本文選題：孕前體質(zhì)指數(shù) + 孕期　； 參考：《安徽醫(yī)科大學學報》2017年05期

【摘要】：目的探討孕前體質(zhì)指數(shù)、孕期增重與子代出生體重的關系。方法選取在婦幼保健機構體檢的嬰兒母親,采用問卷調(diào)查的方式收集母親的一般情況、孕期增重及子代出生體重、身長等情況。采用方差分析、χ~2檢驗和多因素Logistic回歸模型等方法進行數(shù)據(jù)統(tǒng)計分析。結果母親孕前超重/肥胖的檢出率為12.3%(199例),孕期增重過高的檢出率為52.1%(842例)。超重/肥胖組其子代出生體重、巨大兒和大于胎齡兒的發(fā)生率均較高(P0.05),而子代的出生體重、巨大兒發(fā)生率、低體重兒發(fā)生率、小于胎齡兒發(fā)生率以及大于胎齡兒發(fā)生率均在孕期增重過高組,增重適宜組和增重不足組間存在差異(P0.05)。在控制了母親年齡等因素后,孕前超重/肥胖增加了巨大兒(OR=1.7,95%CI:1.2~2.6)、大于胎齡兒(OR=1.7,95%CI:1.1~2.5)的發(fā)生風險,孕期增重過高則增加了巨大兒(OR=1.7,95%CI:1.2~2.5)、大于胎齡兒(OR=1.7,95%CI:1.1~2.4)的發(fā)生風險。而孕期增重不足能增加低體重兒(OR=2.2,95%CI:1.1~4.4)、小于胎齡兒(OR=2.0,95%CI:1.2~3.4)的發(fā)生風險。結論母親孕前體質(zhì)量指數(shù)及孕期增重均與巨大兒和大于胎齡兒的發(fā)生密切相關,且孕期增重不足與低體重兒和小于胎齡兒的發(fā)生也密切相關。孕期保健應該加強對孕婦體重的監(jiān)測,防止其對新生兒出生結局產(chǎn)生不良影響。
[Abstract]:Objective to study the relationship between body mass index (BMI), weight gain during pregnancy and birth weight of offspring. Methods A questionnaire survey was used to collect the general situation of mothers, weight gain during pregnancy, birth weight and body length of their offspring in maternal and child health care institutions. ANOVA, 蠂 ~ 2 test and multivariate Logistic regression model were used to analyze the data. Results the detection rate of overweight / obesity in mothers before pregnancy was 12.3 and that in pregnant women was 52.1 and 842 respectively. The birth weight, macrosomia and gestational age in overweight / obesity group were higher than those in the control group (P 0.05), while the birth weight, macrosomia and low birth weight were higher in the overweight / obesity group. The incidence rate of small gestational age and greater than gestational age was higher than that of gestational age, and there was a difference between the appropriate weight gain group and the low weight gain group (P 0.05). After controlling for the age of the mother, overweight / obesity before pregnancy increased the risk of occurrence of OR1.795 CI1. 795 CI: 1.2 / 2.6, larger than the gestational age (OR 1.795 CI: 1.12.5), and increased the risk of greater weight gain during pregnancy (OR1.795 CI1. 2. 5, greater than the gestational age, OR1. 7 95: CI1. 12.4). However, insufficient weight gain during pregnancy can increase the risk of the occurrence of low birth weight infants with an or2. 2 + 95% CI: 1. 1 and 4. 4%, less than the gestational age of 2. 0 and 95% CI: 1. 2 / 3. 4). Conclusion the maternal weight index and weight gain during pregnancy are closely related to the occurrence of macrosomia and larger than gestational age, and the lack of weight gain during pregnancy is also closely related to the occurrence of low birth weight and small gestational age. Maternal health care should strengthen the monitoring of maternal weight to prevent its adverse impact on neonatal outcomes.
【作者單位】： 安徽醫(yī)科大學公共衛(wèi)生學院兒少衛(wèi)生與婦幼保健學系;安徽省宿州婦幼保健所;
【基金】：安徽省高校省級自然科學研究重大項目(編號:KJ2014ZD18) 國家自然科學基金(編號:30970906)
【分類號】：R714

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