膳食平衡指数法评价妊娠糖尿病孕妇膳食质量

发布时间：2018-07-14 22:08

【摘要】：目的评价乌鲁木齐市汉族妊娠期糖尿病(GDM)孕妇的膳食质量,为孕妇营养指导提供依据。方法选取2014年3月-2015年1月在新疆乌鲁木齐市妇幼保健院进行产前检查的汉族孕妇作为调查对象,确诊为妊娠期糖尿病的248名孕妇为GDM组,选择同期检查的年龄、孕周相近的248名健康孕妇为非GDM组。采用24h膳食回顾法调查其食物摄入情况,应用中国膳食平衡指数法(DBI-07)评价两组孕妇的膳食质量,并比较两组孕妇膳食营养异同。结果 GDM组孕妇体质指数为(24.17±2.94)kg/m~2,大于非GDM组(22.61±2.88)kg/m~2,差异有统计学意义(P0.05)。GDM组孕妇能量每日摄入量为(2115.99±526.65)g,高于非GDM组(1660.84±398.18)g,脂肪、碳水化合物每日摄入量分别为(45.18±23.49)g、(363.06±106.46)g,均高于非GDM组(31.51±10.69)g和(293.09±78.71)g,差异有统计学意义(P0.01)。两组孕妇蛋白质摄入量差异无统计学意义(P0.05);GDM组与非GDM组孕妇LBS、HBS和DQD差异有统计学意义(P0.05)。结论相比于非糖尿病孕妇,糖尿病孕妇存在更多膳食摄入不足、膳食摄入过量和膳食不平衡的问题。
[Abstract]:Objective to evaluate the dietary quality of pregnant women with gestational diabetes mellitus (GDM) in Urumqi. Methods A total of 248 pregnant women with gestational diabetes mellitus (GDM) were selected from March 2014 to January 2015 for prenatal examination in Urumqi Maternal and Child Health Hospital of Xinjiang. 248 healthy pregnant women with similar gestational age were in non-GDM group. The dietary quality of the two groups was evaluated by the Chinese Dietary balance Index (DBI-07) method, and the differences and similarities of dietary nutrition between the two groups were compared. Results the BMI of pregnant women in GDM group was (24.17 卤2.94) kg 路m ~ (-2), which was higher than that in non-GDM group (22.61 卤2.88) kg 路m ~ (2). The difference was statistically significant (P0.05). The daily energy intake of pregnant women in GDM group was (2115.99 卤526.65) g, which was higher than that in non-GDM group (1660.84 卤398.18) g, fat. The daily carbohydrate intake was (45.18 卤23.49) g, (卤106.46) g, which was significantly higher than that in the non-GDM group (31.51 卤10.69) g and (293.09 卤78.71) g, respectively (P0.01). There was no significant difference in protein intake between the two groups (P0.05). There was significant difference in LBSHBS and DQD between GDM group and non-GDM group (P0.05). Conclusion compared with non-diabetic pregnant women, diabetic pregnant women have more problems of insufficient dietary intake, excessive dietary intake and unbalanced diet.
【作者单位】：新疆医科大学公共卫生学院;新疆乌鲁木齐市妇幼保健院;
【基金】：乌鲁木齐市科技计划项目(Y131310018)
【分类号】：R153.1

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