产后体重复原护理干预的研究进展

doi:10.3761/j.issn.0254-1769.2024.20.017

摘要/Abstract

摘要：

产后体重复原指产妇产后某时间节点体重恢复至孕前状态的行为改变过程。该文对产后体重复原的概述、影响因素、护理干预方法、评价指标进行综述，并提出相关建议，以期为产后体重管理指南的完善、干预方案的构建和促进产妇产后身心健康相关研究提供借鉴。

Abstract:

Postpartum weight recovery refers to the process of behavior change in which the weight returns to the pre-pregnancy state at a certain point in the postpartum period. This paper reviews the overview，influencing factors，intervention methods，evaluation indicators，existing problems and prospects of postpartum weight recovery，in order to provide references and basis for the development of postpartum weight management guidelines，postpartum weight management intervention measures，and related research on promoting postpartum women’s physical and mental health.

Key words: Postpartum Weight Recovery, Nursing Intervention, Review

梁艳, 江伟, 周临, 程丽琼, 张艳. 产后体重复原护理干预的研究进展[J]. 中华护理杂志, 2024, 59(20): 2554-2560.

LIANG Yan, JIANG Wei, ZHOU Lin, CHENG Liqiong, ZHANG Yan. Research progress of nursing intervention for postpartum weight recovery of women[J]. Chinese Journal of Nursing, 2024, 59(20): 2554-2560.

