妇女产后一年内体重滞留及其影响因素的队列研究

发布时间：2018-03-06 09:49

本文选题：运动　切入点：产后体重滞留　出处：《安徽医科大学》2013年硕士论文　论文类型：学位论文

【摘要】：目的了解合肥市妇女产后体重滞留情况；探讨影响妇女产后一年内体重滞留的因素，从而为减少产后体重滞留提供参考依据。方法以合肥市某区妇幼保健站作为研究现场，招募产后妇女作为研究对象，进行前瞻性观察队列随访研究。产妇于产后42天被纳入到研究队列，进行基线情况调查，随后随访其产后一年内的运动行为、哺乳行为、体重滞留、睡眠等情况，分为5次随访，分别于产后42天、3个月、6个月、9个月、12个月进行。资料采用重复测量资料的方差分析和多因素Logistic回归方法分析产后行为与妇女产后体重滞留的关系。结果(1)研究对象孕前平均体重为54.26±8.1kg，孕前超重和肥胖率分别为7.9%、2.1%，研究对象产后42天、3个月、6个月、9个月、12个月体重滞留分别为7.8±5.1kg、6.6±5.2kg、5.1±5.2kg、4.1±5.0kg、3.4±5.0kg。产后12个月的超重和肥胖率为15.9%、5.3%，，平均体重为57.5kg(40.0~92.0kg)，平均腰围为74.3cm(58.0~104.0cm)，平均臀围为93.2cm(78.0~115.0cm)，平均皮脂厚度为22.5mm(10.0~44.0mm)，平均BMI为21.9kg/m2(15.6~38.5kg/m2)。(2)产后BMI受到孕前BMI、体力活动、喂养方式以及久坐情况的影响，差异具有统计学意义(P0.05)，未发现教育程度、分娩方式对产后BMI产生影响。(3)发现产后体力活动与产后的体重滞留有统计学关联，较少锻炼组产后体重滞留要高于一般锻炼组和积极锻炼组，同时产后体重滞留受到久坐情况的影响，差异具有统计学意义(P0.05)。(4)研究对象纯母乳喂养的256例(41.7%)，混合喂养的133例(21.7%)，人工喂养的89例(14.7%)，统计结果显示产后纯母乳喂养至少4个月能够显著减少体重滞留。结论产后进行母乳喂养并增加适量的运动，可有效减少体重滞留。
[Abstract]:Objective to investigate the retention of postpartum weight of women in Hefei, and to explore the factors influencing the retention of postpartum weight in order to provide a reference for reducing the retention of postpartum weight. Methods A district maternal and child health station in Hefei was used as the research site, postpartum women were recruited as study objects, and prospective observation cohort follow-up study was carried out. The puerpera was enrolled in the study cohort at 42 days postpartum, and baseline investigation was carried out. They were followed up for 5 times, such as their motor behavior, lactation behavior, weight retention, sleep and so on during the first year of postpartum. The relationship between postpartum behavior and postpartum weight retention was analyzed by means of ANOVA of repeated data and multivariate Logistic regression method respectively at 42 days, 3 months, 6 months, 9 months and 12 months postpartum. Results the average body weight before pregnancy was 54.26 卤8.1 kg, and the rates of overweight and obesity before pregnancy were 7.9 and 2.1, respectively. The retention rates of body weight in 42 days, 3 months, 6 months, 9 months and 12 months of postpartum were 7.8 卤5.1 卤5.2 kg, 5.1 卤5.2 kg and 3.4 卤5.0 kg / g, respectively. The rates of overweight and obesity in 12 months postpartum were 15.9kg and 5.3kg, respectively. The average body weight was 57.5 kg / kg, the average waist circumference was 74.3 cm / L, the average hip circumference was 73.2 cm / min, the average hip circumference was 78.0 / 115.0 cm / s, the average sebum thickness was 22.5 mm / 10.0 / 44.0 mm, the average BMI was 21.9 kg / m ~ (215.6) / 38.5 kg / m ~ (2 / 2) postpartum BMIs, physical activity, postpartum BMIs. The effects of feeding style and sedentary condition on postpartum BMI were statistically significant (P 0.05). No educational level was found. The effect of delivery mode on postpartum BMI was found to be statistically related to postpartum physical activity and postpartum weight retention. The postpartum weight retention in the less exercise group was higher than that in the general exercise group and the active exercise group, and the postpartum weight retention was affected by the sedentary condition. The difference was statistically significant (P 0.05).) among the subjects, 256 cases of exclusive breastfeeding, 133 cases of mixed feeding, 89 cases of artificial feeding and 89 cases of artificial feeding could significantly reduce body weight retention for at least 4 months after puerperal breast-feeding. Conclusion Breast-feeding and moderate exercise after delivery can effectively reduce weight retention.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R173

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