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妊娠期高血压并发症患者的身体组成

Body composition of patients with hypertensive complications during pregnancy.

作者信息

Levario-Carrillo Margarita, Avitia Martha, Tufiño-Olivares Edith, Trevizo Elsa, Corral-Terrazas Martha, Reza-López Sandra

机构信息

Unidad de Investigación Médica en Epidemiología Clínica, Instituto Mexicano del Seguro Social, Chihuahua, Mexico.

出版信息

Hypertens Pregnancy. 2006;25(3):259-69. doi: 10.1080/10641950600913032.

Abstract

OBJECTIVE

To determine the body composition of women with the diagnoses of gestational hypertension or preeclampsia.

METHODS

Cross-sectional study, including four groups of patients who were in the third trimester: those with an uncomplicated pregnancy (n = 110), those with a diagnosis of gestational hypertension (n = 38), those with mild preeclampsia (n = 8), and those with severe preeclampsia (n = 11). Their fat mass, fat-free mass, and total body water were estimated by bioelectric impedance.

RESULTS

The fat mass was 20 +/- 7 kg in the control group and 26 +/- 13 kg in the group with gestational hypertension (p < 0.05). The total body water was 36 +/- 6 L in the control group, 50 +/- 10 L in the patients with gestational hypertension, 52 +/- 10 L in those with mild preeclampsia, and 48 +/- 9 L in those with severe preeclampsia (p < 0.05).

CONCLUSION

The results suggest that maternal body composition shows significant differences in patients with hypertensive complications during pregnancy. These data may be related to a possible inadequate distribution of the volume of water as a result of alterations in capillary permeability.

摘要

目的

确定诊断为妊娠期高血压或子痫前期的女性的身体成分。

方法

横断面研究,纳入四组孕晚期患者:正常妊娠者(n = 110)、诊断为妊娠期高血压者(n = 38)、轻度子痫前期者(n = 8)和重度子痫前期者(n = 11)。通过生物电阻抗法估算她们的脂肪量、去脂体重和总体水含量。

结果

对照组的脂肪量为20±7 kg,妊娠期高血压组为26±13 kg(p < 0.05)。对照组的总体水含量为36±6 L,妊娠期高血压患者为50±10 L,轻度子痫前期患者为52±10 L,重度子痫前期患者为48±9 L(p < 0.05)。

结论

结果表明,孕期患有高血压并发症的患者其母体身体成分存在显著差异。这些数据可能与毛细血管通透性改变导致的水容量分布可能不足有关。

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