怀孕前减肥干预对儿童体重没有影响,直到5岁
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Updated: Jun 26, 2026
09:36
Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Erin S LeBlanc1, Ning Smith1, Ian M Paul2
1Kaiser Permanente, Center for Health Research, Portland, OR, USA.
Childhood obesity (Print)
|February 20, 2026
概括
孕前的生活方式干预没有影响儿童体重增加. 仅仅专注于孕前孕产妇肥胖的生活方式干预措施可能不足以改变儿童成长轨迹.
科学领域:
- 儿童肥胖研究儿童肥胖研究
- 母亲健康干预措施 母亲健康干预措施
- 纵向队列研究 纵向队列研究
背景情况:
- 孕产妇肥胖是儿童肥胖的一个重要危险因素.
- 怀孕前的生活方式干预旨在减轻与孕产妇肥胖相关的风险.
研究的目的:
- 评估孕前生活方式干预对儿童早期体重增加的影响.
- 为了确定怀孕前的干预措施是否会影响儿童的成长轨迹.
主要方法:
- 一项为期5年的纵向观察随访,对孕前母亲生下的儿童的体重指数 (BMI) ≥27 kg/m2.
- 数据收集包括电子医疗记录,面对面/虚拟访问,以及从出生到5岁的调查.
- 干预组和常规护理对照组之间的BMI轨迹进行了比较.
主要成果:
- 从出生到5岁的干预和对照组之间的纵向BMI轨迹没有显著差异 (p=0.06).
- 平均BMI,BMIz-score,BMI百分位数和条件体重增加在12个月或36-60个月之间没有显著差异.
- 12个月的具体发现:平均BMI (17.0±1.7对比16.7±1.7),BMI z-score (0.30±1.12对比0.02±1.19),BMI百分位数 (56.2±29.8对比50.2±31.4),有条件的体重增加 (0.10±1.07对比-0.17±0.95).
结论:
- 孕前的生活方式干预并没有显著影响到5岁的儿童体重轨迹.
- 仅仅专注于孕前孕产妇肥胖干预措施可能不足以影响儿童成长.
- 需要进一步研究包括怀孕前,怀孕和产后时期的干预措施,以解决代际肥胖问题.
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