Weight gain and energy intake during pregnancy.
Weight gain and energy intake during pregnancy.
复制标题
怀孕期间体重增加和能量摄入。
DOI：
10.1097/00003081-199409000-00005
复制
发表时间：
1994
影响因子：
1.5
通讯作者：
Abrams,B
中科院分区：
文献类型：
--
作者：
Abrams,B
几十年来，母亲体重的常规测量一直是产前护理的一个组成部分，但随着时间的推移，人们认为理想的体重增加量已经发生了很大变化。在整个20世纪60年代，美国的临床医生建议低热量饮食，有时还开食欲抑制剂，以努力将母亲体重增加限制在15-20磅，因为人们认为体重增加会增加先兆子痫、分娩异常和母亲产后肥胖的风险。与此同时，人们越来越关注胎儿“早产”（出生体重低）及其伴随的产前死亡率和发病率高风险。基于已发表的证据表明，孕产妇增重低是早产的危险因素，1970年美国国家科学院报告《孕产妇营养与妊娠过程》建议增重24磅，范围在20-25磅之间，并警告不要限制饮食。
Routine measurement of maternal weight has been an integral component of prenatal care for decades, but the amount of gain considered desirable has changed substantially over time. Through the 1960s, clini-cians in the United States advised low-cal-orie diets and sometimes prescribed appe-tite suppressants in an effort to limit maternal weight gain to 15–20 lb, because higher gains were believed to increase the risk of preeclampsia, labor abnormalities, and maternal postpartum obesity. In the meantime, there was increasing concern about fetal “prematurity”(low birthweight) and its concomitant high risk of prenatal mortality and morbidity. Based on pub-lished evidence that a low maternal gain was a risk factor for prematurity, the 1970 National Academy of Sciences report, Maternal Nutrition and the Course of Pregnancy, recommended a gain of 24 lb, within a range of 20–25 lb, and cautioned against dietary restriction.