孕前BMI及孕期增重對婦女產(chǎn)后兩年體重變化的影響
發(fā)布時間:2018-01-25 03:09
本文關鍵詞: 產(chǎn)后體重變化 孕期增重 孕前BMI 出處:《現(xiàn)代婦產(chǎn)科進展》2016年09期 論文類型:期刊論文
【摘要】:目的:探討孕前BMI及孕期增重對婦女產(chǎn)后2年體重變化的影響。方法:采用歷史-前瞻性隊列研究設計,選擇合肥市某區(qū)婦幼保健站進行產(chǎn)后42天體檢的418例婦女為研究人群并建立觀察隊列,采用問卷調(diào)查和查閱孕產(chǎn)婦管理檔案的方法收集基線資料,于產(chǎn)后42天及6月、12月、18月、24月對其進行連續(xù)性隨訪觀察各時點的體重值。結(jié)果:418例產(chǎn)婦產(chǎn)后42天、6月、12月、18月、24月恢復至孕前體重率分別為7.42%、15.38%、32.58%、24.89%、27.97%。孕前BMI各組(18.5kg/m2組,18.5kg/m2≤BMI24kg/m2組,≥24kg/m2組)產(chǎn)后各時點比較,差異均有統(tǒng)計學意義(P0.05)。孕期增重3組(孕期增重較少組、孕期增重適中組和孕期增重較多組)婦女產(chǎn)后42天、18月和24月體重變化值比較,差異均有統(tǒng)計學意義(P0.05)。結(jié)論:孕前BMI、孕期增重影響產(chǎn)后2年體重的變化,根據(jù)孕前BMI將孕期增重控制在合理范圍內(nèi)可有效促進婦女產(chǎn)后體重恢復到孕前水平并控制遠期肥胖的發(fā)生。
[Abstract]:Objective: to investigate the effect of BMI before pregnancy and weight gain during pregnancy on the changes of postpartum weight in women. Methods: a historical prospective cohort study was used. A total of 418 women were selected for 42 days postpartum physical examination at a district maternal and child health station in Hefei, and the observation cohort was set up. The baseline data were collected by questionnaire survey and consulting maternal management files. After 42 days postpartum and June, December, 18 months, 24 months, it was followed up continuously to observe the weight value of each time point. Results the weight values of 42 days postpartum, June, June, 18 months after parturient were observed. The rate of body weight before pregnancy was 7.42% and 15.38%, 32.58% and 24.89%, respectively. Before pregnancy, BMI group was 18.5kg / m ~ 2 group. 18.5 kg / m2 鈮,
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