论文部分内容阅读
目的探讨母亲妊娠期糖尿病(GDM)对新生儿体脂含量影响的性别差异,为开展早期营养干预提供理论支持。方法以2015年1-7月在无锡市妇幼保健院出生的231例新生儿为研究对象,由专业人员对出生24~48h内的新生儿进行身长、体重和皮褶厚度的测量,同时使用自制调查问卷收集母亲孕期健康情况。结果 1)病例组新生儿体脂百分比和体脂含量显著高于对照组(P<0.01),而出生体重、身长与对照组相比差异无统计学意义(P>0.05)。2)校正母亲孕前BMI、孕期体重增量、分娩方式、年龄、文化程度等混杂因素后,母亲妊娠期糖尿病仅是男婴出生时体脂含量的主要预测因素,病例组男婴体脂含量比对照组平均多80g(P<0.05)。结论母亲妊娠期糖尿病对新生儿体脂含量的影响在男婴中表现更加显著。因此,应密切监测母亲孕期糖耐量异常新生儿的营养状况,尤其是针对男婴的跟踪随访和营养指导。
Objective To explore the gender differences of maternal gestational diabetes mellitus (GDM) on the body fat content of neonates and to provide theoretical support for early nutritional intervention. Methods A total of 231 newborns born in Wuxi MCH from January to July in 2015 were enrolled in the study. The height, weight and skinfold thickness of newborns within 24 ~ 48h of birth were measured by professional staff. Questionnaires collected maternal health status during pregnancy. Results 1) The body fat percentage and body fat content of newborns in the case group were significantly higher than those in the control group (P <0.01), while there were no significant differences in birth weight and body length between the two groups (P> 0.05). 2) Correcting maternal pre-pregnancy BMI, pregnancy weight gain, mode of delivery, age, educational level and other confounding factors, maternal gestational diabetes mellitus is only the main predictors of body fat at birth. The body fat ratio The control group an average of more than 80g (P <0.05). Conclusion The effect of maternal gestational diabetes on neonatal body fat content is more pronounced in male infants. Therefore, the nutritional status of mothers with impaired glucose tolerance during pregnancy should be closely monitored, especially for follow-up and nutritional guidance of baby boys.