Siega-Riz Anna Maria, Evenson Kelly R, Dole Nancy
Department of Maternal and Child Health, School of Public Health, Carolina Population Center, University of North Carolina, Chapel Hill, NC 27516, USA.
Nutr Rev. 2004 Jul;62(7 Pt 2):S105-11. doi: 10.1111/j.1753-4887.2004.tb00079.x.
Past research on maternal weight gain during pregnancy has focused on determinants and consequences of inadequate weight gain with concerns for the health of the infant. However, with the rising prevalence of obesity among women of childbearing ages and the high proportion of women who are gaining in excess of recommendations, a shift in research focus must occur to include consideration of the mother's long-term health status. The few studies that have examined determinants of excessive weight gain and postpartum weight retention in this country were not comprehensive in assessing diet, physical activity and psychosocial factors and suffer from small sample sizes. Information is lacking concerning pregnant women's perceptions about eating and gaining weight, what they actually eat, how consumption and exercise relate to weight gain, and how psychosocial factors influence these behaviors during pregnancy. Likewise, little is known concerning these same attitudes and behaviors during the postpartum period that may contribute to weight retention.
过去关于孕期母亲体重增加的研究主要集中在体重增加不足的决定因素和后果上,关注点是婴儿的健康。然而,随着育龄女性肥胖率的上升以及体重增加超过建议值的女性比例居高不下,研究重点必须转移,要将母亲的长期健康状况纳入考虑。该国少数几项研究了过度体重增加和产后体重滞留的决定因素,但在评估饮食、身体活动和心理社会因素方面并不全面,且样本量较小。目前缺乏关于孕妇对饮食和体重增加的看法、她们实际吃了什么、饮食和运动与体重增加之间的关系,以及心理社会因素在孕期如何影响这些行为的信息。同样,对于产后可能导致体重滞留的这些相同态度和行为,我们也知之甚少。