摘要
目的 了解孕期、哺乳期妇女每日饮水量及其影响因素。方法 于2020年5-8月,采用方便抽样的方式在北京、天津、山东和江苏等省(市)妇幼保健院产科和儿保科,对1320名接受产前保健和产后随访的孕产妇进行一般情况、身体活动度和饮水相关问卷调查。数据从“问卷星”系统导出后,采用Wilcoxon秩和检验和多元线性回归对孕产妇每日不同类型液体摄入量进行单因素和多因素分析。结果 孕妇和乳母每日饮水量中位数分别为1321 mL和1271 mL,白水饮用最多(均为1000 mL),其次是液态奶及酸奶(179 mL和86 mL)和其他饮料(29 mL和86 mL)。单因素分析显示,孕妇每日饮水量随孕期、文化程度、家庭可支配收入增加而增加,不同孕期、文化程度、身体活动强度和家庭可支配收入组差异均具有统计学意义(P<0.05)。此外,不同年龄、文化程度、身体活动强度和家庭可支配收入的乳母每日饮水量、白水、液态奶及酸奶摄入量差异具有统计学意义(P<0.05)。多元线性回归分析显示,孕期是孕妇每日饮水量、白水和液态奶及酸奶摄入量的最主要影响因素,而家庭可支配收入是其他饮料的最主要影响因素。对于乳母,家庭可支配收入是每日饮水量、液态奶及酸奶和其他饮料摄入量的最主要影响因素,文化程度是每日白水摄入量的最主要影响因素。结论 孕妇、乳母饮水量不足,对孕产妇进行饮水宣教时需考虑不同孕期状况、家庭收入、文化程度等因素,改善饮水行为方式。
OBJECTIVE To investigate the water intake and its influence factors of pregnant and lactating women.METHODS From May to August 2020, a convenience sampling method was used to investigate questionnaires in the obstetrics and pediatric care departments of maternal and Child Health Hospitals in Beijing, Tianjin, Shandong and Jiangsu Provinces(Cities) among pregnant and lactating women who received prenatal health care and postpartum follow-up. The questionnaire included general conditions, physical activity and water-related surveys. The data was exported from the Questionnaire Star System and analyzed by Wilcoxon rank sum test and multiple linear regression for different types of daily fluid intake.RESULTS The median daily water intake of pregnant and lactating women was 1321 mL and 1271 mL, respectively, meanwhile, plain water was the most highest(both 1000 mL), followed by milk and milk products(179 mL and 86 mL), other beverages(29 mL and 86 mL). The one-way analysis showed that daily water intake of pregnant women was increased with increasing gestation, literacy, and household disposable income, and the difference were statistically significant(P<0.05) across gestation, literacy, physical activity intensity, and household disposable income groups, as well as significant differences in lactating women(P<0.05). Multiple linear regression analysis showed that pregnancy was the most influential factor for daily water intake, plain water and liquid milk and yogurt intake among pregnant women, while household disposable income was the most influential factor for other beverages. For lactating women, household disposable income was the most influential factor for daily water intake, liquid milk and yogurt and other beverages, and literacy was the most influential factor for daily intake of plain water.CONCLUSION Pregnant and lactating women had insufficient water intake, so it is necessary to consider different pregnancy status, family income and literacy for drinking water health education and improve drinking behavior.
作者
谢臻城
林小芳
陆晓龙
滕越
戴楠
汪福玲
国佳
丁叶
武洁姝
汪之顼
Xie Zhencheng;Lin Xiaofang;Lu Xiaolong;Teng Yue;Dai Nan;Wang Fuling;Guo Jia;Ding Ye;Wu Jieshu;Wang Zhixu(Department of Maternal,Child and Adolescent Health,School of Public Health,Nanjing Medical University,Nanjing 211166,China;Haidian Maternal&Child Health Hospital Nutrition Clinic,Beijing 100080,China;Danyang People's Hospital,Danyang 212300,China;Rencheng Maternal&Child Health Hospital,Jining 272000,China;Tianjin Women's and Children's Health Center,Tianjin 300070,China)
出处
《卫生研究》
CAS
CSCD
北大核心
2022年第3期367-373,共7页
Journal of Hygiene Research
基金
国家科技基础资源调查专项资金资助(No.2019FY101001)
江苏高校优势学科建设工程资助项目(公共卫生与预防医学)。
关键词
饮水量
影响因素
孕期妇女
哺乳期妇女
water intake
influence factors
pregnant women
lactating women
