Interventions to prevent maternal obesity before conception, during pregnancy, and post partum
Interventions to prevent maternal obesity before conception, during pregnancy, and post partum
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DOI：
10.1016/s2213-8587(16)30108-5
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发表时间：
2017-01-01
影响因子：
44.5
通讯作者：
Yang, Huixia
中科院分区：
文献类型：
--
作者：
Hanson, Mark;Barker, Mary;Yang, Huixia
人们普遍认为，预防育龄妇女肥胖对她们及其后代的健康都很重要。肥胖或超重孕妇的体重控制干预措施，包括药物治疗，对怀孕和分娩结果没有足够的影响，这表明干预的重点应包括孕前或产后时期。需要进一步研究怀孕前营养和生活方式干预的长期影响。为了改善孕前健康，需要采取综合办法，包括怀孕预防、计划和准备，不仅涉及初级保健部门，还需要采取生态办法减少风险，解决个人、社会和文化影响。提高对怀孕前良好健康重要性的认识需要一场新的社会运动：将自下而上的个人和社区动员与自上而下的政策举措相结合。在怀孕前和怀孕期间减少或预防肥胖的干预措施可以大大有助于实现全球可持续发展目标，包括健康，福祉，生产力和当代和后代的公平。
Prevention of obesity in women of reproductive age is widely recognised to be important both for their health and for that of their off spring. Weight-control interventions, including drug treatment, in pregnant women who are obese or overweight have not had sufficient impact on pregnancy and birth outcomes, which suggests that the focus for intervention should include preconception or post-partum periods. Further research is needed into the long-term effects of nutritional and lifestyle interventions before conception. To improve preconception health, an integrated approach, including pregnancy prevention, planning, and preparation is needed, involving more than the primary health-care sector and adopting an ecological approach to risk reduction that addresses personal, societal, and cultural influences. Raising awareness of the importance of good health in the period before pregnancy will require a new social movement: combining bottom-up mobilisation of individuals and communities with a top-down approach from policy initiatives. Interventions to reduce or prevent obesity before conception and during pregnancy could contribute substantially to achievement of the global Sustainable Development Goals, in terms of health, wellbeing, productivity, and equity in current and future generations.