Associations of diet and physical activity during pregnancy with risk for excessive gestational weight gain.
Associations of diet and physical activity during pregnancy with risk for excessive gestational weight gain.
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DOI：
10.1016/j.ajog.2009.02.025
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发表时间：
2009-07
影响因子：
9.8
通讯作者：
Gillman, Matthew W.
中科院分区：
文献类型：
--
作者：
Stuebe, Alison M.;Oken, Emily;Gillman, Matthew W.
我们试图确定妊娠期体重增加过多（GWG）的可改变的危险因素。我们评估了1388名来自Project Viva队列研究的女性的饮食和体育活动与体重过度增加的关系。根据医学研究所的指南，379名（27%）女性超重（BMI =26kg/m2）， 703名（51%）女性GWG超标。在多变量logistic回归模型中，我们发现总能量（OR 1.10, 95%CI 1.00-1.22，每500千卡/天）、乳制品（OR 1.08, 95%CI 1.00-1.17，每份/天）和油炸食品（OR 3.47, 95%CI 0.91-13.24，每份/天）的摄入与GWG过量直接相关。妊娠早期素食（0.46,95%CI 0.28-0.78）和妊娠中期步行（0.91,95%CI 0.82-1.00，每半小时/天）和剧烈运动（0.76,95%CI 0.60-0.97，每半小时/天）与GWG过量呈负相关。健康的饮食和更多的体育活动与降低妊娠期体重过度增加的风险有关。
We sought to identify modifiable risk factors for excessive gestational weight gain (GWG). We assessed associations of diet and physical activity with excessive gain among 1388 women from the Project Viva cohort study. 379 (27%) of women were overweight (BMI>=26kg/m2) and 703 (51%) experienced excessive GWG, according to Institute of Medicine guidelines. In multivariable logistic regression models, we found that intake of total energy (OR 1.10, 95%CI 1.00–1.22, per 500 kcal/day), dairy (1.08, 95%CI 1.00–1.17, per serving/day), and fried foods (OR 3.47, 95%CI 0.91–13.24, per serving/day) were directly associated with excessive GWG. First trimester vegetarian diet (0.46, 95%CI 0.28–0.78) and mid-pregnancy walking (0.91, 95%CI 0.82–1.00, per half-hour/day) and vigorous physical activity (0.76, 95%CI 0.60–0.97, per half-hour/day) were inversely associated with excessive GWG. Healthful diet and greater physical activity are associated with reduced risk for excessive gestational weight gain.
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