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不同孕周孕妇人体成分分析比较
作者:赵霞 
单位:南京市鼓楼医院妇产科
关键词:体成分   孕妇营养 
分类号:
出版年·卷·期(页码):2014·42·第六期(600-602)
摘要:

[摘要]: 目的 比较不同孕周孕妇的体成分状况,寻找检测孕妇孕期肥胖的可靠指标,正确的评估孕妇的营养状况,给予合理的医学营养干预,从而改善妊娠结局。方法 利用人体成分分析仪测量2012年6—8月于本院建卡检查,年龄为26~30岁孕20-24周孕妇251例与孕28-32周孕妇132例,测量他们的蛋白质、无机盐、总体水分、肌肉量、骨骼肌、体脂肪、体脂百分数、腰臀脂肪比率、骨矿物质含量、内脏脂肪区域、基础代谢这几方面指标,比较这两组不同孕周孕妇的体成分各项的差异,结果 这两组孕妇蛋白质、无机盐、总体水分、肌肉量、体脂肪、骨矿物质含量、内脏脂肪区域、基础代谢,均随妊娠周数增加而明显增加,两者有明显的统计学差异,两组孕妇的骨骼肌、体脂百分数、腰臀脂肪比率无明显差异。结论 妊娠期孕妇体脂百分比、腰臀比指标不随孕周增加而改变,作为评价孕妇是否肥胖是较为可靠的指标,并以此为依据评估孕妇的营养状况,给予合理的医学营养干预,科学调控胎儿的出生体重,改善妊娠结局。

Objective: Comparing the body composition status of pregnant women to look for a reliable detection indicator of obesity during pregnancy, accurate assessment of the nutritional status of pregnant women and a reasonable medical nutrition intervention to improve pregnancy outcomes.Methods: we use body composition analyzer to measure proteins, salts, overall water, muscle mass, skeletal muscle, body fat, body fat percentage, waist-hip ratio of fat, bone mineral content ,Visceral fat area and Basal metabolism of pregnant women Aged 26 to 30 years old which have the maternity medical examination in our hospital from June to August in 2012. Divide them into two groups: 251 cases of 20-24 pregnant weeks and 132 cases of pregnant 28-32 pregnant weeks. Compare the differences of maternal body composition between these two groups.Outcomes: Proteins, salts, overall water, muscle mass, body fat, bone mineral content, visceral fat area and basal metabolism significantly increased within the increased pregnant weeks, There are statistically significant differences between the two groups. There is no significant difference between the two groups of pregnant women in skeletal muscle, body fat percentage andwaist-hip ratio.Conclusions: Body fat percentage, waist-hip ratio of pregnant women does not change within increasing gestational age. They are reliable indicators of evaluating whether pregnant women are obesity or not. We can use these to assess the nutritional status of pregnant women, give reasonable medical nutrition interventions, scientific regulation of fetal birth weight to improve pregnancy outcomes.

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