参考文献 44

[1]	中国医疗保健国际交流促进会营养与代谢管理分会, 中国营养学会临床营养分会, 中华医学会糖尿病学分会, 等. 中国超重/肥胖医学营养治疗指南(2021)[J]. 中国医学前沿杂志(电子版), 2021, 13(11):1-55.
	Nutrition and Metabolic Management Branch of China Association for the Promotion of International Healthcare Exchanges,Clinical Nutrition Branch of Chinese Nutrition Society, Diabetes Branch of Chinese Medical Association, et al. Guidelines for medical nutrition treatment of overweight/obesity in China(2021)[J]. Chin J Med Front(electr ed), 2021, 13(11):1-55.
[2]	中国营养学会. 中国妇女妊娠期体重监测与评价[S/OL]. (2021-09-03)[2024-05-09]. https://www.cnsoc.org/otherNotice/392100200.html.
	Chinese Nutrition Society. Monitoring and evaluation of Chinese women’s pregnancy weight[S/OL].(2021-09-03)[2024-05-09]. https://www.cnsoc.org/otherNotice/392100200.html.
[3]	Kirkegaard H, Bliddal M, Støvring H, et al. Maternal weight change from prepregnancy to 18 months postpartum and sub-sequent risk of hypertension and cardiovascular disease in Danish women:a cohort study[J]. PLoS Med, 2021, 18(4):e1003486.
[4]	Kossou J, Alaofè H, Hounkpatin WA, et al. Factors associated with postpartum weight retention in African women:a syste-matic review[J]. Food Nutr Bull, 2023, 44(1):62-75.
[5]	成帛. 膳食摄入对产褥期体重滞留及体质指数变化的影响[D]. 北京: 军事科学院, 2021.
	Cheng B. Effects of dietary intake on weight retention and BMI during puerperium[D]. Beijing: Academy of Military Scien-ces, 2021.
[6]	Liu JH, Wilcox S, Hutto B, et al. Effects of a lifestyle inter-vention on postpartum weight retention among women with elevated weight[J]. Obesity, 2022, 30(7):1370-1379.
[7]	Palnati M, Marcus BH, Pekow P, et al. The impact of a lifes-tyle intervention on postpartum weight retention among atrisk hispanic women[J]. Am J Prev Med, 2021, 61(1):44-54.
[8]	Toro-Ramos T, Heaner M, Yang QC, et al. Postpartum weight retention:a retrospective data analysis measuring weight loss and program engagement with a mobile health program[J]. J Wo-mens Health, 2021, 30(11):1645-1652.
[9]	Uytsel HV, Bijlholt M, Devlieger R, et al. Effect of the e-health supported INTER-ACT lifestyle intervention on postpartum weight retention and body composition,and associations with lifestyle behavior:a randomized controlled trial[J]. Prev Med, 2022,164:107321.
[10]	Kawasaki M, Mito A, Waguri M, et al. Protocol for an inter-ventional study to reduce postpartum weight retention in obese mothers using the Internet of things and a mobile application:a randomized controlled trial[J]. BMC Pregnancy Childbirth, 2021, 21(1):582.
[11]	覃钰婷. 妇女产后膳食炎性指数、血清炎性因子与产后体重滞留关系的队列研究[D]. 广州: 南方医科大学, 2021.
	Qin YT. Associations of postpartum dietary inflammatory index,serum inflammatory bio-markers and postpartum weight retention:a cohort study[D]. Guangzhou: Southern Medical Uni-versity, 2021.
[12]	Cohen AK, Chaffee BW, Rehkopf DH, et al. Excessive gesta-tional weight gain over multiple pregnancies and the preva-lence of obesity at age 40[J]. Int J Obes, 2014, 38(5):714-718.
[13]	陈楹. 妇女产后不同时期膳食模式与产后体重滞留关系的队列研究[D]. 广州: 南方医科大学, 2022.
	Chen Y. Postpartum dietary patterns and their associations with women’s weight retention:a cohort study[D]. Guangzhou: Southern Medical University, 2022.
[14]	张玉梅, 赵艾, 杨晨璐, 等. 中国10城市乳母膳食摄入与营养健康状况研究[J]. 中国食品学报, 2022, 22(3):1-7.
	Zhang YM, Zhao A, Yang CL, et al. Studies on lactating women dietary intake & nutrition health among 10 Chinese cities[J]. J Chin Inst Food Sci Technol, 2022, 22(3):1-7.
[15]	朱芸. 从“治未病” 理论谈中国特色“坐月子”[J]. 辽宁中医药大学学报, 2010, 12(11):97-98.
	Zhu Y. From “zhiweibing” theory with Chinese characteristics “puerperium care”[J]. J Liaoning Univ Tradit Chin Med, 2010, 12(11):97-98.
[16]	汪之顼, 赖建强, 毛丽梅, 等. 中国产褥期(月子)妇女膳食建议[J]. 营养学报, 2020, 42(1):3-6.
	Wang ZX, Lai JQ, Mao LM, et al. Dietary recommendations for Chinese postpartum women[J]. J Nutrit, 2020, 42(1):3-6.
[17]	Crossley NP, Jones EJ. Relationships among postpartum weight retention,stress,and disinhibited eating:a scoping review[J]. West J Nurs Res, 2023, 45(8):754-763.
[18]	Loy SL, Cheung YB, Colega MT, et al. Associations of circa-dian eating pattern and diet quality with substantial post-partum weight retention[J]. Nutrients, 2019, 11(11):2686.
[19]	李伊雨. 产妇内化体重污名、进食行为和负性心理状态的相关性研究[D]. 长沙: 中南大学, 2022.
	Li YY. Correlation study of internalized weight stigma,eating behavior and psychological distress among postpartum women[D]. Changsha: Central South University, 2022.
[20]	Matenchuk BA, Davenport MH. The influence of sleep quality on weight retention in the postpartum period[J]. Physiol Appl Nutr Metab, 2021, 46(1):77-85.
[21]	郑路, 秦贵军, 王赛飞, 等. 生物钟对能量代谢和肥胖的影响及作用[J]. 中华内科杂志, 2020, 59(10):824-827. PMID
	Zheng L, Qin GJ, Wang SF, et al. The influence of circadian clocks on energy metabolism and obesity[J]. Chin J Intern Med, 2020, 59(10):824-827. DOI PMID
[22]	Herring SJ, Yu DH, Spaeth A, et al. Influence of sleep dura-tion on postpartum weight change in black and hispanic women[J]. Obesity, 2019, 27(2):295-303. DOI PMID
[23]	ACOG committee opinion No. 650:physical activity and exer-cise during pregnancy and the postpartum period[J]. Obstet Gynecol, 2015, 126(6):e135-e142.
