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肥胖对妊娠的影响。

Effects of obesity on pregnancy.

作者信息

Smith Shelia A, Hulsey Tara, Goodnight William

机构信息

College of Nursing, Medical University of South Carolina, Charleston, SC 29425, USA.

出版信息

J Obstet Gynecol Neonatal Nurs. 2008 Mar-Apr;37(2):176-84. doi: 10.1111/j.1552-6909.2008.00222.x.

DOI:10.1111/j.1552-6909.2008.00222.x
PMID:18336441
Abstract

OBJECTIVES

To examine physiologic and psychological outcomes associated with maternal obesity in pregnancy and patterns of pregnancy weight gain. To identify effective interventions for maternal obesity.

DATA SOURCES AND STUDY SELECTION

Search of obesity and pregnancy research conducted over the past 10 years using CIHAHL, Medline ERIC, and PyscInfo databases. Studies including the following keywords were included in the review: obesity, weight gain, body image, pregnancy weight gain, pregnancy obesity complications, preeclampsia and gestational diabetes. Articles were included based on scientific merit and research outcomes.

DATA SYNTHESIS AND CONCLUSIONS

Maternal obesity is a serious condition that significantly impacts not only mothers' health but also the health and future of their children. It is paramount that all levels of health care providers be aware of consequences of obesity and be knowledgeable of effective interventions. No effective long-term interventions have been demonstrated to prevent or control obesity during pregnancy. The paucity of published results of pregnancy and postpartum interventions to address weight gain in pregnancy suggests the need for more community and individualized based intervention studies, especially focusing on long-term effects.

摘要

目的

研究孕期母亲肥胖与生理和心理结局以及孕期体重增加模式之间的关系。确定针对母亲肥胖的有效干预措施。

数据来源与研究选择

使用CINAHL、Medline、ERIC和PsycInfo数据库检索过去10年进行的肥胖与妊娠研究。纳入综述的研究包括以下关键词:肥胖、体重增加、身体形象、孕期体重增加、妊娠肥胖并发症、先兆子痫和妊娠期糖尿病。根据科学价值和研究结果纳入文章。

数据综合与结论

母亲肥胖是一种严重状况,不仅会显著影响母亲的健康,还会影响其子女的健康和未来。各级医疗保健提供者必须意识到肥胖的后果,并了解有效的干预措施。目前尚未证明有有效的长期干预措施可预防或控制孕期肥胖。关于孕期和产后干预以解决孕期体重增加问题的已发表结果较少,这表明需要更多基于社区和个体化的干预研究,尤其是关注长期影响的研究。

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