新生儿出生体格与父母体质指数及母亲孕期营养的关系  

Association between Newborn’s Physique and Parental BMI,As Well As Mother’s Nutrition During Pregnancy

作　　者：张永花[1] 成丽霞 鲁春兰 禹蕾[1] 裴树伟 Zhang Yonghua;Cheng Lixia;Lu Chunlan;Yu Lei;Pei Shuwei(Lanzhou Maternal and Child Health Hospital,Lanzhou,Gansu,730000,China)

机构地区：[1]兰州市妇幼保健院,甘肃兰州730000 [2]兰州大学公共卫生学院,甘肃兰州730000

出　　处：《中国初级卫生保健》2024年第1期63-66,共4页Chinese Primary Health Care

基　　金：兰州市科技计划项目(2022-2-108);兰州市科技计划项目(2020-ZD-159);兰州市卫生健康科技发展项目(2021027)。

摘　　要：目的:探讨新生儿出生体格与父母体质指数及母亲孕期增重、贫血的关系,为提高妇幼保健质量提供理论依据。方法:对2020年1—12月在兰州市妇幼保健院进行孕产期系统保健管理的100名孕产妇及其新生儿进行调查。采用自行的设计问卷对孕产妇进行调查,通过面对面访谈、就诊时检测的方式收集父母亲一般情况、围孕产期生活习惯、父母亲身高、体重、新生儿分娩情况、体质指数(BMI)、血红蛋白(Hb)检测值、出生体格等资料,并对资料进行统计学分析。结果:不同父亲BMI类型与新生儿出生体格相关,低体重组、正常体重组、超重/肥胖组父亲的新生儿出生体重分别为(3.01±0.28)kg、(3.25±0.44)kg、(3.40±0.34)kg,3组比较,差异有统计学意义(F=9.793,P<0.05)。母亲孕期增重与新生儿出生体重相关,增重不足、增重正常、增重超重组母亲的新生儿出生体重分别为(3.22±0.42)kg、(3.19±0.34)kg、(3.40±0.45)kg,3组比较,差异有统计学意义(F=9.878,P<0.01)。多元线性回归分析显示,父亲BMI,母亲孕期增重、孕前BMI与新生儿出生体重呈正相关,父亲饮酒与新生儿出生体重呈负相关。父亲BMI、母亲身高与新生儿出生身长呈正相关。结论:新生儿出生体格与父母体质指数及母亲孕期增重有关,应多关注父亲因素对儿童早期发育的影响。OBJECTIVE To explore the associations between the newborn’s physique and parental body mass index(BMI),ma⁃ternal weight gain,and anemia during pregnancy,and to provide theoretical basis for improving the quality of maternal and child health care.METHODS From January 2020 to December 2020,100 parents and newborns were selected from Lanzhou Maternal and Child Health Hospital who carry out systematic health care management during pregnancy and childbirth.A questionnaire was de⁃signed to investigate the health status of pregnant women.Through face-to-face interviews and tests during medical treatment,the general situation of parents,perinatal living habits,height,weight,delivery of newborns,birth physique,BMI,hemoglobin test values were collected,and the data were analyzed by statistical method.RESULTS Different BMI types of fathers are related to newborns’physique.The birth weight of newborns in the low weight group,the normal weight group and the superrecombinant fathers were(3.01±0.28)kg,(3.25±0.44)kg and(3.40±0.34)kg,respectively,and the difference was statistically significant(F=9.793,P<0.05).The weight gain of mothers during pregnancy was correlated with the birth weight of newborns,and the birth weight of newborns of undergain,normal gain,and super-gain mothers was(3.22±0.42)kg,(3.19±0.34)kg,and(3.40±0.45)kg,respectively.The difference between the three groups was statistically significant(F=9.878,P<0.01).Multiple linear regression analysis showed that paternal BMI,maternal weight gain during pregnancy and pre-pregnancy BMI were positively correlated with newborn birth weight,while pa⁃ternal alcohol consumption was negatively correlated with newborn birth weight.Paternal BMI and maternal height were positively correlated with birth length.CONCLUSION Newborn birth physique is related to parental BMI and maternal weight gain during preg⁃nancy.Attention should be paid to the influence of father factors on early childhood development.

关 键 词：新生儿 出生体格 父母BMI 孕期营养 

分 类 号：R174[医药卫生—妇幼卫生保健]