首頁資訊孕期體重增加的影響因素研究進展

孕期體重增加的影響因素研究進展

來源：泰然健康網(wǎng) 時間：2024年12月01日 00:35

孕期體重增加的影響因素研究進展溫州醫(yī)科大學公共衛(wèi)生與管理學院預防醫(yī)學系,浙江溫州 325035Research progress on influencing factors for gestational weight gainCAO Wenqi, YANG XinjunDepartment of Preventive Medicine, School of Public Health and Management, Wenzhou Medical University, Wenzhou, Zhejiang 325035, China 摘要參考文獻相關文章Metrics 摘要孕期體重增加（GWG）是評估孕婦及胎兒健康和營養(yǎng)狀況的重要指標。孕前BMI值過高、不合理飲食、缺乏運動、社會心理及行為、環(huán)境污染物暴露、炎癥因子和遺傳因素等均可能導致孕婦GWG異常,影響妊娠結局及母嬰健康。本文對近年來國內外有關GWG影響因素研究文獻進行綜述,為制定合理的孕期體重管理辦法,有效開展健康干預提供依據(jù)。服務把本文推薦給朋友加入引用管理器 E-mail AlertRSS作者相關文章曹文琪楊新軍關鍵詞：孕期體重增加, 影響因素, 母嬰健康 Abstract：Gestational weight gain ( GWG ) is an important indicator to assess the health and nutritional status of pregnant women and their fetuses. High body mass index before pregnancy, unhealthy diet, lack of exercise, social psychology and behaviors, exposure to environmental pollutants, inflammatory factors as well as genetic factors can lead to unreasonable GWG, which will further affect the pregnancy outcomes and maternal and child health. This paper reviews the influencing factors for GWG in recent years, so as to provide reference for the development of reasonable weight management measures and effective intervention for pregnant women.Key words：gestational weight gain influencing factors maternal and infant health收稿日期: 2020-07-06 修回日期: 2020-10-28 出版日期: 2021-03-10基金資助:浙江省公益技術研究計劃/社會發(fā)展項目（LGF20H260012）通信作者:楊新軍,E-mail：xjyang@wmu.edu.cn 作者簡介: 曹文琪,碩士在讀

[1] GOLDSTEIN R F,ABELLl S K,RANASINHA S,et al.Association of gestational weight gain with maternal and infant outcomes: a systematic review and meta-analysis[J] .JAMA,2017,317(21):2207-2225.
[2] HUANG A,JI Z,ZHAO W,et al.Rate of gestational weight gain and preterm birth in relation to prepregnancy body mass indices and trimester: a follow-up study in China[J] .Reprod Health,2016,13(1):93.
[3] 孟彤,林力孜,金楚瑤,等.2013—2017年北京市通州區(qū)孕婦孕期增重狀況及其影響因素[J] .中國生育健康雜志,2019,30(2):106-110.
[4] 陳曉雯,胡文勝,朱旭紅,等.孕前體質指數(shù)、孕期增重對巨大兒發(fā)生的影響[J] .預防醫(yī)學,2020,32(4):414-417.
[5] 王麗麗,田穎,魯莉萍.孕前體重指數(shù)與孕期體重增長對孕婦妊娠期糖尿病發(fā)病及妊娠結局的影響[J] .中國婦幼保健,2019,34(1):62-64.
[6] 胥芹,楊英,藺莉,等.孕前BMI和孕期增重與孕期血壓水平的相關性研究[J] .中國計劃生育學雜志,2018,26(10):941-946.
[7] YANG S,PENG A,WEI S,et al.Pre-pregnancy body mass index, gestational weight gain, and birth weight: a cohort study in China[J] .PLoS One,2015,10(6):e0130101.
[8] 胡嘉晉. 妊娠期體重增長對母嬰健康結局的影響及妊娠期體重管理方法的研究[D] .沈陽:中國醫(yī)科大學,2019.
[9] KATHLEEN M R,ANN L Y.Weight gain during pregnancy: reexamining the guidelines[M] . Washington D.C.:National Academies Press,2009.
[10] SANTOS S,EEKHOUT I,VOERMAN E,et al.Gestational weight gain charts for different body mass index groups for women in Europe, North America, and Oceania[J] .BMC Med,2018,16(1):201.
[11] ZHOU B F,Cooperative Meta-Analysis Group of the Working Group on Obesity in China.Predictive values of body mass index and waist circumference for risk factors of certain related diseases in Chinese adults--study on optimal cut-off points of body mass index and waist circumference in Chinese adults[J] .Biomed Environ Sci,2002,15(1):83-96.
