孕期增重以及产后软饮料的摄入对产后体重滞留的影响
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摘要
目的研究孕期增重以及产后膳食对产后体重滞留的影响方法采用队列研究的方法,以在北京北方医院进行产后复查的产妇为研究对象,分别在产后1个月、6个月进行追踪随访,调查研究对象的一般信息、孕前、分娩前、产后1个月、6个月的体重;用半定量的食物频数法,收集研究对象的膳食摄入信息。利用多元线性回归模型,分析孕期增重以及膳食摄入量与产后体重滞留的关系。结果孕期增重(β=0.73, 95%CI:0.52～0.71,β=0.67, 95%CI:0.51～0.77)、软饮料摄入量(β=0.14, 95%CI:0.14～1.34,β=0.15, 95%CI:0.05～1.53)与产后1、6个月体重滞留呈正相关关系,关联具有统计学意义;按照喂养方式分层后,孕期增重、软饮料摄入与产后1个月、6个月喂养方式之间不存在交互作用。结论孕期增重与产后软饮料摄入与产后体重滞留有关,与软饮料摄入量相比,孕期增重是产后体重滞留更重要的预测因子。
Objective To study the effects of gestational weight gain(GWG) and postpartum dietary intake on postpartum weight retention(PWR). Methods This is a cohort study. Women who participated in regular physical examination postpartum were recruited. Subjects were followed up at 1 month and 6 months postpartum respectively. A structured questionnaire was used for data on demographic characteristics, the weight of pre-pregnancy, weight before deliver, and weight at 1 and 6 months postpartum. At 6 months postpartum, a semi-quantitative Food Frequency Questionnaire(FFQ) was utilized to obtain data on dietary intake of subjects. Multivariate regression analysis was used for association between variables and PWR.Results GWG(β=0.73, 95%CI: 0.52-0.71, β=0.67, 95%CI: 0.51-0.77) and soft drinks intake(β=0.14, 95%CI: 0.14-1.34; β=0.15,95%CI: 0.05-1.53) showed a positive relationship with PWR at 1 and 6 month postpartum; After stratified analysis, there was no interaction effect between GWG, soft drink intakes and the modes of feeding. Conclusion GWG and postpartum soft drinks intake show positive correlation with PWR. GWG is a more important predictor of postpartum weight retention.
Objective To study the effects of gestational weight gain(GWG) and postpartum dietary intake on postpartum weight retention(PWR). Methods This is a cohort study. Women who participated in regular physical examination postpartum were recruited. Subjects were followed up at 1 month and 6 months postpartum respectively. A structured questionnaire was used for data on demographic characteristics, the weight of pre-pregnancy, weight before deliver, and weight at 1 and 6 months postpartum. At 6 months postpartum, a semi-quantitative Food Frequency Questionnaire(FFQ) was utilized to obtain data on dietary intake of subjects. Multivariate regression analysis was used for association between variables and PWR.Results GWG(β=0.73, 95%CI: 0.52-0.71, β=0.67, 95%CI: 0.51-0.77) and soft drinks intake(β=0.14, 95%CI: 0.14-1.34; β=0.15,95%CI: 0.05-1.53) showed a positive relationship with PWR at 1 and 6 month postpartum; After stratified analysis, there was no interaction effect between GWG, soft drink intakes and the modes of feeding. Conclusion GWG and postpartum soft drinks intake show positive correlation with PWR. GWG is a more important predictor of postpartum weight retention.
引文
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[12]Davis JN,Shearrer GE,Tao W,et al.Dietary variables associated with substantial postpartum weight retention at 1-year among women with GDM pregnancy[J].BMC Obesity,2017,4:31.
[13]Stern D,Middaugh N,Rice MS,et al.Changes in Sugar-Sweetened Soda consumption,weight,and waist circumference:2-Year cohor of Mexican women[J].American Journal of Public Health,2017,107(11):1801-1808.
[14]Shin D,Lee KW,Song WO.Dietary patterns during pregnancy are associated with risk of gestational diabetes mellitus[J].Nutrients2015,7(11):9369-9382.
[15]Minihane AM,Vinoy S,Russell WR,et al.Low-grade inflammation,diet composition and health:current research evidence and it translation[J].The British Journal of Nutrition,2015,114(7):999-1012.
[16]Mcgeoghegan L,Muirhead CR,Almoosawi S.Association between an anti-inflammatory and anti-oxidant dietary pattern and diabete in British adults:results from the National diet and nutrition survey rolling programme years 1-4[J].International Journal of Food Sciences and Nutrition,2015,67(5):553-561.
[17]赵艾,薛勇,司徒文佑,等.北京、苏州和广州女性产后体重滞留现况与影响因素调查分析[J].卫生研究,2015,44(2):216-219.
[18]Martin JE,Hure AJ,Macdonald-Wicks L,et al.Predictors of postpartum weight retention in a prospective longitudinal study[J].Maternal&Child Nutrition,2014,10(4):496-509.
[19]Wiltheiss GA,Lovelady CA,West DG,et al.Diet quality and weigh change among overweight and obese postpartum women enrolled in a behavioral intervention program[J].Journal of the Academy of Nutrition and Dietetics,2013,113(1):54-62.
[20]López-Olmedo N,Hernández-Cordero S,Neufeld LM,et al.The associations of maternal weight change with breastfeeding,Diet and physical activity during the postpartum period[J].Maternal and Child Health Journal,2016,20(2):270-280.
[21]Moraes De Oliveira M,Camelo JS.Gestational,perinatal,and postnatal factors that interfere with practice of exclusive breastfeeding by six months after birth[J].International Breastfeeding Journal,201712:42.
