[1]王 娜 莫林烽 刘 晗 汤珺壹 何永华.孕早期体质指数与母婴健康结局关系的研究进展[J].大众科技,2022,24(01):77-81.
 Research Progress on the Relationship between Body Mass Index in Early Pregnancy and Maternal and Infant Health Outcomes[J].Popular Science & Technology,2022,24(01):77-81.
点击复制

孕早期体质指数与母婴健康结局关系的 研究进展()
分享到:

《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
24
期数:
2022年01
页码:
77-81
栏目:
医药与卫生
出版日期:
2022-01-20

文章信息/Info

Title:
Research Progress on the Relationship between Body Mass Index in Early Pregnancy and Maternal and Infant Health Outcomes
作者:
王 娜12 莫林烽12 刘 晗12 汤珺壹12 何永华12 
(1.桂林医学院公共卫生学院,广西 桂林 541199; 2.广西环境暴露组学与全生命周期健康重点实验室,广西 桂林 541199)
关键词:
孕早期体质指数母婴结局影响
Keywords:
early pregnancy body mass index maternal and infant outcomes influence
文献标志码:
A
摘要:
孕早期体质指数(BMI)异常会造成孕期、产后并发症及子代健康问题增多。孕早期体质指数的增加,不仅对妊娠结局有严重的影响(如妊娠并发症、抑郁症、贫血和剖宫产率随之增加,严重者甚至造成死产、死胎),而且对子代的生理、心理健康也会产生不可逆的影响,故研究孕早期体质指数与母婴健康结局的关系意义重大。文章对孕早期BMI异常的孕产妇及其子代的健康结局进行综述,为促进母婴健康、制定科学合理的干预措施提供理论依据。
Abstract:
Abnormal body mass index(BMI) in early pregnancy will lead to more complications during pregnancy and postpartum and health problems of offspring. The increase of BMI in early pregnancy not only has a serious impact on pregnancy outcome (such as pregnancy complications, depression, anemia and cesarean section rate increase, and even cause stillbirth and stillbirth in severe cases), and it will also have an irreversible impact on the physical and mental health of offspring. Therefore, it is of great significance to study the relationship between body mass index in early pregnancy and maternal and infant health outcomes. This paper reviews the health outcomes of pregnant women with abnormal body mass index in early pregnancy and their offspring, so as to provide theoretical basis for promoting maternal and infant health and formulating scientific and reasonable intervention measures.

参考文献/References:

