育龄期不孕症女性的膳食模式现状及其影响因素分析  

Analysis of dietary patterns and influencing factors in infertile women of childbearing age

作　　者：张雪云 王婕妤 王春艳[2] 程静娴 吴炫烨 罗桂英 ZHANG Xueyun;WANG Jieyu;WANG Chunyan;CHENG Jingxian;WU Xuanye;LUO Guiying(School of Nursing,Anhui Medical University,Hefei,Anhui 230032,China;不详)

机构地区：[1]安徽医科大学护理学院,安徽合肥230032 [2]安徽医科大学第一附属医院生殖中心,安徽合肥230000

出　　处：《中华全科医学》2024年第2期252-256,共5页Chinese Journal of General Practice

基　　金：安徽省高校自然科学研究项目(KJ2020A0203);安徽省高校人文社会科学研究项目(SK2020A0146);2023年度安徽医科大学护理学院研究生青苗培育项目(hlqm12023056)。

摘　　要：目的分析育龄期不孕症女性的膳食模式现状,并探究其膳食模式的影响因素,旨在为不孕症女性制定合理的饮食指导方案提供理论依据。方法采用便利抽样法选取2021年5月—2022年12月在安徽省某三甲医院生殖中心门诊就诊的拟行辅助生殖技术的育龄期不孕症女性,采用自行设计的问卷和3天24小时膳食回顾问卷对研究对象进行调查,利用因子分析建立膳食模式,无序多分类logistic回归法分析膳食模式的影响因素。结果育龄期不孕症女性共有4种膳食模式,分别为高油盐模式、荤素混合模式、谷类-蛋奶模式以及水果-坚果模式。多因素logistic回归分析显示,高油盐模式与年龄有相关性(OR=0.488,95%CI:0.254~0.938);荤素混合模式与在职状态和BMI有相关性[OR(95%CI)分别为3.954(2.047~7.636)、3.392(1.486~7.744)];谷类-蛋奶模式与长期居住地、不孕年限及助孕治疗有相关性[OR(95%CI)分别为2.758(1.129~6.740)、3.539(1.113~11.250)、0.400(0.172~0.929)];水果-坚果模式与长期居住地有相关性(OR=4.884,95%CI:1.892~12.603)。结论育龄期不孕症女性目前更倾向于谷类-蛋奶模式,其膳食模式类型受到多种因素影响,应根据不同的膳食模式特点,为其提供针对性的饮食指导。Objective In order to provide theoretical basis for formulating rational dietary guidance program for infertile women,this paper analyzed the current situation of dietary pattern of infertile women and explored the influencing factors of dietary pattern.Methods A self-designed questionnaire and a 3-day 24-hour dietary review questionnaire were used to investigate the infertile women of childbearing age who intended to undergo assisted reproductive technology in the reproductive center outpatient clinic of a top three hospital in Anhui Province from May 2021 to December 2022.The dietary patterns were established by factor analysis,and the influencing factors of dietary patterns were analyzed by disordered multiple logistic regression method.Results There were four dietary patterns in infertile women of childbearing age,which were high oil and salt pattern,mixed meat and vegetable pattern,traditional dietary pattern and modern dietary pattern.Multiple logistic regression analysis showed that high oil and salt pattern was negatively correlated with age(OR=0.488,95%CI:0.254-0.938).Meat and vegetable mixing pattern was positively correlated with in-service status and BMI[OR(95%CI)were 3.954(2.047-7.636)and 3.392(1.486-7.744)].Traditional dietary patterns were positively correlated with long-term residence and infertility years,but negatively correlated with pregnance-assisted treatment[OR(95%CI)were 2.758(1.129-6.740),3.539(1.113-11.250),0.400(0.172-0.929)].Modern dietary pattern was positively correlated with long-term residence(OR=4.884,95%CI:1.892-12.603).Conclusion Infertile women are more inclined to traditional dietary patterns at present,and their dietary patterns are affected by many factors.Therefore,targeted dietary guidance should be provided for infertile women of childbearing age according to the characteristics of their different dietary patterns.

关 键 词：不孕症 饮食 膳食模式 影响因素 

分 类 号：R711.6[医药卫生—妇产科学] R151.4[医药卫生—临床医学]