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1、婦女孕期體質(zhì)量增加情況調(diào)查作者:崔璀,汪之頊 張振華,孫忠清,鐘春梅單位:青島大學(xué)醫(yī)學(xué)院醫(yī)學(xué)營養(yǎng)學(xué)研究所,山東青島【摘要】目的了解婦女孕期體質(zhì)量增長情況。方法檢測1165例孕婦孕前、孕期每周、產(chǎn)前體質(zhì)量及新生兒出生體質(zhì)量,計(jì)算孕期體質(zhì)量增加情況。結(jié)果孕婦的平均年齡為(27.5±2.9)歲,孕前平均體質(zhì)量為(58.02±8.02)kg,孕前平均BMI為(22.38±2.85)kg/m2。孕期體質(zhì)量平均增加(16.03±4.85)kg。新生兒出生體質(zhì)量為2500~4000g的孕婦孕期體質(zhì)量增加值為(15.77±4.72)kg。孕
2、晚期后,新生兒出生體質(zhì)量過低、正常、超標(biāo)的孕婦每月體質(zhì)量的增加值依次增多。新生兒出生體質(zhì)量正常的孕婦孕前BMI過低、正常和超標(biāo)者孕期體質(zhì)量增加均高于肥胖者,差異有顯著性(F=5.161,P<0.05)。結(jié)論本文調(diào)查孕婦孕期體質(zhì)量增加值高于推薦值12.5kg,孕婦在孕28周后應(yīng)加強(qiáng)監(jiān)測體質(zhì)量的增加情況?!娟P(guān)鍵詞】孕婦;體質(zhì)量增長;出生體質(zhì)量INVESTIGATIONOFWEIGHTGAINDURINGPREGNACYCUICUI,WANGZHIXU,ZHANGZHENHUA,etal(DepartmentofInstituteofMedicalNutrition,QingdaoUniv
3、ersityMedicalCollege,Qingdao266021,China);[ABSTRACT]ObjectiveToinvestigatetheweightgainindurationofpregnancy.MethodsThebodyweightof1165pregnantwomenwasmeasuredprogestation,onceaweekduringgestationandantepartumaswellastheweightofnewborninfants.Theweightgainduringpregnancywascalculated.ResultsTheavera
4、geageofpregnantwomenwas(27.5±2.9)years,theiraverageprogestationweightwas(58.02±8.02)kg,andBMIwas(22.38±2.85)kg/m2.Theaverageweightgainingestationwas(16.03±4.85)kg.Theaverageweightgainwas(15.77±4.72)kginwomenwhodeliveredneonateswithbirthweightfrom2500to4000g.Atlatet
5、rimesterofpregnancy,theweightgainpermonthinexpectantmothersincreasedinorderofinfantswithtoolow,normalandoverweightbirthweight.Forthosewithnormalbodyweightinfantswhowerewithtoolow,normalandoverweightatprogestationBMI,theweightgainwasmorethanthatoftheobese,thedifferencewassignificant(F=5.161,P<0
6、.05).ConclusionThisinvestigationrevealsthattheweightgainofexpectantmorthersishigherthantherecommended12.5kg.Theincreaseofbodyweightafterthethirdtrimesterofpregnancyshouldbemoniteredintensively.[KEYWORDS]Pregnantwoman;Weightgain;Birthweight孕婦孕期體質(zhì)量增長與妊娠結(jié)局的關(guān)系日益受到關(guān)注,特別是近年來隨著經(jīng)濟(jì)和生活水平提高,孕婦對孕期營養(yǎng)的盲目追求,致使能量及營
7、養(yǎng)素?cái)z入過多、孕期體質(zhì)量增加過多,進(jìn)而導(dǎo)致巨大胎兒、妊娠糖尿病、妊娠高血壓等發(fā)生率日益增高,也導(dǎo)致婦女產(chǎn)后肥胖發(fā)生率不斷攀高,威脅婦幼健康。監(jiān)控孕期體質(zhì)量增加成為孕期保健的重要內(nèi)容。目前,由于缺少適合我國孕婦實(shí)際情況的孕期體質(zhì)量增加數(shù)據(jù)資料,使用的孕期體質(zhì)量增加推薦值是依據(jù)國外孕婦資料制訂的,對指導(dǎo)我國孕婦合理膳食和孕產(chǎn)健康有著極大的局限性。我們希望通過本次調(diào)查獲得青島市婦女孕期體質(zhì)量增長的相關(guān)資