Guidelines and interventions for obesity during pregnancy.

Guidelines and interventions for obesity during pregnancy.
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DOI:
10.1016/j.ijgo.2012.04.025
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发表时间:
2012-10
影响因子:
3.8
通讯作者:
Kim, Catherine
Kim, Catherine
中科院分区:
医学4区
文献类型:
--
作者:
Buschur, Elizabeth;Kim, Catherine

文献摘要

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肥胖在包括孕妇在内的育龄妇女中是一种日益严重的世界性流行病。肥胖的增加伴随着妊娠期体重的增加。母亲肥胖对母亲和孩子都有有害的后果。回顾国家健康与临床卓越研究所和医学研究所关于妊娠期体重增加和干预治疗妊娠期肥胖的最新指导方针。总结了这些组织关于妊娠期体重增加的指南,以及已发表的文献中关于妊娠期体重增加的报道。许多正常和超重的产妇超过了指南中的建议,这可能会导致产后肥胖。生活方式的改变,包括节食和增加运动,可能有助于限制妊娠期体重的过度增加,但最佳策略尚不清楚。
Obesity is a growing worldwide epidemic among women of reproductive age, including pregnant women. The increased prevalence of obesity has been accompanied by an increase in gestational weight gain. Maternal obesity has deleterious consequences for both mother and child. To review the recent guidelines from the National Institute for Health and Clinical Excellence and the Institute of Medicine regarding gestational weight gain and interventions to treat obesity during pregnancy. Guidelines on gestational weight gain from these organizations, as well as reports of gestational weight gain in the published literature, are summarized. Many normal and overweight parturients exceed the recommendations in the guidelines, which may contribute to postpartum obesity. Lifestyle changes, including dieting and increased activity, may help to limit excessive gestational weight gain but the optimal strategy remains unclear.
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