verezdoВестник репродуктивного здоровьяBulletin of Reproductive Health2075-65692310-421XEndocrinology Research Centre (Moscow)10.14341/brh20081-252-58verezdo-8527Research ArticleСтатьиArticlesПрибавка массы тела во время беременностиPribavka massy tela vo vremya beremennostiБогдановаП СBogdanovaP S-ДавыдоваГ НDavydovaG N-ФгУ «Эндокринологический научный центр Росмедтехнологий»20081506200801-2№1-2 (2008)5258Copyright © Богданова П.С., Давыдова Г.Н., 20082008Богданова П.С., Давыдова Г.Н.Bogdanova P.S., Davydova G.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vrz-endojournals.ru/jour/article/view/8527

Увеличение массы тела во время беременности имеет не только эстетическое, но и медицинское значение. Скорость метаболизма жировой ткани регулируется генетическими факторами и особенностями пищевого поведения. Вероятно, те же механизмы контролируют во время беременности прибавку массы тела и ее сохранение после родов. В течение I и II триместров беременности прогестерон контролирует аккумуляцию жировой ткани, а в III триместре отвечает за мобилизацию накопленного в депо жира. Возможно, вклад в накопление лишней массы тела вносит лептин, который у беременных секретируется не только жировой тканью, но и плацентой [1].

ReferencesStein TP, Schroll TO, Schluter MD. Plasma leptin influences gestational weight gain and postpartum weight retention. Am J Clin Nutr. 1998;68:123640Stein TP, Schroll TO, Schluter MD. Plasma leptin influences gestational weight gain and postpartum weight retention. Am J Clin Nutr. 1998;68:123640Stotland NE, Cheng YW, Hopkins LM. Gestational Weight Gain and Adverse Neonatal Outcome Among Term Infants. Obstetrics and Gynecology. Vol. 108, No. 3, September 2006Stotland NE, Cheng YW, Hopkins LM. Gestational Weight Gain and Adverse Neonatal Outcome Among Term Infants. Obstetrics and Gynecology. Vol. 108, No. 3, September 2006Rhodes JC, Schoendorf KC, Parker JD. Contribution of Ex-cess weight Gain During Pregnancy and Macrosomia to the Cesarean Delivery Rate, 1990-2000. Pediatrics 2003; 111; 1181-1185Rhodes JC, Schoendorf KC, Parker JD. Contribution of Ex-cess weight Gain During Pregnancy and Macrosomia to the Cesarean Delivery Rate, 1990-2000. Pediatrics 2003; 111; 1181-1185Cnattingius S, Berfstom R, Lipworth L. Pregnancy weight and the risk of adverse pregnancy outcomes. N Engl J Med 1998; 338:147-52Cnattingius S, Berfstom R, Lipworth L. Pregnancy weight and the risk of adverse pregnancy outcomes. N Engl J Med 1998; 338:147-52Hedderson MM, Weiss NS, Sacks DA. Pregnancy Weight Gain and Risk of Neonatal Complications. Obstetrics and Gynecology. Vol. No 5, November 2006Hedderson MM, Weiss NS, Sacks DA. Pregnancy Weight Gain and Risk of Neonatal Complications. Obstetrics and Gynecology. Vol. No 5, November 2006Galtier-Dereure F, Boegner C, Bringer J. Obesity and Preg-nancy: complications and Costs. American Journal of Clinical Nutrition. 2000. 71 (suppl): 1242S-8SGaltier-Dereure F, Boegner C, Bringer J. Obesity and Preg-nancy: complications and Costs. American Journal of Clinical Nutrition. 2000. 71 (suppl): 1242S-8SVillamor E, Msamanga G, Urassa W. Trends in Obesity, Un-derweight and Wasting Among Women Attending Prenatal Clinics in Ur-ban Tanzania, 1995-2004. American Journal of Clinical Nutrition. 2006. 