康的证据有限,对葡萄糖和血压有一些好处,但对其他结果没有. 需要更多的研究来证实它的有效性.
科学领域:
- 生殖健康 生殖健康
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 行为医学是一种行为医学.
背景情况:
- 怀孕期间心脏代谢健康影响母亲和后代的长期慢性疾病风险.
- 正念实践与非怀孕个体心脏代谢健康的改善有关.
- 了解产前正念在孕产妇心脏代谢健康中的作用至关重要.
研究的目的:
- 评估探索产前正念与孕产妇心脏代谢健康之间的关系的研究.
- 综合有关怀孕期间正念干预和暴露的证据.
主要方法:
- 在五个数据库中对到2023年1月发布的综合性研究进行了综述.
- 包括对正念干预/暴露和心脏代谢结果 (例如妊娠期体重增加,血糖,血压) 的定量研究.
- 包括有关这些结果的知识,态度和正念实践的定性研究.
主要成果:
- 确定了15项研究,其中4项获得了"好"的质量评级.
- 定性数据表明,孕妇对正念的兴趣是为了管理妊娠期体重增加.
- 正念干预表明对母亲的葡萄糖耐受性和血压有潜在的益处,但对其他心脏代谢参数不一致. 观察性研究没有发现直接关联,尽管正念饮食可能会减轻过度妊娠体重增加和胰岛素抵抗.
结论:
- 目前支持怀孕前心脏代谢健康的正念实践的证据有限,质量不尽相同.
- 需要进一步进行严格的研究,以确定产前基于正念的干预措施的有效性.
- 研究正念与其他生活方式的结合方法可能会带来更大的好处.
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