Please wait a minute...
文章检索
预防医学  2021, Vol. 33 Issue (3): 264-267    DOI: 10.19485/j.cnki.issn2096-5087.2021.03.011
  综述 本期目录 | 过刊浏览 | 高级检索 |
孕期体重增加的影响因素研究进展
曹文琪 综述, 杨新军 审校
温州医科大学公共卫生与管理学院预防医学系,浙江 温州 325035
Research progress on influencing factors for gestational weight gain
CAO Wenqi, YANG Xinjun
Department of Preventive Medicine, School of Public Health and Management, Wenzhou Medical University, Wenzhou, Zhejiang 325035, China
全文: PDF(872 KB)  
输出: BibTeX | EndNote (RIS)      
摘要 孕期体重增加(GWG)是评估孕妇及胎儿健康和营养状况的重要指标。孕前BMI值过高、不合理饮食、缺乏运动、社会心理及行为、环境污染物暴露、炎症因子和遗传因素等均可能导致孕妇GWG异常,影响妊娠结局及母婴健康。本文对近年来国内外有关GWG影响因素研究文献进行综述,为制定合理的孕期体重管理办法,有效开展健康干预提供依据。
服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章
曹文琪
杨新军
关键词 孕期体重增加影响因素母婴健康    
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 wordsgestational weight gain    influencing factors    maternal and infant health
收稿日期: 2020-07-06      出版日期: 2021-03-16
ZTFLH:  R714.14  
基金资助:浙江省公益技术研究计划/社会发展项目(LGF20H260012)
通信作者: 杨新军,E-mail:xjyang@wmu.edu.cn   
作者简介: 曹文琪,硕士在读
引用本文:   
曹文琪, 杨新军. 孕期体重增加的影响因素研究进展[J]. 预防医学, 2021, 33(3): 264-267.
CAO Wenqi, YANG Xinjun. Research progress on influencing factors for gestational weight gain. Preventive Medicine, 2021, 33(3): 264-267.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2021.03.011      或      http://www.zjyfyxzz.com/CN/Y2021/V33/I3/264
[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,金楚瑶,等.2013—2017年北京市通州区孕妇孕期增重状况及其影响因素[J] .中国生育健康杂志,2019,30(2):106-110.
[4] 陈晓雯,胡文胜,朱旭红,等.孕前体质指数、孕期增重对巨大儿发生的影响[J] .预防医学,2020,32(4):414-417.
[5] 王丽丽,田颖,鲁莉萍.孕前体重指数与孕期体重增长对孕妇妊娠期糖尿病发病及妊娠结局的影响[J] .中国妇幼保健,2019,34(1):62-64.
[6] 胥芹,杨英,蔺莉,等.孕前BMI和孕期增重与孕期血压水平的相关性研究[J] .中国计划生育学杂志,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] 胡嘉晋. 妊娠期体重增长对母婴健康结局的影响及妊娠期体重管理方法的研究[D] .沈阳:中国医科大学,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] 张勍烨,周新,林彤,等.城市女性孕期体重增重的影响因素分析[J] .实用预防医学,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] 杨柳青,吴成,曾果,等.成都市孕妇膳食能量摄入与孕期增重的关系[J] .卫生研究,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] 毕烨,段一凡,王杰,等.2010—2012年中国孕妇孕期增重状况及其相关因素[J] .中华预防医学杂志,2018,52(1):26-30.
[22] 王培成,刘秀英,杨生秀,等.孕中、晚期妇女体重增长评价及影响因素分析[J] .中国妇幼保健,2016,31(5):923-926.
[23] 李宜静,罗惠萍,唐莺,等.孕妇不同孕期膳食营养状况及其与孕期增重的关系研究[J] .营养学报,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.低血糖负荷膳食干预对孕妇孕期增重及新生儿出生体质量和身长的影响[J] .中国全科医学,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] 刘稚琴,姚峻.孕妇孕期规律运动的知信行调查[J] .浙江预防医学,2014,26(10):1057-1058.
