Childbearing, stress and obesity disparities in women: a public health perspective.
Childbearing, stress and obesity disparities in women: a public health perspective.
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DOI：
10.1007/s10995-010-0712-6
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发表时间：
2012-01
影响因子：
2.3
通讯作者：
Horwitz RI
中科院分区：
文献类型：
--
作者：
Davis EM;Stange KC;Horwitz RI
围产期，从妊娠早期到产后1年，为新的公共卫生干预措施提供了机会，以减少肥胖差距。我们提出了一个统一的社会生物学框架，为多学科研究和公共卫生方法提供机会，以阐明和瞄准孕产妇肥胖发展机制和相关差异。该框架说明了社会、文化和自然环境的相互作用；应激评价与反应；应对行为对短期结果（如适应负荷和妊娠期体重增加）、持续胰岛素抵抗和产后体重保持的中期结果以及肥胖及其疾病后果的长期结果的影响。对所提出的关系进行测试可能有助于了解诸如妊娠期体重增加、产后体重保持和产次等生育风险因素如何导致肥胖，这是为旨在减少肥胖和改善妇女健康的公共卫生政策和临床护理指南提供信息所必需的。
The perinatal period, from early in the first trimester to 1 year postpartum, provides opportunities for novel public health interventions to reduce obesity disparities. We present a unifying socio-biological framework to suggest opportunities for multidisciplinary research and public health approaches to elucidate and target the mechanisms for the development of maternal obesity and related disparities. The framework illustrates the interplay of the social, cultural and physical environment; stress appraisal and response; and coping behaviors on short-term outcomes (e.g. allostatic load and gestational weight gain), the intermediate outcomes of persistent insulin resistance and post-partum weight retention, and longer term outcomes of obesity and its disease consequences. Testing the proposed relationships may provide insights into how childbearing risk factors such as gestational weight gain, postpartum weight retention and parity contribute to obesity, which are needed to inform public health policies and clinical care guidelines aimed at reducing obesity and improving the health of women.
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影响因子：
120.7
作者：
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通讯作者：
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