孕期体重增长和母儿远期健康的研究进展

Gestational weight gain and maternal and offspring's long-term health

孕期体重增长过多或不足不仅对近期妊娠结局产生不良影响,而且对母儿的远期健康也起着不可忽视的作用。孕期体重增长过多可能引起母亲远期肥胖、糖尿病及高血压等,对子代则会造成其儿童期及成年期超重、肥胖及高血压。孕期体重增长过少亦可能引起子代远期肥胖,且可导致成年期糖代谢紊乱,以至发展为糖尿病。运动及饮食调节可以控制孕期增重,孕期体重合理增长对减少不良妊娠预后有重要意义。现将近年来孕期体重增长和母儿远期健康的研究进展作一综述。

Excessive or inadequate weight gain during pregnancy do not only have a negative impact on the recent pregnancy outcome,but also play a significant role on maternal and offspring’s long-term health.Excessive weight gain during pregnancy may cause maternal obesity,diabetes or hypertension in the future,and lead to childhood and adult overweight,obesity or hypertension in the offspring.Too little gestational weight gain may lead to offspring long-term obese or disorder of glucose metabolism in their adulthood,as well as the development of diabetes.Exercise and dietary modification can control weight gain during pregnancy.Reasonable gesta-tional weight gain is important in the reduction of adverse pregnancy outcome.This is a review in the paper of recent years about the rela-tionship between gestational weight gain and maternal and offspring’s long-term health.