怀孕期间体重管理,有什么新鲜事?
Sarah Dib1, Danielle L Jones2, Elpida Vounzoulaki3
1Leicester Diabetes Centre and Leicester NIHR Biomedical Research Centre, University of Leicester, Leicester General Hospital, Leicester.
怀孕期间控制体重对于母亲和婴儿的健康至关重要. 目前的干预措施是有希望的,但需要个性化策略和进一步的研究,以实现最佳的妊娠体重增加.
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 营养 公共卫生 营养
背景情况:
- 在全球范围内,母亲超重和肥胖的患病率越来越高,这可能会导致不良妊娠结果的风险.
- 适当的孕期体重增加对于母亲和婴儿的福祉至关重要,无论怀孕前的体重指数 (BMI).
研究的目的:
- 审查有关怀孕期间体重管理策略的现有证据.
- 评估当前针对妊娠期体重管理的干预措施的有效性.
主要方法:
- 系统审查关于怀孕期间体重管理的科学文献.
- 分析最近的临床试验和药理学研究.
主要成果:
- 对于过度的妊娠体重增加没有标准化的定义,这阻碍了统一的管理方法.
- 孕期糖尿病的饮食干预 (DiGest) 试验表明,能量限制可以减少孕期体重增加并改善结果.
- 像GLP-1受体激动剂这样的药理学药物显示出潜力,但需要进一步的安全研究.
结论:
- 为了有效的体重管理,需要考虑母亲因素 (种族,并发症) 的个性化准则.
- 进一步的研究是必不可少的,以建立最佳的生活方式和药理干预措施,怀孕体重管理.
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