膳食平衡指数评估高龄不孕女性辅助生殖过程中膳食营养状况  

Dietary balance index for evaluating the dietary and nutritional status of advanced women with infertility during assisted reproduction

作　　者：于杜娇 李玲 杨宛鑫 刘丽 YU Dujiao;LI Ling;YANG Wanxin;LIU Li(The Second Affiliated Hospital of Air Force Military Medical University,Xi'an,Shaanxi Province,710038)

机构地区：[1]空军军医大学第二附属医院,西安710038

出　　处：《中国计划生育学杂志》2023年第5期1126-1130,共5页Chinese Journal of Family Planning

摘　　要：目的:利用膳食平衡指数(DBI-16)评价高龄不孕女性辅助生殖过程中膳食营养状况。方法:选取2021年6月-2022年6月在本院因不孕辅助生殖技术助孕的高龄(≥35岁)孕妇914例,以半定量饮食频次问卷调查孕妇过去1个月中的饮食,采用DBI-16评估膳食营养状况。结果:不同年龄、体质指数(BMI)和学历患者DBI正端分(HBS)HBS无差异(P>0.05),35~36岁组、BMI<25 kg/m^(2)和大学及以上学历组的DBI负端分(LBS)和DBI饮食质量距离(DQD)较低(P<0.05),呈35~36岁<37~38岁<≥39岁,BMI≥25 kg/m^(2)<25 kg/m^(2),大学及以上<高中及大专<小学及初中(P<0.05);不同户籍及工作类型患者DBI-16分值无差异(P>0.05)。914例中,76.8%每日摄入谷类食物接近或达到建议水平,23.2%摄入过量;76.8%每日摄入水果接近或达到建议量,23.2%摄入过量;66.3%每日摄入鸡蛋和肉制品接近或达到建议水平,33.7%摄入过量;17.7%每日摄入奶类接近或达到建议水平,82.3%每日摄入不足;47.1%每日摄入鱼虾接近或达到建议水平,53.0%每日摄入不足;58.9%每日摄入豆类接近或达到建议水平,41.1%每日摄入不足;23.4%每日摄入油接近或达到建议水平,76.6%每日超出建议摄入量;56.5%每日摄入食盐接近或达到建议水平,56.5%每日超出建议摄入量;69.4%每日摄入食盐接近或达到建议水平,30.6%每日摄入不足;69.4%平均每日摄入≥8种食物,10.7%平均每日摄入5~7种食物。914例DBI HBS、DBI LBS、DBI DQD的膳食质量多分布于低水平及几乎没有问题,其次为中水平、没有问题和高水平。结论:利用ART助孕的高龄不孕患者中,年龄>37岁、BMI≥25 kg/m^(2)和学历较低患者膳食营养状况较差,改善营养的空间较大,总体膳食质量存在低水平的不平衡。Objective:To evaluate the dietary nutritional status of advanced women with infertility during assisted re-production by diet balance index 16(DBI-16).Methods:914 advanced pregnant women(≥35 years old)who had ac-cepted assisted reproductive technology were selected in this study from June 2021 to June 2022.The diet of these women in the past 1 month was investigated by a semi-quantitative diet frequency questionnaire,and the dietary nutri-tional status of the women was evaluated by DBI-16.Results:There were no significant differences in the DBI HBS score among the women with different age,body mass index(BMI),or education levels(P>0.05).The DBI LBS and DBI dietary quality distance(DQD)values of the women with 35-36 years old,with BMI<<25kg/m^(2),or with universi-ty education level were significantly lower(P<0.05),which of the women with 35-36 years old,with 37-38,and with≥39 years old had increased gradually,which of the women with BMI≥25 kg/m^(2) and with BMI<<25 kg/m^(2) had in-creased gradually,and which of the women with university education level or above,the women with senior high school and junior college education levels,and the women with primary school and junior high school education levels had increased gradually(P<<0.05).There was no significant difference in the score of DBI-16 among the patients with different household registration or job types(P>0.05).Among 914 women,76.8%women consumed cereals nearly or reached the recommended daily level,and 23.2%women consumed cereals excessively.The daily fruit intake of 76.8%women approached or reached the recommended amount,and 23.2%women of which excessived.The daily in-take of eggs and meat products of 66.3%women approached or reached the recommended amount,and 33.7%women of which excessive.The daily milk intake of 17.7%women of approached or reached the recommended levels,and 82.3%women of which were insufficient.The daily intake of fish and shrimp of 47.1%women approached or reached the recommended levels,and 53.0%women of which were insufficient.

关 键 词：不孕症 辅助生殖 膳食平衡指数 营养 

分 类 号：R714.8[医药卫生—妇产科学] R151.42[医药卫生—临床医学]