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成人妊娠前肥胖和高孕期体重增加的青少年危险因素:一项纵向研究
Susan M Mason1, Kriszta Farkas1, Lisa M Bodnar2
1Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA.
Paediatric and perinatal epidemiology
|March 11, 2025
概括
青少年的危险因素,如肥胖和身体不满,与怀孕前的肥胖和妊娠期间的体重增加有关. 支持青少年健康可能会改善围产期结果.
科学领域:
- 生殖健康 生殖健康
- 青少年健康 青少年健康
- 肥胖问题研究研究
背景情况:
- 青少年的危险因素会影响成年人的健康,但它们对怀孕健康的影响还没有得到充分研究.
- 纵向数据对于理解从青春期到成年期的长期健康轨迹至关重要.
研究的目的:
- 调查青少年风险因素和怀孕前肥胖之间的关联.
- 评估青少年风险因素和高妊娠期体重增加 (GWG) 之间的联系.
主要方法:
- 一项纵向队列研究跟踪了从青春期 (11-18岁) 到成年期的女性.
- 参与者报告了各种青少年风险因素;怀孕前的BMI和GWG在20年后被召回.
- 修改Poisson回归模型分析了关联,调整了社会人口统计数据,并使用归算对结果错误分类.
主要成果:
- 18%的女性在怀孕前患有肥胖症,26%的女性患有高GWG.
- 青少年超重/肥胖,身体不满和不健康的体重控制行为与怀孕前的肥胖有显著的关联.
- 青少年因素和高GWG之间的关联不那么精确,但暗示了与超重/肥胖和暴饮暴食的潜在联系.
结论:
- 怀孕前肥胖和潜在高GWG的风险标志物可以在青春期出现.
- 支持青少年健康和福祉的干预措施可能会对围产期体重相关的健康产生积极影响.
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