孕前体重指数孕期运动量及饮食习惯与妊娠期糖尿关系-relationship between pre-pregnancy body mass index, exercise during pregnancy, dietary habits and gestational diabetes mellitus.docxVIP

摘要孕前体重指数 孕期运动量及饮食结构 与妊娠期糖尿病的关系目的： 探讨孕前体重指数、孕期运动量及饮食习惯与妊娠期糖尿病的关系。方法： 收集2012.3-2012.12于山西医科大学第一医院住院确诊的GDM患者167例 作为调查对象,选取同期就诊的167例非GDM且无其他内外科合并症的孕妇作为 对照组。采用调查问卷的方式，记录孕前的体重、身高、孕期每日运动强度、 时间（包括工作及业余活动）及饮食习惯，比较GDM和对照组孕妇孕前体重指数、 孕期运动量及饮食习惯的差异。结果：两组孕前体重指数差异有统计学意义( t =2.883， P ＜0.05)，GDM组高于 对照组；在同等活动强度下，两组孕期每日活动时间的差异有统计学意义（t =5.161， P ＜ 0.01），GDM组活动时间少于对照组；两组间孕期肉类摄入以 红肉为主的比例、进食甜食及油炸类食品的频率的差异均有统计学意义（ P ＜ 0.05），GDM组高于对照组。结论：孕前体重指数大、孕期在同等活动强度下，活动时间少、肉类摄入以红 肉为主、常吃甜食、油炸食品均为GDM的独立危险因素；对计划妊娠及妊娠期妇女进行健康宣教及饮食指导，是GDM一级预防的重要方面。【关键词】妊娠期糖尿病 体重指数 饮食习惯 运动量ABSTRACTThe relationship between BMI before pregnancy, pregnancy physical activity ，dietary habit and gestational diabetes mellitusObjectiveTo explore the relationship between BMI before pregnancy, pregnancy physical activity , dietary habit and gestational diabete mellitusMethodsThere were two groups，167 cases of gestational diabetes in Shanximedical university first hospital in 2012.3-2012.12 as observation group；167 healthy non-diabetic pregnant patients for the same period in the same hospital as the control group. Observed and compared the BMI before pregnancy, pregnancy physical activity, dietary habitof two groups in the way of questionnaireResults :The differences of BMI before pregnancy between the two groups have statistical significance( t =2.883 P ＜0.05)，GDM group is higher than the controlgroup；The differences of daily activities during pregnancy between the two groupshave statistical significance( P ＜0.05)，GDM group is less than the control group； The differences of the proportion of meat intake wich is given priority to with red meat ,the frequency of eating sweets and Fried foods during pregnancy between the two groups have statistical significanc,GDM group is higher than the control group.Conclusion :The BMI before pregnancy is higher, under the same activityintensity ，pregnancy physical activity is less, Meat intake during pregnancy is given priority to with red meat, often eat sweets during pregnancy , often eat Fried foo