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个性化营养干预与妊娠糖尿病预防的常规护理相比:一个随机对照试验
Lulu Wang1, Xipeng Wang2, Rong Zhang3
1Obstetrics and Gynecology Hospital, Institute of Reproduction and Development, Fudan University, Shanghai, China; Research Units of Embryo Original Diseases, Chinese Academy of Medical Sciences (No. 2019RU056), Shanghai, China.
针对高风险怀孕的个性化营养计划无法预防妊娠糖尿病 (GDM). 然而,它导致了适当的妊娠体重增加和改善了母亲和婴儿的结果.
科学领域:
- 产科和妇科 产科和妇科
- 营养科学 营养科学
- 内分泌学 在内分泌学.
背景情况:
- 孕期糖尿病 (GDM) 影响着数以百万计的孕妇及其后代.
- 目前用于预防GDM的饮食策略缺乏共识.
- 识别高风险个体对于有针对性的干预至关重要.
研究的目的:
- 评估个性化营养干预措施在降低高风险孕妇GDM发病率方面的有效性.
- 评估干预对妊娠期体重增加,代谢概况和围产期结局的影响.
主要方法:
- 一个随机对照试验,涉及519名高风险孕妇在中国上海.
- 参与者被分配到个性化的营养干预或通常的护理.
- 干预包括在口服葡萄糖耐受性测试 (OGTT) 之前根据中国指南进行饮食咨询.
主要成果:
- 干预组 (34.7%) 和对照组 (36.5%) 之间GDM发病率没有显著差异.
- 干预组实现了更适当的妊娠体重增加 (GWG).
- 在禁食和2小时胰岛素水平上观察到显著改善,妊娠年龄的分娩量减少,新生儿低血糖症减少.
结论:
- 在高风险怀孕中,个性化营养干预并不能预防GDM.
- 干预有效地管理了GWG,并改善了关键的怀孕结果.
- 这种方法对优化高风险人群中母亲和新生儿健康有希望.
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