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刘彦, 陶俊贤, 吴蔚, 孙幸, 卢丹, 李影, 孙晓芳. 182例产妇身体成分和分娩方式的相关性调查[J]. 实用临床医药杂志, 2019, 23(12): 54-57, 61. DOI: 10.7619/jcmp.201912016
引用本文: 刘彦, 陶俊贤, 吴蔚, 孙幸, 卢丹, 李影, 孙晓芳. 182例产妇身体成分和分娩方式的相关性调查[J]. 实用临床医药杂志, 2019, 23(12): 54-57, 61. DOI: 10.7619/jcmp.201912016
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LIU Yan, TAO Junxian, WU Wei, SUN Xing, LU Dan, LI Ying, SUN Xiaofang. Investigation on the correlation between body composition and delivery modes of 182 puerperae[J]. Journal of Clinical Medicine in Practice, 2019, 23(12): 54-57, 61. DOI: 10.7619/jcmp.201912016
Citation: LIU Yan, TAO Junxian, WU Wei, SUN Xing, LU Dan, LI Ying, SUN Xiaofang. Investigation on the correlation between body composition and delivery modes of 182 puerperae[J]. Journal of Clinical Medicine in Practice, 2019, 23(12): 54-57, 61. DOI: 10.7619/jcmp.201912016
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182例产妇身体成分和分娩方式的相关性调查

Investigation on the correlation between body composition and delivery modes of 182 puerperae

    摘要
  • 摘要:
      目的  对182例产后3 d内的住院产妇进行全身身体成分测定, 并分析不同类型产妇身体成分的相关数据。
      方法  应用生物电阻抗法测定产妇身体成分，并分别按是否初产妇、产妇体质量指数(BMI)、不同生产方式等进行分组，分析不同组别产妇间身体成分的差别和特点。
      结果  经产妇的实际年龄和身体年龄均显著大于初产妇(P < 0.01)，腹部肥胖度显著高于初产妇(P < 0.05)。随BMI的增加，产妇体脂肪率、体脂肪量、去脂体质量、身体水分量、肌肉量、肥胖度、腹部肥胖度、基础代谢率、总能量消耗、蛋白质、无机盐均显著增加(P < 0.05)，阻抗显著降低(P < 0.05)。剖宫产分娩组产妇的年龄和身体年龄均显著大于自然分娩组，体脂肪率和腹部肥胖度显著高于自然分娩组(P < 0.05或P < 0.01)。
      结论  经产妇、肥胖产妇和剖宫产分娩产妇的腹部肥胖度更为明显，提示体脂肪率、腹部肥胖度和不良妊娠结果可能相关。

     

    Abstract:
      Objective  To determine the body composition of 182 hospitalized puerperae women within 3 days after delivery, and to analyze the data of different types of puerperae.
      Methods  The body composition of puerperae was determined by bioelectrical impedance method, and the patients were divided into different groups according to primiparae or not, maternal BMI and different modes of delivery. The differences and characteristics of body composition between different groups were analyzed.
      Results  The actual age and physical age of multiparae were significantly older than that of primipara, and the abdominal obesity was significantly higher than that of primipara (P < 0.05). With the increase of BMI, maternal body fat rate, body fat volume, fat-free weight, body water content, muscle mass, obesity, abdominal obesity, basal metabolic rate, total energy consumption, protein, inorganic salt increased significantly (P < 0.05), and impedance decreased significantly (P < 0.05). The actually age and body age of puerperae in caesarean delivery group were significantly older than those in natural delivery group, and the body fat rate and abdominal obesity were significantly higher than those in natural delivery group (P < 0.05 or P < 0.01).
      Conclusion  Multiparae, obese and caesarean delivery women have more obvious abdominal obesity, which suggests that body fat rate, and abdominal obesity are related with adverse pregnancy outcomes.

     

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