摘要
目的:探讨孕前体重指数及脂肪分布与妊娠期糖尿病(GDM)发病率的关系,以早期发现、诊断GDM患者。方法:通过测量获得研究对象孕前或早孕期的身高、体重、腰围并计算其孕前BMI;于孕24～28周测量获得研究对象的50g-GCT 1h血糖、75g-OGTT空腹血糖、1h、2h、3h血糖等。统计方法采用非条件Logistic回归分析。结果:Logistic回归分析显示,孕前体质指数大(OR=7.388,95%CI=1.045～52.244)、孕前腰围大(OR=4.054,95%CI=1.105～14.876)、年龄大(OR=3.596,95%CI=0.955～13.538)均增加孕妇发生GDM的风险。结论:孕前肥胖尤其是中心型肥胖是GDM发生的重要危险因素。
Objective： To explore relationships of pregestational body mass index（BMl） and body fat distribution with GDM, so as to find and care GDM early.Methods：Some variables were measured including height,weight,waist circum ference and calculated out body mass index（BMI） before pregnant.Other variables were measured including 50g-GCT 1 hour blood glucose, 75g-OGTT FBS and 1,2,3 hour blood glucose when pregnant women in 24-28 pregnant weeks. Statistical Analysis ： means of non-conditional logistic regression. Results：The nonconditional logistic regression shows that the risk for developing gestational diabetes mellitus was increas-ing with pre-pregnancy body mass index （OR=7.388,95%CI=1.045-52.244）, waist circumference before pregnant（OR=4.054,95%CI=1.105-14.876）, and years of age（OR=3.59 6,95%CI=0.955N13.538）.Conclusions： The incidence of GDM was related to pre-pregnancy fatness especially fatness in center type.
出处
《中国医药导刊》
2010年第8期1325-1326,共2页
Chinese Journal of Medicinal Guide
基金
河北省科技支撑计划项目(编号072761310)
关键词
妊娠期糖尿病
孕前体质指数
孕前腰围
GDM
Body mass index before pregnant
Waist circumference before pregnant