83: 1387-94Villamor E, Msamanga G, Urassa W. Trends in Obesity, Un-derweight and Wasting Among Women Attending Prenatal Clinics in Ur-ban Tanzania, 1995-2004. American Journal of Clinical Nutrition. 2006. 83: 1387-94Gallaway LK, McIntyre HD, O’Callaghan M. The Association of Hypertensive Disorders of Pregnancy with Weight Gain over the Sub-sequent 21 Years: Findings from Prospective Cohort Study. America Journal of Epidemiology. 2007. 166: 421-428Gallaway LK, McIntyre HD, O’Callaghan M. The Association of Hypertensive Disorders of Pregnancy with Weight Gain over the Sub-sequent 21 Years: Findings from Prospective Cohort Study. America Journal of Epidemiology. 2007. 166: 421-428The ESHRE Capri Workshop Group. Nutrition and Reproduc-tion in Women. Human Reproduction Update. 2006. Vol. 12, No 3, pp. 193-207The ESHRE Capri Workshop Group. Nutrition and Reproduc-tion in Women. Human Reproduction Update. 2006. Vol. 12, No 3, pp. 193-207Keppel KG, Taffel SM. Pregnancy related weight gain and re-tention: implication of 1990 Institute of Medicine guidelines. 1993. Vol. 83. No 8:1100-1103Keppel KG, Taffel SM. Pregnancy related weight gain and re-tention: implication of 1990 Institute of Medicine guidelines. 1993. Vol. 83. No 8:1100-1103Stotland NE, Haas JS, Brawarsky P. Body Mass Index, Pro-vider Advise, and Target Gestational Weight Gain. Obstetrics and Gyne-cology. 2005. Vol.105. No. 3, march, pp/ 633-8Stotland NE, Haas JS, Brawarsky P. Body Mass Index, Pro-vider Advise, and Target Gestational Weight Gain. Obstetrics and Gyne-cology. 2005. Vol.105. No. 3, march, pp/ 633-8Abrams B, Altman SL, Pickett Ke. Pregnancy and weight gain: still controversial. American Journal of Clinical Nutrition. 2000 71 (suppl) : 1233S-41SAbrams B, Altman SL, Pickett Ke. Pregnancy and weight gain: still controversial. American Journal of Clinical Nutrition. 2000 71 (suppl) : 1233S-41SEastman N, Hellman L. Williams’ Obstetrics. 13rd ed. New York: Appleton-Century-Crofts, 1966:326Eastman N, Hellman L. Williams’ Obstetrics. 13rd ed. New York: Appleton-Century-Crofts, 1966:326Gunderson E, Abrams B. Epidemiology of Gestational Weight Gain and Body Changes After Pregnancy. Epidemiologic Re-views. 2000. Vol.22, No 2, pp. 261-274Gunderson E, Abrams B. Epidemiology of Gestational Weight Gain and Body Changes After Pregnancy. Epidemiologic Re-views. 2000. Vol.22, No 2, pp. 261-274Справочник по акушерству и гинекологии под ред. Персианинова Л.С. Ленинград. «медицина» 1980. стр.24Справочник по акушерству и гинекологии под ред. Персианинова Л.С. Ленинград. «медицина» 1980. стр.24Greene GW, Smiciklas-Wright H, Scholl TO. Postpartum weight change: how much of the weight gained in pregnancy will be lost after delivery? Obstetrics and Gynecology. 1988; 71:701-7Greene GW, Smiciklas-Wright H, Scholl TO. Postpartum weight change: how much of the weight gained in pregnancy will be lost after delivery? Obstetrics and Gynecology. 1988; 71:701-7Linne Y, Dye L, Rossner S. Long-term weight development in women: a 15-year follow up of the effects pf pregnancy. Obesity Re-search. 2004. Vol. 12 No. 7: 1166-78Linne Y, Dye L, Rossner S. Long-term weight development in women: a 15-year follow up of the effects pf pregnancy. Obesity Re-search. 