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与妊娠期体重增加和产后体重滞留相关的进食行为:系统评价。

Eating behaviors in relation to gestational weight gain and postpartum weight retention: A systematic review.

机构信息

Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Antwerp, Belgium.

Department of Development & Regeneration, KU Leuven, Leuven, Belgium.

出版信息

Obes Rev. 2020 Oct;21(10):e13047. doi: 10.1111/obr.13047. Epub 2020 Jun 1.

Abstract

Preventing obesity is of utmost public health importance. This paper systematically reviews associations between eating behaviors and peripartum weight change. This knowledge is crucial in the development of interventions that reduce long-term obesity, often triggered and boosted in the peripartum. Through MEDLINE, EMBASE, and Web of Science, we identified 20 studies that fulfilled inclusion criteria: studies on food cravings, disinhibition, restrained, external, emotional, uncontrolled, intuitive, or mindful eating in relation to gestational or postpartum weight among adult women. Higher gestational weight gain was associated with lower intuitive eating (in 3/3 studies) and higher restrained eating (in 4/11 studies), external eating (in 2/2 studies), emotional eating (in 3/4 studies), food cravings (in 3/3 studies), and disinhibition (in 1/3 studies). No association with uncontrolled eating was found (in one study). No studies on mindful eating and gestational weight were identified. Higher postpartum weight loss was associated with higher restrained (in 2/4 studies) and intuitive eating (in 1/1 study). No associations between postpartum weight and food cravings, disinhibition, and mindful eating were found. No studies on external, emotional and uncontrolled eating, and postpartum weight were identified. Concluding, certain eating behaviors might be related to peripartum weight change.

摘要

预防肥胖对于公共卫生至关重要。本文系统地回顾了饮食习惯与围产期体重变化之间的关系。这一知识对于开发干预措施至关重要,这些干预措施可以减少长期肥胖,而长期肥胖往往是在围产期引发和加剧的。我们通过 MEDLINE、EMBASE 和 Web of Science 确定了 20 项符合纳入标准的研究:研究对象为成年女性的食物渴望、抑制失控、约束、外部、情绪、失控、直觉或正念饮食与妊娠或产后体重的关系。较高的妊娠期体重增加与较低的直觉饮食(3/3 项研究)和较高的约束饮食(4/11 项研究)、外部饮食(2/2 项研究)、情绪饮食(3/4 项研究)、食物渴望(3/3 项研究)和抑制失控(1/3 项研究)有关。与失控饮食无关联(一项研究)。未发现与正念饮食和妊娠期体重相关的研究。较高的产后体重减轻与较高的约束饮食(4/4 项研究)和直觉饮食(1/1 项研究)有关。产后体重与食物渴望、抑制失控和正念饮食之间没有关联。未发现与外部、情绪和失控饮食以及产后体重相关的研究。总之,某些饮食习惯可能与围产期体重变化有关。

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