产后体重滞留影响因素Meta分析

Meta-analysis of Factors Influencing Postpartum Weight Retention

目的:采用Meta分析产妇产后体重滞留的影响因素。方法:计算机检索中国知网、万方、维普、中国生物医学文献数据库(CBM)、PubMed、Embase、Cochrane Library、Web of Science,检索自建库至2021年8月12日关于产妇产后体重滞留危险因素的文献。采用不同文献质量评价工具,对文献进行评价,由2名研究者进行文献筛选和资料提取,采用RevMan 5.3软件进行Meta分析。结果:共纳入19篇文献,累计产妇145976例。Meta分析结果显示,年龄(OR=1.04,95%CI:1.01~1.08)、文化程度(OR=2.07,95%CI:1.46~2.92)、孕前BMI(OR=4.84,95%CI:1.06~1.12)、孕期增重(OR=1.73,95%CI:1.44~2.07)、饮食(OR=1.76,95%CI:0.67~0.94)是产后体重滞留的危险因素,而喂养方式(OR=0.50,95%CI:0.39~0.65)、产后体力活动(OR=0.59,95%CI:0.46~0.75)、收入(OR=0.79,95%CI:0.67~0.94)是产后体重滞留的保护因素。结论:产后体重滞留的发生与年龄、文化程度、孕前BMI、孕期增重、饮食有关。

Objective:Meta-analysis was used to analyze the factors influencing maternal postpartum weight retention.Methods:The literature on risk factors for maternal weight retention in the postpartum period from the beginning of the database to August 12,2021 was searched using computers from China Knowledge Network,Wanfang,Vipshop,the Chinese Biomedical Literature Database(CBM),PubMed,Embase,Cochrane Library,and Web of Science.Different literature quality evaluation tools were used to evaluate the literature.Literature screening and data extraction was performed by 2 researchers and Meta-analysis was performed using RevMan 5.3 software.Results:A total of 19 papers with a cumulative total of 145976 maternal cases were included.Meta-analysis showed that age(OR=1.04,95%CI:1.01-1.08),literacy(OR=2.07,95%CI:1.46-2.92),pre-pregnancy BMI(OR=4.84,95%CI:1.06-1.12),pregnancy weight gain(OR=1.73,95%CI:1.44-2.07),and diet(OR=1.76,95%CI:0.67-0.94)were risk factors for postpartum weight retention.Feeding practices(OR=0.50,95%CI:0.39-0.65),postpartum physical activity(OR=0.59,95%CI:0.46-0.75),and income(OR=0.79,95%CI:0.67-0.94)were protective factors for postpartum weight retention.Conclusion:The occurrence of postpartum weight retention is associated with age,literacy,pre-pregnancy BMI,weight gain during pregnancy,and diet.