Pregravid Physical Activity, Dietary Intake, and Glucose Intolerance During Pregnancy

Pregravid Physical Activity, Dietary Intake, and Glucose Intolerance During Pregnancy
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DOI:
10.1089/jwh.2010.2377
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发表时间:
2011-12-01
影响因子:
3.5
通讯作者:
Nicholson, Wanda K.
Nicholson, Wanda K.
中科院分区:
医学3区
文献类型:
--
作者:
Baptiste-Roberts, Kesha;Ghosh, Payal;Nicholson, Wanda K.

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目的:确定妊娠早期女性样本的孕前体力活动和饮食摄入量,并评估孕前生活方式行为对 1 小时葡萄糖激发试验 (GCT) 的影响。方法:我们对 152 名早孕期孕妇的种族多样化城市样本进行了前瞻性分析,她们是胎次、炎症和糖尿病 (PID) 研究的参与者。使用改良版的 Block Rapid Food Screener 评估怀孕前的膳食摄入量,并使用 Baecke 问卷评估怀孕前的休闲时间体力活动。从病历中提取 26 至 28 周期间进行的非空腹口服 GCT 的测试结果。如果血糖测量值 >= 140 mg/dL,则参与者被分类为 GCT 阳性;如果血糖测量值 = 140 mg/dL,则参与者被分类为阴性。然而,膳食摄入量与 GCT 反应之间没有关联。结论:我们的数据表明,预防异常 GCT 结果应包括鼓励育龄妇女在计划怀孕前进行休闲体育活动。
Objectives: To ascertain prepregnancy physical activity and dietary intake from a sample of women in early pregnancy and estimate the effect of prepregnancy lifestyle behaviors on the 1-hour glucose challenge test (GCT).Methods: We conducted a prospective analysis of a racially diverse urban-based sample of 152 pregnant women in the first trimester who were participants in the Parity, Inflammation and Diabetes (PID) study. Dietary intake before pregnancy was assessed using a modified version of the Block Rapid Food Screener, and leisure time physical activity before pregnancy was assessed using the Baecke questionnaire. Test results from a nonfasting oral GCT conducted between 26 and 28 weeks were abstracted from the medical record. Participants were classified as having a positive GCT if the blood glucose measurement was >= 140 mg/dL and as negative with a blood glucose measurement = 140 mg/dL. However, there was no association between dietary intake and response to the GCT.Conclusions: Our data suggest that prevention of an abnormal GCT result should include practices to encourage women of reproductive age to engage in leisure physical activity in advance of planning a pregnancy.