本文選題：運(yùn)動(dòng)　切入點(diǎn)：產(chǎn)后體重滯留　出處：《安徽醫(yī)科大學(xué)》2013年碩士論文　論文類型：學(xué)位論文

【摘要】：目的了解合肥市婦女產(chǎn)后體重滯留情況；探討影響婦女產(chǎn)后一年內(nèi)體重滯留的因素，從而為減少產(chǎn)后體重滯留提供參考依據(jù)。 方法以合肥市某區(qū)婦幼保健站作為研究現(xiàn)場(chǎng)，招募產(chǎn)后婦女作為研究對(duì)象，進(jìn)行前瞻性觀察隊(duì)列隨訪研究。產(chǎn)婦于產(chǎn)后42天被納入到研究隊(duì)列，進(jìn)行基線情況調(diào)查，隨后隨訪其產(chǎn)后一年內(nèi)的運(yùn)動(dòng)行為、哺乳行為、體重滯留、睡眠等情況，分為5次隨訪，分別于產(chǎn)后42天、3個(gè)月、6個(gè)月、9個(gè)月、12個(gè)月進(jìn)行。資料采用重復(fù)測(cè)量資料的方差分析和多因素Logistic回歸方法分析產(chǎn)后行為與婦女產(chǎn)后體重滯留的關(guān)系。 結(jié)果(1)研究對(duì)象孕前平均體重為54.26±8.1kg，孕前超重和肥胖率分別為7.9%、2.1%，研究對(duì)象產(chǎn)后42天、3個(gè)月、6個(gè)月、9個(gè)月、12個(gè)月體重滯留分別為7.8±5.1kg、6.6±5.2kg、5.1±5.2kg、4.1±5.0kg、3.4±5.0kg。產(chǎn)后12個(gè)月的超重和肥胖率為15.9%、5.3%，，平均體重為57.5kg(40.0~92.0kg)，平均腰圍為74.3cm(58.0~104.0cm)，平均臀圍為93.2cm(78.0~115.0cm)，平均皮脂厚度為22.5mm(10.0~44.0mm)，平均BMI為21.9kg/m2(15.6~38.5kg/m2)。(2)產(chǎn)后BMI受到孕前BMI、體力活動(dòng)、喂養(yǎng)方式以及久坐情況的影響，差異具有統(tǒng)計(jì)學(xué)意義(P0.05)，未發(fā)現(xiàn)教育程度、分娩方式對(duì)產(chǎn)后BMI產(chǎn)生影響。(3)發(fā)現(xiàn)產(chǎn)后體力活動(dòng)與產(chǎn)后的體重滯留有統(tǒng)計(jì)學(xué)關(guān)聯(lián)，較少鍛煉組產(chǎn)后體重滯留要高于一般鍛煉組和積極鍛煉組，同時(shí)產(chǎn)后體重滯留受到久坐情況的影響，差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。(4)研究對(duì)象純母乳喂養(yǎng)的256例(41.7%)，混合喂養(yǎng)的133例(21.7%)，人工喂養(yǎng)的89例(14.7%)，統(tǒng)計(jì)結(jié)果顯示產(chǎn)后純母乳喂養(yǎng)至少4個(gè)月能夠顯著減少體重滯留。 結(jié)論產(chǎn)后進(jìn)行母乳喂養(yǎng)并增加適量的運(yùn)動(dòng)，可有效減少體重滯留。
[Abstract]:Objective to investigate the retention of postpartum weight of women in Hefei, and to explore the factors influencing the retention of postpartum weight in order to provide a reference for reducing the retention of postpartum weight. Methods A district maternal and child health station in Hefei was used as the research site, postpartum women were recruited as study objects, and prospective observation cohort follow-up study was carried out. The puerpera was enrolled in the study cohort at 42 days postpartum, and baseline investigation was carried out. They were followed up for 5 times, such as their motor behavior, lactation behavior, weight retention, sleep and so on during the first year of postpartum. The relationship between postpartum behavior and postpartum weight retention was analyzed by means of ANOVA of repeated data and multivariate Logistic regression method respectively at 42 days, 3 months, 6 months, 9 months and 12 months postpartum. Results the average body weight before pregnancy was 54.26 鹵8.1 kg, and the rates of overweight and obesity before pregnancy were 7.9 and 2.1, respectively. The retention rates of body weight in 42 days, 3 months, 6 months, 9 months and 12 months of postpartum were 7.8 鹵5.1 鹵5.2 kg, 5.1 鹵5.2 kg and 3.4 鹵5.0 kg / g, respectively. The rates of overweight and obesity in 12 months postpartum were 15.9kg and 5.3kg, respectively. The average body weight was 57.5 kg / kg, the average waist circumference was 74.3 cm / L, the average hip circumference was 73.2 cm / min, the average hip circumference was 78.0 / 115.0 cm / s, the average sebum thickness was 22.5 mm / 10.0 / 44.0 mm, the average BMI was 21.9 kg / m ~ (215.6) / 38.5 kg / m ~ (2 / 2) postpartum BMIs, physical activity, postpartum BMIs. The effects of feeding style and sedentary condition on postpartum BMI were statistically significant (P 0.05). No educational level was found. The effect of delivery mode on postpartum BMI was found to be statistically related to postpartum physical activity and postpartum weight retention. The postpartum weight retention in the less exercise group was higher than that in the general exercise group and the active exercise group, and the postpartum weight retention was affected by the sedentary condition. The difference was statistically significant (P 0.05).) among the subjects, 256 cases of exclusive breastfeeding, 133 cases of mixed feeding, 89 cases of artificial feeding and 89 cases of artificial feeding could significantly reduce body weight retention for at least 4 months after puerperal breast-feeding. Conclusion Breast-feeding and moderate exercise after delivery can effectively reduce weight retention.
【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R173

【共引文獻(xiàn)】

相關(guān)碩士學(xué)位論文 前2條

1 吳爽;武漢市婦女產(chǎn)褥期營(yíng)養(yǎng)保健知識(shí)與相關(guān)行為調(diào)查研究[D];華中科技大學(xué);2011年

2 張勤;妊娠期心理和膳食營(yíng)養(yǎng)因素與新生兒出生體重的關(guān)系研究[D];安徽醫(yī)科大學(xué);2010年

本文編號(hào)：1574337