摘要
目的分析妇女产后体重滞留的影响因素及针对性干预措施的疗效。方法选取该院2016年6月至2018年6月门诊产后复查妇女197例分析发生产后体重滞留的影响因素。另选取2018年7月至2019年7月该院收治的拟行产后减重妇女70例,按照随机数字表法分为对照组与观察组,各35例。对照组采用限能量均衡膳食方案,观察组采用减重方案,观察并记录两组患者一般资料[包括年龄、孕前体重指数(BMI)、胎儿数量、运动频率、孕期增重等],分娩后体重滞留情况,健康促进生活方式量表Ⅱ(HPLP-Ⅱ)评分。结果孕前BMI(OR=1.383,95%CI:1.091~1.753,P=0.007)、运动频率(OR=0.630,95%CI:0.464~0.855,P=0.003)、孕期增重(OR=1.740,95%CI:1.122~2.699,P=0.013)、脂肪供能比超推荐值(OR=1.527,95%CI:1.129~2.064,P=0.006)、喂养方式(OR=1.692,95%CI:1.281~2.235,P<0.001)、碳水化合物供能比超推荐值(OR=1.409,95%CI:1.107~1.793,P=0.005)是产后发生体重滞留的影响因素;观察组产后减重妇女分娩后3、6个月体重滞留明显低于对照组(P<0.05);观察组患者HPLP-Ⅱ营养、健康责任、体育运动、精神成长维度评分明显高于对照组(P<0.05)。结论针对性干预能有效改善分娩后体重滞留情况及产后生活方式。
Objective To analyse the influencing factors of postpartum weight retention and the efficacy of targeted intervention measures.Methods A total of 197 postpartum women reviewed in the outpatient clinic of this hospital from June 2016 to June 2018 after delivery were selected to analyse the influencing factors of postpartum weight retention.Another 70 women admitted to this hospital from July 2018 to July 2019 who underwent postpartum weight loss were selected and divided into the control group and the observation group according to the random number table,with 35 cases in each group.The control group received energy-restricted balanced diet plan,and the observation group was given weight loss plan.The general information,including age,pre-pregnancy body mass index(BMI),number of fetuses,exercise frequency,weight gain during pregnancy,weight retention after delivery and the score of health promoting lifestyle profileⅡ(HPLP-Ⅱ)in the two groups were observed and recorded.Results The pre-pregnancy BMI(OR=1.383,95%CI:1.091-1.753,P=0.007),exercise frequency(OR=0.630,95%CI:0.464-0.855,P=0.003),weight gain during pregnancy(OR=1.740,95%CI:1.122-2.699,P=0.013),fat energy supply ratio exceeding the recommended value(OR=1.527,95%CI:1.129-2.064,P=0.006),feeding method(OR=1.692,95%CI:1.281-2.235,P<0.001),carbohydrate energy supply ratio exceeding the recommended value(OR=1.409,95%CI:1.107-1.793,P=0.005)were the influencing factors of postpartum weight retention.The weight retention of women received postpartum weight loss in the observation group at 3 and 6 months after delivery was significantly lower than that in the control group(P<0.05),and the scores of nutrition,health responsibility,physical exercise,and mental growth dimensions of HPLP-Ⅱwere significantly higher than those in the control group(P<0.05).Conclusion Targeted intervention can effectively improve postpartum weight retention and postpartum lifestyle.
作者
李雪丹
王一钦
言晨绮
LI Xuedan;WANG Yiqin;YAN Chenqi(Department of Nutrition,Foshan Woman and Children Hospital,Foshan,Guangdong 528000,China)
出处
《重庆医学》
CAS
2020年第22期3739-3742,共4页
Chongqing medicine
基金
佛山市科技局医学类科技攻关项目(2015AB00402)。
关键词
产后期
体重滞留
影响因素
膳食干预
健康生活方式
postpartum period
weight retention
influencing factors
dietary intervention
healthy lifestyle
