Position of the American Dietetic Association and American Society for Nutrition: Obesity, Reproduction, and Pregnancy Outcomes
Position of the American Dietetic Association and American Society for Nutrition: Obesity, Reproduction, and Pregnancy Outcomes
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DOI：
10.1016/j.jada.2009.03.020
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发表时间：
2009-05-01
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鉴于母亲超重和肥胖对母亲和儿童的生殖和妊娠结局的不利影响，美国饮食协会和美国营养学会的立场是，所有超重和肥胖的育龄妇女都应该在怀孕前、怀孕期间和受孕期接受关于饮食和体力活动在生殖健康中的作用的咨询，以减轻这些不利后果。孕妇孕前营养状况对生殖和妊娠结局的影响具有重要的公共卫生意义。肥胖在美国和世界范围内已经发展到流行的程度，估计有33%的美国女性被归类为肥胖症。这份立场文件有两个目标：(A)帮助营养专业人员了解超重和肥胖对生育力、妊娠过程、分娩结局以及短期和长期母婴健康结果的风险和可能的并发症；以及(B)与美国饮食协会和美国营养学会致力于研究有关的内容有关，以找出研究中的差距，以提高我们对怀孕前和怀孕期间超重和肥胖相关风险和并发症的了解。只有增加对这些风险和并发症的了解，卫生保健专业人员才能制定有效的策略，在怀孕前、怀孕期间以及受孕期实施，以减轻不良后果。美国饮食协会。2009年；109：918-927。
Given the detrimental influence of maternal overweight and obesity on reproductive and pregnancy outcomes for the mother and child, it is the position of the American Dietetic Association and the American Society for Nutrition that all overweight and obese women of reproductive age should receive counseling on the roles of diet and physical activity in reproductive health prior to pregnancy, during pregnancy, and in the interconceptional period, in order to ameliorate these adverse outcomes. The effect of maternal nutritional status prior to pregnancy on reproduction and pregnancy outcomes is of great public health importance. Obesity in the United States and worldwide has grown to epidemic proportions, with an estimated 33% of US women classified as obese. This position paper has two objectives: (a) to help nutrition professionals become aware of the risks and possible complications of overweight and obesity for fertility, the course of pregnancy, birth outcomes, and short- and long-term maternal and child health outcomes; and (b) related to the commitment to research by the American Dietetic Association and the American Society for Nutrition, to identify the gaps in research to improve our knowledge of the risks and complications associated with being overweight and obese before and during pregnancy. Only with an increased knowledge of these risks and complications can health care professionals develop effective strategies that can be implemented before and during pregnancy as well as during the interconceptional period to ameliorate adverse outcomes. J Am Diet Assoc. 2009;109:918-927.