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体重指数:肥胖孕妇体脂的真实指标。

Body mass index: a true indicator of body fat in obese gravidas.

作者信息

Sewell Mark F, Huston-Presley Larraine, Amini Saeid B, Catalano Patrick M

机构信息

Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio 44109-1989, USA.

出版信息

J Reprod Med. 2007 Oct;52(10):907-11.

Abstract

OBJECTIVE

To determine the relationship between body mass index (BMI) and percent body fat in overweight/obese pregnant women (BMI >25) before and during pregnancy.

STUDY DESIGN

Thirteen overweight women were evaluated longitudinally (prospective cohort study design) before conception, in early gestation (12-22 weeks) and in late gestation (31-36 weeks). BMI was calculated as weight (kg)/height (m)2, and percent body fat was estimated using hydrodensitometry with correction for residual lung volume.

RESULTS

The correlation between BMI and percent body fat before conception was r2 = 0.86 (p = 0.001). Furthermore, the correlation remained strong in early pregnancy, r2 = 0.84 (p = 0.001), but was less strong yet significant, r2 = 0.54 (p = 0.004), in late gestation.

CONCLUSION

In overweight women, the correlation between BMI and percent body fat remained significant during pregnancy. However, the correlation weakened as the pregnancy advanced.

摘要

目的

确定超重/肥胖孕妇(体重指数>25)孕前及孕期体重指数(BMI)与体脂百分比之间的关系。

研究设计

对13名超重女性在受孕前、妊娠早期(12 - 22周)和妊娠晚期(31 - 36周)进行纵向评估(前瞻性队列研究设计)。BMI计算为体重(千克)/身高(米)²,体脂百分比采用经残肺容积校正的水密度测量法估算。

结果

受孕前BMI与体脂百分比之间的相关性r² = 0.86(p = 0.001)。此外,在妊娠早期相关性仍然很强,r² = 0.84(p = 0.001),但在妊娠晚期相关性减弱但仍显著,r² = 0.54(p = 0.004)。

结论

超重女性在孕期BMI与体脂百分比之间的相关性仍然显著。然而,随着孕期进展,相关性减弱。

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