妊娠中期孕妇水果、蔬菜摄入量与妊娠糖尿病风险的研究

发布时间：2018-10-13 12:16

【摘要】：目的探讨妊中期孕妇水果、蔬菜和果汁摄入量与妊娠期糖尿病(gestational diabetes mellitus,GDM)发病风险的关系。方法对象为2013年6月至2014年6月在武警总医院门诊产前检查的孕妇2987例,采用24h膳食回顾法和食物频次调查法,水果、蔬菜和果汁摄入量与GDM发病风险的关联采用COX比例风险回归模型分析,不同种类蔬菜、水果的摄入量的GDM发病率用单因素方差分析。结果全部2987例孕妇中,405例孕妇(405/2987,13.6%)被首次诊断为妊娠期糖尿病。COX比例风险回归分析:全部种类的水果和蔬菜摄入量与GDM发病风险并无相关性,但茎块类蔬菜和果汁摄入量与GDM发病风险呈正相关,苹果和橙子的摄入量与GDM发病风险呈负相关,除茎块类以外的蔬菜摄入量与GDM发病风险呈负相关,而葡萄和西瓜摄入量与GDM发病之间的相关关系为非线性:在前三个区间,GDM发病率随着摄入量的增加而降低,但葡萄和西瓜摄入量P75区间的孕妇GDM发病率明显高于前三个区间。结论孕期适量增加叶类蔬菜和某些水果的摄入量能降低GDM发病风险,但进食过多茎块类蔬果以及经常饮用果汁会增加孕妇患GDM的风险。
[Abstract]:Objective to investigate the relationship between the intake of fruits, vegetables and fruit juices and the risk of gestational diabetes mellitus (gestational diabetes mellitus,GDM) in pregnant women in the second trimester of pregnancy. Methods 2987 pregnant women in outpatient clinic of Armed Police General Hospital from June 2013 to June 2014 were enrolled in this study. The relationship between the intake of vegetables and juice and the risk of GDM was analyzed by COX proportional risk regression model. The incidence of GDM in different vegetables and fruits was analyzed by univariate ANOVA. Results among the 2987 pregnant women, 405 cases (405 / 2987%) were diagnosed as gestational diabetes mellitus for the first time. COX proportional risk regression analysis showed that there was no correlation between the intake of all kinds of fruits and vegetables and the risk of GDM. However, the intake of stem block vegetables and fruit juice was positively correlated with the risk of GDM, the intake of apple and orange was negatively correlated with the risk of GDM, and the intake of vegetable except stem block was negatively correlated with the risk of GDM. However, the correlation between intake of grape and watermelon and incidence of GDM was nonlinear: in the first three regions, the incidence of GDM decreased with the increase of intake, but the incidence of GDM in pregnant women in the P75 range of intake of grape and watermelon was significantly higher than that in the first three regions. Conclusion increasing the intake of leafy vegetables and some fruits during pregnancy can reduce the risk of GDM, but eating too much stem and vegetables and drinking fruit juice often increases the risk of GDM in pregnant women.
【作者单位】：中国武警总医院营养科;中国武警总医院妇产科;
【基金】：武警总医院青年项目培育科研基金(No.WZ2014023)
【分类号】：R715.3

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