Anthropometric differences in macrosomic infants of diabetic and nondiabetic mothers.

Anthropometric differences in macrosomic infants of diabetic and nondiabetic mothers.
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糖尿病和非糖尿病母亲的巨大婴儿的人体测量差异。

DOI:
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发表时间:
1998
期刊:
Journal of Maternal-Fetal Medicine
影响因子:
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通讯作者:
Oded Langer
Oded Langer
中科院分区:
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文献类型:
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作者:
M. McFarland;Courtney G. Trylovich;Oded Langer

文献摘要

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目的是调查糖尿病母亲和非糖尿病母亲的巨型婴儿之间存在人体测量和身体成分差异的假设。对16名糖尿病母亲的婴儿和58名对照组婴儿在分娩后24小时内进行了研究。测量结果如下:出生体重、出生身长和四肢长度;头部、胸部、肩部和四肢的周长;以及三头肌、肩峰下、侧面和大腿的皮褶。脂肪质量的估计和体脂百分比的计算根据Dauncey方法进行。与出生体重和出生长度相似的非糖尿病对照组婴儿相比,糖尿病母亲的巨型婴儿的特征是肩围和四肢周长更大,头肩比降低,体脂显著增加,上肢皮褶更厚。身体成分和体重分布的差异可能解释了糖尿病人群中肩难产的倾向。
The objective was to investigate the hypothesis that anthropometric and body composition differences exist between macrosomic infants of diabetic and nondiabetic mothers. Sixteen infants of mothers with diabetes, along with 58 control infants, were studied within 24 hours of delivery. The following measurements were obtained: birthweight, birth length and extremity length; circumferences of the head, chest, shoulders, and extremities; and triceps, subscapular, flank, and thigh skinfolds. Estimation of fat mass and calculation of percent body fat was performed according to the Dauncey method. Macrosomic infants of diabetic mothers were characterized by larger shoulder and extremity circumferences, a decreased head-to-shoulder ratio, significantly higher body fat, and thicker upper extremity skinfolds compared with nondiabetic control infants of similar birthweight and birth length. Differences in body composition and weight distribution may explain the propensity for shoulder dystocia in the diabetic population.