Monte Santo, Valenti Oriana, Giorgio Elsa, Renda Eliana, Hyseni Entela, Faraci Marianna, De Domenico Roberta, Di Prima Fosca A F
S. Bambino Hospital, Department of Obstetrics and Gynecology and Microbiological Sciences, University of Catania, Italy.
J Prenat Med. 2011 Apr;5(2):27-30.
Obesity has become a serious global public health issue and has consequences for nearly all areas of medicine. Within obstetrics, obesity not only has direct implications for the health of a pregnancy but also impacts on the weight of the child in infancy and beyond. As such, maternal weight may influence the prevalence and severity of obesity in future generations. Pregnancy has been identified as a key time to target a weight control or weight loss strategy to help curb the rapidly growing obesity epidemic. This study reviews the current evidence for interventions to promote weight control or weight loss in women around the time of pregnancy. Studies have shown positive correlations between both maternal pre-pregnancy weight and gestational weight gain with the birth weight of the infant and associated health risks, so interventions have been put to clinical trials at both time points. Many women are concerned about the health of their babies during pregnancy and are in frequent contact with their healthcare providers, pregnancy may be an especially powerful "teachable moment" for the promotion of healthy eating and physical activity behaviors among women.
肥胖已成为一个严重的全球公共卫生问题，几乎对医学的所有领域都产生影响。在产科领域，肥胖不仅对孕期健康有直接影响，还会影响婴儿期及以后儿童的体重。因此，母亲的体重可能会影响后代肥胖的患病率和严重程度。怀孕已被确定为实施体重控制或减肥策略的关键时期，以帮助遏制迅速增长的肥胖流行趋势。本研究回顾了目前关于孕期前后促进女性体重控制或减肥干预措施的证据。研究表明，母亲孕前体重和孕期体重增加与婴儿出生体重及相关健康风险之间均存在正相关，因此在这两个时间点都进行了干预措施的临床试验。许多女性在孕期担心自己宝宝的健康，并且经常与医疗服务提供者接触，怀孕对于促进女性健康饮食和体育活动行为而言，可能是一个特别有力的“可教时刻”。
