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The Relationship Between Body Mass Index and Weight Gain During Pregnancy and the Incidence of Gestational Diabetes |
MENG Xuelian, BAO Liping, XU Xiaoyan, et al |
Maternal and Childcare Hospital, Hebei Chengde 067000, China |
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Abstract Objective: To explore the relationship between body mass index (BMI) in early pregnancy, weight gain during pregnancy and the incidence of gestational diabetes (GDM). Methods: A total of 140 pregnant women with 24-28 weeks gestation during pregnancy check-ups in our hospital from February 2019 to October 2020 were selected as the research subjects, and they were divided into GDM group and non-GDM group according to whether they had gestational diabetes. The BMI and weight gain during pregnancy of the two groups of pregnant women were recorded, and the relationship between them and the incidence of GDM was analyzed. Results: After OGTT screening, there were 33 pregnant women in the GDM group and 107 pregnant women in the non-GDM group. There is a statistically significant difference in the incidence of GDM with different BMIs (χ2=67.613, P<0.001),the incidence of GDM is highest when BMI ≥ 28.0kg/m2 (86.67%). There is a statistical difference in the incidence of different weight gains and GDM in the first trimester (χ2=7.634, P=0.022), and the incidence of weight gain> 5 kg GDM was the highest (36.73) %. BMI and weight gain are independent risk factors for GDM (P<0.05). BMI and weight gain were correlated with the incidence of GDM (r=-0.417, -0.212, P<0.05). Conclusion: Pre-pregnancy body mass index ≥ 28/m2 increases the risk of GDM in pregnant women. At the same time, weight gain in the first trimester> 5kg will increase the incidence of GDM. Therefore, management of pre-pregnancy BMI and weight gain during pregnancy can reduce the occurrence of gestational diabetes and reduce pregnancy complications. The occurrence of complications ensures the safety of mothers and babies.
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[1] 郭广丽,李晓慧,周钦,等.2015年-2017年河北省妊娠期糖尿病患病率及危险因素分析[J].实用医学杂志,2019,35(18):2844~2847. [2] 王丽丽,田颖,鲁莉萍.孕前体重指数与孕期体重增长对孕妇妊娠期糖尿病发病及妊娠结局的影响[J].中国妇幼保健,2019,34(1):62~64. [3] Cossu E,Incani M,Pani M G,et al.Presence of diabetes-specific autoimmunity in women with gestational diabetes mellitus (GDM) predicts impaired glucose regulation at follow-up.[J].Journal of endocrinological investigation,2018,41(2):1~8. [4] 黄丽娇,梁梅珍.孕前体质指数及孕期体质量增加对妊娠期糖尿病孕妇分娩方式及妊娠结局的影响[J].海南医学,2018,29(1):61~64. [5] 杨莉.孕前体重指数与妊娠期糖尿病的关系[J].中外女性健康研究,2019,000(001):80~81. [6] 费晓萍,祝亚平,沈建芳,等.孕早期(8-14周)空腹血浆葡萄糖、体质指数、糖化血红蛋白以及血脂对妊娠期糖尿病预测的临床意义[J].中国实验诊断学,2018,22(11):1931~1934. [7] 孙振凤,徐叶芳,杨慧,等.妊娠期糖尿病患者孕前体质指数、孕期体重增加与孕期糖脂代谢指标变化关系[J].中国计划生育学杂志,2019,27(10):1312~1316. [8] 马亭亭,丁桂凤,李莉,等.孕前体质指数、孕期增重、年龄与妊娠期糖尿病发病风险的研究[J].预防医学情报杂志,2017,33(8):740~743. |
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