怀孕前的体重指数和低出生体重:使用日本医疗保险索赔数据进行二次数据分析
Kana Fukui1, Maiko Suto2, Kayoko Kaneko3
1Division of Neonatology, National Center for Child Health and Development, Tokyo, Japan.
The journal of obstetrics and gynaecology research
|May 20, 2024
概括
保持健康的妊娠前体重指数 (BMI) 对于预防低出生体重至关重要. 体重指数正常的妇女与体重不足的妇女相比,分娩体重不足的婴儿的风险较低.
科学领域:
- 生殖健康 生殖健康
- 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:
- 在怀孕前体重不足会增加女性的风险,包括骨质疏松症和贫血.
- 母亲的健康显著影响婴儿出生体重和后代的福祉.
研究的目的:
- 调查低妊娠前体重指数 (BMI) 和低出生体重的发生率之间的关联.
- 分析二次结果,如与母亲的BMI相关的早产.
主要方法:
- 利用了来自日本16363名母亲的健康保险索赔和检查数据 (2006-2020年).
- 在怀孕前的BMI被分类为体重不足 (<18.5 kg/m2),正常 (18.5-24.9 kg/m2) 和超重 (≥25.0 kg/m2).
- 采用后勤回归分析,以体重不足为参考组,并根据母亲年龄进行子组分析.
主要成果:
- 与体重不足的母亲相比,正常体重的母亲的低出生体重 (4.6%) 风险明显较低 (5.7%;调整后几率比率为0.78).
- 在母亲年龄小组之间没有观察到低出生体重或早产率的显著差异.
结论:
- 怀孕前的BMI是与分娩低出生体重婴儿的风险相关的重要因素.
- 提高人们对怀孕前健康状况和适当的BMI的认识,对于降低低出生体重的发病率至关重要.
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