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

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

More Information
  • Received Date: March 27, 2019
  • Accepted Date: April 28, 2019
  • Available Online: February 22, 2021
  • Published Date: June 27, 2019
  •   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.
  • [1]
    Butte N F, Ellis K J, Wong W W, et al. Composition of gestational weight gain impacts maternal fat retention and infant birth weight[J]. Am J Obstet Gynecol, 2003, 189(5): 1423-1432. doi: 10.1067/S0002-9378(03)00596-9
    [2]
    Lowe W L Jr, Scholtens D M, Lowe L P, et al. Association of gestational diabetes with maternal disorders of glucose metabolism and childhood adiposity[J]. JAMA, 2018, 320(10): 1005-1016. doi: 10.1001/jama.2018.11628
    [3]
    McCarthy E A, Strauss B J, Walker S P, et al. Determination of maternal body composition in pregnancy and its relevance to perinatal outcomes[J]. Obstet Gynecol Surv, 2004, 59(10): 731-742, 745-746. doi: 10.1097/01.ogx.0000140039.10861.91
    [4]
    Forsum E, Löf M, Olausson H, et al. Maternal body composition in relation to infant birth weight and subcutaneous adipose tissue[J]. Br J Nutr, 2006, 96(2): 408-414. doi: 10.1079/BJN20061828
    [5]
    Nishida C, Ko G T, Kumanyika S. Body fat distribution and noncommunicable diseases in populations: overview of the 2008 WHO Expert Consultation on Waist Circumference and Waist-Hip Ratio[J]. Eur J Clin Nutr, 2010, 64(1): 2-5. doi: 10.1038/ejcn.2009.139
    [6]
    WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies[J]. Lancet, 2004, 363(9403): 157-163. doi: 10.1016/S0140-6736(03)15268-3
    [7]
    李晓红, 陈莉莉. 孕前及孕期母体体重指数与妊娠期糖尿病及巨大儿的关系[J]. 中国妇幼保健, 2017, 32(17): 4073-4075. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201717019.htm
    [8]
    Moon J H, Kwak S H, Jung H S, et al. Weight gain and progression to type 2 diabetes in women with a history of gestational diabetes mellitus[J]. J Clin Endocrinol Metab, 2015, 100(9): 3548-3555. doi: 10.1210/JC.2015-1113
    [9]
    Bao W, Yeung E, Tobias D K, et al. Long-term risk of type 2 diabetes mellitus in relation to BMI and weight change among women with a history of gestational diabetes mellitus: a prospective cohort study[J]. Diabetologia, 2015, 58(6): 1212-1219. doi: 10.1007/s00125-015-3537-4
    [10]
    李力, 张谦. 妊娠糖尿病妇女和正常妊娠妇女人体成分的比较[J]. 首都医科大学学报, 2015, 36(6): 982-985. doi: 10.3969/j.issn.1006-7795.2015.06.027
    [11]
    Suresh A, Liu A, Poulton A, et al. Comparison of maternal abdominal subcutaneous fat thickness and body mass index as markers for pregnancy outcomes: A stratified cohort study[J]. Aust N Z J Obstet Gynaecol, 2012, 52(5): 420-426. doi: 10.1111/j.1479-828X.2012.01471.x
    [12]
    Fuemmeler B F, Zucker N, Sheng Y O, et al. Pre-pregnancy weight and symptoms of attention deficit hyperactivity disorder and executive functioning behaviors in preschool children[J]. Int J Environ Res Public Health, 2019, 16(4): E667. doi: 10.3390/ijerph16040667
    [13]
    Sundholm J K M, Litwin L, Rönö K, et al. Maternal obesity and gestational diabetes: Impact on arterial wall layer thickness and stiffness in early childhood - RADIEL study six-year follow-up[J]. Atherosclerosis, 2019, 284: 237-244. doi: 10.1016/j.atherosclerosis.2019.01.037
    [14]
    张颖, 王子莲, 蔡坚, 等. 超重和肥胖对妊娠期糖尿病围产结局的影响[J]. 现代医院, 2012, 12(10): 19-21. doi: 10.3969/j.issn.1671-332X.2012.10.007
    [15]
    张倩. 孕前超重和肥胖对妊娠结局的影响[J]. 实用妇产科杂志, 2013, 29(1): 74-75. doi: 10.3969/j.issn.1003-6946.2013.01.028
    [16]
    丁冰杰, 余焕玲, 王佳, 等. 孕前超重/肥胖孕妇妊娠期糖尿病发病的危险因素研究[J]. 中国妇幼健康研究, 2018, 29(1): 66-69. doi: 10.3969/j.issn.1673-5293.2018.01.017
    [17]
    王黎. 孕前体重指数与妊娠不良结局及分娩方式的探讨[J]. 中国妇幼保健, 2006, 21(20): 2806-2807. doi: 10.3969/j.issn.1001-4411.2006.20.019
    [18]
    Ray J G, Vermeulen M J, Shapiro J L, et al. Maternal and neonatal outcomes in pregestational and gestational diabetes mellitus, and the influence of maternal obesity and weight gain: the DEPOSIT study. Diabetes Endocrine Pregnancy Outcome Study in Toronto[J]. QJM, 2001, 94(7): 347-356. doi: 10.1093/qjmed/94.7.347
    [19]
    徐划萍, 邱慧, 汪东颖, 等. E时代下生活方式的远程管理对高校肥胖女生身体成分及体质健康的影响[J]. 中国医药导报, 2018, 15(8): 166-170. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY201808041.htm
    [20]
    Eley V, Sekar R, Chin A, et al. Increased maternal abdominal subcutaneous fat thickness and body mass index are associated with increased cesarean delivery: A prospective cohort study[J]. Acta Obstet Gynecol Scand, 2019, 98(2): 196-204. doi: 10.1111/aogs.13486
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