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单身孕妇妊娠体重增加的最佳范围:基于中国特定体重指数类别的队列研究

Yin Jia¹, Haili Jiang², Yuhui Fu²

¹School of General Practice and Continuing Education, Capital Medical University, No. 10 You An Men Wai Xi Tou Tiao, Beijing, 100069, China.

BMC pregnancy and childbirth

|May 31, 2024

概括

这项研究确定了中国孕妇的最佳妊娠体重增加 (GWG). 推的GWG范围因妊娠前的BMI而异,以尽量减少对母亲和婴儿的不良结果.

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:

孕期体重增加 (GWG) 建议需要特定种族的数据.
中国的身体质量指数 (BMI) 分类与国际标准不同.
最佳的GWG对于母亲和婴儿健康结果至关重要.

研究的目的:

为中国单身孕妇建立最佳妊娠体重增加 (GWG) 范围.
根据中国特定的怀孕前BMI类别来定制GWG建议.
通过适当的GWG减少对母亲和婴儿的不良结果.

主要方法:

这是一项对16977名单身孕妇的回顾性队列研究.
使用百分位数,奇数比率 (OR) 和组合风险曲线方法来计算GWG范围.
评估的GWG范围取决于对母亲和婴儿不良结果的检测率.

主要成果:

百分比方法:GWG范围为12.017.5公斤 (体重不足),11.017.0公斤 (正常),9.015.5公斤 (超重/肥胖).
或方法:GWG范围为1118公斤 (体重不足),711公斤 (正常),68公斤 (超重/肥胖).
组合风险曲线方法:GWG范围为11.217.2公斤 (体重不足),3.611.5公斤 (正常),-5.27.0公斤 (超重/肥胖).
观察到的最低的不良结果检测率与GWG范围为1118公斤,711公斤和68公斤,分别为体重不足,正常和超重/肥胖类别.

结论:

建议中国孕妇体重不足的GWG是1118公斤.
对于正常体重的中国孕妇来说,推的GWG是711公斤.
对超重或肥胖的中国孕妇来说,推的GWG是68公斤.

关键词:

负面的怀孕结果.体重指数孕产妇健康孕产妇健康怀孕期间体重增加.婴儿健康婴儿健康

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