Department of Medicine, Division of Metabolism, Endocrinology and Diabetes, University of Michigan, Ann Arbor, USA.
Int J Gynaecol Obstet. 2012 Oct;119(1):6-10. doi: 10.1016/j.ijgo.2012.04.025. Epub 2012 Jul 17.
Obesity is a growing worldwide epidemic among women of reproductive age, including pregnant women. The increased prevalence of obesity has been accompanied by an increase in gestational weight gain. Maternal obesity has deleterious consequences for both mother and child.
To review the recent guidelines from the National Institute for Health and Clinical Excellence and the Institute of Medicine regarding gestational weight gain and interventions to treat obesity during pregnancy.
Guidelines on gestational weight gain from these organizations, as well as reports of gestational weight gain in the published literature, are summarized.
Many normal and overweight parturients exceed the recommendations in the guidelines, which may contribute to postpartum obesity.
Lifestyle changes, including dieting and increased activity, may help to limit excessive gestational weight gain but the optimal strategy remains unclear.
肥胖是育龄妇女（包括孕妇）中日益严重的全球性流行疾病。肥胖的普遍增加伴随着妊娠体重增加。母亲肥胖对母亲和孩子都有不良影响。
综述国家卫生与临床优化研究所和医学研究所最近关于妊娠体重增加和治疗妊娠肥胖干预的指南。
总结了这些组织的妊娠体重增加指南，以及已发表文献中关于妊娠体重增加的报告。
许多正常和超重的产妇超过了指南中的建议，这可能导致产后肥胖。
生活方式的改变，包括节食和增加活动量，可能有助于限制妊娠体重过度增加，但最佳策略仍不清楚。
