Maternal obesity: Implications for pregnancy outcome and long-term risks-a link to maternal nutrition

Maternal obesity: Implications for pregnancy outcome and long-term risks-a link to maternal nutrition
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DOI:
10.1016/s0020-7292(11)60004-0
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发表时间:
2011-11-01
影响因子:
3.8
通讯作者:
Yogev, Yariv
Yogev, Yariv
中科院分区:
医学4区
文献类型:
--
作者:
Aviram, Amir;Hod, Moshe;Yogev, Yariv

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随着肥胖成为一种世界性的流行病,其在育龄期的患病率也在增加。令人担忧的报告指出,美国三分之二的成年人超重或肥胖,其中一半属于后一类,肥胖孕妇的比例估计为18-38%。这些妇女是妇女保健提供者主要关注的问题,因为她们遇到许多与妊娠有关的并发症。与肥胖相关的生殖健康并发症范围从不孕到广泛的疾病,如高血压疾病、凝血功能障碍、妊娠糖尿病。呼吸系统并发症和胎儿并发症,如胎龄大的婴儿、先天性畸形、死产和肩难产。最近的报告表明,怀孕期间的肥胖可能是日后新生儿患肥胖症、糖尿病和心血管疾病的一个危险因素。本文将讨论肥胖对妊娠和儿童健康的影响,并探讨近期关于妊娠期肥胖的文献。(C) 2011年国际妇产科联合会。爱思唯尔爱尔兰有限公司出版。版权所有。
As obesity becomes a worldwide epidemic, its prevalence during reproductive age is also increased. Alarming reports state that two-thirds of adults in the USA are overweight or obese, with half of them in the latter category, and the rate of obese pregnant women is estimated at 18-38%. These women are of major concern to women's health providers because they encounter numerous pregnancy-related complications. Obesity-related reproductive health complications range from infertility to a wide spectrum of diseases such as hypertensive disorders, coagulopathies, gestational diabetes mellitus. respiratory complications, and fetal complications such as large-for-gestational-age infants, congenital malformations, stillbirth, and shoulder dystocia. Recent reports suggest that obesity during pregnancy can be a risk factor for developing obesity, diabetes, and cardiovascular diseases in the newborn later in life. This review will address the implication of obesity on pregnancy and child health, and explore recent literature on obesity during pregnancy. (C) 2011 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.