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[2010 - 2012年中国孕妇小腿肌肉痉挛患病率及影响因素]

[Prevalence of calf muscle cramps and influencing factors for pregnant women in China during 2010-2012].

作者信息

Duan Y F, Wang J, Jiang S, Bi Y, Pang X H, Yin S A, Yang Z Y

机构信息

National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention; Key Laboratory of Trace Element Nutrition, National Health and Family Planning Commission, Beijing 100050, China.

出版信息

Zhonghua Yu Fang Yi Xue Za Zhi. 2018 Jan 6;52(1):14-20. doi: 10.3760/cma.j.issn.0253-9624.2018.01.004.

Abstract

To investigate the prevalence of calf muscle cramps and possible influencing factors for pregnant women in China. Using a multi-stage stratified probability proportional to size cluster randomization sampling method during 2010-2012. A total of 3 582 pregnant women were investigated at 150 counties from 31 provinces in China mainland. Information on calf muscle cramps, demographic socio-economic status, pregnancy information, and the physical activities was collected through questionnaires. The semi-quantitative food frequency questionnaire (FFQ) was used to collect food intake of pregnant women. Dynamic cluster analysis was used to assess dietary pattern. Multiple logistic regression was used to investigate the possible influencing factors for calf muscle cramps. The prevalence of calf muscle cramps was 32.9% (1 180/3 582) in Chinese pregnant women, which was 11.6% (87/748), 28.2% (420/1 492), and 50.2% (673/1 342), respectively, during the first, second and third trimester. There were significant differences between them (χ(2)=349.16, 0.001). Dietary patterns of the pregnant women were classified into three groups, which called relatively balanced pattern, high vegetables and fruits pattern, and high dairy pattern. Among the three groups, the prevalence of calf muscle cramps was 32.0% (952/2 971), 37.2% (186/500), and 37.8% (42/111), with significant differences (χ(2)=6.39, 0.041). The (95) values of calf muscle cramps in the second and third trimester was 2.96 (2.28-3.83), and 8.02 (6.16-10.44), respectively, comparing with the first trimester. The (95) values of calf muscle cramps in the women taking calcium before pregnant was 1.45 (1.19-1.76), comparing with the one who was not taken. The (95) values of calf muscle cramps in the women who had been diagnosed by pregnancy-induced hypertension was 5.76 (2.06-16.12), comparing with the one who had not been diagnosed. The (95) values of calf muscle cramps in the high vegetables and fruits pattern and high dairy pattern was 1.13 (0.91-1.41), and 1.18 (0.76-1.81), respectively, comparing with the relatively balanced pattern. The prevalence of calf muscle cramps was relatively high in Chinese pregnant women, which was significantly different among three trimesters. The residential areas, occupation, and pregnancy-induced hypertension might be related to the prevalence of calf muscle cramps. However, there was no significant difference among different dietary patterns.

摘要

调查中国孕妇小腿肌肉痉挛的患病率及其可能的影响因素。于2010 - 2012年采用多阶段分层按规模大小成比例的整群随机抽样方法。在中国内地31个省份的150个县共调查了3582名孕妇。通过问卷调查收集小腿肌肉痉挛、人口社会经济状况、妊娠信息及身体活动等方面的信息。采用半定量食物频率问卷(FFQ)收集孕妇的食物摄入量。运用动态聚类分析评估饮食模式。采用多因素logistic回归分析小腿肌肉痉挛的可能影响因素。中国孕妇小腿肌肉痉挛的患病率为32.9%(1180/3582),妊娠早期、中期和晚期的患病率分别为11.6%(87/748)、28.2%(420/1492)和50.2%(673/1342),三者之间差异有统计学意义(χ² = 349.16,P = 0.001)。孕妇的饮食模式分为三组,即相对均衡模式、高蔬菜水果模式和高乳制品模式。三组中小腿肌肉痉挛的患病率分别为32.0%(952/2971)、37.2%(186/500)和37.8%(42/111),差异有统计学意义(χ² = 6.39,P = 0.041)。妊娠中期和晚期小腿肌肉痉挛的(95%)可信区间分别为2.96(2.28 - 3.83)和8.02(6.16 - 10.44),与妊娠早期相比。孕前补钙孕妇小腿肌肉痉挛的(95%)可信区间为1.45(1.19 - 1.76),与未补钙者相比。妊娠期高血压疾病患者小腿肌肉痉挛的(95%)可信区间为5.76(2.06 - 16.12),与未诊断者相比。高蔬菜水果模式和高乳制品模式小腿肌肉痉挛的(95%)可信区间分别为1.13(0.91 - 1.41)和1.18(0.76 - 1.81),与相对均衡模式相比。中国孕妇小腿肌肉痉挛的患病率较高,在妊娠三个阶段之间差异有统计学意义。居住地、职业和妊娠期高血压疾病可能与小腿肌肉痉挛的患病率有关。然而,不同饮食模式之间差异无统计学意义。

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