Lifestyle Interventions in Overweight and Obese Pregnant or Postpartum Women for Postpartum Weight Management: A Systematic Review of the Literature.
Lifestyle Interventions in Overweight and Obese Pregnant or Postpartum Women for Postpartum Weight Management: A Systematic Review of the Literature.
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DOI：
10.3390/nu10111704
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发表时间：
2018-11-07
期刊：
影响因子：
5.9
通讯作者：
Poston L
中科院分区：
文献类型：
--
作者：
Dalrymple KV;Flynn AC;Relph SA;O'Keeffe M;Poston L
过度的妊娠期体重增加（GWG）和产后体重保持（PPWR）可能使妇女容易发生肥胖。这项系统性综述的目的是评价超重或肥胖孕妇和/或产后妇女生活方式干预对管理产后体重长达2年的有效性。纳入了18项随机对照试验（2559名参与者），并根据干预时间分为三类：仅妊娠（n = 3），仅产后（n = 12）和妊娠和产后（n = 3）。干预持续时间从10周至10个月不等，包括仅饮食（n = 5）或饮食和体力活动（n = 13）。与对照组相比，七种产后干预措施报告产后体重显着改善。这些干预措施大多是短期和密集的，持续10-16周。仅1例妊娠和1例妊娠和产后干预报告6个月时PPWR降低。9项试验没有报告干预对产后体重的影响。然而，其中四个报告GWG和PPWR之间的关联。这项综述表明，成功的产后体重管理是可以实现的，从产后开始的密集的生活方式干预，但是，没有足够的证据来得出结论，从怀孕开始的干预措施是否有效。需要在怀孕和产后期间利用比较方法进行更大规模的试验，以制定预防PPWR或减轻产后体重的有针对性的策略。
Excessive gestational weight gain (GWG) and postpartum weight retention (PPWR) may predispose women to the development of obesity. The objective of this systematic review was to evaluate the effectiveness of lifestyle interventions in overweight or obese pregnant and/or postpartum women for managing postpartum weight up to 2 years after giving birth. Eighteen randomised controlled trials were included (2559 participants) and divided into three categories according to the timing of the intervention: pregnancy only (n = 3), postpartum only (n = 12) and pregnancy and postpartum (n = 3). The intervention duration varied from 10 weeks to 10 months and included diet only (n = 5) or diet and physical activity (n = 13). Seven postpartum only interventions reported significant improvements in postpartum weight when compared to the control group. Most of these interventions were short and intensive, lasting 10–16 weeks. One pregnancy only and one pregnancy and postpartum intervention reported reduced PPWR at 6 months. Nine trials did not report an effect of the intervention on postpartum weight. However, of these, four reported associations between GWG and PPWR. This review suggests that successful postpartum weight management is achievable with intensive lifestyle interventions starting in the postpartum period; however, there is insufficient evidence to conclude whether interventions starting in pregnancy are effective. Larger trials utilising comparative methodologies in the pregnancy and postpartum periods are required to inform the development of targeted strategies preventing PPWR or reducing postpartum weight.
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影响因子：
7.2
作者：
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通讯作者：
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影响因子：
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Community Child Health Network of the Eunice Kennedy Shriver National Institute of Child Health and Human Development
影响因子：
16.2
作者：
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通讯作者：
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