怀孕期间的体力活动和妊娠期间的体重增加:对母胎表观遗传编程和长期健康的影响
Nektaria Zagorianakou1, Stylianos Makrydimas2, Efthalia Moustakli1
1Department of Nursing, School of Health Sciences University of Ioannina, 4th Kilometer National Highway Str. Ioannina-Athens, 45500 Ioannina, Greece.
怀孕期间母亲的体力活动 (PA) 可以帮助减少过度的妊娠期体重增加 (GWG). 这种安全,低成本的干预也可能通过表观遗传机制影响胎儿发育,改善长期健康.
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
- 表观遗传学 在表观遗传学中,表观遗传学是指表观遗传学.
背景情况:
- 高孕期体重增加 (GWG) 与不良妊娠结果和长期儿童肥胖症有关.
- 母亲的体力活动 (PA) 可能通过表观遗传途径影响胎儿的发育.
研究的目的:
- 审查有关有氧PA对GWG的影响的证据.
- 探索PA在母胎表观遗传编程中的作用.
主要方法:
- 11项随机对照试验 (RCT) 的叙述性综述,共有3654名参与者.
- 关于有氧PA干预和GWG的发现综合.
- 包括关于表观遗传编程的间接证据.
主要成果:
- 监督的PA干预措施,特别是营养咨询,减少了过度的GWG.
- 可以改善母亲的新陈代谢,与胎儿基因的表观遗传修饰有关 (例如,IGF2,PGC-1α,LEP).
- 动物和观察性研究表明PA影响后代的表观遗传路径,但直接的人类数据有限.
结论:
- 产前PA是一种安全,具有成本效益的方法,可以提高母亲和新生儿的健康.
- PA可能会改变代际基因环境相互作用.
- 未来的RCT应该包括分子终点,以澄清PA的表观遗传机制,以获得长期益处.
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