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首页> 外文期刊>Acta Obstetricia et Gynecologica Scandinavica: Official Publication of the Nordisk Forening for Obstetrik och Gynekologi >Dietary recommendations for obese pregnant women: current questions and controversies.
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Dietary recommendations for obese pregnant women: current questions and controversies.

机译：肥胖孕妇的饮食建议：当前的问题和争议。

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摘要

With the increasing prevalence of obesity, maternal obesity is now one of the most common high-risk obstetric conditions. Obesity and excessive gestational weight gain are important modifiable risk factors for maternal and neonatal morbidity and mortality. Maternal obesity, associated with neonatal adiposity and high birthweight, has been implicated in increased risk of childhood obesity. Considerable effort has been directed towards improving clinical outcomes by lifestyle change in pregnant obese women, but there is at present no evidence-based intervention of adequate efficacy which can be recommended. The focus has been on preventing excessive weight gain, but studies have lacked the power to address effects on clinical outcomes; therefore preventing clinical practice translation. Adequately powered intervention studies devised to reduce neonatal adiposity by improvement of maternal glucose homeostasis, are needed to inform the optimal dietary and/or physical activity regimen.
机译：随着肥胖症的流行，母亲肥胖症现在已成为最常见的高危产科疾病之一。肥胖和过多的妊娠体重增加是孕产妇和新生儿发病率和死亡率的重要可修正危险因素。与新生儿肥胖和高出生体重相关的孕产妇肥胖与儿童肥胖的风险增加有关。通过改变肥胖孕妇的生活方式，已经做出了相当大的努力来改善临床结果，但是目前尚无推荐的基于证据的足够疗效干预措施。重点一直放在防止体重过度增加，但研究缺乏解决对临床结果影响的能力。因此阻止了临床实践翻译。需要设计足够的动力干预研究来通过改善母体葡萄糖稳态来减少新生儿肥胖，以告知最佳的饮食和/或身体活动方案。

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