One-year postpartum outcomes following a weight management intervention in pregnant women with obesity.
One-year postpartum outcomes following a weight management intervention in pregnant women with obesity.
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DOI：
10.1002/oby.21597
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发表时间：
2016-10
期刊：
影响因子：
6.9
通讯作者：
Stevens, Victor J.
中科院分区：
文献类型：
--
作者：
Vesco, Kimberly K.;Leo, Michael C.;Karanja, Njeri;Gillman, Matthew W.;McEvoy, Cindy T.;King, Janet C.;Eckhardt, Cara L.;Smith, K. Sabina;Perrin, Nancy;Stevens, Victor J.
这项分析的重点是一项随机试验的1年母婴随访，该试验测试了妊娠期间进行的体重管理干预。我们将114名平均妊娠15周的肥胖妇女（平均BMI 36.7 kg/m2）随机分配到体重管理干预组或常规护理控制组。干预在分娩时结束，与对照组相比，干预组的妊娠期体重增加较少，胎龄较大的新生儿比例较低。产后12个月的主要结局是母亲体重。次要结局包括婴儿年龄别体重和身长别体重z评分。1年时，干预组的母亲体重为96.3±18.6 kg，对照组为99.7±19.2 kg。两组从随机化至产后1年的体重变化无显著差异（B=-0.47，95% CI [-4.03，3.08]）。婴儿年龄别体重z评分（B=-0.40，95% CI [-0.75，-0.05]）有显著的组主效应，但婴儿身长别体重z评分无显著主效应（B=-0.20，95% CI [-0.59，0.20]）。妊娠期体重管理干预并不影响产妇体重或婴儿体重的长度在产后1年。未来的研究可能是必要的，以确定是否延长产前干预到产后期间将有利于产妇和婴儿的结果。
This analysis focuses on 1-year maternal and infant follow-up of a randomized trial that tested a weight management intervention conducted during pregnancy. We randomly assigned 114 women with obesity (mean BMI 36.7 kg/m2) at a mean of 15 weeks’ gestation to a weight management intervention or usual care control condition. The intervention ended at delivery and resulted in less gestational weight gain and a lower proportion of large-for-gestational age newborns among intervention compared to control participants. The primary outcome at 12 months postpartum was maternal weight. Secondary outcomes included infant weight-for-age and weight-for-length z-scores. At 1 year, mothers in the intervention group weighed 96.3±18.6 kg, and in the control group, 99.7±19.2 kg. There was no significant difference between groups in change in weight from randomization to 1-year postpartum (b=-0.47, 95% CI [-4.03, 3.08]. There was a significant main effect of group for infant weight-for-age z-score (b=-0.40, 95% CI [-0.75,-0.05]) but not infant weight-for-length z-scores (b=-0.20, 95% CI [-0.59,0.20]. A gestational weight management intervention did not influence maternal weight or infant weight-for-length at 1-year postpartum. Future studies may be warranted to determine if extending prenatal interventions into the postpartum period would be beneficial for maternal and infant outcomes.
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影响因子：
7.2
作者：
Ehrlich SF;Hedderson MM;Feng J;Davenport ER;Gunderson EP;Ferrara A
通讯作者：
Ferrara A
DOI：
10.1136/bmj.e2088
发表时间：
2012-05-16
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
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通讯作者：
Khan KS
影响因子：
37.8
作者：
Wadden TA;Webb VL;Moran CH;Bailer BA
通讯作者：
Bailer BA
影响因子：
16.2
作者：
Viana, Luciana Vercoza;Gross, Jorge Luiz;Azevedo, Mirela Jobim
通讯作者：
Azevedo, Mirela Jobim
影响因子：
6.9
作者：
Vesco, Kimberly K.;Karanja, Njeri;King, Janet C.;Gillman, Matthew W.;Leo, Michael C.;Perrin, Nancy;McEvoy, Cindy T.;Eckhardt, Cara L.;Smith, K. Sabina;Stevens, Victor J.
通讯作者：
Stevens, Victor J.