北京市孕妇妊娠早期增重现状调查

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摘要目的了解北京市孕妇妊娠早期增重情况及现状。方法对2018年1月4日—2018年5月31日在北京市海淀区妇幼保健院产科门诊产检的1 712例孕妇采用问卷法进行调查,获得孕前及妊娠早期体重资料。按照孕前BMI分组,将孕产妇分为体重过低组、体重正常组、超重或肥胖组,并对照IOM标准分析研究对象整体和各个分组的孕期增重情况。结果最终纳入了1 370例孕妇进行数据分析,妊娠早期平均增重预估为(1.0±3.5) kg。低于IOM(the Institute of Medicine)推荐标准的有909例(66.4%),符合推荐标准的有140例(10.2%),超过推荐标准的有321例(23.4%)。按照孕前BMI分组后,各组人群的妊娠早期增重差异有统计学意义,体重过低组孕妇的体重增长速率高于体重正常组,超重或肥胖组孕妇的体重增长速率低于体重正常组。结论北京市孕妇妊娠早期体重增重情况与IOM标准相比较,符合推荐标准的孕妇仅占总人群的10.2%,这一比例提示北京市应加强孕妇体重管理的工作及相关知识的宣传。

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关键词 ：妊娠早期, 体重增加, 现状调查

Abstract：Objective To investigate the weight gain of pregnant women in the first trimester in Beijing.Methods A total of 1 712 pregnant women in the obstetric clinic of Haidian District Maternal and Child Health Hospital, Beijing were investigated by questionnaires from January 4, 2018 to May 31, 2018. Weight data pre-pregnancy and early pregnancy were obtained. According to the BMI group before pregnancy, the pregnant women were divided into underweight group, normal weight group, overweight or obesity group, and the weight gain of the whole study object and each group during pregnancy was analyzed according to the IOM (the Institute of Medicine) standard.Results A total of 1 370 pregnant women were included in the final data analysis. The average weight gain in the first trimester was estimated to be (1.0±3.5) kg. 909 women (66.4%) were lower than the IOM recommendation standard, 140 women (10.2%) met the IOM standard, and 321 women (23.4%) exceeded the IOM standard. According to pre-pregnancy BMI, there was a significant difference in weight gain among groups in the first trimester. The weight growth rate of underweight group was higher than that of normal BMI group, and the weight growth rate of overweight or obese group was lower than that of normal BMI group.Conclusion Compared with IOM standard, only 10.2% of the pregnant women met the recommended standard, which suggests that Beijing government should strengthen maternal weight management and the publicity of relevant knowledge.

Key words： first trimester of pregnancy weight gain status survey

收稿日期: 2019-01-31

基金资助:国家自然科学基金 (81673177)

通讯作者: 张亚黎(zhangyl@bjmu.edu.cn)

引用本文:

郭英男, 李智文, 张乐, 李楠, 张亚黎. 北京市孕妇妊娠早期增重现状调查[J]. 中国生育健康杂志, 2020, 31(4): 310-313.
GUO Yingnan, LI Zhiwen, ZHANG Le, LI Nan, ZHANG Yali. Survey on the weight gain of pregnant women in the first trimester in Beijing. Chinese Journal of Reproductive Health, 2020, 31(4): 310-313.

链接本文:

http://cjrh.bjmu.edu.cn/CN/ 或 http://cjrh.bjmu.edu.cn/CN/Y2020/V31/I4/310

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