对超重和肥胖的孕妇进行虚拟交付的生活方式干预:系统性审查
Tahlie Park1, Scarlett Brickwood2, Kelsey Buss2
1Joint Medical Program, University of Newcastle, Callaghan, NSW, Australia.
Women's health (London, England)
|May 19, 2025
概括
虚拟交付的生活方式干预措施有望帮助超重和肥胖的孕妇管理妊娠期体重增加 (GWG). 进一步的研究可以将这些远程医疗策略整合到产前护理中,以改善母亲和胎儿的结果.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 数字健康数字健康
背景情况:
- 过度的妊娠体重增加 (GWG) 增加了超重和肥胖的孕妇的风险.
- 在COVID-19大流行期间,远程医疗的利用急剧增加,但其对管理GWG的有效性仍未得到充分研究.
研究的目的:
- 评估虚拟交付生活方式干预措施对健康GWG的影响.
- 评估与过度GWG相关的母亲和胎儿并发症的减少.
- 为未来的临床实践提供有关在产前护理中远程医疗的信息.
主要方法:
- 按照PRISMA指南进行系统审查.
- 包括对超重/肥胖的孕妇进行虚拟交付的生活方式干预的定量研究.
- 提取关于远程医疗模式,干预类型和GWG结果的数据.
主要成果:
- 九项研究符合纳入标准,使用六种不同的远程医疗模式.
- 干预措施包括GWG跟踪,步数和饮食/运动目标设定.
- 五项研究表明GWG的减少,显示不一致但有希望的有效性.
结论:
- 远程医疗提供的生活方式干预措施可以有效地减少过度的GWG.
- 将有针对性的远程医疗干预措施整合到产科指南中,可以提高产前护理的获取和结果.
- 这些策略对于改善孕产妇健康而言,超出了流行病的范围,是非常有价值的.
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