[12] POWER M L,LOTT M L,MACKEEN A D,et al.A retrospective study of gestational weight gain in relation to the Institute of Medicine＇s recommendations by maternal body mass index in rural Pennsylvania from2006 to 2015[J/OL] .BMC Pregnancy Childbirth,2018[2020-10-28] .https://doi.org/10.1186/s12884-018-1883-1.
[13] HEERY E,KELLEHER C C,WALL P G,et al.Prediction of gestational weight gain - a biopsychosocial model[J] .Public Health Nutr,2015,18(8):1488-1498.
[14] CHENEY K,BERKEMEIER S,SIM K A,et al.Prevalence and predictors of early gestational weight gain associated with obesity risk in a diverse Australian antenatal population: a cross-sectional study[J/OL] .BMC Pregnancy Childbirth,2017[2020-10-28] .https://doi.org/10.1186/s12884-017-1482-6.
[15] MORISAKI N,NAGATA C,JWA S C,et al.Pre-pregnancy BMI-specific optimal gestational weight gain for women in Japan[J] .J Epidemiol,2017,27(10):492-498.
[16] 張勍燁,周新,林彤,等.城市女性孕期體重增重的影響因素分析[J] .實用預防醫(yī)學,2019,26(3):303-308.
[17] MAUGERI A,BARCHITTA M,FAVARA G,et al.Maternal dietary patterns are associated with pre-pregnancy body mass index and gestational weight gain: results from the“Mamma & Bambino”cohort[J/OL] .Nutrients,2019,11(6)[2020-10-28] .https://doi.org/10.3390/nu11061308.
[18] LAI J S,SOH S E,LOY S L,et al.Macronutrient composition and food groups associated with gestational weight gain: the GUSTO study[J] .Eur J Nutr,2019,58(3):1081-1094.
[19] 楊柳青,吳成,曾果,等.成都市孕婦膳食能量攝入與孕期增重的關系[J] .衛(wèi)生研究,2018,47(6):895-899,905.
[20] ANCIRA-MORENO M,VADILLO-ORTEGA F,RIVERA-DOMMARCO J á,et al.Gestational weight gain trajectories over pregnancy and their association with maternal diet quality: results from the PRINCESA cohort[J] .Nutrition,2019,65:158-166.
[21] 畢燁,段一凡,王杰,等.2010—2012年中國孕婦孕期增重狀況及其相關因素[J] .中華預防醫(yī)學雜志,2018,52(1):26-30.
[22] 王培成,劉秀英,楊生秀,等.孕中、晚期婦女體重增長評價及影響因素分析[J] .中國婦幼保健,2016,31(5):923-926.
[23] 李宜靜,羅惠萍,唐鶯,等.孕婦不同孕期膳食營養(yǎng)狀況及其與孕期增重的關系研究[J] .營養(yǎng)學報,2018,40(6):45-49.
[24] CHAN R S,TAM W H,HO I C,et al.Randomized trial examining effectiveness of lifestyle intervention in reducing gestational diabetes in high risk Chinese pregnant women in Hong Kong[J] .Sci Rep,2018,8(1):13849.
[25] 凌亦可,李李,汪海晴,等.低血糖負荷膳食干預對孕婦孕期增重及新生兒出生體質量和身長的影響[J] .中國全科醫(yī)學,2019,22(19):2361-2364.
[26] SHIEH C,CULLEN D L,PIKE C,et al.Intervention strategies for preventing excessive gestational weight gain: systematic review and meta-analysis[J] .Obes Rev,2018,19(8):1093-1109.
[27] 劉稚琴,姚峻.孕婦孕期規(guī)律運動的知信行調查[J] .浙江預防醫(yī)學,2014,26(10):1057-1058.
[28] 鮑妍宏,吳成,趙蓉萍,等.孕中、晚期中度及以上體力活動水平與孕期增重的關系研究[J] .四川大學學報(醫(yī)學版),2018,49(6):938-943.
[29] WANG C,WEI Y,ZHANG X,et al.A randomized clinical trial of exercise during pregnancy to prevent gestational diabetes mellitus and improve pregnancy outcome in overweight and obese pregnant women[J] .Am J Obstet Gynecol,2017,216(4):340-351.
[30] 楊群,郝加虎,連俊紅,等.個體化運動方案對孕期增重及妊娠結局的影響[J] .華南國防醫(yī)學雜志,2020,34(1):64-66,73.
[31] MUKTABHANT B,LAWRIE T A,LUMBIGANNON P,et al. Diet or exercise, or both, for preventing excessive weight gain in pregnancy[J] .Cochrane Database Syst Rev,2015,15(6):CD007145.