[28] 鲍妍宏,吴成,赵蓉萍,等.孕中、晚期中度及以上体力活动水平与孕期增重的关系研究[J] .四川大学学报(医学版),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] 杨群,郝加虎,连俊红,等.个体化运动方案对孕期增重及妊娠结局的影响[J] .华南国防医学杂志,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] MØRKVED S,SALVESEN Ø,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,关瑜,等.2000—2014年浙江省舟山市孕妇孕期增重变化趋势及其影响因素[J] .疾病监测,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] 马良坤,薛勇,何婷超,等.孕晚期妇女的社会经济学因素、营养素摄入、肠道菌群和孕期增重的关系[J] .中国医学科学院学报,2018,40(5):630-636.
[1] 张海云, 张润松, 肖招英, 应锡钧, 施治文. 嵊州市HIV/AIDS病例HAART治疗依从性的影响因素研究[J]. 预防医学, 2021, 33(3): 277-279.
[2] 张英, 罗美玲. 长沙市儿童免疫规划疫苗延迟接种现状及影响因素分析[J]. 预防医学, 2021, 33(3): 280-283.
[3] 彭枭然, 王凤双, 肖雷, 黄蓉. 顺义区外来务工人员麻疹疫苗接种的影响因素分析[J]. 预防医学, 2021, 33(3): 286-288.
[4] 孙群露, 周宗磊, 詹志强, 涂玉山, 陈晓燕, 李咸志, 栾荣生. 宝安区50岁及以上HIV/AIDS病例生存状况分析[J]. 预防医学, 2021, 33(2): 170-173.
[5] 陈红丹, 陈镭, 陈贤, 夏微, 李万仓, 高洁. 瓯海区中学生突发自然灾害防灾素养调查[J]. 预防医学, 2021, 33(2): 207-211.
[6] 徐倩倩, 梅秋红, 冯宏伟, 朱莹莹, 贺天锋. 2015—2019年宁波市居民健康素养变化及影响因素分析[J]. 预防医学, 2021, 33(1): 35-40.
[7] 贾庆军, 王乐, 程庆林, 李清春, 陆敏, 谢立. 杭州市肺结核患者就诊延误的影响因素分析[J]. 预防医学, 2021, 33(1): 52-54.
[8] 孔浩南, 张肖卓, 肖琴, 杨茗, 祖伟, 杨秋. 朝阳区15岁及以上居民吸烟情况及影响因素分析[J]. 预防医学, 2021, 33(1): 94-96.
[9] 袁蕊蕊, 王韵华, 喻娅妮, 陈永聪. 兰州市基层医务人员健康素养调查[J]. 预防医学, 2020, 32(9): 959-961.
[10] 梅秋红, 高鑫阳, 冯宏伟, 贺天锋, 张涛. 宁波市60~69岁人群健康素养调查[J]. 预防医学, 2020, 32(8): 851-853.
[11] 胡如英, 王勇, 何青芳, 潘劲, 陆风, 王蒙, 周晓燕. 浙江省农村2型糖尿病患者血脂异常及影响因素分析[J]. 预防医学, 2020, 32(7): 649-654.
[12] 刘小燕, 卢德梅, 刘惠桃. 佛山市流动人口产妇母婴健康素养及影响因素分析[J]. 预防医学, 2020, 32(7): 736-739.
[13] 邱玉冰, 许琳, 杨蕊, 陈金瓯. 云南省成功治疗肺结核患者5年复发情况及影响因素分析[J]. 预防医学, 2020, 32(6): 559-562.
[14] 黄坤, 综述, 李秀红, 审校. 青少年近视影响因素及机制研究进展[J]. 预防医学, 2020, 32(6): 578-582.
[15] 蒋骏, 张晓龙, 王斐娴, 傅颖, 陈水平, 彭浩. 老年初治肺结核患者就诊延迟的影响因素分析[J]. 预防医学, 2020, 32(6): 612-614.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed