运动饮食干预对肥胖孕妇母婴结局及子代的影响

发布时间：2018-05-16 20:14

本文选题：肥胖孕妇 + 母婴　；参考：《现代中西医结合杂志》2016年35期

【摘要】：目的探讨运动饮食干预对肥胖孕妇母婴及子代的影响。方法将131例肥胖孕妇随机分成2组:对照组44例进行饮食干预,干预组87例除进行饮食干预外,增加有氧锻炼,如散步、慢走。运动干预在早期妊娠以轻度运动为主,如孕妇健身操、气功、太极拳等,中晚期以中等强度的餐后运动为主,以走路为主,由每次30 min逐渐增加至1 h,每周3次,以不出汗,孕妇不感觉疲劳为度。结果 2组孕妇自纳入至分娩均按时随访,无脱落。胎儿均足月分娩,无围生儿死亡情况发生,婴儿满1岁时,运动饮食干预组脱落18例,对照组脱落5例,脱落病例不纳入统计。干预组孕妇每周体质量增加及预期总质量增加、BMI增加均少于对照组(P均0.05),母婴不良结局发生率低于对照组(P0.05),新生儿身高及体质量均低于对照组(P均0.05);2组子代1岁时身高比较差异均无统计学意义(P均0.05),但干预组子代1岁时体质量及瘦素水平均低于对照组(P均0.05)。结论运动饮食干预孕期肥胖孕妇,不仅能降低母婴不良结局的发生率,提高围生期质量,而且在1年内可控制子代肥胖的发生。
[Abstract]:Objective to explore the effect of exercise diet intervention on mothers, infants and offspring of obese pregnant women. Methods 131 obese pregnant women were randomly divided into two groups: the control group (44 cases) received dietary intervention, and the intervention group (87 cases) increased aerobic exercise, such as walking and walking slowly, in addition to dietary intervention. Exercise intervention in early pregnancy was mainly light exercise, such as calisthenics, Qigong, Taijiquan, etc. In the middle and late stages of pregnancy, moderate intensity postprandial exercise was the main activity and walking was the main activity. It was gradually increased from 30 min to 1 h, 3 times a week, without sweating. The pregnant woman does not feel tired. Results all the pregnant women in the two groups were followed up on time from inclusion to delivery without falling off. There were 18 cases in the exercise diet intervention group and 5 cases in the control group, which were not included in the statistics. In the intervention group, the increase in weekly body mass and expected total weight increase in BMI was lower than that in the control group (P < 0.05), the incidence of maternal and infant adverse outcome was lower than that in the control group (P 0.05), the height and body weight of the newborn was lower than that in the control group (P < 0.05), and the birth weight of the control group was lower than that of the control group (n = 0.05). There was no significant difference in height between the two groups (P < 0.05), but the body weight and leptin level in the intervention group were lower than those in the control group at the age of 1 years. Conclusion exercise diet intervention can not only reduce the incidence of maternal and infant adverse outcomes and improve perinatal quality, but also control the occurrence of obesity in offspring within one year.
【作者单位】：解放军第260医院;
【分类号】：R714.25

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