[32] International Weight Management In Pregnancy (I-WIP) Collaborative Group.Effect of diet and physical activity based interventions in pregnancy on gestational weight gain and pregnancy outcomes: meta-analysis of individual participant data from randomised trials[J/OL] .BMJ,2017,358[2020-10-28] .https://www.bmj.com/sites/default/files/attachments/bmj-article/pre-pub-history/First%20revised%20article%203.5.17.pdf.DOI:10.1136/bmj.j3119.
[33] M?RKVED S,SALVESEN ?,MOHOLDT T,et al.Exercise training and weight gain in obese pregnant women: a randomized controlled trial (ETIP Trial)[J] .PLoS Med,2016,13(7):e1002079.
[34] KUNATH J,GUNTHER J,RAUH K,et al.Effects of a lifestyle intervention during pregnancy to prevent excessive gestational weight gain in routine care-the cluster-randomised GeliS trial[J/OL] .BMC Med,2019,17[2020-10-28] .https://doi.org/10.1186/s12916-018-1235-z.
[35] KRUKOWSKI R A,BURSAC Z,MCGEHEE M A,et al.Exploring potential health disparities in excessive gestational weight gain[J] .J Womens Health (Larchmt),2013,22(6):494-500.
[36] GAILLARD R,DURMUS B,HOFMAN A,et al.Risk factors and outcomes of maternal obesity and excessive weight gain during pregnancy[J] .Obesity (Silver Spring),2013,21(5):1046-1055.
[37] 邵盈盈,莫敏佳,關瑜,等.2000—2014年浙江省舟山市孕婦孕期增重變化趨勢及其影響因素[J] .疾病監(jiān)測,2017,32(12):976-981.
[38] O＇BRIEN E C,SEGURADO R,GERAGHTY A A,et al.Impact of maternal education on response to lifestyle interventions to reduce gestational weight gain: individual participant data meta-analysis[J] .BMJ Open,2019,9(8):e025620.
[39] WEBB J B,SIEGA-RIZ A M,DOLE N.Psychosocial determinants of adequacy of gestational weight gain[J] .Obesity (Silver Spring),2009,17(2):300-309.
[40] BRAIG S,LOGAN C A,REISTER F,et al.Psychosocial stress and longitudinally measured gestational weight gain throughout pregnancy: the Ulm SPATZ health study [J/OL] .Sci Rep,2020,10(1)[2020-10-28] .https://www.researchgate.net/publication/339075967_Psychosocial_stress_and_longitudinally_measured_gestational_weight_gain_throughout_pregnancy_The_Ulm_SPATZ_Health_Study?origin=publication_list.DOI: 10.1038/s41598-020-58808-8.
[41] TORRES S J,NOWSON C A.Relationship between stress, eating behavior, and obesity[J] .Nutrition,2007,23(11/12):887-894.
[42] KOMINIAREK M A,GROBAMN W,ADAM E,et al.Stress during pregnancy and gestational weight gain[J] .J Perinatol,2018,38(5):462-467.
[43] DEPUTY N P,SHARMA A J,KIM S Y,et al.Prevalence and characteristics associated with gestational weight gain adequacy[J] .Obstet Gynecol,2015,125(4):773-781.
[44] MARKS K J,JEDDY Z,FLANDERS W D,et al.Maternal serum concentrations of perfluoroalkyl substances during pregnancy and gestational weight gain: the avon longitudinal study of parents and children[J] .Reprod Toxicol,2019,90:8-14.
[45] BELLAVIA A,HAUSER R,SEELY E W,et al.Urinary phthalate metabolite concentrations and maternal weight during early pregnancy[J] .Int J Hyg Environ Health,2017,220(8):1347-1355.
[46] WARRINGTON N M,RICHMOND R,FENSTRA B,et al.Maternal and fetal genetic contribution to gestational weight gain[J] .Int J Obes (Lond),2018,42(4):775-784.
[47] MENG Y,GROTH S W,STEWART P,et al.An exploration of the determinants of gestational weight gain in African American women:genetic factors and energy expenditure[J] .Biol Res Nurs,2018,20(2):118-125.
[48] WHITAKER K M,MARINO R C,HAAPALA J L,et al.Associations of maternal weight status before, during, and after pregnancy with inflammatory markers in breast milk[J] .Obesity (Silver Spring),2018,26(10):1659-1660.
[49] 馬良坤,薛勇,何婷超,等.孕晚期婦女的社會經濟學因素、營養(yǎng)素攝入、腸道菌群和孕期增重的關系[J] .中國醫(yī)學科學院學報,2018,40(5):630-636.