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影响产后母亲体重滞留因素的调查:一项横断面研究。

Investigation of factors affecting postpartum maternal weight retention: A cross-sectional study.

作者信息

Celik Nigar, Atan Senay Unsal

机构信息

Dumplupinar University, Kutahya School of Health, Nursing Department, Kutahya.

Ege University Nursing Faculty, Department of Gynaecologic and Obstetric Nursing, Bornova, Turkey.

出版信息

J Pak Med Assoc. 2018 Nov;68(11):1578-1583.

Abstract

OBJECTIVE

To examine weight retention and affecting factors among 12-18 months postpartum women..

METHODS

The descriptive cross-sectional study was conducted from January 1 to June 30, 2012 at Gazikent 3rd Primary Health Care Centre, Izmir, Turkey, and comprised pregnant women registered with the centre in their 12-18 months postpartum phase. Data was collected using Mother Introduction Form and International Physical Activity Questionnaire-Short Form. SPSS 15 was used for data analysis.

RESULTS

There were 239 women with a mean age of 30.81±4.59 years. Of the total, 182(76.2%) subjects had weight retention; 106(44.4%) having 0.5-5kg, and 49(20.6%) with 5.5-10 kg. Overall mean weight retention rate was 4.09±4.90kg (range: -9-27kg). Weight retention had significant correlations with chronic illness (p=0.037), having been educated about physical exercise during pregnancy (p=0.001), skipping meals (p=0.036), average pre-pregnancy weights (p=0.019), average pre-pregnancy body mass index (p=0.049), average weight gained during pregnancy (p=0.009), achieving weight gain during pregnancy as recommended by the Institute of Medicine guidelines (p=0.002), and mean physical activity score (p=0.006).

CONCLUSIONS

Women should be monitored for their body mass index and weight in the postpartum period and during pregnancy.

摘要

目的

研究产后12至18个月女性的体重滞留情况及其影响因素。

方法

2012年1月1日至6月30日,在土耳其伊兹密尔的加济肯特第三初级卫生保健中心开展了描述性横断面研究,研究对象为在该中心登记的处于产后12至18个月阶段的孕妇。使用《母亲情况介绍表》和《国际体力活动问卷简表》收集数据。采用SPSS 15进行数据分析。

结果

共有239名女性,平均年龄为30.81±4.59岁。其中,182名(76.2%)受试者存在体重滞留;106名(44.4%)体重滞留0.5至5千克,49名(20.6%)体重滞留5.5至10千克。总体平均体重滞留率为4.09±4.90千克(范围:-9至27千克)。体重滞留与慢性病(p=0.037)、孕期接受过体育锻炼教育(p=0.001)、不规律饮食(p=0.036)、孕前平均体重(p=0.019)、孕前平均体重指数(p=0.049)、孕期平均体重增加量(p=0.009)、孕期体重增加量达到医学研究所指南建议水平(p=0.002)以及平均体力活动得分(p=0.006)均存在显著相关性。

结论

应对女性产后及孕期的体重指数和体重进行监测。

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