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肥胖孕妇增重限制方案对病假和妊娠津贴的影响。

Effects of a weight-gain restriction programme for obese pregnant women on sickness absence and pregnancy benefits.

机构信息

Division of Obstetrics and Gynaecology, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden.

出版信息

Scand J Prim Health Care. 2013 Jun;31(2):106-10. doi: 10.3109/02813432.2012.754091. Epub 2013 Jan 10.

DOI:10.3109/02813432.2012.754091
PMID:23301596
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3656393/
Abstract

OBJECTIVE

To evaluate the effect of a weight-gain restriction programme for obese pregnant women on sickness absence days and pregnancy benefit days during pregnancy and postpartum.

DESIGN

A prospective, controlled intervention study. The Swedish Social Security Agency's records were utilized to compile sickness absence and pregnancy benefit information.

SETTING

Antenatal care clinics in the south-east of Sweden.

SUBJECTS

One hundred fifty-five obese pregnant women who participated in a weight restriction program with weekly structured motivational and behavioural talks combined with aqua-aerobics during pregnancy. A total of 193 obese pregnant women with no intervention served as controls.

MAIN OUTCOME MEASURES

Sickness absence benefits and pregnancy benefits expressed as a percentage.

RESULTS

On average women in the intervention group had 76.68 total full days of sickness absence benefit compared with 53.09 days in the control group. Total full days of pregnancy benefits were 39.66% days and 41.41% for the intervention and control groups respectively. For the women who were on sick leave there were no differences between the groups in the amount of days taken.

CONCLUSIONS

Given the complexity of factors that have an influence on sickness absence leave, it is possible that programmes that do not address the influence of social aspects and attitudes towards sickness absence have limited effect.

摘要

目的

评估肥胖孕妇增重限制方案对孕期和产后病假和妊娠津贴天数的影响。

设计

前瞻性、对照干预研究。利用瑞典社会保险局的记录编制了病假和妊娠津贴信息。

地点

瑞典东南部的产前保健诊所。

对象

155 名参加体重限制计划的肥胖孕妇,该计划每周进行结构化的动机和行为谈话,并在孕期进行水上有氧运动。共有 193 名肥胖孕妇未接受干预作为对照组。

主要观察指标

病假津贴和妊娠津贴的百分比表示。

结果

干预组平均有 76.68 天的全休病假,而对照组为 53.09 天。妊娠津贴的总天数分别为 39.66%和 41.41%。对于休病假的女性,两组的休假天数没有差异。

结论

鉴于影响病假的因素复杂,不解决社会方面的影响和对病假的态度的方案可能效果有限。

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本文引用的文献

1
Total cost comparison of standard antenatal care with a weight gain restriction programme for obese pregnant women.肥胖孕妇体重限制方案的标准产前保健总成本比较。
Public Health. 2011 May;125(5):311-7. doi: 10.1016/j.puhe.2011.02.004.
2
Effect of lifestyle intervention on dietary habits, physical activity, and gestational weight gain in obese pregnant women: a randomized controlled trial.生活方式干预对肥胖孕妇饮食习惯、身体活动和妊娠体重增加的影响:一项随机对照试验。
Am J Clin Nutr. 2010 Feb;91(2):373-80. doi: 10.3945/ajcn.2009.28166. Epub 2009 Dec 2.
3
Perinatal outcomes in nutritionally monitored obese pregnant women: a randomized clinical trial.营养监测肥胖孕妇的围产结局:一项随机临床试验。
J Natl Med Assoc. 2009 Jun;101(6):569-77. doi: 10.1016/s0027-9684(15)30942-1.
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Preventing excessive weight gain during pregnancy through dietary and lifestyle counseling: a randomized controlled trial.通过饮食和生活方式咨询预防孕期体重过度增加:一项随机对照试验。
Obstet Gynecol. 2009 Feb;113(2 Pt 1):305-12. doi: 10.1097/AOG.0b013e318195baef.
5
A randomized trial of the effects of dietary counseling on gestational weight gain and glucose metabolism in obese pregnant women.一项关于饮食咨询对肥胖孕妇孕期体重增加及糖代谢影响的随机试验。
Int J Obes (Lond). 2008 Mar;32(3):495-501. doi: 10.1038/sj.ijo.0803710. Epub 2008 Jan 29.
6
Weight gain restriction for obese pregnant women: a case-control intervention study.肥胖孕妇的体重增加限制:一项病例对照干预研究。
BJOG. 2008 Jan;115(1):44-50. doi: 10.1111/j.1471-0528.2007.01531.x. Epub 2007 Oct 25.
7
A lifestyle intervention of weight-gain restriction: diet and exercise in obese women with gestational diabetes mellitus.一种限制体重增加的生活方式干预措施:妊娠期糖尿病肥胖女性的饮食与运动
Appl Physiol Nutr Metab. 2007 Jun;32(3):596-601. doi: 10.1139/H07-024.
8
Influence of obesity on the use of sickness absence and social benefits among pregnant working women.肥胖对在职孕妇病假使用及社会福利的影响。
Public Health. 2007 Sep;121(9):656-62. doi: 10.1016/j.puhe.2006.11.010. Epub 2007 Apr 24.
9
Consumer satisfaction with a weight-gain intervention programme for obese pregnant women.肥胖孕妇增重干预项目的消费者满意度
Midwifery. 2008 Jun;24(2):163-7. doi: 10.1016/j.midw.2006.10.007. Epub 2007 Feb 21.
10
Preventing excessive weight gain during pregnancy - a controlled trial in primary health care.孕期预防体重过度增加——一项初级卫生保健中的对照试验
Eur J Clin Nutr. 2007 Jul;61(7):884-91. doi: 10.1038/sj.ejcn.1602602. Epub 2007 Jan 17.