妊娠糖尿病患者孕前体质指数与血糖及孕期膳食营养的关系

发布时间：2019-03-17 10:28

【摘要】：目的探讨妊娠糖尿病患者的孕期体质指数和血糖的相关性,并分析患者增重和膳食营养摄入的关系。从而为临床指导孕期饮食提供科学依据。方法选取该院2016年2月—2017年4月收治的117例妊娠糖尿病患者,并将所有患者分为4组,分别为低体重组、正常组、超重组和肥胖组。对各组患者进行OGTT实验,并对患者进行膳食调查,统计患者的营养摄入情况。比较不同组别患者活动时间,并对BMI和OGTT,孕期增重和能量营养摄入进行相关性分析。结果在空腹情况下,正常组、超重组和肥胖组与低体重组差异有统计学意义(P0.05),餐后1 h下,超重组和肥胖组与低体重组和正常组均由差异有统计学意义(P0.05),正常组与低体重组差异无统计学意义,餐后2 h后,肥胖组与其他3组的差异有统计学意义(P0.05)。4组患者的总能力营养摄入之间差异无统计学意义(P0.05)。各组患者的活动时间相比,发现低体重组比其他3组的活动时间长(P0.05),通过对BMI和OGTT进行相关性分析发现,BMI与血糖水平呈正相关,且患者的增重情况与营养能量摄入呈正相关(P0.05)。结论妊娠糖尿病与孕前增重,膳食营养不均有关,在孕期应当加强孕妇的营养指导,形成良好的饮食习惯,减少妊娠糖尿病的发生。
[Abstract]:Objective to investigate the correlation between pregnant body mass index (BMI) and blood glucose in gestational diabetes mellitus (PDM) patients, and to analyze the relationship between weight gain and dietary nutrition intake. In order to provide scientific basis for clinical guidance of pregnant diet. Methods from February 2016 to April 2017, 117 patients with gestational diabetes mellitus were selected and divided into four groups: low body weight group, normal group, overweight group and obesity group. Patients in each group were tested with OGTT, and dietary survey was carried out to count the nutritional intake of the patients. The duration of activity in different groups of patients was compared, and the correlation between weight gain and energy intake of BMI and OGTT, during pregnancy was analyzed. Results under the condition of fasting, there was a significant difference between normal group, overweight and obesity group and low body weight group (P0.05). At 1 hour after meal, there was significant difference between overweight and obesity group and low body weight group and normal group (P0.05), and there was a significant difference between overweight and obesity group and low body weight group and normal group at 1 hour after meal (P0.05). There was no significant difference between normal group and low body weight group, but there was significant difference between obese group and other three groups 2 hours after meal (P0.05). 4 groups of patients had no significant difference in total nutritional intake (P0.05). 3. 2 hours after meal, there was no significant difference in nutritional intake between obese group and other 3 groups (P0.05). The activity time of the patients in each group was longer than that in the other three groups (P0.05). The correlation analysis of BMI and OGTT showed that BMI was positively correlated with blood glucose level. There was a positive correlation between body weight gain and energy intake (P0.05). Conclusion gestational diabetes mellitus is related to weight gain and nutritional imbalance before pregnancy. Nutrition guidance of pregnant women should be strengthened during pregnancy to form good dietary habits and reduce the occurrence of gestational diabetes mellitus.
【作者单位】：吉林省人口生命科学技术研究院;
【分类号】：R714.256

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