孕前超重肥胖和孕期膳食对孕期增重的影响  

Effects of progestational overweight,obesity and gestational diet on body weight gain during pregnancy

作　　者：叶逵[1] 张丹[1] 李毅[1] 沈莹[1] 杜秋菊[1] 博庆丽[1] 胡纯秋[1] 李李[1] 胡传来[1] 

机构地区：[1]安徽医科大学公共卫生学院营养与食品卫生学系,安徽合肥230032

出　　处：《中国妇幼保健》2014年第22期3583-3586,共4页Maternal and Child Health Care of China

基　　金：安徽省教育厅自然基金重点项目资助〔KJ2012A158〕;安徽省自然基金面上项目资助〔1408085MH160〕

摘　　要：目的：研究孕前体质指数和孕期膳食对孕期增重的影响。方法：选取2011年1月-2012年7月在合肥市妇幼保健院住院分娩的895名孕妇为调查对象,对其孕期的膳食情况、孕前体质指数和孕期增重进行调查,采用多项Logistic回归进行统计学分析。结果：孕前超重肥胖的孕妇与孕前体重正常的孕妇相比孕期增重过少（OR=3.30,95%CI：1.03-10.52）和过多（OR=3.19,95%CI：1.21-8.44）的风险更大,而孕前低体重的孕妇发生孕期增重过多的风险更小（OR=0.63,95%CI：0.44-0.91）。未发现孕期膳食摄入情况对孕期增重有影响。结论：孕前超重肥胖会加剧孕期增重的不适宜,育龄期妇女应注意控制其体质指数。Objective： To study the effects of progestational body mass index （BMI） and gestational diet on body weight gain during pregnancy. Methods： A total of 895 pregnant women giving birth to their babies in the hospital from January 2011 to July 2012 were selected as investigation objects; their gestational diet, progestational BMI and body weight gain during hospital were surveyed, statistical analysis was conducted by multivariate logistic regression analysis. Results： Compared with the pregnant women with normal progestational body weight, the risks of low body weight gain during pregnancy （ OR =3.30, 95% CI： 1.03 - 10. 52） and high body weight gain during pregnancy （OR =3.19, 95% CI： 1.21 -8.44） in pregnant women with progestational overweight and obesity were higher; the risk of high body weight gain during pregnancy （ OR = 0. 63, 95% CI： 0. 44 - 0. 91 ） in pregnant women with low progestational body weight was lower. The impact of gestational dietary intake on body weight gain during pregnancy is not found. Conclusion： Progestational overweight and obesity can exacerbate inadequate body weight gain during pregnancy, women of childbearing age should pay more attention to controlling BMI.

关 键 词：孕期膳食 孕期增重 体质指数 

分 类 号：R714[医药卫生—妇产科学]