Determinants of excessive gestational weight gain in urban, low-income women.
Determinants of excessive gestational weight gain in urban, low-income women.
复制标题
城市低收入妇女妊娠期体重过度增加的决定因素。
DOI：
10.1016/j.whi.2012.05.004
复制
发表时间：
2012-09
期刊：
影响因子：
--
通讯作者：
Foster GD
中科院分区：
文献类型：
--
作者：
Herring SJ;Nelson DB;Davey A;Klotz AA;Dibble LV;Oken E;Foster GD
在城市低收入女性中，影响怀孕期间体重过度增加的因素还没有得到很好的研究。对费城一家大型大学医院的94名产前护理患者进行了前瞻性队列研究，考察了可改变的孕中期行为与不可改变的或早孕因素与妊娠体重增加过快的关系。数据是在2009-2011年通过问卷和病历摘要收集的。大多数女性是非洲裔美国人(83%)，所有人(100%)都接受了医疗补助。近三分之二(60%)的人在怀孕早期超重或肥胖，41%的人经历了过度增长。在多因素Logistic回归分析中，孕期体重增加的显著预测因素包括早孕体重指数过高(OR：4.20，95%可信区间：1.43，超重/肥胖与正常体重比较：12.34)、无胎(OR：3.35，95%CI：1.17，9.62与多胎比较)，以及临床医生建议与医学研究所指南不一致(OR：5.88，95%CI：1.04，33.32，不一致与不一致)。每天看电视2小时以下(OR：0.18，95%CI：0.03，1.03)和孕期经常进行体育锻炼(OR：0.35，95%CI：0.11，1.09)提示过度增重的风险降低。在这个城市低收入女性的样本中，早孕体重指数高、未分娩和不和谐的临床医生建议与妊娠体重过度增加直接相关，看电视时间较少和进行定期体力活动的风险有降低的趋势。对这些目标进行干预可能会优化妊娠体重增加，并促进长期的产妇健康。
Factors influencing excessive weight gain in pregnancy have not been well studied among urban, low-income women. Prospective cohort study of 94 prenatal care patients at a large university hospital in Philadelphia, examining associations of modifiable mid-pregnancy behaviors and non-modifiable or early pregnancy factors with excessive gestational weight gain. Data were collected through questionnaires and medical record abstraction in 2009-2011. The majority of women were African-American (83%) and all (100%) received Medicaid. Nearly two-thirds (60%) were overweight or obese in early pregnancy and 41% experienced excessive gain. In multivariable logistic regression analyses, significant predictors of excessive gestational weight gain included high early pregnancy body mass index (odds ratio [OR]: 4.20, 95% confidence interval [CI]: 1.43, 12.34 for overweight/obese vs. normal weight), nulliparity (OR: 3.35, 95% CI: 1.17, 9.62 for nulliparity vs. multiparity), and clinician advice discordant with Institute of Medicine guidelines (OR: 5.88, 95% CI: 1.04, 33.32 for discordant vs. concordant advice). Watching under two hours of television daily (OR: 0.18, 95% CI: 0.03, 1.03) and engaging in regular physical activity during pregnancy (OR: 0.35, 95% CI: 0.11, 1.09) were suggestive of a reduced risk of excessive gain. In this sample of urban, low-income women, high early pregnancy body mass index, nulliparity, and discordant clinician advice were directly associated with excessive gestational weight gain, with a trend toward decreased risk for viewing fewer hours of television and engaging in regular physical activity. Intervening on these targets may optimize gestational weight gain and promote long-term maternal health.
登录
查看更多内容
影响因子：
120.7
作者：
Flegal, Katherine M.;Carroll, Margaret D.;Curtin, Lester R.
通讯作者：
Curtin, Lester R.
影响因子：
7.1
作者：
Boggs, Deborah A.;Palmer, Julie R.;Rosenberg, Lynn
通讯作者：
Rosenberg, Lynn
影响因子：
7.2
作者：
Dixon, JB;Dixon, ME;O'Brien, PE
通讯作者：
O'Brien, PE
影响因子：
5.5
作者：
Gunderson, EP;Abrams, B
通讯作者：
Abrams, B
影响因子：
1.6
作者：
JeanLouis, G;vonGizycki, H;Taub, H
通讯作者：
Taub, H