Gilmore L Anne, Klempel-Donchenko Monica, Redman Leanne M
Semin Perinatol. 2015 Jun;39(4):296-303. doi: 10.1053/j.semperi.2015.05.009. Epub 2015 Jun 19.
Metabolic and behavioral changes that occur during pregnancy have well-known effects on maternal and fetal health during the immediate pregnancy and now are thought to be a catalyst for future health throughout later life. Recommendations for appropriate gestational weight gain (GWG) and lifestyle modifications during pregnancy have changed throughout history as more is known about this crucial time. Herein we discuss the current GWG recommendations and the impact of pregnancy and excess GWG gain on the current and future health of women and children including risk of obesity, gestational diabetes, type 2 diabetes, cardiovascular disease, and metabolic syndrome.
孕期发生的代谢和行为变化对孕期母婴健康有着众所周知的影响,现在人们认为这些变化是日后一生健康的催化剂。随着对这一关键时期了解的增多,关于孕期适当体重增加(GWG)和生活方式改变的建议在历史上不断变化。在此,我们讨论当前的GWG建议,以及孕期和GWG过度增加对妇女和儿童当前及未来健康的影响,包括肥胖、妊娠糖尿病、2型糖尿病、心血管疾病和代谢综合征的风险。