确定第二个三个月末体重增加的最佳范围是基于人口的队列研究的结果
Shuang Zhang1,2, Nan Li1, Wei Dong1
1Tianjin Women's and Children's Health Center, Tianjin, People's Republic of China.
Public health nutrition
|August 14, 2023
概括
在第二个三个月的最佳妊娠体重增加 (GWG) 取决于怀孕前的BMI. 体重不足的女性应增加至少7公斤,体重正常的女性大约8公斤,超重的女性不超过9公斤.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生 营养 公共卫生 营养
背景情况:
- 妊娠期体重增加 (GWG) 是影响母亲和婴儿结果的关键因素.
- 最佳的GWG建议对于健康的怀孕至关重要,特别是在多样化的人口中.
- 以前的指导方针可能没有完全捕捉到细微的,特定于人口的GWG需求.
研究的目的:
- 为了确定怀孕期体重增长 (GWG) 在第二个三个月结束的最佳怀孕期体重增长 (GWG) 在不良怀孕结果.
- 根据怀孕前的身体质量指数 (BMI) 类别,建立中国特有的GWG范围.
主要方法:
- 一项基于人口的队列研究,涉及来自中国天津的69,859名孕妇.
- 孕期体重增加 (GWG) 由第一和第二个三个月的体重计算.
- 限制立方线分析以建模GWG与不良结果之间的非线性关系.
主要成果:
- 不良结果 (死产,早产,高血压疾病,妊娠糖尿病,SGA/LGA) 与GWG有显著的关联.
- 在第二个三个月结束时最佳GWG:体重不足的女性<7公斤,体重正常的女性<8公斤,体重超重的女性<9公斤.
- 阳性GWG (>0公斤) 建议在第一和第二个三个月的超重和肥胖妇女.
结论:
- 在第二个三个月末的推最佳GWG范围是基于全面的母婴不良结果而建立的.
- 这些发现为中国人口在怀孕期间的体重管理提供了宝贵的参考.
- 根据BMI类别量身定制的GWG指导对于优化妊娠健康至关重要.
相关概念视频
Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
Diabetes Mellitus: Type 2 and Gestational
2.5K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.5K
Study Designs in Epidemiology
269
Epidemiological study designs are fundamental tools for investigating the distribution, determinants, and control of health conditions in populations. They help researchers understand the relationships between exposures and outcomes, and they broadly fall into two categories: "observational" and "experimental" studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
269
Obesity
534
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
534
Longitudinal Studies
187
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
187
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
148
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
148


