[妊娠期体重增加对0至3岁儿童生长轨迹的影响]
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Updated: Jun 24, 2025

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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
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Yahan Yang1, Zi Ye1, Jun Li2
1National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Key Laboratory of Human Milk Science, Chinese Center for Disease Control and Prevention, NHC Key Laboratory of Public Nutrition and Health, Beijing 100050, China.
Wei sheng yan jiu = Journal of hygiene research
|June 5, 2024
概括
母亲不充分的妊娠体重增加 (GWG) 与0-3岁儿童年龄Z得分 (BAZ) 体质指数增长的放缓有关. 这凸显了适当的GWG对健康儿童发育的重要性.
科学领域:
- 儿科 儿科 儿科
- 孕产妇健康 孕产妇健康
- 增长监测 增长监测 增长监测
背景情况:
- 儿童肥胖是一个日益关注的问题,早期生活因素影响长期健康.
- 了解幼儿时期的成长轨迹对于识别潜在的健康风险至关重要.
- 妊娠期体重增加 (GWG) 是怀孕期间可改变的因素,可能会影响后代的生长.
研究的目的:
- 描述从出生到3岁的儿童的Z分数 (BAZ) 增长轨迹的年龄体质指数.
- 调查母亲妊娠期体重增加 (GWG) 与这些BAZ生长轨迹之间的关联.
主要方法:
- 对1864对母婴对进行的前性队列研究.
- 根据中国的标准,GWG被分类为适当,不充分或过度.
- 儿童的BAZ分数是根据在多个时间点进行的测量计算的,最长可达36个月.
- 用于分析的基于组的轨迹建模 (GBTM) 和多层次物流回归.
主要成果:
- 确定了三个不同的BAZ轨迹:缓慢增长 (34.07%),适当增长 (48.23%) 和快速增长 (17.70%).
- 经过调整后,母亲不充分的GWG与更高的婴儿可能性显著相关,这些婴儿遵循BAZ缓慢生长轨迹 (OR = 1.84,95%CI 1.19-2.84).
- 过度GWG和快速BAZ生长轨迹之间的关联在调整后没有统计学意义 (OR = 1.26,95%CI 0.94-1.68).
结论:
- 0-3岁的儿童表现出明显的BAZ生长轨迹.
- 母亲不充分的妊娠体重增加是早期儿童BAZ增长放缓的重要危险因素.
- 这些发现强调了监测和优化GWG对健康儿童发育的重要性.
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