产妇营养状况与减重手术后的妊娠结局。
Maternal Nutritional Status and Pregnancy Outcomes Post-bariatric Surgery.
机构信息
Department of Community Health Science, Clinical Nutrition, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
Department of Clinical Nutrition Services, King Abdulaziz Medical City, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
出版信息
Obes Surg. 2022 Apr;32(4):1325-1340. doi: 10.1007/s11695-021-05822-y. Epub 2022 Feb 15.
Obesity in childbearing women leads to pregnancy-related complications such as gestational diabetes mellitus, pregnancy-associated hypertensive disorders, and macrosomia. Weight loss helps reduce these complications. Studies show bariatric surgery reduces obesity-related complications during and after pregnancy. However, bariatric surgery might be associated with adverse outcomes, such as low birth weight and small-for-gestational-age infants. In addition, several studies suggest pregnancy occurring less than a year post-bariatric surgery adversely affects pregnancy outcomes and causes micronutrients deficiency since the dramatic weight loss occurs in the first year. These adverse outcomes may lead to nutritional malabsorption, such as anemia and low vitamin B12 and folic acid levels. The review aims to overview obesity-related complications during pregnancy and the benefits and risks of bariatric surgery on pregnancy outcomes and maternal nutrition status.
生育期肥胖妇女易发生妊娠相关并发症，如妊娠期糖尿病、妊娠合并高血压疾病和巨大儿。减轻体重有助于减少这些并发症。研究表明，减重手术可降低妊娠期间和之后与肥胖相关的并发症。然而，减重手术可能与不良结局相关，如低出生体重和小于胎龄儿。此外，一些研究表明，减重手术后不到一年怀孕会对妊娠结局产生不利影响，并导致微量营养素缺乏，因为体重在第一年急剧下降。这些不良结局可能导致营养吸收不良，如贫血和维生素 B12 和叶酸水平低。本综述旨在概述妊娠期间与肥胖相关的并发症，以及减重手术对妊娠结局和产妇营养状况的益处和风险。
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