Ostachowska-Gasior Agnieszka, Janik Anna
Zakład Higieny i Ekologii Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków.
Przegl Lek. 2003;60 Suppl 6:4-7.
Dietary assessment of pregnant women influences very strongly the fetus development and is very important for nutritional status of pregnant women after delivery. The aim of presented studies was the comparison of diet of women with different weight gain during pregnancy. In every trimester of pregnancy anthropometric measurement (height, weight, skinfolds thickness, body fat) were made. Depending on pre-pregnancy BMI (body mass index) weight increase during whole pregnancy was considered as correct, if was similar to recommendations of The Institute of Medicine of the National Academy of Science or wrong when was different from recommendations mentioned above. Dietary assessment was estimated by the 24 hour recall method. Energy intake, as well as intake of protein, carbohydrates, fatty acids and fiber was established for all women. There were examined 97 women, living in Krakow. Three times (in every trimester) were examined 27 women. There were 6 women with excess weight gain (two overweight, one obese, three with proper pre-pregnant BMI). The average weight gain was 15.4 kg (8.4-24.2 kg). The subcutaneous fat deposition did not change in pregnancy in group of women with excess weight gain because the skinfolds thickness did not change significantly. There were also no significant differences in dietary assessment of women with correct and incorrect weight gain. The average energy, protein, carbohydrates and fiber intakes were similar to nutritional recommendations for pregnant women. Fatty acids intake was excessive in both groups of examined women. Presented studies indicates that diet is only one from large number of factors which influences the pregnancy outcome.
孕妇的饮食评估对胎儿发育有非常强烈的影响,并且对产后孕妇的营养状况非常重要。本研究的目的是比较孕期体重增加不同的女性的饮食情况。在孕期的每个阶段都进行了人体测量(身高、体重、皮褶厚度、体脂)。根据孕前体重指数(BMI),如果整个孕期的体重增加与美国国家科学院医学研究所的建议相似,则被认为是正常的;如果与上述建议不同,则被认为是异常的。饮食评估采用24小时回顾法进行。确定了所有女性的能量摄入量以及蛋白质、碳水化合物、脂肪酸和纤维的摄入量。对居住在克拉科夫的97名女性进行了研究。每次(在每个孕期阶段)对27名女性进行检查。有6名女性体重增加过多(2名超重,1名肥胖,3名孕前BMI正常)。平均体重增加为15.4千克(8.4 - 24.2千克)。体重增加过多的女性组在孕期皮下脂肪沉积没有变化,因为皮褶厚度没有显著变化。体重增加正常和异常的女性在饮食评估方面也没有显著差异。平均能量、蛋白质、碳水化合物和纤维摄入量与孕妇的营养建议相似。两组受检女性的脂肪酸摄入量均过高。本研究表明,饮食只是影响妊娠结局的众多因素之一。