[1] Reece E A. Perspectives on obesity, pregnancy and birth outcomes in the United States: the scope of the problem[J]. American Journal of Obstetrics and Gynecology, 2008, 198(1): 23-27. [2] Zhou Y, Li H, Zhang Y, et al. Association of maternal obesity in early pregnancy with adverse pregnancy outcomes: a Chinese prospective cohort analysis[J]. Obesity, 2019, 27(6): 1030-1036. [3] Caradeux J, Serra R, Palmeiro Y, et al. Correlation between maternal characteristics during early pregnancy, fetal growth rate and newborn weight in healthy pregnancies[J]. Gynecologic and Obstetric Investigation, 2016, 81(3): 202-206. [4] Bhattacharya S, Campbell D M, Liston W A, et al. Effect of body mass index on pregnancy outcomes in nulliparous women delivering singleton babies[J]. BMC Public Health, 2007, 7: 168. [5] United Nations System Standing Committee on Nutrition. 2018 Global nutrition report: shining a light to spur action on nutrition[EB/OL]. http://www.unscn.org/www. unscn.org/en/ news-events/recent-news?idnews=1876, 2019-02-20. [6] Knoema. WHO global database on body mass index (BMI)[EB/OL]. https://knoema.com/WHOGDOBMIMay/who-global-database-on-body-mass-index-bmi , 2012-05-21. [7] Kim S Y, Dietz P M, England L, et al. Trends in pre-pregnancy obesity in nine states, 1993-2003[J]. Obesity, 2007, 15(4): 986-993. [8] Dalenius K, Brindley P, Smith B, et al. Pregnancy nutrition surveillance 2010 report[R]. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2012. [9] Devlieger R, Benhalima K, Damm P, et al. Maternal obesity in Europe: where do we stand and how to move forward: a scientific paper commissioned by the European Board and College of Obstetrics and Gynaecology (EBCOG)[J]. European Journal of Obstetrics and Gynecology and Reproductive Biology, 2016, 201: 203-208. [10] N.C.D Risk Factor Collaboration. Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19.2 million participants[J]. Lancet, 2016, 387(10026): 1377-1396. [11] V?kommen till Neonatalregistret. Clinician development platform[EB/OL]. https://www.medscinet.com/PNQ/, 2021-09-01. [12] Zhang C H, Liu X Y, Zhan Y W, et al. Effects of prepregnancy body mass index and gestational weight gain on pregnancy outcomes[J]. Asia-Pacific Journal of Public Health, 2015, 27(6): 620-630. [13] Wang X, Zhang X, Zhou M, et al. Association of prepregnancy body mass index, rate of gestational weight gain with pregnancy outcomes in Chinese urban women[J]. Nutrition and Metabolism, 2019, 16: 54. [14] Stevens G A, Finucane M M, De-Regil L M, et al. Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and pregnant and non-pregnant women for 1995-2011: a systematic analysis of population-representative data[J]. Lancet Global Health, 2013, 1(1): e16-e25. [15] Rahman M M, Abe S K, Rahman M S, et al. Maternal anemia and risk of adverse birth and health outcomes in low- and middle-income countries: systematic review and meta-analysis[J]. American Journal of Clinical Nutrition, 2016, 103(2): 495-504. [16] Mocking M, Savitri A I, Uiterwaal C, et al. Does body mass index early in pregnancy influence the risk of maternal anaemia? An observational study in Indonesian and Ghanaian women[J]. BMC Public Health, 2018, 18(1): 873. [17] 邹同安,钱碧霞,陈莉莉,等. 1016例超重肥胖孕妇孕期体质量增长情况和妊娠结局分析[J]. 中国妇幼保健,2019,34(20): 4635-4639. [18] Iyoke C A, Ugwu G O, Ezugwu F O, et al. Retrospective cohort study of the effects of obesity in early pregnancy on maternal weight gain and obstetric outcomes in an obstetric population in Africa[J]. International Journal of Womens Health, 2013, 5: 501-507. [19] Chen Y T, Zhang T, Chen C, et al. Associations of early pregnancy BMI with adverse pregnancy outcomes and infant neurocognitive development[J]. Scientific Reports, 2021, 11(1): 3793. [20] Basraon S K, Mele L, Myatt L, et al. Relationship of early pregnancy waist-to-hip ratio versus body mass index with gestational diabetes mellitus and insulin resistance[J]. American Journal of Perinatology, 2016, 33(1): 114-121. [21] Rebelo F, Farias D R, Mendes R H, et al. Blood pressure variation throughout pregnancy according