肥胖个体中与妊娠期减肥相关的风险:基于人口的队列研究
Yanfang Guo1,2,3, Sara C S Souza1, Liam Bruce2
1Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Obesity (Silver Spring, Md.)
|November 5, 2024
概括
肥胖个体的妊娠期体重减轻 (GWL) 与不良围产期结果的风险更高有关. 这包括围产死亡和新生儿发病风险,无论肥胖类别如何.
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 公共卫生
背景情况:
- 关于肥胖个体与妊娠期减肥 (GWL) 相关的风险的证据有限.
- 了解这些风险对于优化母亲和婴儿健康结果至关重要.
研究的目的:
- 研究肥胖个体妊娠期减肥 (GWL) 与不良周产期结果之间的关联.
- 分析不同类型肥胖的风险.
主要方法:
- 基于人口的回顾性队列研究,使用安大略省出生登记数据 (2012-2020年).
- 包括妊娠前BMI≥30kg/m2和单胎妊娠的个体.
- 概括估计方程模型和受限立方线回归分析了GWL和不良围产期结果 (围产期死亡,新生儿发病率).
主要成果:
- 在157,205名肥胖个体中,6.1%的人经历了GWL.
- 与适当的体重增加相比,GWL与复合不良周产期结果风险增加31%相关 (aRR: 1.31; 95% CI: 1.22-1.39).
- 在平均每周妊娠体重变化和不良结果之间观察到非线性U形关联,GWL和过度增益极端的风险都增加了.
结论:
- 妊娠期体重减轻 (GWL) 与肥胖个体出现不良周产期结果的风险增加有关.
- 这种联系适用于所有肥胖类别.
- 无论是GWL还是过度的妊娠体重增加,都会对围产期的结果带来风险.
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