超重/肥胖女性孕期增重过多对妊娠结局及子代远期健康影响的研究进展  

Influence of maternal obesity and excessive weight gain during pregnancy on perinatal outcome and long-term health in offspring:a review

作　　者：赵欣[1,2] 杨慧霞[1] Zhao Xin;Yang Huixia(Department of Obstetrics and Gynecology,Peking University First Hospital,Beijing Key Laboratory of Fetal Medicine of Gestational Diabetes Mellitus,Beijing 100034,China;Department of Obstetrics,Taiyuan Maternity and Child Health Care Hospital,Taiyuan 030012,China)

机构地区：[1]北京大学第一医院妇产科,妊娠合并糖尿病母胎医学北京市重点实验室,100034 [2]山西省太原市妇幼保健院产科,030012

出　　处：《中华围产医学杂志》2020年第9期640-644,共5页Chinese Journal of Perinatal Medicine

摘　　要：孕前超重/肥胖及孕期增重过多不但增加不良围产结局的风险,也与儿童心脏、呼吸、代谢和认知相关的不良结局有关。女性肥胖是妊娠期间一个重要的可变因素。以孕期饮食和体育活动作为干预手段,能有效控制孕期增重,减轻压力和抑郁,也能防止摄入过多热量,以减少孕期增重。由于孕妇孕前体重指数对妊娠结局的影响比孕期增重更重要,因此可以通过优化产前保健,改善子代的长期健康状况。未来的预防策略应侧重于对孕前超重/肥胖的干预。Maternal obesity and excessive weight gain during pregnancy are associated with adverse perinatal outcomes,and have a long-term adverse influence on general health outcomes related to heart,respiration,metabolism,and cognition in offspring.Obesity and weight gain in women are important modifiable risk factors in pregnancy,which can be managed through dietary and lifestyle to prevent excessive intake of calories,and reduce weight gain,stress and depression during pregnancy.Given that maternal pre-pregnancy body mass index plays a more important role in pregnancy outcomes than gestational weight gain,preconception care is critical for improving long-term health outcomes in their children.Therefore,future prevention strategies should focus on interventions for excess weight and obesity before pregnancy.

关 键 词：超重 肥胖症 孕期增重 妊娠结局 健康状况 

分 类 号：R714.2[医药卫生—妇产科学]