to early gestational BMI: a brazilian cohort[J]. Arquivos Brasileiros de Cardiologia, 2015, 104(4): 284-291. [22] Dude A M, Shahawy S, Grobman W A. Delivery-to-delivery weight gain and risk of hypertensive disorders in a subsequent pregnancy[J]. Obstetrics and Gynecology, 2018, 132(4): 868-874. [23] Holton S, Fisher J, Nguyen H, et al. Pre-pregnancy body mass index and the risk of antenatal depression and anxiety[J]. Women and Birth, 2019, 32(6): e508-e514. [24] Jani R, Knight-Agarwal C R, Bloom M, et al. The association between pre-pregnancy body mass index, perinatal depression and maternal vitamin D status: findings from an Australian cohort study[J]. International Journal of Womens Health, 2020, 12: 213-219. [25] Molyneaux E, Poston L, Ashurst-Williams S, et al. Obesity and mental disorders during pregnancy and postpartum: a systematic review and Meta-analysis[J]. Obstetrics and Gynecology, 2014, 123(4): 857-867. [26] 黄醒华. 对剖宫产术的思考[J]. 中国实用妇科与产科杂志,2003(7): 3-6. [27] 包芳芳,黄小红. 新式剖宫产术中胎头娩出困难116例原因分析及处理[J]. 吉林医学,2011,32(14): 2803-2804. [28] 杨慧. 孕前BMI及孕期体重增加对新生儿出生体重及妊娠结局的影响[D]. 石家庄: 河北医科大学,2015. [29] Verma A, Shrimali L. Maternal body mass index and pregnancy outcome[J]. Journal of Clinical and Diagnostic Research, 2012, 6(9): 1531-1533. [30] Lynch C M, Sexton D J, Hession M, et al. Obesity and mode of delivery in primigravid and multigravid women [J]. American Journal of Perinatology, 2008, 25(3): 163-167. [31] 马翔,刘嘉茵. 肥胖对妊娠的影响[J]. 实用妇产科杂志,2011,27(5): 330-332. [32] Conner S N, Tuuli M G, Longman R E, et al. Impact of obesity on incision-to-delivery interval and neonatal outcomes at cesarean delivery[J]. American Journal of Obstetrics and Gynecology, 2013, 209(4): 386 e381-e386. [33] Mochhoury L, Razine R, Kasouati J, et al. Body mass index, gestational weight gain, and obstetric complications in Moroccan population[J]. Journal of Pregnancy, 2013, 2013: 379461. [34] Lawn J E, Blencowe H, Waiswa P, et al. Stillbirths: rates, risk factors, and acceleration towards 2030[J]. The Lancet, 2016, 387(10018): 587-603. [35] Meehan S, Beck C R, Mair-Jenkins J, et al. Maternal obesity and infant mortality: a Meta-analysis[J]. Pediatrics, 2014, 133(5): 863-871. [36] Blackwell C. The Role of infection and inflammation in stillbirths: parallels with SIDS?[J]. Frontiers in Immunology, 2015, 6: 248. [37] Barton J R, Sibai B M. Prediction and prevention of recurrent preeclampsia[J]. Obstetrics and Gynecology, 2008, 112(2Pt1): 359-372. [38] Sharashova E E, Anda E E, Grjibovski A M. Early pregnancy body mass index and spontaneous preterm birth in northwest Russia: a registry-based study[J]. BMC Pregnancy and Childbirth, 2014, 14: 303. [39] Dumas O, Varraso R, Gillman M W, et al. Longitudinal study of maternal body mass index, gestational weight gain, and offspring asthma[J]. Allergy, 2016, 71(9): 1295-1304. [40] Ekstrom S, Magnusson J, Kull I, et al. Maternal body mass index in early pregnancy and offspring asthma, rhinitis and eczema up to 16 years of age[J]. Clinical and Experimental Allergy, 2015, 45(1): 283-291. [41] Malli F, Papaioannou A I, Gourgoulianis K I, et al. The role of leptin in the respiratory system: an overview[J]. Respiratoly Research, 2010, 11: 152. [42] Wright R J, Fisher K, Chiu Y H, et al. Disrupted prenatal maternal cortisol, maternal obesity, and childhood wheeze. Insights into prenatal programming[J]. Americal Journal of Respiratory and Critical Care Medicine, 2013, 187(11): 1186-1193. [43] Girchenko P, Tuovinen S, Lahti-Pulkkinen M, et al. Maternal early pregnancy obesity and related pregnancy and pre-pregnancy disorders: associations with child developmental milestones in the prospective PREDO Study[J]. International Journal of Obesity, 2018, 42(5): 995-1007. [44] Kong L, Norstedt G, Schalling M, et al. The risk of offspring psychiatric disorders in the setting of maternal obesity and diabetes[J]. Pediatrics, 2018, 142(3): e20180776.

备注/Memo

备注/Memo:
【收稿日期】2021-11-19 【作者简介】王娜(1997-),女,桂林医学院公共卫生学院在读硕士研究生,研究方向为围产医学。 【通信作者】何永华(1969-),男,桂林医学院公共卫生学院教授,博士,研究方向为生殖流行病学。
更新日期/Last Update: 2022-04-19