孕期体重增加作为女性极端孕期BMI的可修改风险因素
Chiara Lubrano1,2, Federica Locati1, Francesca Parisi1,3
1S.C. Ostetricia, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Nutrients
|February 26, 2025
概括
孕产妇的肥胖和过度的妊娠期体重增加显著增加了妊娠并发症. 需要针对性指导方针来管理孕期体重指数 (BMI),以改善母亲和婴儿的健康.
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:
- 全球肥胖率正在上升,这在怀孕期间带来了重大风险,包括妊娠糖尿病,孕前和剖腹产.
- 孕产妇肥胖与代际健康问题有关,影响后代长期.
- 孕前辅导非常重要,但由于意外怀孕,经常错过.
研究的目的:
- 检查孕期体重指数 (BMI) 和孕期体重增加 (GWG) 对怀孕结果的影响.
- 突出需要在孕妇人群中定期监测BMI和GWG.
- 确定当前关于管理肥胖妇女和体重不足妇女GWG的指导方针中的差距.
主要方法:
- 这项研究是对现有文献的叙述性审查.
- 它分析了孕期BMI和GWG对母亲和新生儿健康的影响.
- 它审查了关于GWG管理的国家和国际指导方针.
主要成果:
- 增加的BMI和过度的GWG是导致不良妊娠结果的独立风险因素.
- 体重指数>30公斤/平方米将妊娠糖尿病,高血压和剖腹产的风险增加一倍.
- 在管理肥胖和体重不足的孕妇的GWG方面缺乏共识,对体重不足风险的研究有限.
结论:
- 进一步的研究至关重要,以根据妊娠前BMI制定量身定制的管理指南.
- 改进的管理策略可以提高孕产妇和新生儿的健康结果.
- 定期监测BMI和GWG对于有效的产前护理至关重要.
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