| 王雅萍,汤琳琳,雷 磊,谷茂红,徐友娣.妊娠期糖尿病患者孕前BMI与血糖及膳食营养摄入的相关性分析[J].,2019,19(15):2884-2886 |
| 妊娠期糖尿病患者孕前BMI与血糖及膳食营养摄入的相关性分析 |
| Analysis of the Correlation of Pre-pregnancy BMI with the Blood Glucose and Dietary Reference Intake of Patients with Gestational Diabetes Mellitus |
| 投稿时间：2018-11-23 修订日期：2018-12-18 |
| DOI：10.13241/j.cnki.pmb.2019.15.018 |
| 中文关键词: 妊娠期糖尿病 孕前BMI 血糖 膳食营养摄入 |
| 英文关键词: Gestational diabetes mellitus Pre-pregnancy BMI Blood glucose Dietary reference intake |
| 基金项目:江苏省卫生计生委科研基金项目(F-201661) |
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| 中文摘要: |
| 摘要 目的：分析妊娠期糖尿病患者孕前身体质量指数(Body Mass Index，BMI)与血糖水平及膳食营养摄入的相关性。方法：选择2017年1月-2018年1月于我院治疗的妊娠期糖尿病患者86例作为观察组，另选择血糖水平正常的孕妇60例作为对照组，并依据BMI不同将观察组分为A组(BMI＜18.5 kg/m2)、B组(18.5 kg/m2≤BMI＜24.0 kg/m2)、C组(24.0 kg/m2≤BMI≤28.0 kg/m2)、D组(BMI＞28.0 kg/m2)。比较各组孕前BMI、血糖水平及膳食营养摄入情况。结果：观察组孕前体重、BMI、脂肪供能比均显著高于对照组，碳水化合物摄入量及碳水化合物供能比低于对照组，差异均有统计学意义(P＜0.05)；各组空腹时、餐后2 h血糖水平以及每日能量、脂肪摄入比较结果显示：D组＞C组＞B组＞A组，且组间差异均有统计学意义(P＜0.05)。结论：孕前BMI与血糖水平及膳食营养摄入存在一定相关性，控制合理体重、保持营养均衡对于降低妊娠期糖尿病发生率具有重要意义。 |
| 英文摘要: |
| ABSTRACT Objective: To analyze the correlation of pre-pregnancy body mass index (BMI) with the blood glucose level and dietary reference intake of patients with gestational diabetes mellitus (GDM). Methods: 86 GDM patients treated in the hospital from January 2017 to January 2018 were selected as observation group, and 60 pregnant women with normal blood glucose were selected as control group. Observation group was divided into group A (BMI<18.5 kg/m2), group B (18.5 kg/m2≤BMI<24.0 kg/m2), group C(24.0 kg/m2≤BMI≤28.0 kg/m2), group D (BMI>28.0 kg/m2) according to BMI. The pre-pregnancy BMI, blood glucose level and dietary reference intake were compared among the groups. Results: The pre-pregnancy weight, BMI and energy supply ratio of fat in observation group were higher than those in control group, while the carbohydrate intake and energy supply ratio of carbohydrate in observation group were lower than those in control group (P<0.05); The results of fasting blood glucose, 2 hours postprandial blood glucose, daily energy intake and fat intake showed that: D group>C group>B group>A group, and there were statistical differences among the groups (P<0.05). Conclusion: Pre-pregnancy BMI has certain correlation with blood glucose level and dietary reference intake. Controlling a reasonable weight and maintaining a balanced diet are important for reducing the incidence of GDM. |
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