孕妇体质指数与妊娠期糖尿病关系  

Relationship between body mass index of pregnant and gestational diabetes mellitus

作　　者：袁静[1] 丛林[1] 姚洁[1] 周桂菊[1] 

机构地区：[1]安徽医科大学第一附属医院妇产科,合肥230022

出　　处：《中国公共卫生》2007年第12期1476-1477,共2页Chinese Journal of Public Health

基　　金：安徽省自然科学基金(070413092)

摘　　要：目的探讨孕期体质指数增长速度与妊娠期糖尿病（GDM）发病率的关系。方法通过流行病学调查和产检测量获得一般资料；通过实验室检查确诊妊娠期糖尿病。采用非条件Logistic回归分析孕期体质指数增加与妊娠期糖尿病的关系。结果多因素回归分析显示，孕期体质指数（BMI）增加大（OR=89．1274，95％CI=6．2574～95．1757）、孕前体质指数大（OR=8．1826，95％CI=7．1804～41．3126）、有糖尿病家族史（OR=4．1254，95％CI=4．0247～27．2024）、年龄大（OR=2．4322，95％CI=2．2815～15．2251）均增加孕妇发生妊娠期糖尿病的风险；未发现身高与妊娠期糖尿病发病有关。排除孕前体重干扰后，孕期体重增长速度越快，发生妊娠期糖尿病的风险越大。结论孕期体质指数增长过快是妊娠期糖尿病的独立危险因素。Objective To explore the relationship between the growth rate of body mass index and gestational diabetes mellitus. Methods Some variables were obtained by using questionhaire and antenatal care, and diagnosing gestational diabetes mellitus by using laboratory examination. Statistical analysis ： relative risks and 95 % confidence intervals were calculated by means of non-conditional Logistic regression. Results The risk for developing gestational diabetes mellitus was increasing with growth rate of pregnant body mass index （ OR = 89.1274, 95 % CI6. 2574 ～ 95.1757）, pre - pregnancy body mass index （OR = 8.1826, 95% CI7.1804～41.3126） years of age（ OR = 2. 4322, 95 % CI2.2815～15.2251） and having family history of diabetes（ OR = 4.1254, 95 % CI 4. 0247～ 27. 2024）, but no statistical difference was observed in pre - pregnancy height. The faster women＇ s growth rate of body mass index in duration of increase pregnancy, the more possible who would fall in ill with gestational diabetes mellitus. Conclusion The incidence of gestational diabetes mellitus was related to the growth rate of pregnant body mass index.

关 键 词：妊娠期糖尿病 体质指数 危险因素 非条件LOGISTIC回归 

分 类 号：R715.3[医药卫生—妇产科学]