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目的 对国内外有关孕期体重管理干预内容的研究现状、热点及趋势进行可视化分析,为国内开展相关研究和临床实践提供参考。方法 通过计算机检索2018年1月1日至2022年12月31日发表于万方数据知识服务平台、中国知网、Web of Science及PubMed数据库中与孕期体重管理有关的文献,通过文献计量分析软件CiteSpace 5.0对文献关键词进行可视化分析。结果 共检索到中文文献815篇,英文文献554篇。关键词分析结果显示,国内外孕期体重管理研究对象重点聚焦于肥胖及妊娠期糖尿病孕妇人群,干预内容以孕期饮食营养和体力活动为核心,以线下专科门诊或移动医疗技术为平台,结合体重、孕前体质指数、血糖、血脂、运动量等指标进行评估监测,开展妊娠妇女孕期体重管理的相关研究。结论 孕期体重管理已成为近年来国内外学者的研究热点。未来有必要进一步重视妊娠妇女的孕期体重管理工作,开展高质量的临床研究,制定国内孕期体重管理的本土化指南,推进助产机构孕期体重管理的规范开展。
Abstract:Objective To conduct visualized analysis on the current situation, hotpots and trends of domestic and overseas research on gestational weight management, so as to provide evidence for research and clinical practice. Methods Literature on gestational weight management published between January 1, 2018 and December 31, 2022 were retrieved from Wanfang Data Knowledge Service Platform, China National Knowledge Infrastructure(CNKI), Web of Science, and PubMed databases through computer-based search. CiteSpace 5.0 was used to visually analyze the literature keywords. Results A total of 815 Chinese articles and 554 English articles were retrieved. The analysis of keyword showed that weight management focused on obese and gestational diabetic pregnant women, with nutrition management and physical activity as the core intervention, mobile health care and offline clinics as platforms, combined with weight, pre-pregnancy body mass index, blood glucose, body fat, exercise and other indicators for monitoring and evaluation. Conclusion The research of gestational weight management has been become hotspots overseas and in China. Gestational weight management should be valued, high-quality research needs to be carried out, and localized guideline should be developed to promote normative gestational weight management at midwifery institutions in the future.
[1]中国营养学会膳食指南修订专家委员会妇幼人群膳食指南修订专家工作组.孕期妇女膳食指南[J].中华围产医学杂志,2016,19(9):641-648.
[2]赵欣,杨慧霞.超重/肥胖女性孕期增重过多对妊娠结局及子代远期健康影响的研究进展[J].中华围产医学杂志,2020,23(9):640-644.
[3]Goldstein RF,Abell SK,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.
[4] National Institute for Health and Clinical Excellence. Behaviour change:individual approaches[EB/OL].(2014-01-02)[2024-01-05]. https://www.nice.org.uk/Guidance/PH49.
[5] National Institute for Health and Care Excellence.Clinical guideline 43-obesity:guidance on the prevention of overweight and obesity in adults and children [EB/OL].(2015-03-13)[2024-01-05]. https://www.nice.org.uk/guidance/CG43.
[6]蒋凤芳,周小英,赵赛婉,等.体重管理对初产妇孕期体重控制及分娩方式的影响[J].中国妇幼健康研究,2015,26(3):468-470.
[7] Chen CM,Ibekwe-SanjuaniI F,Hou JH. The structure and dynamics of cocitation clusters:a multiple-perspective cocitation analysis[J]. J Am Soc Inf Sci Technol,2010,61(7):1386-1409.
[8]曹祝萍,葛文利,马莉,等.二胎高龄妇女孕前体重指数及孕期增重与新生儿结局的关系[J].中华围产医学杂志,2020,23(10):702-708.
[9]张莹莹,周晖,王娟,等.孕前体重指数、孕期增重及早期喂养行为对产妇泌乳Ⅱ期启动时间的影响:前瞻性研究[J].中华围产医学杂志,2022,25(7):504-512.
[10]王坤昌,李桂平,周秀荣,等.孕期体质量管理对母婴体质量及妊娠结局的影响[J].解放军护理杂志,2016,33(1):11-14.
