Pregnancy weight gain: still controversial
Pregnancy weight gain: still controversial
复制标题
DOI：
10.1093/ajcn/71.5.1233s
复制
发表时间：
2000-05-01
影响因子：
7.1
通讯作者：
Pickett, KE
中科院分区：
文献类型：
--
作者：
Abrams, B;Altman, SL;Pickett, KE
在20世纪，对孕妇孕期增重的建议是有争议的，从严格限制到鼓励充足增重。1990年，医学研究所（IOM）推荐了以改善婴儿出生体重为主要目标的体重增加范围。这些指导方针被广泛采用，但没有被普遍接受。批评人士认为，IOM的建议不太可能改善围产期结果，实际上可能会增加对婴儿和母亲产生负面影响的风险。我们系统地回顾了根据IOM的孕前体重正常的女性体重增加建议检查胎儿和母体结局的研究。这些研究表明，孕期体重增加在IOM推荐的范围内，对母亲和婴儿都有最好的结果。然而，大多数孕妇的体重增加都不在IOM的范围内。所审查的所有研究都是观察性的，迫切需要进行实验研究，以审查改善产妇体重增加的干预策略，以优化健康结果。
During the 20th century, recommendations for maternal weight gain in pregnancy were controversial, ranging from rigid restriction to encouragement of ample gain. In 1990, the Institute of Medicine (IOM) recommended weight-gain ranges with the primary goal of improving infant birth weight. These guidelines were widely adopted but not universally accepted. Critics have argued that the IOM's recommendations are unlikely to improve perinatal outcomes and may actually increase the risk of negative consequences to both infants and mothers. We systematically reviewed studies that examined fetal and maternal outcomes according to the IOM's weight-gain recommendations in women with a normal prepregnancy weight. These studies showed that pregnancy weight gain within the IOM's recommended ranges is associated with the best outcome for both mothers and infants. However, weight gain in most pregnant women is not within the IOM's ranges. All of the studies reviewed were observational and there is a compelling need to conduct experimental studies to examine interventional strategies to improve maternal weight gain with the objective of optimizing health outcomes.