孕前BMI及孕期增重对妇女产后两年体重变化的影响

发布时间：2018-01-25 03:09

  本文关键词： 产后体重变化 孕期增重 孕前BMI　出处：《现代妇产科进展》2016年09期 　论文类型：期刊论文

【摘要】：目的:探讨孕前BMI及孕期增重对妇女产后2年体重变化的影响。方法:采用历史-前瞻性队列研究设计,选择合肥市某区妇幼保健站进行产后42天体检的418例妇女为研究人群并建立观察队列,采用问卷调查和查阅孕产妇管理档案的方法收集基线资料,于产后42天及6月、12月、18月、24月对其进行连续性随访观察各时点的体重值。结果:418例产妇产后42天、6月、12月、18月、24月恢复至孕前体重率分别为7.42%、15.38%、32.58%、24.89%、27.97%。孕前BMI各组(18.5kg/m2组,18.5kg/m2≤BMI24kg/m2组,≥24kg/m2组)产后各时点比较,差异均有统计学意义(P0.05)。孕期增重3组(孕期增重较少组、孕期增重适中组和孕期增重较多组)妇女产后42天、18月和24月体重变化值比较,差异均有统计学意义(P0.05)。结论:孕前BMI、孕期增重影响产后2年体重的变化,根据孕前BMI将孕期增重控制在合理范围内可有效促进妇女产后体重恢复到孕前水平并控制远期肥胖的发生。
[Abstract]:Objective: to investigate the effect of BMI before pregnancy and weight gain during pregnancy on the changes of postpartum weight in women. Methods: a historical prospective cohort study was used. A total of 418 women were selected for 42 days postpartum physical examination at a district maternal and child health station in Hefei, and the observation cohort was set up. The baseline data were collected by questionnaire survey and consulting maternal management files. After 42 days postpartum and June, December, 18 months, 24 months, it was followed up continuously to observe the weight value of each time point. Results the weight values of 42 days postpartum, June, June, 18 months after parturient were observed. The rate of body weight before pregnancy was 7.42% and 15.38%, 32.58% and 24.89%, respectively. Before pregnancy, BMI group was 18.5kg / m ~ 2 group. 18.5 kg / m2 鈮，

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