[11] Esca?uela Sánchez T, Meaney S, O'Connor C, et al.Facilitators and barriers influencing weight management behaviours during pregnancy:a meta-synthesis of qualitative research[J]. BMC Pregnancy Childb,2022,22(1):682.
[12]中国营养学会.中国妇女妊娠期体重监测与评价[EB/OL].(2021-09-01)[2023-03-13]. https://www.cnsoc.org/otherNotice/392100200.html.
[13]国家卫生健康委员会.妊娠期妇女体重增长推荐值标准[EB/OL].(2022-08-18)[2023-03-13]. http://www.nhc.gov.cn/wjw/fyjk/202208/864ddc16511148819168305d3-e576de9.shtml.
[14]Doi L,Williams AJ,Marryat L,et al. Cohort study of high maternal body mass index and the risk of adverse pregnancy and delivery outcomes in Scotland[J]. BMJ Open,2020,10(2):e026168.
[15] Nakanishi K,Saijo Y,Yoshioka E,et al. Severity of low pre-pregnancy body mass index and perinatal outcomes:the Japan environment and children’s study[J]. BMC Pregnancy Childb,2022,22(1):121.
[16]郭艳军,王华,邹燕.孕前超重和肥胖对孕期糖脂代谢及妊娠结局的影响[J].中国计划生育学杂志,2019,27(6):814-818.
[17] Catalano PM, Shankar K. Obesity and pregnancy:mechanisms of short term and long term adverse consequences for mother and child[J]. BMJ,2017,356:j1.
[18] Johns EC, Denison FC, Norman JE, et al. Gestational diabetes mellitus:mechanisms, treatment, and complications[J]. Trends Endocrinol Metab, 2018, 29(11):743-754.
[19]Amyx M,Zeitlin J,Hermann M,et al. Maternal characteristics associated with gestational weight gain in France:a population-based, nationally representative study[J]. BMJ Open,2021,11(7):e49497.
[20] Ukah UV, Bayrampour H, Sabr Y, et al. Association between gestational weight gain and severe adverse birth outcomes in Washington State,US:a population-based retrospective cohort study,2004-2013[J]. PLoS Med,2019,16(12):e1003009.
[21]王杰,段一凡,庞学红,等. 2013年中国足月单胎产妇孕期增重情况及适宜范围探讨[J].中华预防医学杂志,2018,52(1):31-37.
[22] McAuliffe FM, Killeen SL, Jacob CM, et al. Management of prepregnancy, pregnancy, and postpartum obesity from the FIGO Pregnancy and Non-Communicable Diseases Committee:a FIGO(International Federation of Gynecology and Obstetrics)guideline[J].Int J Gynaecol Obstet,2020,151(Suppl):16-36.
[23]H AI Wattar B, Dodds J, Placzek A, et al. Mediterranean-style diet in pregnant women with metabolic risk factors(ESTEEM):a pragmatic multicentre randomised trial[J]. PLoS Med,2019,16(7):e1002857.
[24] 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]. BMJ,2017,358:j3119.
[25]曾国华,王万里,秦雪征.健康行为干预理论与机制研究进展[J].护理研究,2021,35(8):1428-1434.
[26] Simpson SA, Coulman E, Gallagher D, et al. Healthy eating and lifestyle in pregnancy(HELP):a cluster randomised trial to evaluate the effectiveness of a weight management intervention for pregnant women with obesity on weight at 12 months postpartum[J]. Int J Obes(Lond),2021,45(8):1728-1739.
[27]赵仕奇,周华,王丽,等.孕期负性情绪与体重管理行为的相关性研究[J].现代预防医学,2022,49(21):3918-3921,3943.
[28] Vieten C, Laraia BA, Kristeller J, et al. The mindful moms training:development of a mindfulness-based intervention to reduce stress and overeating during pregnancy[J]. BMC Pregnancy Childb,2018,18(1):201.
