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体质指数与对劳动的感知控制之间的关系
Anna R Whelan1,2, Brock E Polnaszek3, Olivia Recabo4
1Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Women &, Infants Hospital of Rhode Island, Alpert Medical School of Brown University, 101 Dudley St, Providence, RI, 02905, USA. anna.whelan.md@gmail.com.
BMC pregnancy and childbirth
|October 25, 2023
概括
与BMI较低的人相比,肥胖 (BMI≥30) 个体在分娩期间没有报告较低的感知控制. 然而,最高BMI类别 (≥40) 显示出降低分娩控制的趋势,在调整后,这一趋势在统计学上并不显著.
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
- 生殖健康 生殖健康
背景情况:
- 增加的身体质量指数 (BMI) 与更高的围产期精神健康障碍率有关.
- 在分娩期间感知到缺乏控制与分娩后情绪和焦虑障碍有关.
- 体重指数和劳动控制经验之间的关系仍未得到充分研究.
研究的目的:
- 评估与BMI<30 kg/m2的人相比,BMI≥30 kg/m2的个体对分娩的感知控制.
- 调查不同BMI类别与劳动控制经验之间的关联.
主要方法:
- 一项涉及产后患者的横截面研究的二次分析.
- 使用劳工代理度量 (LAS) 来衡量对劳动力的感知控制.
- 采用双变量和多变量回归分析来比较BMI组和对照组的混因子.
主要成果:
- 在BMI≥30和BMI<30的个体之间,在LAS得分上没有发现显著差异.
- 个人在最高的BMI类别 (世卫组织III类,≥40kg/m2) 报告较低的LAS得分.
- 在调整了分娩时间和剖腹产产后,最高BMI组的这种差异不再显著.
结论:
- 对劳动的感知控制在BMI类别之间没有显著差异,除了最高BMI组的非显著趋势.
- 高BMI与降低分娩控制之间的关联因分娩时间和分娩方式等因素而混.
- 进一步的研究对于了解肥胖个体的分娩经历及其与围产期情绪障碍的联系至关重要.
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