基于网络的干预对计划怀孕的妇女临床结果和生活方式改变的有效性:系统性审查
Hitomi Suzuki1,2, Phyu Phyu Tun2, Shuxian Liu2
1Division of Women's Internal Medicine, Integrated Center for Women's Health, National Center for Child Health and Development, Tokyo 157-8535, Japan.
Healthcare (Basel, Switzerland)
|May 14, 2025
概括
基于网络的干预措施有望改善孕前妇女的健康状况,积极影响缩血压和体育活动. 然而,对饮食,物质使用和怀孕结果的影响需要进一步调查.
科学领域:
- 生殖健康 生殖健康
- 数字健康干预措施 数字健康干预措施
- 生活方式 医学 医疗
背景情况:
- 孕前护理对于优化母亲和婴儿健康结果至关重要.
- 在怀孕之前改变生活方式可以减轻与怀孕相关的风险.
- 数字健康平台提供可扩展的解决方案,提供孕前健康信息和支持.
研究的目的:
- 系统地审查关于基于网络的干预措施对妇女和旨在怀孕的生殖年龄夫妇的生活方式修改的有效性的证据.
- 综合随机对照试验 (RCT) 的发现,评估预孕健康的数字健康工具.
主要方法:
- 在2023年2月,在多个电子数据库中进行了全面的系统搜索.
- 包括四个涉及1965年怀孕前妇女的RCT,并进行了叙述性合成.
- 对包括的研究进行了偏差风险评估.
主要成果:
- 基于网络的干预措施证明了对缩血压,血清叶酸水平和身体活动的好处.
- 在饮食摄入量 (水果,蔬菜),叶酸补充,戒烟,酒精消费或体重管理方面没有观察到显著的改善.
- 关键健康指标,如BMI,HbA1c,脂质概况和心理健康结果 (压力,焦虑,抑郁) 没有显著影响.
结论:
- 基于网络的干预措施有可能提高孕前妇女的特定健康行为.
- 需要进一步进行严格的研究,以评估对饮食,体力活动和物质使用的更广泛影响.
- 需要证据来指导将这些数字工具整合到常规预孕护理策略中.
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