[29]Hedderson MM,Brown SD,Ehrlich SF. A tailored letter based on electronic health record data improves gestational weight gain among women with gestational diabetes mellitus:the gestational diabetes’ effects on moms(GEM)cluster-randomized controlled trial[J].Diabetes Care,2018,41(7):1370-1377.
[30] Gupta V,Saxena R,Walia GK,et al. Gestational route to healthy birth(GaRBH):protocol for an Indian prospective cohort study[J]. BMJ Open,2019,9(4):e025395.
[31]Hu Y, Wu Q, Han L, et al. Association between maternal gestational weight gain and preterm birth according to body mass index and maternal age in Quzhou,China[J]. Sci Rep,2020,10(1):15863.
[32] Martis R,Crowther CA,Shepherd E,et al. Treatments for women with gestational diabetes mellitus:an overview of Cochrane systematic reviews[J]. Cochrane Database Syst Rev,2018,8(8):CD012327.
[33]Chakkalakal RJ,Hackstadt AJ,Trochez R,et al. Gestational diabetes and maternal weight management during and after pregnancy[J]. J Womens Health(Larchmt),2019,28(5):646-653.
[34] Zielinska AP, Mullins E, Magni E, et al. Remote multimodality monitoring of maternal physiology from the first trimester to postpartum period:study results[J].J Hypertens,2022,40(11):2280-2291.
[35]奚卫,郑莉,谭桂香,等.再生育妇女孕期个体化营养干预对妊娠结局的影响[J].中国计划生育学杂志,2018,26(11):1041-1043,1047.
[36] Ringholm L, N?rgaard SK, Rytter A, et al. Dietary advice to support glycaemic control and weight management in women with type 1 diabetes during pregnancy and breastfeeding[J]. Nutrients,2022,14(22):4867.
[37]Sharp KJ,Sherar LB,Kettle VE,et al. Effectiveness of interventions to increase device-measured physical activity in pregnant women:systematic review and meta-analysis of randomised controlled trials[J]. Int J Behav Nutr Phys Act,2022,19(1):142.
[38] Swift EM,Zoega H,Stoll K,et al. Enhanced antenatal care:combining one-to-one and group antenatal care models to increase childbirth education and address childbirth fear[J]. Women Birth,2021,34(4):381-388.
[39] Hussain T, Smith P, Yee LM. Mobile phone-based behavioral interventions in pregnancy to promote maternal and fetal health in high-income countries:systematic review[J]. JMIR Mhealth Uhealth, 2020,8 (5):e15111.
[40]Ferrara A, Hedderson MM, Brown SD, et al. A telehealth lifestyle intervention to reduce excess gestational weight gain in pregnant women with overweight or obesity(GLOW):a randomised, parallel-group,controlled trial[J]. Lancet Diabetes Endo, 2020, 8(6):490-500.
[41] LifeCycle Project-Maternal Obesity and Childhood Outcomes Study Group, Voerman E, Santos S, et al.Association of gestational weight gain with adverse maternal and infant outcomes[J]. JAMA, 2019, 321(17):1702-1715.
[42]Heslehurst N,Vieira R,Akhter Z,et al. The association between maternal body mass index and child obesity:a systematic review and meta-analysis[J]. PLoS Med,2019,16(6):e1002817.
[43] Weihrauch-Blüher S,Schwarz P,Klusmann JH. Childhood obesity:increased risk for cardiometabolic disease and cancer in adulthood[J]. Metabolism,2019,92:147-152.
基本信息:
DOI:10.19757/j.cnki.issn1674-7763.2024.02.007
中图分类号:R715.3
引用信息:
[1]王晓娇,刘洪妍,孙丽萍,等.基于CiteSpace的国内外孕期体重管理研究热点的可视化分析[J].中国妇幼卫生杂志,2024,15(02):33-40.DOI:10.19757/j.cnki.issn1674-7763.2024.02.007.
基金信息:
国家自然科学基金资助项目(72004029); 上海市卫生健康委员会卫生行业临床研究专项(202040097); 复旦大学-复星护理科研基金(FNF202140)