从怀孕早期到产后42天的身体组成和体重保持之间的关联:一项回顾性队列研究
Yan Li1, Jiaying Yuan2, Kui Lan3
1Department of Clinical Nutrition, Chengdu Shuangliu District Maternal and Child Health Care Hospital, Chengdu, China.
BMJ open
|May 15, 2025
概括
怀孕早期体脂和脂肪质量较高与分娩后体重保留率较低有关. 然而,产后增加的身体脂肪,脂肪质量和瘦肉质量与更高的体重保留有关.
科学领域:
- 产科和妇科 产科和妇科
- 生殖健康 生殖健康
- 孕产妇的营养 孕产妇的营养
背景情况:
- 产后体重保持 (PPWR) 是对母亲健康的重大关注.
- 了解怀孕期间和之后身体成分的作用对于管理PPWR至关重要.
研究的目的:
- 调查从怀孕早期到产后42天的身体组成指标与产后体重保持风险之间的关联.
主要方法:
- 在中国西南地区对673名孕妇进行了回顾性队列研究.
- 使用生物电阻分析评估的身体组成 (PBF,FM,FFM,LM).
- 后勤回归和受限立方线分析检查了人体组成-PPWR关系.
主要成果:
- 怀孕早期高的PBF和FM与明显较低的PPWR风险相关.
- 每次妊娠早期的SD增加PBF/FM都会使PPWR风险降低29%/35%.
- 在PBF,FM,FFM和LM的产后增加与PPWR风险增加有关.
结论:
- 怀孕早期的身体脂肪百分比 (PBF) 和脂肪质量 (FM) 对PPWR有保护作用.
- 产后PBF,FM,无脂肪质量 (FFM) 和瘦肉质量 (LM) 是PPWR的危险因素.
- 在FM的变化显著影响PPWR.
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