妊娠糖尿病妇女和正常妊娠妇女人体成分的比较

发布时间：2018-12-17 02:17

【摘要】：目的比较孕24~28周被诊断为妊娠期糖尿病(gestational diabetes mellitus,GDM)及正常妊娠妇女的人体成分差异。方法选择2013年10月至2014年4月在首都医科大学附属北京同仁医院建档的孕妇作为两组研究对象,其中正常妊娠妇女42例,因GDM在营养门诊就诊的妇女43例,分别于妊娠24~28周调查孕前体质量、身高、计算孕前体质量指数(body mass index,BMI),测量体质量、总体水分质量、肌肉质量、体脂肪质量、体脂百分率等指标进行统计分析。结果两组妊娠妇女间的孕前体质量、BMI、孕24~28周的BMI、BMI增加值差异均无统计学意义(P0.05),GDM妇女孕24~28周的总体水分质量、肌肉质量、体脂肪质量、体脂百分率均显著高于正常妊娠妇女(P0.05)。结论妊娠期糖尿病妇女的体脂率、总体水分质量显著高于正常妊娠妇女,控制孕期体脂肪增长可能有助于预防妊娠期糖尿病。监测体成分变化,尤其关注总体水分质量的变化可能有助于临床早期诊断妊娠期合并症。
[Abstract]:Objective to compare the difference of body composition between women with gestational diabetes mellitus (gestational diabetes mellitus,GDM) diagnosed as gestational diabetes mellitus (gestational diabetes mellitus,GDM) at 24 weeks gestation and normal pregnant women. Methods from October 2013 to April 2014, 42 normal pregnant women and 43 women with GDM in the nutrition clinic were selected from Beijing Tongren Hospital affiliated to Capital Medical University as the study subjects. The body weight, height, body mass index (body mass index,BMI), body mass, total water mass, muscle mass, body fat mass and percentage of body fat were measured at 24 weeks after gestation. Results there was no significant difference in the pregestational weight between the two groups and the increase of BMI,BMI in the 24 weeks of BMI, (P0.05) the total water quality, muscle mass and body fat weight of the), GDM women at the 28th week of gestation. The percentage of body fat was significantly higher than that of normal pregnant women (P0.05). Conclusion the percentage of body fat and the total water quality of pregnant women with diabetes mellitus are significantly higher than those of normal pregnant women. Controlling the increase of body fat during pregnancy may be helpful to prevent gestational diabetes mellitus. Monitoring changes of body composition, especially the change of total water quality, may be helpful in early diagnosis of gestational complications.
【作者单位】：首都医科大学附属北京同仁医院营养科;
【分类号】：R714.256

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