2004. Vol. 12 No. 7: 1166-78Jensen DM, Ovesen P, Beck-Nielsen H. Gestational weight gain and pregnancy outcomes in 481 obese glucose-tolerant women. Diabetes Care. 2005. Vol.28. No. 9:2118-2122Jensen DM, Ovesen P, Beck-Nielsen H. Gestational weight gain and pregnancy outcomes in 481 obese glucose-tolerant women. Diabetes Care. 2005. Vol.28. No. 9:2118-2122Kramer MS. Determinants of low birth weight: methodological assessment and meta-analysis. Bull. World Health Organization. 1987. 65:663-737Kramer MS. Determinants of low birth weight: methodological assessment and meta-analysis. Bull. World Health Organization. 1987. 65:663-737Johnson JW, Yancey MK. A critique of the new recimenda-tions forJohnson JW, Yancey MK. A critique of the new recimenda-tions forweight gain in pregnancy. American Journal of Obstetrics and Gynecology. 1995. Vol. 174. pp 254-8weight gain in pregnancy. American Journal of Obstetrics and Gynecology. 1995. Vol. 174. pp 254-8Feig D, Naylor C. Eating for two: are guidelines for weight gain during pregnancy too liberal? Lancet. 1998;315:1054-5Feig D, Naylor C. Eating for two: are guidelines for weight gain during pregnancy too liberal? Lancet. 1998;315:1054-5Schieve LA, Cogswell ME, Scalon KS. Trends in pregnancy weight gain within and outside ranges recommended by the IOM in a WIC population. Matern Child Health J. 1998;2:111-6Schieve LA, Cogswell ME, Scalon KS. Trends in pregnancy weight gain within and outside ranges recommended by the IOM in a WIC population. Matern Child Health J. 1998;2:111-6Theron G, Thompson M. The usefulness of weight gain in predicting pregnancy complications. J Top Pediatr. 1993;39:269-72Theron G, Thompson M. The usefulness of weight gain in predicting pregnancy complications. J Top Pediatr. 1993;39:269-72Roche AF, Davila GH. Late adolescent growth in stature. Pe-diatrics. 1972; Vol. 50 No. 6. pp. 874-880Roche AF, Davila GH. Late adolescent growth in stature. Pe-diatrics. 1972; Vol. 50 No. 6. pp. 874-880Schroll TO, Hediger ML, Schall JI. Maternal growth during pregnancy and the competition for nutrients. American Journal of Clinical Nutrition. 1994. 60:183-8Schroll TO, Hediger ML, Schall JI. Maternal growth during pregnancy and the competition for nutrients. American Journal of Clinical Nutrition. 1994. 60:183-8Rees JM, Engelbert-Fenton KA, Gong El. Weight gain in ado-lescents during pregnancy: rate related to birth-weight outcome. Am J Clin Nutr 1992:56:868-73.Rees JM, Engelbert-Fenton KA, Gong El. Weight gain in ado-lescents during pregnancy: rate related to birth-weight outcome. Am J Clin Nutr 1992:56:868-73.Cogswell ME,Scanlon KS, Fein SB. Medically advised, mother’s personal target, and actual weight gain during pregnancy. Ob-stetrics and Gynecology. 1999. Vol. 94. No. 4:616-22 (НЕТ ССыЛкИ В ТЕкСТЕ)Cogswell ME,Scanlon KS, Fein SB. Medically advised, mother’s personal target, and actual weight gain during pregnancy. Ob-stetrics and Gynecology. 1999. Vol. 94. No. 4:616-22 (НЕТ ССыЛкИ В ТЕкСТЕ)Kac G, Benicio MHDA, Velasquez-Melendez G. Gestational weight gain and prepregnancy weight influence postpartum weight reten-tion in a cohort of Brazilian women. The Journal of Nutrition. 2004. 134:661-666Kac G, Benicio MHDA, Velasquez-Melendez G. Gestational weight gain and prepregnancy weight influence postpartum weight reten-tion in a cohort of Brazilian women. The Journal of Nutrition. 2004. 134:661-666Williamson DF, Madans J, Pamuk E. A prospective study of childbearing and 10-year weight gain in US white women 25 nj 45 years of age. Int J Obes Relat Metab Disord. 