Lindberg Sara, Anderson Cynthia, Pillai Parvathy, Tandias Aman, Arndt Brian, Hanrahan Lawrence
WMJ. 2016 Nov;115(5):233-7.
Weight gain during pregnancy affects obesity risk in offspring.
To assess weight gain among UW Health prenatal patients and to identify predictors of unhealthy gestational weight gain.
Retrospective cohort study of women delivering at UW Health during 2007-2012. Data are from the UW eHealth Public Health Information Exchange (PHINEX) project. The proportion of women with excess and insufficient (ie, unhealthy) gestational weight gain was computed based on 2009 Institute of Medicine guidelines. Multivariable logistic regression was used to identify risk factors associated with excess and insufficient gestational weight gain.
Gestational weight gain of 7,385 women was analyzed. Fewer than 30% of prenatal patients gained weight in accordance with Institute of Medicine guidelines. Over 50% of women gained excess weight and 20% gained insufficient weight during pregnancy. Pre-pregnancy weight and smoking status predicted excess weight gain. Maternal age, race/ethnicity, smoking status, and having Medicaid insurance predicted insufficient weight gain.
Unhealthy weight gain during pregnancy is the norm for Wisconsin women. Clinical and community interventions that promote healthy weight gain during pregnancy will not only improve the health of mothers, but also will reduce the risk of obesity in the next generation.
孕期体重增加会影响后代肥胖风险。
评估威斯康星大学健康系统产前患者的体重增加情况，并确定不健康孕期体重增加的预测因素。
对2007年至2012年在威斯康星大学健康系统分娩的女性进行回顾性队列研究。数据来自威斯康星大学电子健康公共卫生信息交换（PHINEX）项目。根据2009年医学研究所指南计算孕期体重增加过多和不足（即不健康）的女性比例。采用多变量逻辑回归分析确定与孕期体重增加过多和不足相关的风险因素。
分析了7385名女性的孕期体重增加情况。不到30%的产前患者体重增加符合医学研究所指南。超过50%的女性孕期体重增加过多，20%的女性体重增加不足。孕前体重和吸烟状况可预测体重增加过多。产妇年龄、种族/族裔、吸烟状况以及拥有医疗补助保险可预测体重增加不足。
孕期不健康体重增加是威斯康星州女性的常态。促进孕期健康体重增加的临床和社区干预措施不仅将改善母亲的健康状况，还将降低下一代肥胖的风险。
