上海市2013-2015年482899例妊娠妇女孕前营养不良及超重肥胖状况分析  

Analysis of the status of pregestational malnutrition and overweight or obesity among 482,899 pregnant women in Shanghai from 2013 to 2015

作　　者：林双 杜莉 沈心荷 朱丽萍 LIN Shuang;DU Li;SHEN Xinhe;ZHU Liping(Maternal and child health Care Centres of Shanghai, Shanghai 200062)

机构地区：[1]上海市妇幼保健中心,200062

出　　处：《中国计划生育学杂志》2020年第11期1909-1913,共5页Chinese Journal of Family Planning

基　　金：上海市卫生和计划生育委员会青年课题(20164Y0026);上海市妇女、儿童健康服务能力建设专项规划(2016-2020年)。

摘　　要：目的:分析上海市妊娠妇女孕前营养不良和超重肥胖状况。方法:采用上海市孕产妇保健信息系统中2013—2015年收集的482899例孕妇第一次产前检查资料,通过方差分析、卡方检验等分析孕妇孕前营养不良和超重肥胖的流行情况及变化趋势。结果:建卡孕妇孕前总体营养不良率为12.9%,呈逐年降低趋势,其中19~25岁女性营养不良率最高为16.3%;孕前总体超重率和肥胖率分别为9.8%和2.5%,超重肥胖率呈逐年上升趋势;不同年龄、户籍、学历、职业及孕产次的妇女孕前营养状况有差异(P<0.05)。结论上海市≤25岁妊娠女性孕期营养缺乏,高龄、二胎妊娠妇女超重肥胖问题较为显著,应引起关注。Objective:To analyze the status of pregestational malnutrition,and overweight or obesity of pregnant women in Shanghai.Methods:Based on the health data of the first prenatal examination of 482899 pregnant women from Shanghai Maternal Health Care System between 2013 and 2015,variance analysis and chi-square test were used to analyze the prevalence and variation trends of pregestational malnutrition,and overweight or obesity of pregnant women.Results:The overall progestational malnutrition rate of pregnant women was 12.9%in Shanghai from 2013 to 2015,which had a decreasing trend year by year,especially that(16.3%)of women aged 19-25 was the highest.The overall overweight rate and obesity rate before pregnancy were 9.8%and 2.5%,respectively,with increasing trends of both overall overweight rate and obesity rate year by year.There were statistically significant differences in pregestational nutritional status among women of different ages,household registration,educational background,occupation,gravidity and parity history.Conclusion:It is important to pay more attention to the significant nutritional deficiency of women under 25 years old,and the overweight or obesity of elderly and second-born mothers in Shanghai.

关 键 词：妊娠妇女 孕前体质指数 营养不良 超重 肥胖 

分 类 号：R715.3[医药卫生—妇产科学]