饮食结构调整对妊娠期糖代谢异常孕妇体重变化的影响  

Effect of diet improvement on the weight gain of the pregnant women with gestational abnormal glucose metabolism

作　　者：曾珊[1] 赵青茹[2] 田静[2] 王海琦[2] 孙丽洲[2] 

机构地区：[1]南京医科大学第一附属医院营养科,江苏南京210029 [2]南京医科大学第一附属医院妇产科,江苏南京210029

出　　处：《南京医科大学学报（自然科学版）》2009年第11期1599-1602,共4页Journal of Nanjing Medical University(Natural Sciences)

摘　　要：目的:观察饮食结构调整对妊娠期糖代谢异常孕妇体重变化的影响。方法:用葡萄糖耐量试验筛查出糖代谢异常的妊娠26～28周孕妇24名,对其进行筛查前3个月食物摄入频度调查。根据其营养评价、个体具体情况等,为其制订个性化的营养处方,观察饮食结构调整前后血糖的变化及对体重增长的影响。结果:饮食调整后,妊娠期糖代谢异常孕妇粗杂粮、大豆制品、鱼虾、蔬菜摄入量明显增高,油脂、谷类、畜肉摄入量显著减少,能量、脂肪、碳水化合物的摄取量也显著减少,孕妇餐后2h血糖明显降低,每周体重平均增长明显减少。结论:合理饮食结构调整可以改善糖代谢异常孕妇体重增长的速度。Objective：To investigate the effect of diet modification on the weight of the pregnant women with gestational abnormal glucose metabolism. Methods：24 pregnant women with gestational abnormal glucose metabolism were recruited by the glucose challenge or tolerance test, and they have been pregnant for 26 to 28 weeks. The food intake frequency for 3 months before the test was investigated. Nutritional therapy was designed for each women based on the nutrtional assessment,individual status, etc. The change on the level of serum glucose and the weight gain were observed. Results：After the modification, the intake of whole-grain cereals, soybean products, marines, vegetables increased obviously, while the intake of oil, grains, meats decreased significantly, and the intake of energy, fat, carbohydrates was also reduced. The level of 2-hour-postprandial glucose and the weight gain per week decreased. Conclusion：The weight gain can be reduced by diet modification for the pregnant women with gestational abnormal glucose metabolism.

关 键 词：饮食 妊娠 糖代谢异常 体重 

分 类 号：R714.256[医药卫生—妇产科学]