Vermont Center on Behavior and Health, University of Vermont, United States; Departments of Obstetrics, Gynecology, and Reproductive Sciences, University of Vermont, United States.
Vermont Center on Behavior and Health, University of Vermont, United States; Psychiatry, University of Vermont, United States; Psychological Science, University of Vermont, United States.
Prev Med. 2017 Nov;104:133-136. doi: 10.1016/j.ypmed.2017.07.023. Epub 2017 Jul 28.
Unhealthy behaviors and lifestyle choices are contributing to the obesity epidemic and associated morbidities. Among reproductive aged women, obesity adversely affects perinatal outcomes and longer term maternal and child health. Interventions utilizing strategies of behavior change have the potential to improve outcomes, especially during pregnancy. Antenatal interventions to improve adherence to gestational weight gain guidelines are one such example. Although behaviorally-based intervention trials have been associated with modest decreases in gestational weight gain, the effect on short term perinatal outcomes has thus far been minimal. This commentary aims to discuss possible reasons behind the failure to improve perinatal outcomes as well as to encourage future areas of study.
不健康的行为和生活方式选择是导致肥胖流行和相关病态的原因之一。在育龄妇女中，肥胖会对围产期结局以及长期母婴健康产生不利影响。利用行为改变策略的干预措施有可能改善结局，尤其是在怀孕期间。改善妊娠期体重增加指南依从性的产前干预就是这样一个例子。尽管基于行为的干预试验与妊娠期体重增加的适度减少有关，但迄今为止，对短期围产期结局的影响微乎其微。本评论旨在讨论改善围产期结局失败的可能原因，并鼓励未来的研究领域。
