粮食不安全与妊娠引起的高血压风险之间的关系:一项前性队列研究
Neda Yaghobieh1, Mohammad Javad Tarrahi2, Reza Amani3
1Student Research Committee and Department of Epidemiology and Biostatistics, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran.
BMC pregnancy and childbirth
|March 20, 2025
概括
粮食不安全与更高的妊娠诱导高血压 (PIH) 风险有关. 针对粮食安全和妊娠前BMI的干预措施对于预防孕妇并发症至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 营养科学 营养科学
背景情况:
- 怀孕引起的高血压 (PIH) 是导致孕产妇和胎儿死亡的重要因素.
- 确定可修改的PIH风险因素对于改善妊娠结果至关重要.
- 粮食不安全是潜在的,但尚未研究的PIH风险因素.
研究的目的:
- 调查粮食不安全与怀孕引起的高血压风险之间的关联.
- 探索人口和健康相关因素在PIH发展中的作用.
- 为孕妇提供有针对性的干预措施提供证据.
主要方法:
- 一项前性队列研究,涉及600名孕妇.
- 通过采访收集的数据使用人口,粮食不安全 (HFIAS) 和体力活动 (IPAQ) 问卷.
- 在怀孕20周后测量血压;PIH定义为BP>140/90 mmHg.
- 统计分析包括千平方,独立t测试和二进制逻辑回归.
主要成果:
- 在PIH的发病率为5.2%.
- 粮食不安全与PIH风险增加显著相关 (P<0.05).
- 妊娠前BMI升高 (OR=1.16),家庭规模更大 (51%的增加),怀孕次数少于两次与PIH风险更高有关.
结论:
- 粮食不安全是妊娠引起的高血压的重要危险因素.
- 怀孕前的BMI和家庭规模也是PIH的重要预测因素.
- 干预措施应侧重于改善粮食安全和管理妊娠前的BMI,以预防妊娠并发症.
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