一项前性观察性研究,研究GDM前后诊断和GDM患者/没有GDM患者的怀孕结果
Ying Liu1, Nafei Guo2, Yawen Dai2
1Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, No.2699, West Gaoke Road, Pudong District, Shanghai, 201204, China. liuying1320@126.com.
孕妇在怀孕第二季度食用牲畜和家禽肉会增加妊娠期糖尿病 (GDM) 的风险. 诊断GDM可能会改变第三个三个月的饮食,并影响怀孕结果,如过度体重增加和胎儿宏观症.
科学领域:
- 产科和妇科 产科和妇科
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- 孕期糖尿病 (GDM) 是一个重要的妊娠并发症,对母亲和孩子都有潜在的长期健康影响.
- 母亲的饮食是影响怀孕健康和GDM风险的关键可修改因素.
- 了解整个怀孕期间饮食模式和GDM之间的动态关系对于有效管理至关重要.
研究的目的:
- 检查怀孕早期母亲的饮食与GDM诊断之间的关联.
- 调查GDM诊断如何影响怀孕期间随后的饮食选择.
- 为了比较GDM和没有GDM的女性之间的怀孕结果.
主要方法:
- 一项前性队列研究,涉及19~44岁的孕妇.
- 饮食摄入量在三个关键妊娠点进行了评估:812,2024和3236周.
- 通过电子医疗记录确定了GDM诊断和怀孕结果.
主要成果:
- 妊娠第二季度增加的牲畜和家禽肉类消费与更高的GDM风险有关.
- GDM诊断与第三季度饮食的显著转变相关,包括减少谷物,土豆和水果的摄入量,以及增加鱼,蛋和乳制品的摄入量.
- GDM与过度妊娠体重增加的风险较低,但胎儿宏观症的风险较高.
结论:
- 母亲的饮食模式,特别是肉类消费,与GDM的发展有关.
- 在GDM诊断后,饮食习惯似乎发生了变化,需要进一步调查.
- 早期营养指导和评估对于管理GDM和优化怀孕结果至关重要.
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