發(fā)布時(shí)間：2018-03-31 06:23

  本文選題：產(chǎn)后體重變化趨勢　切入點(diǎn)：孕期增重　出處：《安徽醫(yī)科大學(xué)》2015年碩士論文

【摘要】：目的了解合肥市婦女產(chǎn)后2年體重變化情況,探討影響婦女產(chǎn)后2年內(nèi)體重變化的因素,描述婦女產(chǎn)后2年內(nèi)體重變化趨勢,為促進(jìn)產(chǎn)后后婦女體重恢復(fù)到孕前水平提供參考依據(jù)。方法以到合肥市某區(qū)婦幼保健站進(jìn)行產(chǎn)后42天(d)體檢的婦女為研究人群,按照納入排除標(biāo)準(zhǔn)確定研究對象,簽署知情同意書后,納入研究隊(duì)列進(jìn)行歷史-前瞻性觀察隊(duì)列研究。在研究對象產(chǎn)后42天進(jìn)行基線資料收集,測量身高、體重,計(jì)算BMI值,在產(chǎn)后42天(d),6,12,18,24個(gè)月(m)對其進(jìn)行隨訪調(diào)查。資料采用重復(fù)測量資料的方差分析、Bivariate過程進(jìn)行相關(guān)分析、多因素Logistic回歸分析。結(jié)果(1)研究對象共研究對象共418例,孕前平均體重(53.46±6.70)kg,產(chǎn)前體重平均值為(69.74±8.22)kg,孕期體重平均增加(16.33±5.26)kg。產(chǎn)后42d,6m,12m體重滯留均值分別為(7.14±4.04)kg,(6.81±5.02)kg,(5.19±3.82)kg,產(chǎn)后18m,24m體重變化值(產(chǎn)后18/24m體重-孕前體重)分別為(5.35±4.52)kg,(5.15±3.68)kg。產(chǎn)后42d,6m,12m,18m,24m恢復(fù)到孕前體重率分別為7.42%,15.38%,32.58%,24.89%,27.97%。(2)孕前BMI分組的婦女產(chǎn)后42d~12m,體重滯留呈遞減趨勢,產(chǎn)后12~24m,產(chǎn)后體重變化值呈增加趨勢,超重/肥胖組婦女產(chǎn)后12~24m,體重變化波動(dòng)較明顯。(3)孕期增重是影響婦女產(chǎn)后2年內(nèi)體重變化值的主要因素,孕期增重3組婦女產(chǎn)后42d,18m,24m體重變化值之間的差異有統(tǒng)計(jì)學(xué)差異(P0.05)。孕期增重和產(chǎn)后42d,18m,24m體重變化值之間存在顯著相關(guān)性(P0.01),Pearson相關(guān)系數(shù)分別為0.635,0.298,0.341。(4)孕前BMI、睡眠時(shí)長、產(chǎn)后1年體重滯留也是影響婦女產(chǎn)后2年內(nèi)體重變化的重要影響因素。結(jié)論將孕期增重控制在合理范圍內(nèi),產(chǎn)后堅(jiān)持母乳喂養(yǎng)、適量運(yùn)動(dòng)、適宜的睡眠時(shí)長可以有效地促進(jìn)婦女產(chǎn)后體重恢復(fù)到孕前水平。
[Abstract]:Objective to investigate the changes of postpartum weight of women in Hefei, and to explore the factors influencing the changes of postpartum weight, and to describe the trend of weight change in women during postpartum. In order to promote women's weight recovery to pre-pregnancy level after postpartum, women who had physical examination at a district maternal and child health station in Hefei for 42 days postpartum were taken as the study group, and the study objects were determined according to the exclusion criteria. After signing the informed consent, the subjects were enrolled in the study cohort for a historical prospective observation cohort study. Baseline data were collected at 42 days postpartum, height and weight were measured, and BMI values were calculated. Follow up investigation was carried out on the 42nd day postpartum, the data were analyzed by variance analysis of repeated data and multivariate Logistic regression analysis. Results 1) 418 subjects were included in the study, and the results were as follows: (1) A total of 418 patients were enrolled in the study, and the data were analyzed by means of variance analysis and multivariate Logistic regression analysis. The average body weight before pregnancy was 53.46 鹵6.70 kg, the average weight before delivery was 69.74 鹵8.22 kg, the average weight gain during pregnancy was 16.33 鹵5.26 kgs. the average body weight retention at 42d postpartum was 7.14 鹵4.04 kg / kg 6.81 鹵5.02 kg 5.19 鹵3.82 kg / kg, and the mean weight change value of 18m / 24m postpartum was 5.35 鹵4.52 kg / kg and 5.15 鹵3.68 kg / kg respectively. The weight rates were 7.42% and 15.38%, respectively. The weight retention of the women who were divided into two groups of BMI before pregnancy (7.42%) and 32.58% (24.89%) at the end of the second trimester of pregnancy showed a decreasing trend of weight retention at 42 days postpartum. The change of postpartum body weight showed an increasing trend. The weight change of overweight / obese women was 1224 mpostpartum, and the fluctuation of body weight was obvious. The weight gain during pregnancy was the main factor that affected the change of postpartum body weight of women in postpartum 2 years. There was significant difference in weight change between pregnant women and postpartum 42d weight gain group (P 0.05). There was a significant correlation between gestational weight gain and postpartum 42d postpartum weight gain. Pearson correlation coefficient was 0.635v 0.2980.341.4) BMIs before pregnancy, sleep duration, sleep duration, sleep duration, sleep duration, sleep duration, sleep duration, sleep duration, sleep duration, sleep duration, sleep duration, sleep duration, sleep duration, sleep duration, sleep duration, sleep duration, sleep duration, sleep duration, sleep duration, sleep duration, sleep duration, sleep duration, sleep duration, and sleep duration. 1 year postpartum weight retention is also an important factor affecting the weight change of women within 2 years postpartum. Conclusion the weight gain during pregnancy should be controlled within a reasonable range. Proper sleep duration can effectively promote postpartum weight recovery to pre-pregnancy level.
【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】：2015
【分類號(hào)】：R173

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1 李麗佳;婦女產(chǎn)后體重變化趨勢及其影響因素研究[D];安徽醫(yī)科大學(xué);2015年

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本文編號(hào)：1689533