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

【摘要】：目的探討運動飲食干預對肥胖孕婦母嬰及子代的影響。方法將131例肥胖孕婦隨機分成2組:對照組44例進行飲食干預,干預組87例除進行飲食干預外,增加有氧鍛煉,如散步、慢走。運動干預在早期妊娠以輕度運動為主,如孕婦健身操、氣功、太極拳等,中晚期以中等強度的餐后運動為主,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。結果 2組孕婦自納入至分娩均按時隨訪,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,運動飲食干預組脫落18例,對照組脫落5例,脫落病例不納入統(tǒng)計。干預組孕婦每周體質量增加及預期總質量增加、BMI增加均少于對照組(P均0.05),母嬰不良結局發(fā)生率低于對照組(P0.05),新生兒身高及體質量均低于對照組(P均0.05);2組子代1歲時身高比較差異均無統(tǒng)計學意義(P均0.05),但干預組子代1歲時體質量及瘦素水平均低于對照組(P均0.05)。結論運動飲食干預孕期肥胖孕婦,不僅能降低母嬰不良結局的發(fā)生率,提高圍生期質量,而且在1年內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】：R714.25

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