[22]Bertz F,Winkvist A,Brekke HK.Sustainable weight loss among overweight and obese lactating women is achieved with an energyreduced diet in line with dietary recommendations:results from the LEVA randomized controlled trial[J].Journal of the Academy of Nutrition and Dietetics,2015,115(1):78-86.
[23]Stendell-Hollis NR,Thompson PA,West JL,et al.A comparison o Mediterranean-style and My Pyramid diets on weight loss and inflammatory biomarkers in postpartum breastfeeding women[J].Journal of Women's Health(2002),2013,22(1):48-57.
[2]Rong K,Yu K,Han X,et al.Pre-pregnancy BMI,gestational weigh gain and postpartum weight retention:a meta-analysis of observational studies[J].Public Health Nutrition,2015,18(12):2172-2182.
[3]Kirkegaard H,Stovring H,Rasmussen KM,et al.Maternal weigh change from prepregnancy to 7 years postpartum--the influence o behavioral factors[J].Obesity(Silver Spring,Md.),2015,23(4):870-878.
[4]Jaakkola J,Hakala P,Isolauri E,et al.Eating behavior influences diet,weight,and central obesity in women after pregnancy[J].Nutrition(Burbank,Los Angeles County,Calif.),2013,29(10):1209-1213.
[5]Lovelady C.Balancing exercise and food intake with lactation to promote post-partum weight loss[J].The Proceedings of the Nutrition Society,2011,70(2):181-184.
[6]Huseinovic E,Winkvist A,Bertz F,et al.Dietary assessment among women with overweight and obesity in early postpartum[J].Journal o human nutrition and dietetics:the official journal of the British Dietetic Association,2016,29(4):411-417.
[7]De Castro MB,Sichieri R,Barbosa Brito Fdos S,et al.Mixed dietary pattern is associated with a slower decline of body weight change during postpartum in a cohort of Brazilian women[J].Nutricion Hospitalaria,2014,29(3):519-525.
[8]杨月欣,王光亚,潘兴昌,等.中国食物成分表(第1册)[M].2版北京:北京大学医学出版社,2009.
[9]Loy SL,Ng MJH,Cheung YB,et al.Plasmaω-3 fatty acids in pregnancy are inversely associated with postpartum weight retention in a multiethnic Asian cohort[J].The American Journal of Clinica Nutrition,2017,105(5):1158-1165.
[10]Institute of Medicine(US),National Research Council(US),Committee to Reexamine IOM Pregnancy Weight Guidelines.Weight gain during pregnancy:reexamining the guidelines[M].Washington:National Academies Press,2009.
[11]Martin CL,Tate DF,Schaffner A,et al.Acculturation influence postpartum eating,activity,and weight retention in Low-Income Hispanic women[J].Journal of Women's Health(2002),2017,26(12):1333-1339.
[12]Davis JN,Shearrer GE,Tao W,et al.Dietary variables associated with substantial postpartum weight retention at 1-year among women with GDM pregnancy[J].BMC Obesity,2017,4:31.
[13]Stern D,Middaugh N,Rice MS,et al.Changes in Sugar-Sweetened Soda consumption,weight,and waist circumference:2-Year cohor of Mexican women[J].American Journal of Public Health,2017,107(11):1801-1808.
[14]Shin D,Lee KW,Song WO.Dietary patterns during pregnancy are associated with risk of gestational diabetes mellitus[J].Nutrients2015,7(11):9369-9382.
[15]Minihane AM,Vinoy S,Russell WR,et al.Low-grade inflammation,diet composition and health:current research evidence and it translation[J].The British Journal of Nutrition,2015,114(7):999-1012.
[16]Mcgeoghegan L,Muirhead CR,Almoosawi S.Association between an anti-inflammatory and anti-oxidant dietary pattern and diabete in British adults:results from the National diet and nutrition survey rolling programme years 1-4[J].International Journal of Food Sciences and Nutrition,2015,67(5):553-561.
[17]赵艾,薛勇,司徒文佑,等.北京、苏州和广州女性产后体重滞留现况与影响因素调查分析[J].卫生研究,2015,44(2):216-219.
[18]Martin JE,Hure AJ,Macdonald-Wicks L,et al.Predictors of postpartum weight retention in a prospective longitudinal study[J].Maternal&Child Nutrition,2014,10(4):496-509.
[19]Wiltheiss GA,Lovelady CA,West DG,et al.Diet quality and weigh change among overweight and obese postpartum women enrolled in a behavioral intervention program[J].Journal of the Academy of Nutrition and Dietetics,2013,113(1):54-62.
[20]López-Olmedo N,Hernández-Cordero S,Neufeld LM,et al.The associations of maternal weight change with breastfeeding,Diet and physical activity during the postpartum period[J].Maternal and Child Health Journal,2016,20(2):270-280.
[21]Moraes De Oliveira M,Camelo JS.Gestational,perinatal,and postnatal factors that interfere with practice of exclusive breastfeeding by six months after birth[J].International Breastfeeding Journal,201712:42.
[22]Bertz F,Winkvist A,Brekke HK.Sustainable weight loss among overweight and obese lactating women is achieved with an energyreduced diet in line with dietary recommendations:results from the LEVA randomized controlled trial[J].Journal of the Academy of Nutrition and Dietetics,2015,115(1):78-86.
[23]Stendell-Hollis NR,Thompson PA,West JL,et al.A comparison o Mediterranean-style and My Pyramid diets on weight loss and inflammatory biomarkers in postpartum breastfeeding women[J].Journal of Women's Health(2002),2013,22(1):48-57.