發(fā)布時(shí)間：2018-05-16 20:14

  本文選題：肥胖孕婦 + 母嬰��； 參考：《現(xiàn)代中西醫(yī)結(jié)合雜志》2016年35期

【摘要】：目的探討運(yùn)動(dòng)飲食干預(yù)對(duì)肥胖孕婦母嬰及子代的影響。方法將131例肥胖孕婦隨機(jī)分成2組:對(duì)照組44例進(jìn)行飲食干預(yù),干預(yù)組87例除進(jìn)行飲食干預(yù)外,增加有氧鍛煉,如散步、慢走。運(yùn)動(dòng)干預(yù)在早期妊娠以輕度運(yùn)動(dòng)為主,如孕婦健身操、氣功、太極拳等,中晚期以中等強(qiáng)度的餐后運(yùn)動(dòng)為主,以走路為主,由每次30 min逐漸增加至1 h,每周3次,以不出汗,孕婦不感覺疲勞為度。結(jié)果 2組孕婦自納入至分娩均按時(shí)隨訪,無脫落。胎兒均足月分娩,無圍生兒死亡情況發(fā)生,嬰兒滿1歲時(shí),運(yùn)動(dòng)飲食干預(yù)組脫落18例,對(duì)照組脫落5例,脫落病例不納入統(tǒng)計(jì)。干預(yù)組孕婦每周體質(zhì)量增加及預(yù)期總質(zhì)量增加、BMI增加均少于對(duì)照組(P均0.05),母嬰不良結(jié)局發(fā)生率低于對(duì)照組(P0.05),新生兒身高及體質(zhì)量均低于對(duì)照組(P均0.05);2組子代1歲時(shí)身高比較差異均無統(tǒng)計(jì)學(xué)意義(P均0.05),但干預(yù)組子代1歲時(shí)體質(zhì)量及瘦素水平均低于對(duì)照組(P均0.05)。結(jié)論運(yùn)動(dòng)飲食干預(yù)孕期肥胖孕婦,不僅能降低母嬰不良結(jié)局的發(fā)生率,提高圍生期質(zhì)量,而且在1年內(nèi)可控制子代肥胖的發(fā)生。
[Abstract]:Objective to explore the effect of exercise diet intervention on mothers, infants and offspring of obese pregnant women. Methods 131 obese pregnant women were randomly divided into two groups: the control group (44 cases) received dietary intervention, and the intervention group (87 cases) increased aerobic exercise, such as walking and walking slowly, in addition to dietary intervention. Exercise intervention in early pregnancy was mainly light exercise, such as calisthenics, Qigong, Taijiquan, etc. In the middle and late stages of pregnancy, moderate intensity postprandial exercise was the main activity and walking was the main activity. It was gradually increased from 30 min to 1 h, 3 times a week, without sweating. The pregnant woman does not feel tired. Results all the pregnant women in the two groups were followed up on time from inclusion to delivery without falling off. There were 18 cases in the exercise diet intervention group and 5 cases in the control group, which were not included in the statistics. In the intervention group, the increase in weekly body mass and expected total weight increase in BMI was lower than that in the control group (P < 0.05), the incidence of maternal and infant adverse outcome was lower than that in the control group (P 0.05), the height and body weight of the newborn was lower than that in the control group (P < 0.05), and the birth weight of the control group was lower than that of the control group (n = 0.05). There was no significant difference in height between the two groups (P < 0.05), but the body weight and leptin level in the intervention group were lower than those in the control group at the age of 1 years. Conclusion exercise diet intervention can not only reduce the incidence of maternal and infant adverse outcomes and improve perinatal quality, but also control the occurrence of obesity in offspring within one year.
【作者單位】： 解放軍第260醫(yī)院;
【分類號(hào)】：R714.25

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