Mohsenzadeh-Ledari Farideh, Taghizadeh Ziba, Motaghi Zahra, Keramat Afsaneh, Moosazadeh Mahmood, Najafi Ali
Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.
Faculty Member of Nursing and Midwifery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Int J Prev Med. 2019 Jan 15;10:2. doi: 10.4103/ijpvm.IJPVM_46_18. eCollection 2019.
Metabolic syndrome (MetS), a series of symptoms, including abdominal obesity, impaired glucose tolerance and insulin metabolism, hypertension, and dyslipidemia, is considered as the risk of developing cardiovascular disease and diabetes that can predispose a pregnant women to serious health problem, women in the developed as well as the developing countries. This study was aimed to investigate the effects of appropriate interventions on pregnant women with indicators of MetS to further improve the outcome of pregnancy. This systematic review was performed to extract articles of randomized controlled trials (RCT) on pregnant women with indicators of (MetS) and focusing on physical activity, dietary or lifestyle interventions on maternal health or perinatal outcomes, with searching in the Web of Science, PubMed, CDSR, Scopus, and Google Scholar were investigated. Two researchers independently evaluated the quality of the studies, being presented in all the articles and ranked the studies as high/low quality; the level of evidence was based on the number of high-quality studies and the coordination of the obtained results. Then, 17 articles, which met the inclusion criteria, were selected; among these, 7 articles studied the physical activity, 3 articles reviewed diets, 6 probed the lifestyle interventions, and 1 article was on counseling. In general, evidence suggested how the physical activity and proper diet impacts on proper weight gain during pregnancy, prevents maternal complications, and improves the outcome of pregnancy. According to the results of this systematic review, proper interventions during pregnancy can have a positive effect on maternal weight gain and the general health condition of pregnant women with indicators of MetS.
代谢综合征（MetS）是一系列症状，包括腹部肥胖、糖耐量受损和胰岛素代谢异常、高血压以及血脂异常，被认为是发达国家和发展中国家孕妇患心血管疾病和糖尿病的风险因素，这些疾病可能使孕妇面临严重的健康问题。本研究旨在调查适当干预措施对有代谢综合征指标的孕妇的影响，以进一步改善妊娠结局。本系统评价通过在科学网、PubMed、CDSR、Scopus和谷歌学术搜索，提取关于有代谢综合征指标的孕妇的随机对照试验（RCT）文章，重点关注体育活动、饮食或生活方式干预对孕产妇健康或围产期结局的影响。两名研究人员独立评估了所有文章中呈现的研究质量，并将研究评为高/低质量；证据水平基于高质量研究的数量和所得结果的协调性。然后，选择了17篇符合纳入标准的文章；其中，7篇文章研究了体育活动，3篇回顾了饮食，6篇探讨了生活方式干预，1篇是关于咨询的。总体而言，证据表明体育活动和合理饮食如何影响孕期适当的体重增加、预防孕产妇并发症以及改善妊娠结局。根据本系统评价的结果，孕期适当的干预措施对有代谢综合征指标的孕妇的体重增加和总体健康状况可产生积极影响。
