摘要
目的:探讨个体化饮食指导对孕妇体重的影响。方法:选择门诊常规查体和因妊娠糖尿病(gestational diabetes mellitus,GDM)住院治疗的孕妇作为研究对象。对研究组进行饮食指导,对照组不进行任何干预。将住院治疗的GDM患者作为糖尿病组。分别记录3组孕期的体重值,计算其相应的体重指数(BMI)值进行两两比较。结果:孕前及孕中BMI值经分析,研究组和糖尿病组、对照组和糖尿病组之间的差异均有统计学意义(P<0.05),研究组和对照组之间的差异无统计学意义(P>0.05)。孕后及产前BMI值经比较分析研究组和对照组、研究组和糖尿病组之间的差异有统计学意义(P<0.05),对照组和糖尿病组之间的差异无统计学意义(P>0.05)。孕后△BMI经统计学比较分析,研究组和对照组、对照组和糖尿病组之间的差异有统计学意义(P<0.05)。产前△BMI经统计学比较分析,研究组和糖尿病组、对照组和糖尿病组之间的差异有统计学意义(P<0.05)。结论:通过饮食指导可以使孕妇体重增长更为合理,有益于孕妇及胎儿的健康。
【Objective】To study the effect of individualized maternal dietary nutrition guidance on pregnant women＇s weight.【Method】Subjects were chosen from pregnant women who came to our hospital to make routine pregnancy check-up during March 1st to March 31st in 2009.Participants were divided into an intervention（giving individualized maternal dietary nutrition guidance） group,and a control group following to their own will.Diabetes group were chosen from GDM cases of hospitalization from Jan 1st 2008 to Dec 31st in 2009.Weights of all participants were recorded including prepregnancy time,medium pregnancy（22 weeks）,later pregnancy（30weeks） and terminal pregnancy（38 weeks）.BMI of all subjects were calculated and compared with each other.【Result】 For prepregnancy BMI and medium pregnancy BMI,the differences between the intervention group and the diabetes group,the control group and the diabetes group have statistical significance（p0.05）,but the difference between the intervention group and the control group has no statistical significance;For later pregnancy BMI and terminal pregnancy BMI,the differences between the intervention group and the group,the intervention group and the control group have statistical significance（p0.05）,but the difference between the diabetes group and the control group has no statistical significance（p0.05）;For the increased BMI of the later pregnancy BMI than prepregnancy BMI,the differences between the intervention group and the control group,the control group and the diabetes group have statistical significance（p0.05）;For the increased BMI of the terminal pregnancy BMI than prepregnancy BMI,the differences between the intervention group and the diabetes group,the control group and the group have statistical significance（p0.05）.【Conclusion】The individualized maternal dietary nutrition guidance on pregnant women is a basic principle and useful method to manage GDM.It can help to control weight of pregnant women feasibly and keep their fetus healthy.
出处
《中国食物与营养》
2011年第4期81-85,共5页
Food and Nutrition in China
基金
北京医院院内青年课题基金资助项目"个体话孕早期饮食干预对妊娠结局的影响"(项目编号:BJ-2008-120)
关键词
妊娠糖尿病
个体化饮食
体重
体重指数
影响
gestational diabetes mellitus
individual diet therapy
body weight
body mass index
effect
