摘要
目的探讨妊娠期间体重增加状况对妇女糖尿病发病的影响。方法选取2011年7月-2016年4月在该院分娩的妇女1 842例,依据糖尿病发病情况分为糖尿病组和健康对照组,并对入组孕产妇的临床资料进行单因素和多因素Logistic回归分析。结果糖尿病组和对照组的孕前体重指数(BMI)和妊娠期间增重比较,经t检验,差异有统计学意义(P<0.05),即糖尿病组的孕前BMI和妊娠期间增重均高于对照组。孕前BMI>25.0 kg/m2、年龄>35岁、糖尿病家族史、妊娠期间增重≥25.0 kg妇女的糖尿病发病率高于其他妇女,差异有统计学意义(P<0.05)。孕前BMI>25.0 kg/m2、糖尿病家族史、妊娠期间增重≥25.0 kg是影响妊娠期妇女糖尿病发病的危险因素(P=0.023、0.015及0.001)。结论妊娠期间体重增加过多可增加妇女糖尿病发病的风险,临床上应控制孕产妇妊娠期体重增加状况,避免增重过多。
Objective To study the effect of weight gain during pregnancy on the incidence of diabetes.Methods Selected from July 2011 to April 2016, 1,842 women in our hospital were divided into diabetic group and healthy control group according to the incidence of diabetes mellitus, and single factor and multivariate logistic regression analysis were used to analyze the clinical data of the pregnant women. Results Compared with the control group, the Body Mass Index and weight gain during pregnancy were significantly different in diabetic group（P = 0.016 and 0.037）. The dietary pre-BMI and weight gain during pregnancy were significantly higher than those in the control group. The incidence of diabetes of women with pre-pregnancy BMI 〉25.0 kg/m^2, age 〉35 years, family history of diabetes, or gestational weight gain ≥ 25.0 kg was higher than normal ones, the difference was statistically significant（P = 0.008, 0.025, 0.011 and 0.042, respectively）. Pre-pregnancy BMI 〉25.0 kg/m^2, family history of diabetes and gestational weight gain ≥ 25.0 kg were independent risk factors for diabetes mellitus in pregnant women（P =0.023, 0.015 and 0.001, respectively）. Conclusions Excessive body weight gain during pregnancy can increase the risk of diabetes, which should becontrolled during pregnancy.
作者
杨敬红
张潇月
郑瑜
Jing-hong Yang;Xiao-yue Zhang;Yu Zheng(Department of Gynecology and Obstetrics, MianyangHospital of T.C.M,Mianyang, Sichuan 621000, China)
出处
《中国现代医学杂志》
CAS
2018年第15期84-87,共4页
China Journal of Modern Medicine
关键词
妊娠期间增重
糖尿病
孕前BMI
weight gain during pregnancy
diabetes
pre-pregnancy BMI