1994;18:561-9Williamson DF, Madans J, Pamuk E. A prospective study of childbearing and 10-year weight gain in US white women 25 nj 45 years of age. Int J Obes Relat Metab Disord. 1994;18:561-9Parker J, Abrams B. Differences in post partum weight reten-tion between black and white mothers. Obstetrics and Gynecology 1993; 81:768-74Parker J, Abrams B. Differences in post partum weight reten-tion between black and white mothers. Obstetrics and Gynecology 1993; 81:768-74Wang JX, Davies MJ, Norman RJ. Obesity increases the risk of spontaneous abortion during infertility treatment. Obesity Research. June 2002 Vol. 10 No. 6: 551-4Wang JX, Davies MJ, Norman RJ. Obesity increases the risk of spontaneous abortion during infertility treatment. Obesity Research. June 2002 Vol. 10 No. 6: 551-4Callaway LK, McIntyre HD, O’Callagahn M. The association of hypertensive disorders of pregnancy with weight gain over the subse-quentCallaway LK, McIntyre HD, O’Callagahn M. The association of hypertensive disorders of pregnancy with weight gain over the subse-quentyears: findings from a prospective cohort study. Am J Epide-miol. 2007. 166:421-428years: findings from a prospective cohort study. Am J Epide-miol. 2007. 166:421-428Alberti KG, Zimme PZ. Definition, diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabet Med. 1998. 15:539-553Alberti KG, Zimme PZ. Definition, diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabet Med. 1998. 15:539-553Russell MA, Carpenter MW, Coustan DR. Screening and di-agnosis of gestational diabetes mellitus. Clin Obstet Gynecol. 2007;50(4):949-58Russell MA, Carpenter MW, Coustan DR. Screening and di-agnosis of gestational diabetes mellitus. Clin Obstet Gynecol. 2007;50(4):949-58Bartha JL, Martines-del-Fresno P, Comino-Delgado R. Early diagnosis of gestational diabetes mellitus and prevention of diabetes-related complication. Eur J Obstet Gynecol Reprod Biol. 2003. 109 (1):41-4Bartha JL, Martines-del-Fresno P, Comino-Delgado R. Early diagnosis of gestational diabetes mellitus and prevention of diabetes-related complication. Eur J Obstet Gynecol Reprod Biol. 2003. 109 (1):41-4Kim C, Newton KM, Knopp RH. Gestational Diabetes and the Incidence of type 2 diabetes. Diabetes Care. 2002. Vol.25. No. 10:1862-1867Kim C, Newton KM, Knopp RH. Gestational Diabetes and the Incidence of type 2 diabetes. Diabetes Care. 2002. Vol.25. No. 10:1862-1867Sriharan M, Reichelt A, Opperman MLR. Total sialic acid and associated elements of the metabolic syndrome in women with and without previous gestational diabetes. Diabetes care. 2002. Vol. 25. No. 8: 1331-35 (НЕТ ССыЛкИ В ТЕкСТЕ)Sriharan M, Reichelt A, Opperman MLR. Total sialic acid and associated elements of the metabolic syndrome in women with and without previous gestational diabetes. Diabetes care. 2002. Vol. 25. No. 8: 1331-35 (НЕТ ССыЛкИ В ТЕкСТЕ)Ruowei L, Jewell S, Grummer-Strawn L. Maternal obesity and breastfeeding pravtices. Am J Clin Nutr. 2003.77:931-6Ruowei L, Jewell S, Grummer-Strawn L. Maternal obesity and breastfeeding pravtices. Am J Clin Nutr. 2003.77:931-6Werler MM, Louik C, Shaprio S. Prepregnant weight in rela-tion to risk o neural tube defects. JAMA. 1996;275:1089-92.Werler MM, Louik C, Shaprio S. Prepregnant weight in rela-tion to risk o neural tube defects. JAMA. 1996;275:1089-92.

The authors declare that there are no conflicts of interest present.