Weight Gain and Nutrition during Pregnancy: An Analysis of Clinical Practice Guidelines in the Asia-Pacific Region.
Weight Gain and Nutrition during Pregnancy: An Analysis of Clinical Practice Guidelines in the Asia-Pacific Region.
复制标题
妊娠期间体重增加和营养：亚太地区临床实践指南分析。
DOI：
10.3390/nu14061288
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发表时间：
2022-03-18
期刊：
影响因子：
5.9
通讯作者：
Bay JL
中科院分区：
文献类型：
--
作者：
Aoyama T;Li D;Bay JL
怀孕期间的营养和体重增加会影响后代的一生健康。临床实践指南在确保孕妇适当的营养和体重增加方面发挥着重要作用。这项研究旨在确定亚太地区关于妊娠体重增加和/或产妇营养的临床实践指南，并确定指南的质量和建议中的可变性。通过对38个亚太国家的灰色文献进行系统搜索，获得了23份已发表的指南。在这些指南中，10个符合条件的临床实践指南报告了针对孕妇的营养或/和体重相关建议，并进行了审查。指南质量是使用研究评估指南II(CONVERE II)工具确定的。在10个指南中，90%的指南在协议II评估中被归类为低质量。关于孕期体重增加的建议，包括针对亚洲人群的建议，发现了几种差异。关于怀孕期间的饮食建议、额外能量摄入和营养补充的建议各不相同。亚太地区关于孕期体重增加和营养的临床实践指南质量普遍较差，反映了显著的差异，需要改进，以确保孕妇得到适当的建议。(PROSPERO注册号CRD42021291395)。
Nutrition and weight gain during pregnancy can influence the life-course health of offspring. Clinical practice guidelines play an important role in ensuring appropriate nutrition and weight gain among pregnant women. This study aims to identify clinical practice guidelines on gestational weight gain and/or maternal nutrition across the Asia-Pacific region and to determine the quality of the guidelines and variability in the recommendations. Through a systematic search of grey literature from 38 Asia-Pacific countries, 23 published guidelines were obtained. Of these, 10 eligible clinical practice guidelines reporting nutrition- or/and weight-related recommendations for pregnant women were selected and reviewed. Guideline quality was determined using the Assessment of Guidelines for Research Evaluation II (AGREE II) instrument. Of the 10 guidelines, 90% were classified as low-quality in the AGREE II appraisal. Several variations were found with respect to recommendations on gestational weight gain, including those specific to Asian populations. The recommendations on dietary advice, additional energy intake, and nutritional supplementation during pregnancy were varied. Clinical practice guidelines on weight gain and nutrition in pregnancy across the Asia-Pacific region are generally of poor quality, reflecting significant variation, and need to be improved to ensure pregnant women receive appropriate advice. (PROSPERO registration no. CRD42021291395).