超重孕妇坚持营养咨询目标及其对围产期健康结局的影响

IF 2.9 3区医学 Q3 NUTRITION & DIETETICS

Journal of Human Nutrition and Dietetics Pub Date : 2025-03-12 DOI:10.1111/jhn.70039

Lívia C. Crivellenti, Natália P. Carreira, Maria Carolina de Lima, Naiara F. Baroni, Daniela S. Sartorelli

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引用次数: 0

摘要

本研究旨在评估超重孕妇对营养咨询目标的依从性及其对围产期结局的影响。方法对350例体重超重（BMI 25 ~ 29.9 kg/m2）的成年孕妇进行随机临床试验。这些妇女被分为对照组（CG = 166）和干预组（IG = 169）。IG的妇女在怀孕期间接受了三次个人营养咨询。这些目标与食用家常菜、水果、蔬菜、体育锻炼和避免超加工食品有关。每完成一个目标得1分。目标依从性定义为无论治疗组如何，至少达到6个既定目标中的4个（总分≥4分）。采用调整后的logistic和线性回归模型来评估目标依从性与围产期结局之间的关系。结果在IG组中，54.7%的孕妇达到了总体目标依从性，而在CG组中为31.7% （p = 0.001）。总体目标依从性评分与总胆固醇（TC）呈负相关(β - 7.56 [95% CI - 15.50；- 0.62], p = 0.03)和低密度脂蛋白胆固醇（LDL-c） (β - 8.43 [95% CI - 14.96；−1.91],p = 0.01]。此外，体力活动时间与TC和LDL-c呈负相关。高频率饮用含糖饮料与TC呈正相关。未观察到与其他围产期结局相关。结论：坚持咨询的目标显示出有益的效果，与超重孕妇的TC和LDL-c呈负相关。

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Adherence to Nutritional Counselling Goals Among Pregnant Women With Overweight and Its Effect on Perinatal Health Outcomes

Background

The present study aimed to evaluate the adherence to nutritional counselling goals among pregnant women with overweight and its effect on perinatal outcomes.

Methods

A randomised clinical trial was conducted in 350 adult pregnant women with overweight (BMI 25–29.9 kg/m²). The women were assigned to control (CG = 166) or intervention groups (IG = 169). Women in the IG received three individual nutritional counselling sessions during pregnancy. Goals were related to the consumption of home-cooked meals, fruits, vegetables, physical activity and avoidance of ultra-processed foods. A score of 1 point was given for each goal achieved. Goals adherence was defined as achieving at least four out of the six goals established (overall score ≥ 4 points), regardless of the treatment group. Adjusted logistic and linear regression models were used to assess the association between goal adherence and perinatal outcomes.

Results

In the IG, 54.7% of pregnant women achieved overall goal adherence, compared to 31.7% in the CG (p = 0.001). A negative association was observed between the overall goal adherence score and total cholesterol (TC) (β −7.56 [95% CI −15.50; −0.62], p = 0.03) and low-density lipoprotein cholesterol (LDL-c) (β −8.43 [95% CI −14.96; −1.91], p = 0.01]. Additionally, physical activity time was negatively associated with TC and LDL-c. A higher frequency of consumption of sugary beverages was positively associated with TC. No association was observed for other perinatal outcomes investigated.

Conclusion

Adherence to the goals of counselling showed a beneficial effect, being negatively associated with TC and LDL-c in pregnant women with overweight.

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来源期刊

Journal of Human Nutrition and Dietetics 医学-营养学

CiteScore

5.30

自引率

15.20%

发文量

133

审稿时长

6-12 weeks

期刊介绍： Journal of Human Nutrition and Dietetics is an international peer-reviewed journal publishing papers in applied nutrition and dietetics. Papers are therefore welcomed on: - Clinical nutrition and the practice of therapeutic dietetics - Clinical and professional guidelines - Public health nutrition and nutritional epidemiology - Dietary surveys and dietary assessment methodology - Health promotion and intervention studies and their effectiveness - Obesity, weight control and body composition - Research on psychological determinants of healthy and unhealthy eating behaviour. Focus can for example be on attitudes, brain correlates of food reward processing, social influences, impulsivity, cognitive control, cognitive processes, dieting, psychological treatments. - Appetite, Food intake and nutritional status - Nutrigenomics and molecular nutrition - The journal does not publish animal research The journal is published in an online-only format. No printed issue of this title will be produced but authors will still be able to order offprints of their own articles.