[24]	Dipietro L, Evenson KR, Bloodgood B, et al. Benefits of phy-sical activity during pregnancy and postpartum:an umbrella review[J]. Med Sci Sports Exerc, 2019, 51(6):1292-1302.
[25]	陈亮. 妇女产后一年内体重滞留及其影响因素的队列研究[D]. 合肥: 安徽医科大学, 2013.
	Chen L. Influence factors on postpartum weight retention among women during one year after childbirth:a prospective cohort study[D]. Hefei: Anhui Medical University, 2013.
[26]	田策, 姜岳, 杨芳, 等. 产妇产褥期健康管理期望与感知的现状分析[J]. 中华护理杂志, 2020, 55(12):1796-1801. DOI URL
	Tian C, Jiang Y, Yang F, et al. Analysis of the puerperae’s expectations and perceived status of puerperal health management services[J]. Chin J Nurs, 2020, 55(12):1796-1801.
[27]	Collings R, Hill B, Skouteris H. The influence of psychological factors on postpartum weight retention 12months post-birth[J]. J Reprod Infant Psychol, 2018, 36(2):177-191. DOI PMID
[28]	Pedersen P, Baker JL, Henriksen TB, et al. Influence of psy-chosocial factors on postpartum weight retention[J]. Obesity, 2011, 19(3):639-646.
[29]	中国营养学会. 《中国孕妇、乳母膳食指南(2022)》核心信息[DB/OL].(2022-08-03)[2024-04-10]. http://dg.cnsoc.org/arti-cle/04/hjgfxca3Ra69sKbvqDETbg.html.
	Chinese nutrition society. Chinese pregnant women,lactating women dietary guidelines(2022) core information[DB/OL]. (2022-08-03)[2024-04-10]. http://dg.cnsoc.org/article/04/hjgfx-ca3Ra69sKbvqDETbg.html.
[30]	Øhman EA, Fossli M, Ottestad I, et al. Dietary treatment post-partum in women with obesity reduces weight and prevents weight gain:a randomised controlled trial[J]. BMC Pregnancy Childbirth, 2023, 23(1):695.
[31]	Hull HR, Herman A, Gibbs H, et al. The effect of high dietary fiber intake on gestational weight gain,fat accrual,and postpartum weight retention:a randomized clinical trial[J]. BMC Pregnancy Childbirth, 2020, 20(1):319.
[32]	Haakstad LAH, Kissel I, Bø K. Long-term effects of partici-pation in a prenatal exercise intervention on body weight,body mass index,and physical activity level:a 6-year follow-up study of a randomized controlled trial[J]. J Matern Fetal Neonatal Med, 2021, 34(9):1347-1355.
[33]	Ha AVV, Zhao Y, Binns CW, et al. Postpartum physical acti-vity and weight retention within one year:a prospective cohort study in Vietnam[J]. Int J Environ Res Public Health, 2020, 17(3):1105.
[34]	陈泽坤, 何顺萌, 李海伟. 世界卫生组织全生命周期身体活动和静坐行为指南解读及启示[C]//第十三届全国体育科学大会论文摘要集:专题报告(体质与健康分会). 天津, 2023: 465-467.
	Chen ZK, He SM, Li HW. Interpretation and implications of the World Health Organization guidelines on physical activity and sedentary behaviour throughout the life cycle[C]//Abs-tracts of the 13th national congress of sport science-presentations(physical fitness and health section). Tianjin, 2023:465-467.
[35]	张慧敏, 姜超, 史榕荇, 等. 中医综合治疗对女性产后体重滞留的影响[J]. 中医杂志, 2017, 58(12):1036-1039.
	Zhang HM, Jiang C, Shi RX, et al. Effect of Chinese medicine comprehensive treatment on postpartum weight retention[J]. J Tradit Chin Med, 2017, 58(12):1036-1039.
[36]	王学智, 罗陶, 郭保凤, 等. 格林模式健康干预对孕前高体重指数孕妇产后体重滞留的影响[J]. 中国初级卫生保健, 2023, 37(11):57-60.
	Wang XZ, Luo T, Guo BF, et al. Green model health intervention on postnatal weight retention in pregnant women with high pregnancy BMI[J]. Chin Prim Health Care, 2023, 37(11):57-60.
[37]	Wright C, Mogul M, Acevedo G, et al. Preparing for a trial to test a postpartum weight retention intervention among low income women:feasibility of a protocol in a community-based organization[J]. BMC Womens Health, 2018, 18(1):27.
[38]	Rathnayake N, Alwis G, Lenora J, et al. Applicability of health promoting lifestyle profile-Ⅱ for postmenopausal women in Sri Lanka:a validation study[J]. Health Qual Life Outcomes, 2020, 18(1):122.
[39]	Logsdon MC, Mcbride AB. Further data on the Postpartum Support Questionnaire[J]. Kentu Nurs, 1991(39):13.
[40]	陆婷, 高钰琳, 张近近, 等. 中文版产后社会支持量表的信效度研究[J]. 中国实用护理杂志, 2014, 30(15):26-28.
	Lu T, Gao YL, Zhang JJ, et al. Reliability and validity of Chinese Postpartum Social Support Scale[J]. Chin J Pract Nurs, 2014, 30(15):26-28.
[41]	Cox JL, Holden JM, Sagovsky R. Detection of postnatal depres-sion:development of the 10-item Edinburgh Postnatal Depres-sion Scale[J]. Br J Psychiatry, 1987,150:782-786.
[42]	Simmons LA, Phipps JE, Overstreet C, et al. Goals for reaching optimal wellness(GROWell):a clinical trial protocol of a digital dietary intervention for pregnant and postpartum people with prenatal overweight or obesity[J]. Contemp Clin Trials, 2022,113:106627.
[43]	原志芳, 林梅, 李星, 等. 母婴延续性健康管理平台的构建及应用[J]. 中华护理杂志, 2022, 57(18):2212-2216.
	Yuan ZF, Lin M, Li X, et al. Construction and application of post-hospital health management platform for maternity and infants[J]. Chin J Nurs, 2022, 57(18):2212-2216.
[44]	李雯, 魏丽丽, 张艳, 等. 产妇出院指导质量量表的汉化及信效度检验[J]. 中华护理杂志, 2021, 56(2):315-320. DOI URL
	Li W, Wei LL, Zhang Y, et al. The Chinese version translation of the quality scale of Maternal Discharge Guidance and its reliability and validity test[J]. Chin J Nurs, 2021, 56(2):315-320. DOI URL