孕期糖尿病患者的妊娠体重增加轨迹:一个回顾性队列研究
Yue Liu1,2, Xinxin Feng1, Xia Wang1
1School of Nursing, Xuzhou Medical University, Xuzhou, Jiangsu, China.
British journal of hospital medicine (London, England : 2005)
|August 30, 2024
概括
孕期糖尿病患者表现出不同的体重增加模式. 识别快速增加体重的轨迹对于预防诸如剖腹产和巨等不良孕妇和新生儿后果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 妊娠期糖尿病 (GDM) 影响全球约14%的怀孕.
- GDM可能导致对母亲和新生儿的不良后果.
- 对于GDM患者来说,需要有效的体重管理策略.
研究的目的:
- 在GDM患者中调查妊娠体重增加轨迹.
- 为GDM提供体重管理策略的开发信息.
- 确定改善孕产妇和新生儿健康的高风险群体.
主要方法:
- 对1421名GDM患者的数据进行了回顾性分析.
- 使用奇平方,费舍尔精确测试,t测试和ANOVA进行定量比较.
- 基于组的轨迹建模以确定体重增加模式.
主要成果:
- 怀孕前的BMI和GDM类型显著影响妊娠期体重增加 (p < 0.05).
- 确定了三个不同的妊娠体重增加轨迹.
- 与剖腹产和宏观婴儿相关的快速体重增加;超重/肥胖妇女的体重增长轨迹较慢.
结论:
- 在GDM中确定不同的妊娠体重增加轨迹至关重要.
- 这种识别有助于确定高风险患者群体.
- 量身定制的干预措施可以改善孕产妇和新生儿的健康结果.
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